Oral Anatomy & Physiology – 08. SESSION 08. TMJ

DENTAL NTA LEVEL 4 • STUDY NOTES

Oral Anatomy & Physiology – 08. SESSION 08. TMJ

Read the complete lesson in an organized slide-by-slide format. This topic contains 24 learning sections from the source presentation.

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LESSON CONTENTS — 24 SECTIONS
LEARNING SECTION 1CONTENTS ↑

Oral Anatomy and physiology

1

LEARNING SECTION 2CONTENTS ↑

Learning objectives

Learning Objectives

  • Define temporo-mandibular joint
  • List the components of TMJ
  • Describe the structure of TMJ
  • Describe the functions of TMJ
  • 2
LEARNING SECTION 3CONTENTS ↑

Slide 3

In humans, the mandible, or lower jaw, is connected to the temporal bone of the skull via the temporomandibular joint, an extremely complex joint which permits movement in all planes.

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LEARNING SECTION 4CONTENTS ↑

Temporo-mandibular joint

Is a synovial type of joint situated between the articular surface of the mandibular condyle and the temporal bone.

It is also called Cranio-mandibular joint.

Between the upper and lower articulating surfaces is interposed a fibrocartilaginous disc.

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Buzz

What are the components of TMJ??

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Anatomy of TMJ

Constituent features of TMJ includes

Articular surface of mandibular condyle

Articular surface of temporal bone

Articular disc

Joint capsule

Joint cavities

Articular ligaments.

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LEARNING SECTION 7CONTENTS ↑
LEARNING SECTION 8CONTENTS ↑
LEARNING SECTION 9CONTENTS ↑

Articular ligaments

Types of articular ligaments.

The lateral ligament ( temporomandibular) ligament

The sphenomandibular ligament

The stylomandibular ligament

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LEARNING SECTION 10CONTENTS ↑
LEARNING SECTION 11CONTENTS ↑

Movements of TMJ

Various movements can be elicited on the mandible and these and these may include:

Depression

Elevation

Protrusion

Retraction and side by side

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Muscles producing TMJ movements

Depression: lateral pterygoids, assisted with including geniohyoid, digastric and mylohyoid

Elevation: anterior fibres of temporalis muscles,massenter, and medial pterygoids of both sides.

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Cont…..

Protrusion: lateral and medial pterygoid muscles, and superficial fibres of massenter both sides.

Retraction: posterior fibres of temporalis.

Lateral (side by side) movements: medial and lateral pterygoids muscles of each sides, acting alternately.

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LEARNING SECTION 14CONTENTS ↑

Blood and nerve supply

Blood supply: the posterior aspect of the joint capsule is supplied by branches from the superficial temporal artery., anterior aspect supplied by branches of messeteric artery

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Cont…..

Nerve supply: the joint is supplied by the auriculotemporal and masseteric branches of mandibular nerve (sensory innervation)

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Clinical implications of tmj

Tmj dislocation

Internal disc displacement

Arthritis

Traumatic injuries

Ankylosis

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Tmj dislocation in a 67 year old female

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LEARNING SECTION 19CONTENTS ↑
LEARNING SECTION 20CONTENTS ↑
LEARNING SECTION 21CONTENTS ↑

Analysis of left tmj

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LEARNING SECTION 22CONTENTS ↑

Evaluation

What are the components of TMJ?

State the movements of TMJ

Describe blood and nerve supply of TMJ

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LEARNING SECTION 23CONTENTS ↑

References

References

  • Standring S. (2008). Grays’s Anatomy The anatomical basis of clinical practice. United Kingdom: Churchill Livingstone Elservier
  • 23
LEARNING SECTION 24CONTENTS ↑
SUPPLEMENTARY LEARNING

Additional Study Notes

This section is separated from the source slides to make the lesson easier to revise.

Supplementary learning: Revise each oral structure by location, boundaries or parts, relations, blood supply, nerve supply, function and dental relevance. For teeth, include dentition, morphology, eruption and clinically important landmarks.

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