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Dentistry · Temporomandibular disorders
Sample itemA patient has preauricular pain, joint clicking, and limited opening that worsens with chewing, with no red-flag features. Which initial management is most appropriate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Conservative self-care including soft diet, habit modification, and simple analgesia
Most temporomandibular disorders improve with conservative, reversible management such as education, a soft diet, avoiding parafunction, and appropriate analgesia. Persistent, severe, or atypical symptoms require further assessment.
Option by option
A. Long-term antibiotics
Antibiotics do not treat typical noninfectious TMD.
B. Conservative self-care including soft diet, habit modification, and simple analgesia (correct)
Correct. Reversible conservative measures are appropriate initial treatment for most cases.
C. Immediate open joint surgery
Surgery is reserved for selected structural disease after specialist evaluation.
D. Extraction of all molars
Extensive extraction is not an initial management strategy.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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