Escolar Documentos
Profissional Documentos
Cultura Documentos
1. Introduction
2. Evolution of TMJ
3. Development of TMJ
4. Anatomy of parts of TMJ
a) Bony structures
i. Condyle
ii. Glenoid fossa
iii. Articular eminence
b) Soft tisse
i. Articular disc
ii. Articular capsule
iii. Ligaments
5. Muscles of TMJ
6. Lever action of TMJ A review of literature
7. TMJ movements
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Free movement
Masticatory movement
Bennets movement
8. Age changes
TEMPOROMANDIBULAR JOINT
Anatomy & Physiology
Introduction
The temporomandibular joint
joint is a form of articulation found
modern evolutionary feature being
vertibrates had various types of
condyles
are
Temporalis:
Temporalis is the strongest of the masticatory muscle. It is fan shaped.
Origin: Arises from the bony floor of the temporalis fossa and from the deep
surface of the temporal fossa.
Insertion: Muscle fibers converge to tendon, which passes deep to the
zygomatic arch and is inserted into the coronoid process of mandible and the
anterior border of ramus of the mandible.
Action: Anterior and superior fibers elevate, the mandible and the posterior
fibers retract the mandible.
Blood supply : Auriculotemporal branch maxillary artry.
Nerve supply : Deep temporal nerve branch of mandibular nerve.
c) Medial pterygoid
Origin : superficial head arises from the tuborosity of the maxilla. Deep head
arises from the medial surface of the lateral pterygoid plate.
Insertion : into the medial surface of the angle of the mandible.
Action : Assists in elevating the mandible.
Blood supply : Medial pterygoid branch of maxillary artery.
Nerve supply : medial pterygoid branch of trigeminal nerve.
d) Lateral pterygoid:
Origin: Upper head arises from the infratemporal surface of the greater wing
of the sphenoid. Lower head arises from the lateral surface of the lateral
pterygoid plate.
Insertion: Two heads converge as they pass backward and are inserted into
the front of the neck of the mandible and the articular disc.
Action: Muscle functions by pulling the condyle anteriorly while opening the
mouth slightly. Same time the articular disc advances simultaneously along
with the condyle. The mandible moves laterally when this muscle contract
bilaterally.
Blood supply : pterygoid branch of maxillary artery.
Nerve supply : lateral pterygoid branch of trigeminal nerve.
Suprahyoid muscle:
These muscles are located in the floor of the mouth and act to pull the
mouth downward for opening and raise the mouth for swallowing.
2)
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3)
When the mandible moves to one side or the other, either in opening
or closing, the condyle on the side to which the mandible is moving
rotates minimally and moves forward, downward and laterally.
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