Baseline TMJ and Muscle Examination-AADSM Exam Form

AADSM Exam Form

Pdf Summary

This document is a record of the findings from an oral appliance exam. It includes information such as the patient's demographics, referring physician, and primary care dentist. The objective section provides details about the diagnostic sleep test, including the type of test conducted, the AHI (Apnea-Hypopnea Index), and the presence of sleep-related bruxism, upper airway resistance, and RERAs (respiratory effort-related arousals). The physical assessment section includes measurements such as height, weight, BMI (body mass index), blood pressure, pulse, neck circumference, Epworth Sleepiness Score, and the STOP-BANG questionnaire score. It also assesses the airway, including the Modified Mallampati Score, Friedman Score, tonsils size, uvula size, and the condition of the soft and hard palate, tongue, gag reflex, swallowing issues, and breathing through the nose or mouth.<br /><br />The dental assessment section provides information about the patient's dental history, missing teeth, perio class, mobility, open contacts, dental occlusion class, presence of posterior occlusal stops, midline measurements, and dental prosthetics. The document also records the range of motion of the jaw, the condition of the nasal passage, including septal deviation and turbinates size, and any limitations or pain on cervical rotation. In the TMJ/muscular assessment section, there are ratings for tenderness to palpation on various muscles and an evaluation of the TMJ, including pain, popping, crepitus, grinding, early and late opening or closing clicks.<br /><br />The evidence of parafunction section includes information about the patient's awareness of clenching and bruxism, the size of their masseter muscles, and dental wear and erosion. The document also mentions the records taken, such as dental and perio charting, panoramic x-ray, cephalometric x-ray, cone-beam computed tomography (CBCT), and full-mouth x-rays. Lastly, there is space for additional findings or information that may be relevant to the exam.

Keywords

oral appliance exam

diagnostic sleep test

AHI

physical assessment

BMI

Epworth Sleepiness Score

airway assessment

dental assessment

TMJ assessment

parafunction