Mariela Padilla

CGRP: 4 Letters That Became a New Frontier in Pain Management

CGRP: 4 Letters That Became a New Frontier in Pain Management

What Does CGRP Stand For? Calcitonin gene-related peptide (CGRP) is a neuropeptide (neurotransmitter of the nervous system) discovered over 30 years ago. It has specific receptors located both centrally and in the periphery. CGRP is present in trigeminal neurons and...

3 Elements of General Neck Examination

3 Elements of General Neck Examination

The evaluation of the neck provides useful information for the dental practitioner by identifying conditions that might contribute to the oral health of the patient and the appropriate function of the masticatory system. At the same time, it constitutes a triage,...

How to Insert and Adjust Occlusal Stabilization Appliances

How to Insert and Adjust Occlusal Stabilization Appliances

There are four primary elements that form the theoretical basis for an occlusal stabilization appliance: It protects teeth from wear It stabilizes an unstable bite It makes the patient more aware of any oral habit It allows you to reduce loading on a specific...

How to Perform a TMJ Injection

How to Perform a TMJ Injection

TMJ injections are performed with corticosteroid and anesthetic to produce a two-fold effect: one reduce inflammation with the corticosteroid (triamcinolone acetonide) and two produce anesthesia or pain relief using lidocaine 2% without epinephrine.  Corticosteriod is...

How to Measure Orofacial Pain With a Muscle Tenderness Exam

How to Measure Orofacial Pain With a Muscle Tenderness Exam

In this article, we review ways to assess muscle tenderness and pain.  Common abnormalities of the masticatory muscle include injection induced myositis, myofascial taut band, trigger point, hypertrophy, spasms, etc. Note: Prior to each procedure, introduce yourself...

How to Conduct a Cranial Nerve Examination

How to Conduct a Cranial Nerve Examination

The following equipment is required for a Cranial Nerve Examination: Cotton ballSafety pinPen torch (source of light)Tongue bladeTuning fork (512 Hz) 1.)  Olfactory Nerve (I) The olfactory is a sensory nerve, and damage in the nasal epithelium or the basal...

Closed Lock Mobilization: TMJ Exercises & Stretches

Closed Lock Mobilization: TMJ Exercises & Stretches

In this article, we'll provice step-by-step TMJ exercises and treatments for Dentists and self-mobilization stretches for patients. The main reason why a jaw locks closed is due to a derangement of the TM joint (disk displacement without reduction or DDNR).  It is...

How to Perform an Occlusal Analysis

How to Perform an Occlusal Analysis

Occlusion, simply defined, is how teeth meet when the lower and upper jaw come together.  Proper occlusion is necessary for eating, aesthetics, and disease prevention.  However, many factors can cause malocclusion including trauma and genetics. Before we cover the...

TMJ Assessment: Jaw Range of Motion, Noise, and Tenderness

TMJ Assessment: Jaw Range of Motion, Noise, and Tenderness

For TMJ mobilization procedures read: Closed Lock Mobilization: TMJ Exercises & Stretches. Jaw Range of Motion Assessment Prior to the procedure, introduce yourself to the patient, explain the purpose of the examination, obtain consent, and be sure to meet...

How to Perform a Lymph Node Examination

How to Perform a Lymph Node Examination

Lymph Node Examination A lymph node evaluation should be included in all new patients as part of the oral cancer triage.  Below is a video showing the proper technique and a written explanation of what is expected from dentists when performing a lymph node and...

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