BiomechanicsoftheTMJ

NeuroanatomyandPhysiology

InternalstructuresoftheTMJ
1.Articulardisc
biconcave,thickeronoutsideedges
novascularornervoussupplyexceptatedges
madeoffibroustissue
2.2JointcavitiesTMJisacompoundjoint
a.inferiorbelowthedisc
b.superiorabovethedisc
3.Retrodiscaltissue
superiorretrodiscallaminaattachestoglenoidfossa
andpullsdiscbackwhenmandibleopens

Superiorretrodiscal
lamina

Superiorjoint Articular
cavity
surface

Anteriorcapsular
ligament

Inferior
joint
cavity

Superior
Lateral
Pterygoid

Retrodiscal
tissues
Inferior
retrodiscal
lamina

Inferior
Lateral
Pterygoid

Anteriorcapsular
ligament

Retrodiscaltissues

Synovialfluidindiscspaces

AnteriorviewofTMJ

Superiorjointcavity

Inferiorjoint
cavity
?

TMJClassification

Functionsasauniquejoint.
Anatomicallyisacompound
joint

BiomechanicsoftheTMJ
Twodistinctjointsystems
1.Rotationalmovement
inferiorjointcavity
2.Translationalmovement
superiorjointcavity

Rotationoccursaroundthe
horizontalcondylaraxis

Posteriorborderofthe
mandiblemovesback
duringrotation

Rotationalmovementstops
whentheobliquebandofthe
Temporomandibular
ligamentbecomestight

Translationalmovementbegins
afterTMligamentbecomes
tight.Condylarheadstartsto
movedowntheeminentia

AtoB=2025mm

AtoC=4045mm

Opening
During
opening,SLP
isnot
contracting

ILPis
contracting
pullsheadof
condyle
forward

Atmaximum
opening,
SRDLis
tight

Closing
SuperiorLateralPterygoidcontractsandopposes
forceofSuperiorRetrodiscalLamina

Closing

SLP
contracts

ILPrelaxes
SRDLrelaxes

OrthopedicPrinciplesofTMJ
Biomechanics
1.Ligamentsdonotactivelyparticipatein
TMJ function.Theylimitmovement.
2.Ligamentsdonotstretch
3.ThearticularsurfacesoftheTMJmust
maintainconstantcontact

InnervationoftheTMJ
1.Auriculotemporal
2.Masseteric
3.Posteriordeeptemporal

ArterialsupplytotheTMJ
1.Branchesofthesuperficialtemporalartery
Transversefacial
Middletemporal
Zygomaticoorbital
2.Branchesofthedeepmaxillaryartery
Deepauricular
AnteriorTympanic
MiddleMeningeal
PosteriorbranchofDeepTemporal

Masseteric

Pouringrubbermolds

1.Rinsedebrisout

Spraywithsurfactant(debubblizer)

Surfactantreducessurfacetension

Addstoneinsmallincrementsfromonearea
whileplacingrubbermoldonvibrator

Bubblesfromtrappedairwhilepouringstone

Trimbaseofmodelflatandparallelwithocclusal
surfaceoftheteeth

Omnivacmachines

heater

sheetof
plastic
vacuum