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    Lecture 12 TMJ

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    KIH 20162017
    The temporomandibular joint (TMJ) connects the mandible to the temporal bone. It is a bilateral joint that allows hinging and gliding motions to facilitate functions like chewing and speaking. The TMJ has both active components like muscles that move the jaw, and passive components like ligaments, capsules, and the articular disc that separate the joint into upper and lower compartments. With age, changes in the condyle, disc, synovial folds and supporting tissues can lead to decreased function and increased risk of dysfunction.

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    Lecture 12 TMJ

    Uploaded by

    KIH 20162017
    63 views37 pages
    The temporomandibular joint (TMJ) connects the mandible to the temporal bone. It is a bilateral joint that allows hinging and gliding motions to facilitate functions like chewing and speaking. The TMJ has both active components like muscles that move the jaw, and passive components like ligaments, capsules, and the articular disc that separate the joint into upper and lower compartments. With age, changes in the condyle, disc, synovial folds and supporting tissues can lead to decreased function and increased risk of dysfunction.

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    Lecture 12 Tmj

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    The temporomandibular joint (TMJ) connects the mandible to the temporal bone. It is a bilateral joint that allows hinging and gliding motions to facilitate functions like chewing and speaking. The TMJ has both active components like muscles that move the jaw, and passive components like ligaments, capsules, and the articular disc that separate the joint into upper and lower compartments. With age, changes in the condyle, disc, synovial folds and supporting tissues can lead to decreased function and increased risk of dysfunction.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    63 views37 pages

    Lecture 12 TMJ

    Uploaded by

    KIH 20162017
    The temporomandibular joint (TMJ) connects the mandible to the temporal bone. It is a bilateral joint that allows hinging and gliding motions to facilitate functions like chewing and speaking. The TMJ has both active components like muscles that move the jaw, and passive components like ligaments, capsules, and the articular disc that separate the joint into upper and lower compartments. With age, changes in the condyle, disc, synovial folds and supporting tissues can lead to decreased function and increased risk of dysfunction.

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    TMJ

    Temporo Mandibular
    Joint
    drg. L. Cinthia Hutomo, Sp. Ort
    WHAT IS
    TEMPOROMANDIBULAR
    JOINT ?
    WHY SHALL WE KNOW
    TMJ ?

    Pain and dysfunction in TMJ region

    NOTHING IS MORE FUNDAMENTAL


    TO TREATING PATIENTS THAN
    KNOWING THE ANATOMY
    TMJ

    Masticatory Occlusion
    Muscles of teeth

    Temporomandibul
    ar Articulatory
    System
    PECULIARITY OF TMJ

    1. Giglimoarthrodial

    2. Bilateral Diarthrosis

    3. Articular surface covered by fibrocartilage

    4. Start develop in about 11th week in utero


    COMPONENTS

    AKTIF PASIF
    Cranial Component

    Mandibula Component

    Pasive
    TMJ Capsules
    Components

    Ligaments

    Articular disc
    M. Temporalis

    M. Masseter

    Active
    Components
    M. Pterygoid Lateral

    M. Pterygoid Medial
    CRANIAL COMPONENT

    - Fossa Mandibularis
    Ossis Temporalis /
    Glenoid Fossa
    - Anteriorly Auricular
    Eminence
    - Posteriorly Post
    Glenoid Tubercle
    MANDIBULAR COMPONENT
    Capitulum mandibula ( Condyle )

    - Ovoid Condylar Process


    - Articulating surface of the
    mandible
    - Convex in all directions
    but wider latero-medially
    ( 15 20 mm than antero
    posteriorly 8 10 mm )
    TMJ CAPSULES

    - Fibrous membrane
    that surround the
    joint
    - Covers the joint for
    all around
    - Thin above the disc
    and thick below it
    LIGAMENTS
    Major Ligaments
    - Temporomandibular Ligament
    - Capsular Ligament

    Minor Ligaments
    - Stylomandibular Ligament
    - Sphenomandibular Ligament

    Others Ligaments
    - Oto mandibular Ligament
    - Disco malleolar Ligament
    - Mallelo mandibular Ligament
    ARTICULAR DISC ( MENISCUS)
    - Biconcave Fibrocartilaginous
    - Disc devides the compartment into 2
    - Upper formed by temporal bone and articular disc
    ( Menisco Temporal )
    - Lower formed by mandibular and articular disc (
    Menisco Mandibular )
    - To accommodate a hinging action as well as a
    gliding action between temporal and mandibular
    articular bone
    MOVEMENTS

    - Rotational / hinge movement in first 20 25


    mm of mouth opening
    - Translational movement after that when the
    mouth is excessively opened
    Mouth Mouth
    Closed Closed
    Translatory Movement
    - Superior part of the joint as the disc and
    the condyle transverse anteriorly along the
    inclines of the anterior tubercle to provide an
    anterior and inferior movement of the mandible

    Hinge Movement
    - Inferior portion of the joint between the
    head of the condyle and the lower surface of
    the disc to permit opening of the mandible
    1. Depression of Mandible
    - Pterygoid Lateral
    - Digastric muscle
    - Geniohyoid
    - Mylohyoid

    2. Elevation of Mandible
    - Temporalis
    - Masseter
    - Pterygoid Medial
    3. Protrusion of Mandible
    - Pterygoid Lateral
    - Pterygoid Medial

    4. Retrusion of Mandible
    - Posterior fibre of Temporalis
    VASKULARISASI
    Branches of External Carotid Artery

    - Superficial temporal Artery

    - Deep Auricular Artery

    - Anterior Tympanic Artery

    - Ascending Pharyngeal Artery

    - Maxillary Artery
    INERVASI

    Sensory
    - Auriculo temporal Nerve
    - Masseteric Nerve

    Motor
    - Mandibular division of mandibular
    nerve
    AGE CHANGES OF THE TMJ

    - CONDYLE

    - DISC

    - SYNOVIAL FOLD

    - BLOOD VESSELS AND NERVES


    THIS AGES CHANGES LEAD TO

    - Decrease in synovial fluid formation


    - Impairment of motions due to decrease in
    the disc and capsule extensibility
    - Decrease resilient during mastication due
    to chondroid changes into collagenous
    elements
    - Dysfungtion in older people

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