You are on page 1of 19

DR.

UMAR KHITAB
Assistant Professor Department of maxillofacial surgery Khyber College of Dentistry

TEMPORO MANDIBULAR JOINT DISORDERS

NORMAL TMJ ANATOMY

INTRODUCTION TO TMJ DISORDERS

CLASIFICATION
A. Extra articular or extrinsic disorders B. Intra articular or intrinsic disorders

1. Masticatory muscle disorders


a. spasm syndrome) Protective muscle splinting b. Masticatory muscle (MPD c. Masticatory muscle inflammation

A. Extrinsic Factors

(myositis)

2 Trauma
a. Traumatic arthritis b. Fracture c. Myositis, myospasm d. Tendonitis e. Contracture of elevator muscle (Myofibrotic contractures)

B.

Intrinsic Factors 1. Trauma


a. Dislocation,subluxation

b. Haemarthrosis c. Intracapsular/extracapsular fractures

Internal disc displacment


a. Anterior disc displacement with reduction Anterior disc displacement without reduction

b.

3. Arthritis
a. Traumatic arthritis b. Osteoarthrosis (degenerative arthritis,osteoarthritis) c. Rheumatoid arthritis d. Juvenile rheumatoid arthritis e. Infective arthritis f. Ankylosing spondylitis g. crystal induced arthritis (gout) h. Psoriatic arthropathy

4. Developmental defects
a. Condylar agenesis or aplasia

(unilateral, bilateral) b. Bifid condyle c. Condylar hypoplasia d. Condylar hyperplasia

5. ANKYLOSIS 6. NEOPLASMS
a. Benign tumours osteoma, chondroma, osteochondroma b. Malignant tumours Chondrosarcoma, fibrosarcoma, synovial sarcoma

You might also like