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ANATOMY
The Temporomandibular
joint (TMJ) is composed of
the temporal bone and the
mandible, as well as a
specialized dense fibrous
structure, the articular disk,
several ligaments, and
numerous associated
muscles.
Also called as
craniomandibular joint /
articulation.
ANATOMICALLY :-
TMJ is diarthrodial ( which
is a discontinuous articulation of bones
permitting freedom of movement )
TMJ capsule
TMJ ligaments
Disc(meniscus)
Synovial membrane
CAPSULAR LIGAMENT
(LATERAL VIEW)
It encompasses each joint, attaching superiorly to the
temporal bone along the border of the mandibular
fossa and eminence and inferiorly to the neck of the
condyle along the edge of the articular facet.
Nerve supply-
Auriculotemporal
& Masseteric Nerve
TMJ PATHOLOGY – PT’S HISTORY
TMJ PATHOLOGY , PATIENT'S HISTORY
Age - Younger-MPDS common
Older degenerative disease common
Occupation -
Higher class people
H/O : Headache
Back pain
Ear ache
Facial symmetry
Mouth opening
TMJ palpation
Muscle palpation
Dental examination
DIAGNOSTIC STUDY
Plain radiography:
Trans orbital view or antero-posterior view.
Trans cranial or lateral view.
Trans pharyngeal
Reverse towne’s
Cephalometric
Water’s view
Xeropadiography
Conventional tomography:
Orthopantamography
Linear tomography
Corrected tomography
Computed tomography;
Electromyography
CONCLUSION