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    Anatomical Atlas of the Temporomandibular Joint

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    Anatomical Atlas of the Temporomandibular Joint

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    Anatomical Atlas of the Temporomandibular Joint

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    275 views110 pages

    Anatomical Atlas of The Temporomandibular Joint

    Uploaded by

    Tolean Andreevici
    Anatomical Atlas of the Temporomandibular Joint

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
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    Y. Ide K, Nakazawa ilstrations by. K. Kamimure Anatomical Atlas of the Temporomandibular Joint Quintessence Publishing Co.,Lid & Anatomical Ailes of the Temporomendibulr Joie! Second Edition 2001 auth Vide + KNokazowo THlonge * Tateishi Englth tronslation by: H.Koji D.O.Oveeman Mstaions by: K. Kamimro Pblishor: Soxoki Edited by: LT.Gorcio* H.Akimoto * .Umemora Poblished by: Quintessence Publishing Company lzose Ochonomizu Building AF 2-1 Kanda Survgodai Chiyoda-ku Toby Telephones03) 3293-3691 1© 2001 by Quintessence Co,Ltd. Tokyo, Japon. al its reserved This book or any port thereof must not be repraduced by any meons rin any form without the written permiston of the publisher Printed in China ISON 4.87417-362-4C3047 A 3 Foreword ‘Whe the termpramancult it becomingan Incrensingly important target of twetent for dems, sve ave ct yt become very fair witht This may he dc tothe fact hat agnonisad tet the ‘enpormandle point are more sn the realm of internal medicine. The dct vuaiaton and ooching possle within the oral Cavky is pes ide ae Joi, Bur nomad, Hs ao pease ogre the {emporomandar joint when we face the saous problem of patents it the dine ‘Alte cttment of oechson shoul be lose ocrinated Wah the temporomandibular jet, we ‘cemiohave modedjciat problems etherconsciusly runconacaisy because ofthe dficlyappaching them Now disorders ufc temporominabularint or the w-ciled TMD syrtieme, are being noice mone frequent, and x rtonal explanation ofthe various symptoms being tert Te sckdom peace or even posule for ma est and prada to eset he oie in oer to review # Naturally the best evew has depended on Infomation svalable in books, Unforunately, we have ot yet hd acess ta non ode tempo Sars tly ssn that purpose Now De Me Profewor and Calman ofthe Depart: ment of Arwen of Tokye Dental College. and Dr akavawa a noted temporamandar at Specs in priate pracice in Tokyo, ave writen a clay ‘iented temporal fit teat in ceopersion ‘than oustanding medal str, Me Karima ‘The book wil be ofthe ete asian in clinical prt whencomectonagesef tbe teriporomandiblr Feit aed is ase structure at lly demo ‘Therefore, a grea peur for ust node annglahtransitonoftisbook Wes othark Mr Shaky, President of Quinewence Publishing, Toky®, an Mr, Akimeto of Quintewence Publishing, Tokyo, forthe considerable asian Hatshiko Kf, BIDS. MS. Deparment of Otodontes Tokyo Desa Cee Dennis, O, Overman, PAD, Depart of Anatomy ‘West Vins University in the body, bat has seme unkue Karres hat ‘tinue al eter. Fes tbe ots on eth sidesalvaystunconsimntanecasy Sncoancaterely lange force applet per unit are of the int. ccmered wth fbocatage, which makes diferent from the snface of mont other joint. The greatest ‘singling characte however, ithe extence ‘feet, which reer the eoverent of the tempore- tnanilarjoin Thismecannthatee ot ssuscepbhe to-anical sudden changes dv to exher the nserion fs prohets, misng eth o dental cares, When sich lxcurences ono exis aos ther problems ‘ould arse Tesimponant to keepin mindthe characters ‘the tempertmandular int when making process fn providing enkadonc teste. The stoctre of the emporomndiblr ata aust aso be understood in he ueatmere of pants wis teporemanular joi anos. “Tishookatemptsioisalrpresentandexpin the stu and Kanstions othe tenporcmanlr joie tho mint dhcrations, so the yc can be ‘erketond a thee-dinensonal image Nothing one bell than ect section an ‘obsenition of pecinene nthe ate to urea te satu ofthe human boy may sem easy 49 tindontand strate actual potograhare shen in 2 luok neal however. a photographic represent fa tacks cubie fet ap dil 19 ndertan hecase of the fick 10 eliminate annecessry stractresthal may appt ina photograph. Terre, ‘stacker to understand suture when hstatons fre wad 10 dept the aucune athe han actual ‘photographs have had he pss of working with Me Kak Kamimura, ack lator eho completed the titre. crde to dea anatomical hseations, ‘neces to have a goon ap the srt of the fhuman boy. Ast medial tent Me Kamina as tis! topics tana fom exci, anatomy, 10 Inyoloy. anggy and relogy, wa rae 0 Sida by then besarte ding te sans he was at knowledgehle ay a8 anatomist. His fons Ive ledtothc completion pict stains nef rl artical fined ‘The mace hacked of he sractre of dhe em poromanaul oi & at slficent 10 understand Kemporamaadiulr joint aves or tenporonan {ular menement the anomie ton ths Doak ‘Sho expinsthe muscular ad nervous ystems asec tel wah mason, madditon tothe tute ofthe tesporomandibaisr joint, De. Nakazawa cout the chapter on functions whi focuses on tempor "Te hook wil he fl foe dental and edie stnlentsto understand kemporcmanlble moxemert fn temporomanbulie nates: The book will isons tne onthe cil seme to czar and tear mind the rate ofthe temporomandblar aly, acknowledgement oes Kamin ‘who hs completed series of wonder hatations Forus, never eninge neq ore-work aM [Akio ant his al t Quintessence Pushing Com any who made majretlotsto ey and understand the Sacre of temporemanbular eis even by atend Ing a deseton ses Vorbis de, BS, BDSe rofesoe and Chima Depart of Anatom “Toho Dental Cole Ja fncton an impose a essential subjt ferdemaleincianetoccanider Desptethe fatto this ‘jet ste er rated, le is knw aboot what ecu “efinthescene” of how aw faeton seals UlevelopsThewe ate some unresonuble prevaing “roumpeions reganing ocho hat ay not be easy Capel akhegh met assumpions seem «0 De omect somemake no senecatal we undertone ‘eltonsipof jw fancton ants eflcctom cchson Irwuuldbcasytosovethex problems The functional Shatory f the temporelle plays important fle. Hopetully this book can sere a5 reins to lp yes Cai se ofthis information, Tease TA loceers ue equi iia praise When epee TM cine; 1 concep of Inca derangement ofthe temporomandiaa on ‘vite in opan Eventhe ceneeptof TM dsonbers a fut eleanly Undkrtood a that tine. Bore rece, Toweves ita en found anomaly inthe joint ‘aprole py very imponare pan the development ‘of coain types TI symptoms: Prot this ding “ervon we pen functional abnor, td the development mecansen of oe noses ard sb orn km ae reared asa mystery. New We know that morphological sbercnaly rests nthe develop ‘mental mechanism of hee symtoms oral hese reason, {come terse in the amgomy ofthe temporada oit are, Vases Profesor Mle of the TM Deparment of Anatomy, “Toyo Dental Cage toneat me he anatomy anit fe nly accepted Fated hs course nce a week forappmsinely 1 year er session [ater ws fal supsies aking me elie how ignorant had fevnin ening occasion kenge anatomy th the temporemandinar jot aes. What T knew Sout the anatomy ofthe temporomanblr on 8 Timed tothe sit plane Bests, as only schematic knowledge. Neweeless came 10 the “romeo conch that Tew everthing and uscd Sth tems asthe anil dise ad he baamia one ‘those knowing what they fealy meant Forinsance, the dsoxaton ofthe dnc asad wit a intemal “rangement ofthe emporio it wacom ton calle 4 anterior placement, when in ct teas an arr aad el dspace. La ao Finis oar se mandir postions cannot be ‘ces! nthe aking the prosece ofthe ankcuie ‘ie consideration. Aso pec he very pox tant ole played the jit capsule ike was known thou ts arachnent When Iseuched the heatre team more, Eto that there were few reference mater tht actly desc the anatomy ofthe temperomandulr oi Akough some extooks on “oalletheriest econ contd spe anton, they had inaccunte anatomic dawings tat conve rely served tc puposexonly.nrdertofonmute sheoryoncxctson, we mustundestand he anor ff the temporomindiular joint i accurate dea ‘Otherwise, we woul he decked i spe cone ees Pov instance tote are various speculations bot ‘stat uses nme sd sf (88). Once we kro the aacany ofthe tersporomanlar joint a2, we fan easy, ost ine, understand that 1856s "sd by Yosening of the fit cape o he ater ligament We interpret pantopraphic recordings of bork movement ae paths feoadslarmavement nthe eit srt aor than mere denwings for messing Ingles and dicances, arkulator wl provi us with Treo anaons Por al hese seasons, I believe ecesary for everyone attempting 10 Kea about act onhy TM ‘onders buono ga sme kom onthe ratory aswell fitonal anatomy of he temporo- Inariblrjontare, nthssense, Ink hs beok wit ep your base udertandig, though it does nex deal sv all the aspects ofthe funcional anatomy of the enon on irl t would ik to express ey grate 10 Mr amkawa fcr prosiding such precise trations at to ne Akimoto of Quintessence Pablshing Company focencourging usthroughout the putin proces Kashi Nakazawa, DDS, DIDS Anatomical Atlas of the Temporomandibular Joint art 1. Anatomical Structures cm i Definition of the Temporomandibular Joint Temporomandtuier ot Anatomical Characters che ‘emporomandeulr oe 12 Embrylogy, Growth, Development, ae et of ‘Agen he TerporemansbulaJent ———- 14 EEmbiylogy ofthe tamporomanibla nin 14 Development ard row cl the tompovomandiular tects of apg onthe tomporoaneua nt “The Oigin fhe Temporomansbular Joint Function ané Moshaogy ote Temporomandtolar int According to Eatng Habits 18 CCamboras 16 Heroiores 16 denis /18 15 [mr 19 Bony Structures of the ‘Temporomandibular Joint Te Conia Hea an Embryology al he condylarhoad/ 24 {owt and dovelgmert of te conde 24 Conder enanges cto as ot te teth 24 ‘Te etemal suture of he conden 25. The Glen Foseg 28 Embryology ofthe geri fossa 26 Crow and dvelopment of he ono fossa 25 ‘Changes inne genoa oss cue to ess of ho veoh 26 “The Aer Emin Enbryleay of he artuar eminence | 90 {Growth and development of he the arcular (Changes inne artcuar eminence dv 10 bss of tnotootn/ 90 oo 35 Muscles of the Temporomandibular Joint Muscles nvted a Mastin —~ ‘Tho Temporal Region ‘The tomporae/38 “The masseter muscle (40 ‘The medal pterpoi muse 49 ‘The ltr ergot mace 46 “Te Foil Muscle Around the Oral Cay —— 52 ‘Th buccnaor muss /52 ‘The musle around te oa aperre 52 ‘The Muscle of te Nock — The plays 54 ‘The stroclesomasts/54 “Toa muscles of he Hor a he mouth 56 ‘Te etanelé muscles 58 ‘The sale maces 58 Soft Tissue Components of the ‘Temporomandibular Joint “Ta Arar 80 “Tae dot Cape “The Muscles Atached ote Jor orm 72) ‘The Arterial and Nerve Supply to the Temporomancibular Joint “The Aer! Supply oe Terporomandiuar Jit 80 “Te Nerv Supp othe dont anc the Muscles of Nerve sly othe tporomandbular int 82 Nerve sly othe muscles ofthe egeroman tar jon 2 Part2. Anatomical Function om 87 Functional Considerations Funciena Ansys one Temporomarebul Jolt - 88 “efron of oocuson ere neta anatomy lin temporomandbularjont/ 88 an turcton, musi physilogy, nd anata! ‘Anaiorsical charts ofthe omporerandlar rentin tetera jaw /89 oom 93 Mandibular Movements Irterouspal Poston and Lead the TemporomanabularFegen —-s4 ‘order Movements ofthe Mandl ane te “Temporomandular ont — Irereuspapostion /86 erucedcontacpostion 96, Postar opening border movement 97 Forwaré gio 98 Lateral movement tromthe nteraspapasion 93 opening Movement {losing Mover Conti Relation “Te aneiomicaimporanceofcenticrlaton/102 “The iricl importance of cere reaton 102 ‘Musoles of Mastication “The Movement ol the Mans 8 ‘Opening stoxe/ 107 ‘tosng stoke 08 nates 109 Bmachanios fhe Mactan Sytem —- Muses oprating during denchngin vous areas cfthedontion 110 “Treactiesolthemasictory muscles ancine Joacingforoninte re 112 Part 1. Anatomical Structures ETO TOL Definition of the Temporomandibular Joint ‘Temporomandibular Joint Anatomical Characteristics of the ‘Temporomandibular Joint Th: temporonanr joint an important joint that connects te une the sll ad regulten tmundibular movement bcoryarjitn wich the condyles, ost athe two el ofthe mana ‘The ony srstie of the jet cans of the nicola Ka st anit othe aatory mess the ticular eminence, which an terior protuberance ‘inion wth the ows al the cond aoe of the mange whines within the Fa The aca surtaces ofthe condyle aa te fos ae covered wh oni, anc the bcs aur i, which com- Pe sh ar camp at ‘Thearizuercopsle envelopetheneurvctrer athe ler gument and the asocitedgnments the sphenomandiutar and sylomindbubr Hyaments, [rovet the on and prevent excess movers ofthe Fa Many musctes are vlc withthe aneion of the tmporomanaibuar oe, mare the mastery muscles ncaing dhe tert perygokd muscle that Insets rely into the pry fovea ofthe cosyar ‘eck ad the tcl dn, he facial sce, a the sce in the ager pat of he eck Its poste to palpte te movement ofthe aera ple of he conde a the area anterior to the rags Upon opening an ling the math ao posable topalpatete lateral pat ofthe clarence atthe rmastum opening esti he cone the cen ‘legos ck poste When closing Astertoned, ies or acl palpate the mowemen! of the on weve, actly lated 1492 cm beneath te face ince the peter order ofthe maser eat the antror pao he oe ae he ek part an, layer fade, and th akin overs ti area Masta wbersty Dass Embryology, Growth, Development, and Effects of Aging on the ‘Temporomandibular Joint Embryology of the ‘temporomandibular joint oth ovopeny mail rogery we rina nite ‘origin of the human terspormandibular jit. The uncle sor aera o Beck eae he fst bene ach. The eignal tempore lar fo, homer isthe eevee the ales a ht incus dona to Meck crag. Ts ype i on i Found i amplibains ard epi. the manna this ‘gal int becomes septate rm the mandi a the tympanic civly develops and condictve orn in the middle cat, Icad of this gral in, mamas deve conc: ay teporamandtula jo, ey oss erent Thom Meche cans orignal function Development and growth of the ‘temporomandibular joint ‘The human temporomaniular jin develope eomsiderbly a i roma fo the Kal get bh However, the exten of fn develope te remarkable dung eruption of the deckdious and Ppemanen dentiion A knowledge othe descent ff the joint & mpoman Ince Xo underarls Funcionl ans, ato il ambos Effects of aging on the, temporomancibular joint The temporomandbub ent Heese 19 op sowing at apprsimarely 2 years a ag. however conines adaption responses du to physiol ‘orfuncnaichangesinte serene Factors tha cal fet the ot nck aging ands aco panying decreas in msl acti, le of teeth, a ngesia oectason. Ara oak othe change of the joint dl cenerction and omfg ‘ange et tay the bones ofthe fat change funtion and shape dew reodeling The extent of Ahsremadeligis known wo depend not on the remo “eingacinayofthebone ofthe age cf he india but ‘on Kineton an mechani cumtances, An expe lilly omgecorelaten sneted between he aunt remoting the ner ot seth alien tition othe teeth ln afc condyar monphlogy Remodeling vars slg aconding to ste, the condyar hed shows more activity than he Fows 4d (he nin, i ill cape cepa —__——_ ‘The Origin of the ‘Temporomandibular Joint the aguas, the atest ype ef verte, has mouth penny the vata side ately abn the ‘tera ns Tis opened though an orophayn- ‘oll anne! whe gt proper Sis ha opened the Suse incteredatfor respon anc rio, hd were moved siulioeeaniy i cooperation with the mou by ee of cates ee gill arches. A far ha a itr bend andthe arin point of ths tend was a ynanton, which was considered 10 bees form fa je This structure remains SS amepiceratotanchil oni the present ay sha Inthe gathowores, oe highly evolved han the Agnatha, the fine an second arches disappeared mo the sland the thi an Fou arches began 10 Fanconi prey cape: the appt ofthe “hs evolution proceeded more highly developed oveable ji intappesred ihe oes Formed by laches, the earns jw was covered by tony dma plates at omed the second jaws. The tech develope inthe Bony phates round the mou Te the amphibians ad eps the oral organ was sed ony for prehension. The ampli ad etary hoe in the ater end of the eign! catlaginos jaw, Als poston ext H acute with the fede bene, a srvtue ofthe mail The sory “ppantusabo devetopestin tie ampibia The tympanic membrane moved toward the hyenarkdibula bone, ‘hich was inwoved in sound triamisson by conduc thon sibs tothe ane ee tn mama ike pies, the entry Done nce in i ana the quadao-anicuae joint conined 10 ‘Goes thesourtanmier Aste fnctiomandsze ‘tie deni bone increased the eorono processand temporal fossa were Formed Thana the dnryquumsapin was ster thecmpleem ofthe ont between the denary tone arte skull Thieme new at tok oer faction and the ogi pit decreased in sz. The ‘rig jw aicultion fomed the mallearncus jist making a connection wh the hyomandibubt oe that was foun in he smpibit feem a sur ransiting appari ‘As mensoned, mammals der fom other vere Irate nthe srctre ofthe jw and ear andthe Inmate asocaton ween the fit andthe ear ‘an be ecogze. Function and Morphology of the ‘Temporomandibular Joint According to Eating Habits Avon annals that develope! fot function at «reat evn, the Faction and mology of th teporomandilar ee dlls by spies ere dll acconding to cating haben. For convenience, the function and moxphegy the oun eaneconstered tn four gous Carnivores. ‘The temporeanliblaroi of thse mania is ‘sharacteied mainly bya hinge movement. The Bight ‘fda condyle on the samc evel athe ola ple The condyle elidel in shu with Hs ong ais lecxted medially The ates ofboth den of the eat have a commen ine: The glenoid Foss is seen 19 tea marow, lng. and dep depression coreponding Foss there are processes that make imposible othe jn tomove tery and erly. Eventhough there ian aricuar dct lateral perygoid muscle rns seen dieton, making impose fo the jo 10 prodced wiser nero morement otto mention Ihara! movement. The temps rise ar fe the wide area extending fom the temporal bone wth petal region The margin athe purl reson athe truce on both sides touch each thera the sata mat ofthe sll and postesiory they contac the musclesofthe neck atthe occipital crest of thes The ovo proces, the site of ietion of the one, very well developed. In order to cach prey. is necessary frthe muss stp of animal love the jaw very qulkly, this the tempor moe eres te neter ec eeu ete more quick de peter eg. The wine space tesweenthe ypomaicarch aed the iatnspora foe shoshowsthe greats ofthe tempore The Imac is also aon despite ts smaller se, pri puting along wth the mada peyton he imately movement orang the “The ofthese mammal snl now erly The level ofthe onde is higher than the exch plane and the long aus of the conde Is rented {neeromedely nes extended from the axes on bth Sesintrsee postcirtothematble The ed's Sicehasamaitinlike shape. The os ssl hving 2 smal posterior pencil process to prevent snibults poor sublet The ies of te Joie are conpected etl loosely to ao Frater Siding movement during the grinding movements of rusticaton In hebeone, deacons of the mater nal he medal perygo reaper tha that of the temponls Hoh theangleothersandbte, which the Imserem are ofthe master nd the meal end andthe ymca, which the ong of the taster, davelop wel since the mate of the muscles Sings Othe tbe tae, Ba epost ch saver than hat ofcumiores witha slr origin and a thine aed caer net the cnc proce “Thisarangemen sagen he msc at ote temporal e much small. Since the grinding mie rent produced Unter). te Lae ergo mens of masiation, Th ender to mint the ficiency of wining in ebivorous mamas, the teeth have many FAS ke aructires on the occu surfaces and they er ‘ores the fol ke sates onthe acca seces run antropaeriody for ater rindi, ba some ‘Gren athe cpa they rum bony Foe Rodents ‘The pe OF chesing menement of ents 6 described a a cuting funcon By the continuously ‘erupting cena incr and a rong grinding uncon ty the mili. Manbuler merement dig thee actione is 4 combination of superoinfeion “ntcroposteir and etolte mkvement. The ten. poem jt sree lewehy rome ‘low the conde io move nach rection, Te height (OF the conde process& higher than the

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