Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, which carries sensation from your face to your brain.
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NBDE Quiz # 83
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1. Question
A man is diagnosed as having extremely inflamed retrodiscal tissue as a result of functional loading of an internally deranged TMJ. All conservative treatment has failed to resolve the problem. What is the next course of action?
Correct
The correct answer is A. Arthrocentesis. This is the indicated therapy for recent onset of unilateral failure of translation because of abnormal relationship of the articular disk to the mandibular condyle because of inflammation from functional loading. Arthroscopic surgery (answer choice B) is used to visualize intra- articular pathology such as adhesions, synovitis, osteoarthritis, disk displacement, and disk perforation but is not the treatment once a diagnosis is made. All other answers involve occlusal adjustment, which has not been proven to be the etiology is any type of TMJ disorder.
Incorrect
The correct answer is A. Arthrocentesis. This is the indicated therapy for recent onset of unilateral failure of translation because of abnormal relationship of the articular disk to the mandibular condyle because of inflammation from functional loading. Arthroscopic surgery (answer choice B) is used to visualize intra- articular pathology such as adhesions, synovitis, osteoarthritis, disk displacement, and disk perforation but is not the treatment once a diagnosis is made. All other answers involve occlusal adjustment, which has not been proven to be the etiology is any type of TMJ disorder.
