Beruflich Dokumente
Kultur Dokumente
(TMJ)
Oral Biology
Alex Forrest
Associate Professor of Forensic Odontology
Discipline Head, Forensic Science, Griffith University
Senior Forensic Odontologist,
Health Support Queensland Forensic and Scientific Services,
39 Kessels Rd, Coopers Plains, Queensland, Australia 4108
COMMONWEALTH OF AUSTRALIA
WARNING
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may only be reproduced as permitted under the Act.
Learning Objective
Structure
Structure
http://e-ortho.tripod.com/orofacialPain.htm
http://chiropracticresearch.org/NEWS_chiropractic_and_tmj.htm
Grays Anatomy,
35th Ed, Longman,
London 1973, p.
293.
http://e-ortho.tripod.com/orofacialPain.htm
These fibrocartilaginous
structures are all
essentially avascular, but
they are bathed in
synovial fluid which
provides nourishment as
well as lubrication.
http://e-ortho.tripod.com/orofacialPain.htm
Ligaments
Ligaments
The ligaments of the joint comprise the joint capsule, and the
medial and lateral ligaments.
Accessory Ligaments
Accessory Ligaments
The sphenomandibular
ligament, a true ligament,
is a derivative of Meckel's
cartilage, and runs
between the spine of the
sphenoid bone and the
lingula of the mandible.
It is clinically important
because if local
anaesthetic solution is
deposited anterior to it
during an inferior dental
block injection, it will
prevent the diffusion of the
solution posteriorly and
From Grays Anatomy, 35th Ed, Longman, London 1973,
result in a failed block. p. 408
The stylomandibular
ligament is a
thickening of the deep
cervical fascia, and
extends from the
styloid process of the
temporal bone to the
posterior border of the
angle of the mandible.
It is not a true
ligament, but just a
thickening of fascia.
From Grays Anatomy, 35th Ed, Longman, London 1973, p. 408
Innervation
Blood Supply
Movements
The “Medial
Ligament” of T.M.J.
is more vertically
aligned than the
lateral ligament. It
probably limits
depression of the
mandible.
The
Sphenomandibular
Ligament limits
depression of the
mandible and
prevents dislocation
of the joint. The
Pterygoid Fascia is
continuous with the
sphenomandibular
ligament, and should
therefore serve a
similar function.
From Grays Anatomy, 35th Ed, Longman, London 1973, p. 408
The Stylomandibular
Ligament is suitably
aligned to limit the
movement of the
mandible towards the
ipsilateral side.
During such movement,
the angle of the
mandible swings away
from the midline.
http://e-ortho.tripod.com/orofacialPain.htm
The End