Читать книгу Temporomandibular Disorders - Robin J. M. Gray - Страница 58

1 II.a DD with reductionCriteria: No pain in the jointReproducible click on excursion with either opening or closing clickWith click on opening and closing (unless excursive click confirmed):Click on opening occurs at ≥5 mm interincisal distance than on closingClicks eliminated by protrusive opening

2 II.b DD without reduction with limited openingCriteria: History of locking or catching that interfered with eatingAbsence of TMJ clickingUnassisted opening (even painful) ≤35 mm and passive stretch ≤4 mmContralateral excursion <7 mm or uncorrected ipsilateral deviation on opening

3 II.c DD without reduction without limited openingCriteria: History of locking or catching that interfered with eatingThe presence of TMJ sounds excluding DDR clickingUnassisted opening (even painful) >35 mm and passive stretch >4 mmContralateral excursion ≥7 mm 5. Optional imaging (Arthrography or MRI) to confirm DD