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TEMPOROMANDIBULAR JOINT
TEMPOROMANDIBULAR JOINT
Two components :
PASIF COMPONENTS
1.Bone
- Fossa mandibularis ossis
temporalis
- Capitulum mandibula
( condyle )
- Tuberculum articulare
( articular eminence )
MANDIBULAR FOSSA(fossa
glenoidalis)
MANDIBULAR CONDYLE
- It is the posterior portion of the ramus
mandibula that extends upward
- Mediolateral
: 15 20 mm
Anteroposterior : 8 10 mm
Individual variation size and angulation
between the right and left side
Morphologicchanges developmental
variations, malocclusion, trauma, and other
developmental abnormalities
Temporomandibular ligament
- It lies at the lateral aspect of the capsula
ligament
- The major ligament, the temporomandibular
ligament, or lateral ligament, is really the
thickenest lateral portion of the capsule.
it limits anterior-posterior movement of the
condyle and disc
Anatomy of TMJ
capsule
TM ligament
Minor ligament
4.Sphenomandibular ligament
- From the spine of the sphenoid bone and
extends downward to lingula mandibula
5.Stylomandibular ligament
- From the styloid process and extends
downward and forward to the angle and
posterior border of the ramus mandibula
- It limits range movement in lateral direction
ARTICULAR DISC
- Composed of dense fibrous connective tissue
devoid of any blood vessels or nerve fibers
- Sagittal plane ~ can be divided into 3 regions
according to thickness
- anterior border
- posterior border ~ slightly thicker than
anterior border
- central area is the thinnest ~ intermediate
zone ~ in which condyle is located normally
RETRODISCAL TISSUE
- The articular disc is attached posteriorly to this region
- It is a loose connective tissue region that highly
vascularized and innervated
- Superior : superior retrodiscal lamina
( contains many elastic fibers ) ~ bilaminary zone
It attaches the disc posteriorly to glenoid fossa
Inferior : inferior retrodiscal lamina
( composed chiefly collagenous fibers )
It attaches distal aspect of neck of the condyle.
Articular Disc
Articular Disk
Acres of Collagen
Aneural & Avascular
ARTICULAR SURFACE
Condylar Head
Bovine Condyle
Condylar Head
A - Fibrous layer
B - Reserve zone
C - Proliferative zone
D - Hypertrophic zone
E - Calcifying zone
F - Bone
MUSCLES OF MASTICATION
A. Temporalis Muscle
B. Masseter Muscle
Origin: zygomatic arch
Insertion: lateral surface of
ramus, coronoid process &
angle of mandible
Function: power with vertical
elevation of the mandible;
deep portion stabilizes the
condyle in protrusive closure
Pterygomasseteric Sling