Evaluation and Management of the TMJ and Associated Muscles: A Physical Therapist’s Approach-Demo #2: Screening for TMD

Video Transcription

Video Summary

In this video, the speaker discusses the importance of screening for temporomandibular disorders (TMD) before inserting a mandibular advancement device for sleep apnea treatment. They suggest asking subjective history questions about habits such as teeth clenching, grinding, or touching, as well as chewing gum or other objects. It's also important to ask about clicking, catching, or pain in the jaw, face, ear, or temple. The speaker mentions a TMD screener that can help identify red flag items. They emphasize the significance of medical history, including chronic pain, fibromyalgia, and psychosocial factors. TMD or comorbidities do not necessarily prevent the use of oral appliances and can benefit from a mouth guard. The video also demonstrates how to observe movement and measure jaw function to determine device suitability. The speaker mentions specific measurements, normal ranges, and possible stretches for restricted movement. The video hints at discussing stretching in a follow-up video.

Keywords

temporomandibular disorders

screening

mandibular advancement device

sleep apnea treatment

TMD screener