prosthesis

1. Anatomy and physiology
of Temporomandibular
Joint
Dr.aymen_alwaga3
Dr.aymen_alwaga3 1

2. Temporomandibular joint (TMJ)
It is the articulation of the condyle ofthe
mandible, and the inter-articular disc; with the
mandibular fossa (glenoid fossa) of the temporal
bone.
The joint has a capsule and an articulating disc.
It is considered as a compound joint (a
compound joint is one with more than two bones
articulating); in TMJ, the articular disc acts like the
third bone.
Dr.aymen_alwaga3 2

3. TMJ consists of the following
 The mandibular fossa (glenoid fossa) of
temporal bone.
 The condyle or head of the mandible.
 Synovial cavity.
 The articular disc or (meniscus).
Dr.aymen_alwaga3 3

4. Dr.aymen_alwaga3 4

5. Muscles that control the movement of
mandible
There are three groups of muscles:
 Closing muscles.
 Gliding muscles.
 Opening muscles.
Dr.aymen_alwaga3 5

6. Closing muscle
The temporalis, masseter and medial pterygoid
muscles supply the power for pulling the
mandible against the maxilla (elevating and
closing the mandible).
Dr.aymen_alwaga3 6

7. Dr.aymen_alwaga3 7

8. Closing muscle
Dr.aymen_alwaga3 8

9. Gliding muscle
The lateral pterygoid muscle connects the
mandible to the lateral pterygoid plate in such a
way as to act as the steering mechanism for the
mandible and act to protrude the jaw or to
move it laterally.
Dr.aymen_alwaga3 9

10. Gliding muscle
Dr.aymen_alwaga3 10

11. Opening muscle
The muscles that depress (open) mandible
consist of three groups, suprahyoid muscles,
infrahyoid muscles, and platysma .
Dr.aymen_alwaga3 11

12. Opening muscle
Dr.aymen_alwaga3 12

13. Ligament affect movement of
mandible
 Temporomandibular and capsular ligaments.
 Sphenomandibular ligament.
 Stylomandibulalar ligament.
Dr.aymen_alwaga3 13

14. TMJ ligament
Dr.aymen_alwaga3 14

15. Mandibular axes
&
Mandibular movement
Dr.aymen_alwaga3 15

16. Mandibular axes
There are three axes around which the
mandibular movements take place, the
mandibular movements are related to three
planes of skull (sagittal, transverse (horizontal),
and coronal (frontal)), .
Dr.aymen_alwaga3 16

17. These axes include the following
I. Hinge axis or transverse axis :
It is an imaginary line around which the
mandible may rotate within the sagittal plane
(during opening and closing movement).
Dr.aymen_alwaga3 17

18. Sagittal axis of the mandible :
It is an imaginary anteroposterior line around
which the mandible may rotate within the
frontal plane.
Dr.aymen_alwaga3 18

19. Vertical axis of the mandible :
It is an imaginary line around which the
mandible may rotate through the horizontal
plane.
Dr.aymen_alwaga3 19

20. Dr.aymen_alwaga3 20

21. Mandibular movement
Mandibular movement can be classified as following :
Based on the dimension involved in the movement
1 -Rotational
 a- Rotation around the transverse or hinge axis.
 b- Rotation around the anteroposterior or sagittal axis.
 c- Rotation around the vertical axis.
2 -Translational or gliding
 They are considered as basic movements of the
mandible
Dr.aymen_alwaga3 21

22. Basic mandibular movement
Dr.aymen_alwaga3 22

23.  The upper compartment
shows anteroposterior gliding movement, when
this movement takes place, the condyle and the
disc move as a single unit against the glenoid fossa.
 The lower compartment
shows hinge movement, during hinge movement
the condyle moves against the articular disc and the
glenoid fossa, which together act as a single unit.
True condylar rotation is 12° with the maximum
incisal separation of 22 mm.
Dr.aymen_alwaga3 23

24. Based on the type of movement
1 - Hinge movement.
2 - Protrusive movement.
3 - Retrusive movement.
4 - Lateral movement.
 a- Lateral rotation or (laterotrusion).
a. Right.
b. Left.
 b- Lateral translation or (Bennett movement).
a. Immediate side shift.
b. Progressive side shift.
c. Precurrent side shift.
Dr.aymen_alwaga3 24

25. Dr.aymen_alwaga3 25

26. Bennett movement
Dr.aymen_alwaga3 26

27. Based on extent of movement :
1 - Border movement
 Extreme movement in the sagittal plane.
 Extreme movement in the horizontal plane.
 Extreme movement in the frontal plane.
 Envelope of motion.
Dr.aymen_alwaga3 27

28. 2 - Intra-border movement
a- Functional movement.
 Chewing cycle.
 Swallowing.
 Yawing.
 Speech.
b- Para-functional movement.
 Clenching.
 Bruxism.
 Other habitual movements
Dr.aymen_alwaga3 28

29. Dr.aymen_alwaga3 29

30. Border MM )sagittal tracing )
Dr.aymen_alwaga3 30

31. Sheild tracing( coronal plane)
Dr.aymen_alwaga3 31

32. Diamond tracing(horizontal
plane)
Dr.aymen_alwaga3 32

33. Dr.aymen_alwaga3 33

34. Dr.aymen_alwaga3 34