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Occlusion, Headaches

and ٥
Temporomandibular Joint Problems
Common Causes of Headaches
• Raised Temperature
• Sinus Problems
• Toothache
Common Causes of Headaches
• Excess Alcohol
• Trauma
• Referred Pain from Muscle Spasm
The Neuromuscular Cycle
The Neuromuscular Cycle
Occlusal Dysharmony
Adaptation Lack of Adaptation
Occlusal Dysharmony
Adaptation Lack of Adaptation

Asymptomati
c Occlusion
Occlusal Dysharmony
Adaptation Lack of Adaptation

Asymptomati c Symptomati c
Occlusion Occlusion
Occlusal Dysharmony
Adaptation Lack of Adaptation

Asymptomati Symptomati
c Occlusion c Occlusion

Local
Symptom
s
Occlusal Dysharmony
Adaptation Lack of Adaptation

Asymptomatic Symptomatic
Occlusion Occlusion

Local Peripheral
Symptoms Symptoms
Occlusal Dysharmony
Adaptation Lack of Adaptation

Asymptomati c Symptomati c
Occlusion Occlusion

Local Peripheral Oral


Symptom s Symptom s Symptom s
Local Symptoms
Pain on Jaw Mov ements •
Decreased Mobility •
Severe Limitation in Opening •
Trismus
Local Symptoms
Hypermobility •
Fatigue •
Tenderness in Muscles of •
Mastication on Palpation
Peripheral Symptoms
Headaches •
(Dizziness & Loss of Balance (Vertigo •
Burning Sensation in Tongue and Ears •
Mild Catarrhal Deafness •
Tinnitus •
Peripheral Symptoms
Pain in and around the Ears •
Dryness of the Mouth •
Pain in Muscles of Head and Neck •
Muscle Tenderness to Palpation •
Oral Symptoms
Bruxing •
Clenching •
Periodontal Breakdown •
Wear Facet •
Oral Symptoms
Tooth Fracture •
Tooth Mobility •
Hypersensitivity •
Occlusal Awareness •
Myofascial Pain
Dysfunction Syndrome
A Syndrome involving Pain
due to Muscle Fatigue
induced by Clenching
and Grinding of the Teeth
Myofascial Pain
Dysfunction Syndrome
A Tension Relieving Behaviour
due to Psychogenic Stress
usually triggered by early
Occlusal Contacts
Mechanism of Myofascial Pain
Occlusal Bruxism
Interferences Clenching Muscle Hypertrophy

Psychi Lowered
Pain Neural Muscle
c Stress Hyperacctivit Inflammation
Threshold
y Muscle Irritability

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Stimulates
Occlusal
Muscle
Interferences Hypertrophy

Psychic Lowered
Pain Neural Muscle
Stress Hyperacctivity Inflammation
Threshold
Muscle Irritability

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Occlusal
Bruxism Muscle
Interferences
Clenching Hypertrophy

Psychi Lowered
Pain Neural Muscle
c Stress Hyperacctivit Inflammation
Threshold
y Muscle Irritability

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Occlusal Bruxism
Interference s Clenching Muscle Hypertrophy

Psychi c Lowered
Pain Neural Muscle Inflammation
Stress
Threshold Hyperacctivit
y
Muscle Irritability

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Bruxism
Occlusal
Interference
s Clenching Muscle
Hypertrophy
Psychi Lowered Muscle
Pain Neural Inflammation
c Stress Hyperacctivit
Threshold Muscle Irritability
y

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Occlusal Bruxism
Interference Clenching Muscle Hypertrophy
s

Psychi Lowered Muscle


Pain Neural Inflammation
c Stress Hyperacctivit
Threshold Muscle Irritability
y

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Occlusal Bruxism
Interferences
Clenching Muscle
Hypertrophy
Lowered Muscle
Pain Neural Inflammation
Threshold Hyperacctivity Muscle Irritability

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Occlusal Bruxism
Interferences Clenching Muscle
Hypertrophy

Lowered Muscle
Psychic
Pain Neural Inflammation
Stress Threshold Hyperacctivity Muscle Irritability

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Occlusal Bruxism
Interference s
Clenching Muscle Hypertrophy

Psychi c Lowered Muscle


Pain Neural Inflammation
Stress
Threshold Hyperacctivit y Muscle Irritability

Muscle Ischaemia
Pain Parotid Duct
Blockage
Inflammation
Mechanism of Myofascial Pain
Occlusal Bruxism
Interferences Clenching Muscle
Hypertrophy

Psychic Lowered Muscle


Pain
Stress
Threshold
Neural Inflammation
Muscle Irritability

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Occlusal Bruxism
Interferences Clenching Muscle Hypertrophy

Psychic Lowered Muscle


Neural Inflammation
Stress Pain Hyperactivity Muscle Irritability
Threshold
Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Occlusal Bruxism Muscle
Interferences Clenching
Hypertrophy
Psychic Lowered Muscle
Pain Neural Inflammation
Stress Hyperactivity
Threshold Muscle Irritability

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Occlusal Bruxism
Interferences Clenching Muscle Hypertrophy

Lowered Muscle
Psychi
Pain Neural Inflammation
c Stress Threshold Hyperactivity Muscle Irritability

Muscle Ischaemia
Hormonal Pain Parotid
Drug
Emotional Inflammation
Duct
Blockage
Mechanism of Myofascial Pain
Occlusal Bruxism
Interferences Clenching Muscle Hypertrophy

Psychic Lowered Muscle


Pain Neural Inflammation
Stress Hyperactivity
Threshold Muscle Irritability

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Mechanism of Myofascial Pain
Occlusal Bruxism
Interference Clenching Muscle Hypertrophy
s

Psychi Lowered Muscle


Pain Neural Inflammation
c Stress Hyperactivit
Threshold Muscle Irritability
y

Muscle Ischaemia
Hormonal Pain Parotid Duct
Drug Blockage
Emotional Inflammation
Side Effects of
Masticatory Muscle Spasm
Headaches due to Refer red Pain from •
Muscles
Eustacian Tube Blockage •
Deafness •
Vertigo •
Tinnitus •
Side Effects of
Masticatory Muscle Spasm
Parotid Duct Blockage •
Pain •
Limitation in Opening Trismus •
A Clinical Case
Temporomandibular Joint Dysfunction

Parafunction
Well Beyond Functional)
(Range

Abnormal Stresses
Psychic Stress on Joints

Joint
Detangements
(Clicks, Crepitus,
Locking, Pain
Temporomandibular Joint Dysfunction

Parafunction
Occlusal Well Beyond Functional)
Interferences (Range
Especially)
(Cross-over Interferences
Abnormal Stresses
Psychic Stress on Joints

Joint
Detangements
(Clicks, Crepitus,
Locking, Pain
Temporomandibular Joint Dysfunction

Occlusal Parafunction
Interferences
Especially) Well Beyond Functional)
Cross-over (Range
(Interferences

Abnormal Stresses
Psychic Stress on Joints

Joint
Detangements
(Clicks, Crepitus,
Locking, Pain
Temporomandibular Joint Dysfunction
Drugs
Occlusal Parafunction
Interferences Well Beyond Functional)
Especially) (Range
Cross-over
(Interferences

Abnormal Stresses
Psychic Stress on Joints

Joint
Detangements
(Clicks, Crepitus,
Locking, Pain
Temporomandibular Joint Dysfunction
Drugs
Occlusal Parafunction
Interferences Well Beyond Functional)
Especially) (Range
Cross-over
(Interferences

Abnormal
Psychic Stress
Stresses on Joints
Joint
Detangements
(Clicks, Crepitus,
Locking, Pain
Temporomandibular Joint Dysfunction
Drugs
Occlusal Parafunction
Interferences Well Beyond Functional)
Especially) (Range
Cross-over
(Interferences

Abnormal Stresses
Psychic Stress on Joints

Joint Derangements
(Clicks, Crepitus,
Locking, Pain
Temporomandibular Joint Dysfunction
Drugs
Occlusal Parafunction
Interferences Well Beyond Functional)
Especially) (Range
Cross-over
(Interferences

Abnormal Stresses
Psychic Stress on Joints

Joint Derangements
(Clicks, Crepitus,
Locking, Pain Acute Trauma
Temporomandibular Joint Dysfunction
Drugs
Occlusal Parafunction
Interferences Well Beyond Functional)
Especially) (Range
Cross-over
Interferencesr

Abnormal Stresses
Psychic Stress on Joints

Joint Derangements
(Clicks, Crepitus,
Locking, Pain Acute Trauma
Temporomandibular Joint Dysfunction
Drugs
Occlusal Parafunction
Interferences Well Beyond Functional)
Especially) (Range
Cross-over
(Interferences

Abnormal Stresses
Psychic Stress on Joints

Joint Derangements
(Clicks, Crepitus,
Locking, Pain
Acute Trauma

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