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TOPIC



    BIOMECHANICS OF
TEMPOROMANDIBULAR JOINT
PURPOSE

To Give Important Information
About How Temporomandibular
    Joint Works And How To
Appreciate It In Clinical Practice
Biomechanics Of
Temporomandibular Joint

         Part I

     Introduction to
 Temporomandibular Joint
Biomechanics of Temporomandibular
               Joint
 Part 1 : Introduction to Temporomandibuular Joint


          What is Temporomandibular
                     joint?
What is Temporomandibular Joint?

 The Temporomandibular Joint (TMJ) Is The Joint Of
                  The Jaw




                                   www.wikipedia.com
What is Temporomandibular Joint?
The name is derived from the two bones which form
  the Joint : The temporal bone and the Mandible




 Temporal Bone


                                        Mandible




                                  www.wikipedia.com
What is Temporomandibular Joint?



 There are two TMJs, one on each side, working in
                     unison.




                                www.wikipedia.com
Biomechanics of Temporomandibular
               Joint
 Part 1 : Introduction to Temporomandibuular Joint




            Differences between
         Temporomandibular Joint &
           other joints in the body
Differences between TMJ & Other
           Joints in the Body
1.TMJ has an articular disc which compeletely divides
the joint spaces into upper and lower joint
compartements.
Two Joints are connected

    Superior Joint Cavity
                                          Articular Disc

      Inferior Joint Cavity



                              TMJ
                                      Famona.tripod.com
Differences between TMJ & Other
          Joints in the Body

2.TMJ is a ginglymoarthrodial joint
• Hinge Action (Rotation)
• Slide Action (translation)




                               Famona.tripod.com
Differences between TMJ & Other
          Joints in the Body

3. Relationship of teeth affects the
relationship of the articulating components.




                               Famona.tripod.com
Differences between TMJ & Other
          Joints in the Body

4. The mandible is the only bone in the body
hinged on both ends that is not capable of
independent movement at one end.




                             Famona.tripod.com
Biomechanics Of
Temporomandibular Joint

         Part 2

    Introduction to the
   Biomechanics of TMJ
Biomechanics of
     Temporomandibular Joint
Part 2 : Introduction to the Biomechanics of TMJ



               Definition Of
              Biomechanics
?
 Biomechanics is the study of the
structure and function of biological
             systems




                       www.wikipedia.com
Biomechanics of
     Temporomandibular Joint
Part 2 : Introduction to the Biomechanics of TMJ




         Biomechanics of TMJ
?
       Biomechanics of
  Temporomandibular Joint is a
  complex combination activity

  Both the left and right joints must
function together in the coordination
          of jaw movement

                              Okeson, 2008
?


                       Fossa
Articular disc
                        Condyle




                     Okeson, 2008
Biomechanics Of
Temporomandibular Joint

        Part 3

 The Joint System
BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
  Part 3 : The Joint System


     One Joint System
One Joint System
    Tissues that surrounds the inferior synovial
                       cavity




Articular disc

                                              Condyle


     Inferior
  synovial cavity

                                         Okeson, 2008
One Joint System

Rotation is the only physiologic movement
that can occur between the surfaces

Rotation in the TMJ usually occurs only
during the opening the mouth 20 – 25 mm




                               Okeson, 2008
The condyle is not
sliding out of the fossa
   so, only one joint
 system is involved =

 Rotation Movement



           Okeson, 2008
BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
  Part 3 : The Joint System




  Second Joint System
Second Joint System
Free sliding movement of the disc between the
  surface in the superior cavity, referred to as
                   translation.

   Superior                                Fossa
synovial cavity
 Articular disc




                                    Okeson, 2008
Translation occurs when the mouth opening is
               more than 25 mm.




                                 Okeson, 2008
The condyle slides out of
the fossa to the articular
       eminence
  so, not only one joint
  system is involved =


 Translation Movement



                             Okeson, 2008
Biomechanics Of
Temporomandibular Joint

        Part 4

   Articular Disc
BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
   Part 4 : Articular Disc

           ?
      Function
   Importance
BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
   Part 4 : Articular Disc

           ?
?

The articular disc is a fibrous extension of
  the capsule in between the two bones of
                  the joint.




                            www.wikipedia.com
BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
   Part 4 : Articular Disc




      Function
Function


1. Acts as a cushion to absorb stress

2. Isolate synovial fluid



                            Okeson, 2008
Function
3. Divide a joint cavity
 • Upper & Lower compartments


Superior Joint Cavity




Inferior Joint Cavity

                                   Okeson, 2008
Function

4. Determinant of joint movement


  Rotation          Translation



                           Okeson, 2008
BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
   Part 4 : Articular Disc




   Importance
The Importance
The spasm in the masticatory muscles is a
direct cause of pressure on the articular
disc inside TMJ


If the disc slips out of place or is displaced, it
can prevent the proper movement of the
condyle and cause dysfunction.


                                          Okeson, 2008
Biomechanics Of
Temporomandibular Joint

        Part 5

 Stability Of The Joint
BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
Part 5 : Stability of the Joint
           Anatomic structures

      Constant activity of the muscle

              The ligaments

          Interarticular Pressure
BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
Part 5 : Stability of the Joint
           Anatomic structures
Anatomic Structures
   Every joint in the human body has anatomic
structures which impart stability during function.
               These structures are :
      1. The osseous conformation of the
      articulating ends of the bones of the
                     joints

       2.Muscle which activate joint and
              stabilize the joint

                                         Okeson, 2008
Anatomic Structures
   Every joint in the human body has anatomic
structures which impart stability during function.
               These structures are :

    3. Ligaments which help stabilize
     the joint by limiting movement

     4.Capsule and disc which form a
              part of a joint

                                         Okeson, 2008
BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
Part 5 : Stability of the Joint


      Constant activity of the muscle
Constant Activity of the muscles
       Stability is maintained
       by constant activity of
        the muscles that pull
          accross the joint

           Elevator muscles
           • Masseter
           • Temporalis
           • Medial pterygoid

                                 Okeson, 2008
Constant Activity of the muscles



In the resting state, these muscles are in
a mild state of contraction called tonus.




                                  Okeson, 2008
BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
Part 5 : Stability of the Joint



             The ligaments
The Ligaments
Stabilize the joint by limiting
          movement

      Ligaments do not stretch but
          it could be elongated

         Elongation of Ligaments could
       compromise normal joint function

                                Okeson, 2008
BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
Part 5 : Stability of the Joint




          Interarticular Pressure
Interarticular Pressure

The pressure between the articular surfaces
       of the eminence and the condyle

 The Absence of Interarticular pressure will
  cause the separation of articular surfaces
    and the joint will technically dislocate


                                Okeson, 2008
Biomechanics Of
Temporomandibular Joint
         Part 6

 Normal Fuctional movement
    of Condyle and disc
BIOMECHANICS OF THE
   TEMPOROMANDIBULAR JOINT
Part 7 : Normal Functional movement of the
             condyle and disc

       Supporting Structures

                 Opening

                  Closing
BIOMECHANICS OF THE
   TEMPOROMANDIBULAR JOINT
Part 7 : Normal Functional movement of the
             condyle and disc

       Supporting Structures
Supporting Structures


                                                 Fossa
Articular disc
                                                  Condyle

                                                   Superior
                                                    Lateral
  Retrodiscal                                      Pterygoid
    Lamina


                            Inferior Lateral
                               Pterygoid
                                               Okeson, 2008
BIOMECHANICS OF THE
   TEMPOROMANDIBULAR JOINT
Part 7 : Normal Functional movement of the
             condyle and disc




                 Opening
OPENING
                    During
              Opening, Superior
              Lateral Pterygoid
              is not contracting




               Inferior lateral
 Superior
                 pterygoid is
retrodiscal
                contracting –
  lamina
              Pulls the head of
stretches &
              condyle forward
Rotates the
    disc
posteriorly
              Okeson, 2008
BIOMECHANICS OF THE
     TEMPOROMANDIBULAR JOINT
Part 7 : Part 7 : Normal Functional movement of
               the condyle and disc




                    Closing
CLOSING

Opposes the force of
 retrodiscal lamina               Superior lateral
                                 pterygoid pulls the
                                   disc anteriorly




                                      Okeson, 2008
Conclusion :

As a clinician, please be familiar with
   the structures and function of the
       temporomandibular joint.

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Biomechanics Of Temporomandbular Joint

  • 1. TOPIC BIOMECHANICS OF TEMPOROMANDIBULAR JOINT
  • 2. PURPOSE To Give Important Information About How Temporomandibular Joint Works And How To Appreciate It In Clinical Practice
  • 3. Biomechanics Of Temporomandibular Joint Part I Introduction to Temporomandibular Joint
  • 4. Biomechanics of Temporomandibular Joint Part 1 : Introduction to Temporomandibuular Joint What is Temporomandibular joint?
  • 5. What is Temporomandibular Joint? The Temporomandibular Joint (TMJ) Is The Joint Of The Jaw www.wikipedia.com
  • 6. What is Temporomandibular Joint? The name is derived from the two bones which form the Joint : The temporal bone and the Mandible Temporal Bone Mandible www.wikipedia.com
  • 7. What is Temporomandibular Joint? There are two TMJs, one on each side, working in unison. www.wikipedia.com
  • 8. Biomechanics of Temporomandibular Joint Part 1 : Introduction to Temporomandibuular Joint Differences between Temporomandibular Joint & other joints in the body
  • 9. Differences between TMJ & Other Joints in the Body 1.TMJ has an articular disc which compeletely divides the joint spaces into upper and lower joint compartements. Two Joints are connected Superior Joint Cavity Articular Disc Inferior Joint Cavity TMJ Famona.tripod.com
  • 10. Differences between TMJ & Other Joints in the Body 2.TMJ is a ginglymoarthrodial joint • Hinge Action (Rotation) • Slide Action (translation) Famona.tripod.com
  • 11. Differences between TMJ & Other Joints in the Body 3. Relationship of teeth affects the relationship of the articulating components. Famona.tripod.com
  • 12. Differences between TMJ & Other Joints in the Body 4. The mandible is the only bone in the body hinged on both ends that is not capable of independent movement at one end. Famona.tripod.com
  • 13. Biomechanics Of Temporomandibular Joint Part 2 Introduction to the Biomechanics of TMJ
  • 14. Biomechanics of Temporomandibular Joint Part 2 : Introduction to the Biomechanics of TMJ Definition Of Biomechanics
  • 15. ? Biomechanics is the study of the structure and function of biological systems www.wikipedia.com
  • 16. Biomechanics of Temporomandibular Joint Part 2 : Introduction to the Biomechanics of TMJ Biomechanics of TMJ
  • 17. ? Biomechanics of Temporomandibular Joint is a complex combination activity Both the left and right joints must function together in the coordination of jaw movement Okeson, 2008
  • 18. ? Fossa Articular disc Condyle Okeson, 2008
  • 19. Biomechanics Of Temporomandibular Joint Part 3 The Joint System
  • 20. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 3 : The Joint System One Joint System
  • 21. One Joint System Tissues that surrounds the inferior synovial cavity Articular disc Condyle Inferior synovial cavity Okeson, 2008
  • 22. One Joint System Rotation is the only physiologic movement that can occur between the surfaces Rotation in the TMJ usually occurs only during the opening the mouth 20 – 25 mm Okeson, 2008
  • 23. The condyle is not sliding out of the fossa so, only one joint system is involved = Rotation Movement Okeson, 2008
  • 24. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 3 : The Joint System Second Joint System
  • 25. Second Joint System Free sliding movement of the disc between the surface in the superior cavity, referred to as translation. Superior Fossa synovial cavity Articular disc Okeson, 2008
  • 26. Translation occurs when the mouth opening is more than 25 mm. Okeson, 2008
  • 27. The condyle slides out of the fossa to the articular eminence so, not only one joint system is involved = Translation Movement Okeson, 2008
  • 29. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 4 : Articular Disc ? Function Importance
  • 30. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 4 : Articular Disc ?
  • 31. ? The articular disc is a fibrous extension of the capsule in between the two bones of the joint. www.wikipedia.com
  • 32. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 4 : Articular Disc Function
  • 33. Function 1. Acts as a cushion to absorb stress 2. Isolate synovial fluid Okeson, 2008
  • 34. Function 3. Divide a joint cavity • Upper & Lower compartments Superior Joint Cavity Inferior Joint Cavity Okeson, 2008
  • 35. Function 4. Determinant of joint movement Rotation Translation Okeson, 2008
  • 36. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 4 : Articular Disc Importance
  • 37. The Importance The spasm in the masticatory muscles is a direct cause of pressure on the articular disc inside TMJ If the disc slips out of place or is displaced, it can prevent the proper movement of the condyle and cause dysfunction. Okeson, 2008
  • 38. Biomechanics Of Temporomandibular Joint Part 5 Stability Of The Joint
  • 39. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 5 : Stability of the Joint Anatomic structures Constant activity of the muscle The ligaments Interarticular Pressure
  • 40. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 5 : Stability of the Joint Anatomic structures
  • 41. Anatomic Structures Every joint in the human body has anatomic structures which impart stability during function. These structures are : 1. The osseous conformation of the articulating ends of the bones of the joints 2.Muscle which activate joint and stabilize the joint Okeson, 2008
  • 42. Anatomic Structures Every joint in the human body has anatomic structures which impart stability during function. These structures are : 3. Ligaments which help stabilize the joint by limiting movement 4.Capsule and disc which form a part of a joint Okeson, 2008
  • 43. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 5 : Stability of the Joint Constant activity of the muscle
  • 44. Constant Activity of the muscles Stability is maintained by constant activity of the muscles that pull accross the joint Elevator muscles • Masseter • Temporalis • Medial pterygoid Okeson, 2008
  • 45. Constant Activity of the muscles In the resting state, these muscles are in a mild state of contraction called tonus. Okeson, 2008
  • 46. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 5 : Stability of the Joint The ligaments
  • 47. The Ligaments Stabilize the joint by limiting movement Ligaments do not stretch but it could be elongated Elongation of Ligaments could compromise normal joint function Okeson, 2008
  • 48. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 5 : Stability of the Joint Interarticular Pressure
  • 49. Interarticular Pressure The pressure between the articular surfaces of the eminence and the condyle The Absence of Interarticular pressure will cause the separation of articular surfaces and the joint will technically dislocate Okeson, 2008
  • 50. Biomechanics Of Temporomandibular Joint Part 6 Normal Fuctional movement of Condyle and disc
  • 51. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 7 : Normal Functional movement of the condyle and disc Supporting Structures Opening Closing
  • 52. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 7 : Normal Functional movement of the condyle and disc Supporting Structures
  • 53. Supporting Structures Fossa Articular disc Condyle Superior Lateral Retrodiscal Pterygoid Lamina Inferior Lateral Pterygoid Okeson, 2008
  • 54. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 7 : Normal Functional movement of the condyle and disc Opening
  • 55. OPENING During Opening, Superior Lateral Pterygoid is not contracting Inferior lateral Superior pterygoid is retrodiscal contracting – lamina Pulls the head of stretches & condyle forward Rotates the disc posteriorly Okeson, 2008
  • 56. BIOMECHANICS OF THE TEMPOROMANDIBULAR JOINT Part 7 : Part 7 : Normal Functional movement of the condyle and disc Closing
  • 57. CLOSING Opposes the force of retrodiscal lamina Superior lateral pterygoid pulls the disc anteriorly Okeson, 2008
  • 58. Conclusion : As a clinician, please be familiar with the structures and function of the temporomandibular joint.