2 Anatomy of TMJ
2 Anatomy of TMJ
ASPECTS IN
PROSTHODONTICS
PRESENTED BY:
Dr. H.KOTESWARA RAO,
PG STUDENT,
DEPT. OF PROSTHODONTICS &
CROWN AND BRIDGE INCLUDING
IMPLANTOLOGY,
SIBAR INSTITUTE OF DENTAL SCIENCES,
GUNTUR.
Previously Asked Questions
fissure.
Anterior portion forms the TMJ.
It functions as a shock
absorber
synovial fluid.
Main constituent of synovial fluid is Hyaluronic
acid.
Functions : Lubrication & providing metabolic
requirements.
Mechanism of Lubrication:
Boundary lubrication
Weeping lubrication
1. Condylodiskal 2. temporodiskal
(hinge movement) (translatory movement)
Passive volume -0.9mL Passive volume -1.2mL
3 Functional ligaments
Collateral ligament
Capsular ligament
Temporomandibular ligament
2 Accessory ligaments
Sphenomandibular ligament
Stylomandibular ligament
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Collateral or discal ligaments
Two discal ligaments– Medial & lateral.
Divides the joint.
Functions:
determine:
◦ Joint position.
◦ Movement.
◦ Strain produces pain.
Limits posterior
Inner horizontal movement of
portion condyle and
disc
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SPHENOMANDIBULAR LIGAMENT
Arises from spine of sphenoid bone and
extend downward to the lingula .
It does not have any significant limiting effect
on mandibular movements.
Limits excessive
protrusive
movement of the
mandible.
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Superior elastic
stratum maintain
constant tension on
the disk toward the
distal.
Superior lateral
pterygoid the only
forward pulling force.
ᵜ B - Reserve zone
ᵜ C - Proliferative zone
ᵜ D - Hypertrophic zone
ᵜ E - Calcifying zone
ᵜ F - Bone
Undifferentiated
mesenchymal tissue is
found .
Responsible for
proliferation of
articular cartilage in
response to functional
demands .
Calcified zone
Deepest zone.
Made up of chondrocytes
and chondroblasts
distributed throughout the
articular cartilage.
branches(motor).
Lymphatic drainage:
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AGE CHANGES IN TMJ
The condyle appears flattened in outline and
sometimes remnants of condylar cartilage can be
found in aged joints.
The fibrous covering of the condyle becomes
thicker.
Osteoporosis of the underlying bone of the
disk.
Extent of movement
Type of Movement
& Retrusive &
Translatory & Posterior
Lateral Border
Movements movements
verified by Kohno.
This pure rotational movement of the joint
different planes:
Horizontal/ Transverse plane
Sagittal plane
Coronal/Vertical plane
ligamentous structures.
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TMJ AND ITS APPLIED ASPECTS-86
Lateral Movements
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Bennett Angle
Definition: “Angle formed by the sagittal plane & the
path of
the advancing condyle during
lateral mandibular movements
as viewed in the horizontal
plane”.
Bennett Angle(L)=H/8+12
Looseness of the
Shape of the Glenoid
capsularFossa
ligaments
Contraction of the lateral pterygoids
Horizontal condylar
Guidance settings
Panoramic Arthrography
Transcranial MRI
Transpharyngeal
Transorbital
CT
Occluso-muscular disorders
Intracapsular disorders
Disorders that mimic TMD
◦ Articular disk
◦ Disk attachments
Displacement
Inflammation
Deformity
Injury
Adhesions
Perforation
Degeneration
Fibrosis
Injury
Adhesions
Perforation
symtoms of TMDs
Antomical calssification
o Anterior
o Antero-medial
o Antero-distal
o Lateral
o Medial
o Posterior(very rare)
Bilateral/unilateral ankylosis
Fibrous /bony ankylosis
Interarticular/Extraarticular ankylosis
Complete/Partial Ankylosis
True/False ankylosis
Rheumatoid arthritis
Osteo arthritis
Parotitis
Mastioditis
Malignancies
Post surgery
neck.
The head should be seperated from the
affectingTmj.
It is also referred to as degenerative joint
disease.
Most common factor is overloading of
retro discitits.
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TMJ AND ITS APPLIED ASPECTS-86 6
Rest position
rest position.
Significane: In healthy TMJ this record is fairly
constant
This varies for number of reasons like
condyle head position and levels of muscle activity
Improves masticatory
efficiency
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8
Helpful in adjusting condylar guidance to the
articulator to produce balanced occlusion.
It is the basic point of teeth setting &
adjustment in articulator.
It is learnable, repeatable & recordable position
articulator.
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TMJ AND ITS APPLIED ASPECTS-86 9
Vertical Dimension
Increased Decreased