chapter 20

A soft diet reduces the functional load on the jaw and helps minimize stress during anterior
repositioning splint therapy, thereby allowing healing and symptom management to proceed
effectively.
Source: chapter 20-page 236 -Temporomandibular Disorders

TMD exercises should be performed to gradually improve jaw mobility and muscle strength.
Patients are advised to work slightly outside their comfort zone to encourage progress but
should stop if the exercises cause pain, as this may worsen symptoms.
Source: chapter 20-page 239 -Temporomandibular Disorders

During protrusive movement exercises, ensuring a straight jaw pathway helps correct deviations
and promotes proper alignment. Excessive force or movement beyond the comfort zone can
exacerbate symptoms or cause injury.
Source: chapter 20-page 239 -Temporomandibular Disorders

If the jaw feels locked, patients should not attempt to force it open or perform stretching
exercises. Using hot and cold compresses can help alleviate discomfort, and contacting the
clinician ensures appropriate management of the condition.
Source: chapter 20-page 238 -Temporomandibular Disorder

Soft, easily chewable foods such as minced meat are advised for TMD patients to reduce strain
on the temporomandibular joint. Hard or chewy foods, such as baguettes, raw carrots, and
chewing gum, should be avoided.
Source: chapter 20-page 237 -Temporomandibular Disorders

The occlusal splint is designed to help relax jaw muscles, not to be used for biting or clenching.
Excessive force on the splint may lead to discomfort or damage. Proper care includes cleaning it
and adhering to follow-up appointments.
Source: chapter 20-page 237 -Temporomandibular Disorders

To prevent deformation or cracking, an occlusal bite splint should be kept moist when not in
use. Storing it in water or a damp tissue helps maintain its integrity and fit.
Source: chapter 20-page 237 -Temporomandibular Disorders

Increased saliva flow is a normal reaction to wearing an occlusal splint as the body adapts to
having a foreign object in the mouth. This typically subsides within two weeks. Persistent pain or
permanent changes in bite alignment are not typical outcomes of splint therapy.
Source: chapter 20-page 237 -Temporomandibular Disorders

The recommended regimen for weaning off an anterior repositioning splint involves a gradual
reduction in usage to allow the jaw to return to its pre-treatment position and adapt without
reintroducing symptoms. This method ensures a smooth transition and minimizes the risk of
recurrence.
Source: chapter 20-page 236 -Temporomandibular Disorders

Boiling water should not be used to clean the splint as the high temperatures can distort or
damage the material. Proper cleaning includes brushing with toothpaste, occasional soaking in
a cleaning solution, and maintaining hydration when not in use.
Source: chapter 20-page 235 -Temporomandibular Disorders

If the jaw becomes locked during anterior repositioning splint therapy, it is important to stop
wearing the splint and consult the treating clinician. Continuing to wear the splint may
exacerbate the locking or worsen symptoms.
Source: chapter 20-page 236 -Temporomandibular Disorders