TMJ

Iontophoresis Protocol: Temporomandibular Joint Dysfunction

ETIOLOGY

The Temporomandibular Joint (TMJ) is the most frequently used joint in the body opening and closing 1,500 to 2,000 times a day as it is involved in talking, chewing, swallowing. yawning and snoring.

TMJ dysfunction may occur as a result of isolated TMJ dysfunction, trauma or disease or as a result of disrupt ion in the cervical spine, mandible, maxilla, hyoid bone or shoulder girdle. Because of the extensive array of symptoms possible in the cervical region, cranium, face, dentition, ears and throat. other head, neck and shoulder problems need to be ruled out to determine the exact site of the problem.

  • Typical Drug Electrode Site
  • Typical Dispersive Pad Site: Trapezius or Deltoid

The TM joints are synovial and are composed of fibrocartilage which has the capacity to undergo a great deal of remodeling. This will occur throughout life and is dependent on demand. Proper functioning of the TM joint occurs with the condyle translating along the slope of the articular eminence.


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IONTOPHORESIS PROCEDURE


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IONTOPHORESIS PROCEDURE

IMPORTANT: See Phoresor System and electrode instruc­tion guides for indications, contraindications, warnings, pre­cautions and directions...
PATIENT EVALUATION


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PATIENT EVALUATION

A.     Subjective: •    Patient complaint •    Location •    Onset...
RE-EVALUATION


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RE-EVALUATION

In addition to patient's subjective reports, check for: decreased pain, decreased tenderness to palpation over the TM joints bilaterally,...
WHY IONTOPHORESIS IS APPROPRIATE THERAPY


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WHY IONTOPHORESIS IS APPROPRIATE THERAPY

lontophoretic drug delivery for the condition of TMJ dys­function provides an alternative to hypodermic injection of corticosteroids, with...


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