Games TBL TMJ_Duo

A 25 yo female visits a dental clinic because she was not able to close her jaw.  Anamnese revealed that she frequently yawn very wide.

Where is the position of caput condyle in this case? Dimanakah posisi kaput kondil berada pada pada kasus ini?

• At posterior of eminentia articularis (Di sisi posterior dari eminentia artikularis)

• At anterior of eminentia articularis (Di sisi anterior dari eminentia artikularis)

• In the middle of fossa mandibularis (Di tengah fossa mandibular)

• At the posterior of fossa mandibularis (Di posisi posterior dari fossa mandibula)

• Rigt on top of eminentia articularis (Tepat di puncak dari eminensia artikularis)

A 41 yo female visits dental hospital to make denture. Intral oral examination showed wear on incisal and occlusal surface of the teeth, anamneses shows patient aften feel pain on her jaw muscles when she woke up.

What is the most possible parafunction activity that can cause the symptom mentioned? Apakah aktivitas parafungsi yang paling mungkin menjadi penyebab gejala pada kasus tersebut di atas

• Sleep on one side (Tidur satu sisi)

• Bruxism

• Hand on chin habit (Sering menopang dagu)

• Phone on chin habit (Sering menahan telepon di dagu)

• Nail biting habit (Sering menggigit kuku)

A 41 yo female visits dental hospital to make denture. Intral oral examination showed wear on incisal and occlusal surface of the teeth, anamneses shows patient aften feel pain on her jaw muscles when she woke up.

What are the muscles affected from this parafunction?

Otot-otot yang terpengaruh pada parafungsi ini adalah

• m masseter

• m temporalis

• m pterygoideus

• m masseter and pterygoideus

• m masseter and temporalis

A 27 yo female visits dental practice to make denture. Patient have difficulties to open her mouth. Mouth opening was measured at 31 mm.

How to get the measurement result mentioned above?

Bagaimana cara mendapatkan nilai tersebut diatas?

• Inter incisal distance (Jarak inter insisal)

• Interinsisal distance+over bite (Jarak inter insisal + over bite)

• Interinsisal distance-over bite (Jarak inter insisal – over bite )

• Interinsisal distance+over jet (Jarak inter insisal + over jet)

• Interinsisal distance-over jet (Jarak inter insisal – over jet)

A 27 yo female visits dental practice to make denture. Patient have difficulties to open her mouth. Mouth opening was measured at 31 mm.

How to measure inter incisal distance? Bagaimana cara mengukur jarak inter-insisal?

• Measuring distance between incisal edge of first upper and lower incisivus (Mengukur jarak antara tepi insisal insisivus pertama rahang atas dan rahang bawah)

• Measuring distance between incisal edge of second upper and lower incisivus (Mengukur jarak antara tepi insisal insisivus kedua rahang atas dan rahang bawah)

• Measuring distance between incisal edge of second upper and lower incisivus (Mengukur jarak antara tepi insisal kaninus rahang atas dan rahang bawah)

• Measuring distance between edge of upper and lower lip (Mengukur jarak antara tepi bibir rahang atas dan rahang bawah)

• Measuring distance between incisal edge of all upper and lower incisivus (Mengukur jarak antara tepi insisal insisivus rahang atas dan rahang bawah)

A 30 yo female visits a dental clinic to check on sound on her jaw when she opens her mouth.  To diagnose, dentist wants to check the position of articularis disc when patient move her mouth open and close.

What kind of radiograph is suitable for the case above?

Jenis foto yang paling sesuai untuk kondisi di atas?

• Panoramic

• MRI

• CT

• Antero-posterior

• Occlusal

A 30 yo female visits a dental clinic to check on sound on her jaw when she opens her mouth.  To diagnose, dentist wants to check the position of articularis disc when patient move her mouth open and close.

How to do examination for the sound? Bagaimana cari melakukan pemeriksaan bunyi tersebut?

• Place finger on condyle and ask patient to open and close mouth slowly (Meletakkan jari pada kondil dan meminta pasien untuk membuka dan menutup mulut secara perlahan)

• Place finger on m temporal and ask patient to open and close mouth slowly (Meletakkan jari pada m temporalis dan meminta pasien untuk membuka dan menutup mulut secara perlahan)

• Place finger on m masster and ask patient to open and close mouth slowly (Meletakkan jari pada m masster dan meminta pasien untuk membuka dan menutup mulut secara perlahan)

• Place finger on m sternocleiodmastoid and ask patient to open and close mouth slowly (Meletakkan jari pada m sternocleiodmastoid dan meminta pasien untuk membuka dan menutup mulut secara perlahan)

• Place finger on m trapezius and ask patient to open and close mouth slowly (Meletakkan jari pada m trapezius dan meminta pasien untuk membuka dan menutup mulut secara perlahan)

A 30 yo female visits a dental clinic to check on sound on her jaw when she opens her mouth.  To diagnose, dentist wants to check the position of articularis disc when patient move her mouth open and close.

How many kind of sounds can be observed from the examination? Ada berapa macam jenis bunyi yang bisa diobservasi?

• Clicking and croaking

• Clicking and crepitus

• Clicking

• Crepitus

• Croaking and crepitus

A 29 yo female visits a dental clinic complaining pain and tense on her facial muscles. When some particular areas palpated the patients feels pain.

What is the possible diagnosis for the case above? Apakah diagnosis yang paling mungkin untuk kasus di atas?

• Myofascial Pain

• Myospasm

• Myalgia

• Protective Co-contraction

• Arthritis

A 29 yo female visits a dental clinic complaining pain and tense on her facial muscles. When some particular areas palpated the patients feels pain.

How to do palpation examination? Bagaimana teknik pemeriksaan palpasi?

• Pressure on muscle with 2 fingers and 1 kg load (Menekan otot 2 jari dengan berat 1 kg)

• Pressure on muscle with palm and 1 kg load (Menekan otot dengan telapak tangan dengan berat 1 kg)

• Pressure on muscle with 1 finger and 1 kg load (Menekan otot 1 jari dengan berat 1 kg)

• Pressure on muscle with 1 finger lightly (Menekan otot 1 jari dengan ringan)

• Pressure on muscle with 4 fingers lightly (Menekan otot dengan 4 jari dengan ringan)