The temporomandibular joint (TMJ) connects the mandible to the temporal bone and allows for hinge and sliding motions. It has an articular disc that divides it into upper and lower compartments. During opening, the inferior lateral pterygoid muscle contracts to pull the condyle forward while the retrodiscal lamina stretches. During closing, the superior lateral pterygoid muscle pulls the disc anteriorly to oppose the retrodiscal lamina. The TMJ relies on surrounding muscles, ligaments, the articular disc, and interarticular pressure for stability during function. Understanding its biomechanics is important for clinical practice when treating TMJ disorders.
BIOMECHANICS: TMJ
Dr.Quazi Huma
MPT(Neurosciences)
Asst professor
Objectives
Introduction
Structures: Articular Surfaces
Articular Disk Capsule and Ligaments
Upper and Lower Temporomandibular Joints
Function
Dysfunction
Introduction
Complex joint and unique
Condylar hinge-type of joint
Moves in all direction
Synovial type with no articular cartilage
Structure: Articular Surfaces
Proximal segment: Temporal bone
Distal segment; Condyles of Mandible
Trabecular bone with no articular cartilage
Fibrocartilage: dense, avascular collagenous tissue that contains some cartilaginous cells.
Fibrocartilage - present in areas, intended to withstand repeated and high-level stress.
For example – biting, chewing
In closed mouth position, the coronoid process sits under the zygomatic arch, but it can be palpated below the arch when the mouth is open.
Articular Disc
Biconcave
Thickness- 2 mm anteriorly -3 mm posteriorly-1 mm
Anterior & posterior portions- vascular and innervated
Middle part- Fibrocartilaginous, force-accepting segment
Attachment - medial and lateral poles of the condyle of the mandible
Bilaminar retrodiskal pad-
Superior lamina – elastic in nature
Inferior lamina – inelastic
The superior lamina allows the disk to translate anteriorly along the articular eminence during mouth opening ,its elastic properties assist in repositioning the disk posteriorly during mouth closing.
The inferior lamina simply serves as a tether on the disk, limiting forward translation
Capsule
TM joint capsule is not as well defined
Anterior, medial, and posterior capsule - quite thin and loose
Lateral aspect - stronger and is reinforced with long fibers
Ligaments
Primary ligament:
TEMPOROMANDIBULAR LIGAMENT: (suspensory ligament)
Outer portion: limits downward and posterior motion of the mandible,
limits rotation of the condyle during mouth opening.
Inner portion: Limitation of posterior translation of the condyle pro
b. STYLOMANDIBULAR LIGAMENT:
band of deep cervical fascia
limitation to protrusion of the jaw
c.SPHENOMANDIBULAR LIGAMENT:
that it serves to suspend the mandible
to check the mandible from excessive forward translation.
Functions of Temporomandibular Joint.
Most frequently used joints
Talking, chewing, and swallowing
Cartilage covering the articular surfaces is designed to tolerate repeated and high-level stress.
Musculature is designed to provide both power and intricate control.
Speech requires fine control of the jaw, and the ability to chew requires great strength.
Mandibular Movements
Depression (mouth opening)
Elevation (mouth closing)
Protrusion (jutting the chin forward)
Retrusion (sliding the teeth backward)
Lateral deviation (sliding the teeth to either side)
Muscles
Mandibular depression – Digastric muscle
Mandibular elevation – Temporalis, Masseter
Protrusion -- bilateral action of the masseter, medial pterygoid and lateral pterygoid muscles
Retrusion -- bilateral action of the pos
The applied anatomy of temporomandibular joint has many significant applications in maxillofacial surgery. Understanding these important anatomic relations- variations enables surgeons to perform the surgical procedures safely. Knowledge of these concepts helps us to recognize the problems and complications as and when they occur and manage them accordingly.
BIOMECHANICS: TMJ
Dr.Quazi Huma
MPT(Neurosciences)
Asst professor
Objectives
Introduction
Structures: Articular Surfaces
Articular Disk Capsule and Ligaments
Upper and Lower Temporomandibular Joints
Function
Dysfunction
Introduction
Complex joint and unique
Condylar hinge-type of joint
Moves in all direction
Synovial type with no articular cartilage
Structure: Articular Surfaces
Proximal segment: Temporal bone
Distal segment; Condyles of Mandible
Trabecular bone with no articular cartilage
Fibrocartilage: dense, avascular collagenous tissue that contains some cartilaginous cells.
Fibrocartilage - present in areas, intended to withstand repeated and high-level stress.
For example – biting, chewing
In closed mouth position, the coronoid process sits under the zygomatic arch, but it can be palpated below the arch when the mouth is open.
Articular Disc
Biconcave
Thickness- 2 mm anteriorly -3 mm posteriorly-1 mm
Anterior & posterior portions- vascular and innervated
Middle part- Fibrocartilaginous, force-accepting segment
Attachment - medial and lateral poles of the condyle of the mandible
Bilaminar retrodiskal pad-
Superior lamina – elastic in nature
Inferior lamina – inelastic
The superior lamina allows the disk to translate anteriorly along the articular eminence during mouth opening ,its elastic properties assist in repositioning the disk posteriorly during mouth closing.
The inferior lamina simply serves as a tether on the disk, limiting forward translation
Capsule
TM joint capsule is not as well defined
Anterior, medial, and posterior capsule - quite thin and loose
Lateral aspect - stronger and is reinforced with long fibers
Ligaments
Primary ligament:
TEMPOROMANDIBULAR LIGAMENT: (suspensory ligament)
Outer portion: limits downward and posterior motion of the mandible,
limits rotation of the condyle during mouth opening.
Inner portion: Limitation of posterior translation of the condyle pro
b. STYLOMANDIBULAR LIGAMENT:
band of deep cervical fascia
limitation to protrusion of the jaw
c.SPHENOMANDIBULAR LIGAMENT:
that it serves to suspend the mandible
to check the mandible from excessive forward translation.
Functions of Temporomandibular Joint.
Most frequently used joints
Talking, chewing, and swallowing
Cartilage covering the articular surfaces is designed to tolerate repeated and high-level stress.
Musculature is designed to provide both power and intricate control.
Speech requires fine control of the jaw, and the ability to chew requires great strength.
Mandibular Movements
Depression (mouth opening)
Elevation (mouth closing)
Protrusion (jutting the chin forward)
Retrusion (sliding the teeth backward)
Lateral deviation (sliding the teeth to either side)
Muscles
Mandibular depression – Digastric muscle
Mandibular elevation – Temporalis, Masseter
Protrusion -- bilateral action of the masseter, medial pterygoid and lateral pterygoid muscles
Retrusion -- bilateral action of the pos
The applied anatomy of temporomandibular joint has many significant applications in maxillofacial surgery. Understanding these important anatomic relations- variations enables surgeons to perform the surgical procedures safely. Knowledge of these concepts helps us to recognize the problems and complications as and when they occur and manage them accordingly.
Temporomandibular joint biomechanics are important to understand the TMJ pain and dysfunction.
This text discusses the relevant anatomy and biomechanics of TMJ.
Biomechanical Applications to Joint Structure and FunctionDr. Gurjant Singh
This presentation will make the base of biomechanics for under graduate or post graduate students of physiotherapy. It includes the concepts of kinetics and kinematics in simplest way ro understand.
Temporomandibular joint biomechanics are important to understand the TMJ pain and dysfunction.
This text discusses the relevant anatomy and biomechanics of TMJ.
Biomechanical Applications to Joint Structure and FunctionDr. Gurjant Singh
This presentation will make the base of biomechanics for under graduate or post graduate students of physiotherapy. It includes the concepts of kinetics and kinematics in simplest way ro understand.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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Growth and development of temporo mandibular joint / invisible alignersIndian dental academy
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1. Biomechanics of ankle joint subtalar joint and footSaurab Sharma
Biomechanics of Ankle joint- intended to share the powerpoint with first year undergraduate students at Kathmandu University School of Medical Sciences, Nepal.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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Dental implants courses.for details pls visit
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Temporomandibular joint anatomy and functionDR POOJA
diarthrodial joint
The masticatory system is the functional unit of the body primarily responsible for chewing, speaking and swallowing. Components also play a major role in tasting and breathing.
The system is made up of bones, joints, ligaments, teeth and muscles.
In addition ,there is an intricate neurologic controlling system that regulates and coordinates all these structural components.
The Temporomandibular joint (TMJ) is formed by the articulation between the articular eminence and the anterior part of the glenoid fossa of the squamous part of temporal bone above and the condylar head of the mandible below.
The TMJ contains a fibrous intraarticular disk that is interposed between the articular surface and functions as a shock absorber.
The TMJ is a compound joint that can be classified by anatomic type as well as by function.
Anatomically the TMJ is a diarthrodial joint, which is a discontinuous articulation of two bones permitting freedom of movement that is dictated by associated muscles and limited by ligaments.
It is also a synovial joint, lined on its inner aspect by a synovial membrane, which secretes synovial fluid. The fluid acts as a joint lubricant and supplies the metabolic and nutritional needs of the non-vascularized internal joint structures.
Functionally the TMJ is a compound joint, composed of four articulating surfaces:
articular facets of the temporal bone
articular facets of the mandibular condyle
superior surface of the articular disk
inferior surface of the articular disk.
The articular disk divides the joint into two compartments. The lower compartment permits hinge motion or rotation and hence is termed ginglymoid.
The superior compartment permits sliding (or translatory) movements and is therefore called arthrodial. Hence the temporomandibular joint as a whole can be termed ginglymoarthrodial.
SYNONYMS
Craniomandibular joint/ articulation
Mandibular joint
Bicondylar joint
Modified ball and socket joint
Compound joint
Diarthroidal joint
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prosthodntists are constantly being challenged with the task of providing their patients with acceptable esthetics and masticatory function. Developing a sound, functional masticatory system is the primary goal of all Prosthodontics therapy.
The prosthodontist a unique person to either improve or worsen the occlusal condition while carrying out the esthetic goals therapy.
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Recognize different abnormalities of taste perception and their causes.
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Taste Blindness:
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Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
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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
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
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
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
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
39. BIOMECHANICS OF THE
TEMPOROMANDIBULAR JOINT
Part 5 : Stability of the Joint
Anatomic structures
Constant activity of the muscle
The ligaments
Interarticular Pressure
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
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
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
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
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.