College of Massage Therapists of British Columbia (CMTBC) Practice Exam

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What does closing the jaw and locking indicate in a patient?

  1. Muscle strain

  2. Posterior disc issue

  3. Temporomandibular joint dysfunction

  4. Occusal misalignment

The correct answer is: Posterior disc issue

Closing the jaw and locking can indicate an issue potentially related to the temporomandibular joint (TMJ), specifically the posterior disc. When the jaw locks upon closure, it often suggests a displacement or dysfunction of the articular disc within the TMJ, which can lead to mechanical issues affecting jaw movement. This locking phenomenon typically occurs when the disc is improperly positioned, preventing smooth movement of the jaw and causing limited range of motion. While other potential issues can arise with jaw closure, such as muscle strains or occlusal misalignment, the specific act of the jaw locking is closely associated with a posterior disc issue. This feature helps clarify the underlying joint mechanics and supports the assessment for temporomandibular joint dysfunction. Understanding this relationship is essential for diagnosing and managing related conditions effectively.