Detailed Anatomy of the Temporomandibular Joint

  • C. DellaviaEmail author
  • L. F. Rodella
  • R. Pellecchia
  • G. Barzani


The temporomandibular joint is one of the most complex structures in the human body. Understanding the form is a prerequisite to understanding the function. This chapter is devoted to presenting the details of TMJ anatomy.


Temporomandibular joint Anatomy Articular disc Fossa 


  1. 1.
    Stamm T, Hohoff A, Van Meegen A, Meyer U. On the three dimensional physiological position of the temporomandibular joint. J Orofac Orthop. 2004;65:280–9.PubMedGoogle Scholar
  2. 2.
    Koolstra JH. Dynamics of the human masticatory system. Crit Rev Oral Biol Med. 2002;13:366–76.PubMedGoogle Scholar
  3. 3.
    Terhune CE. How effective are geometric morphometric techniques for assessing functional shape variation? An example from the great ape temporomandibular joint. Anat Rec. 2013;296(8):1264–82.Google Scholar
  4. 4.
    Carranza ML, Carda C, Simbron A, Quevedo MC, Celaya G, de Ferraris ME. Morphology of the lateral pterygoid muscle associated to the mandibular condyle in the human prenatal stage. Acta Odontol Latinoam. 2006;19:29–36.PubMedGoogle Scholar
  5. 5.
    Meng F, Liu Y, Hu K, Zhao Y, Kong L, Zhou S. A comparative study of the skeletal morphology of the temporo-mandibular joint of children and adults. J Postgrad Med. 2008;54:191–4.PubMedGoogle Scholar
  6. 6.
    Caruso S, Storti E, Nota A, Ehsani S, Gatto R. Temporomandibular joint anatomy assessed by CBCT images. Biomed Res Int. 2017;2017:2916953.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Ikeda R, Oberoi S, Wiley DF, Woodhouse C, Tallman M, Tun WW, McNeill C, Miller AJ, Hatcher D. Novel 3-dimensional analysis to evaluate temporomandibular joint space and shape. Am J Orthod Dentofac Orthop. 2016;149(3):416–28.Google Scholar
  8. 8.
    Torres MG, Crusoé-Rebello IM, Rosário M, Albuquerque MC, Campos PS. Morphometric features of the mandibular condyle and association with disk abnormalities. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(5):566–72.PubMedGoogle Scholar
  9. 9.
    Mao JJ, Nah HD. Growth and development: hereditary and mechanical modulations. Am J Orthod Dentofac Orthop. 2004;125:676–89.Google Scholar
  10. 10.
    Paulsen HU, Thomsen JS, Hougen HP, Mosekilde L. A histomorphometric and scanning electron microscopy study of human condylar cartilage and bone tissue changes in relation to age. Clin Orthod Res. 1999;2:67–78.PubMedGoogle Scholar
  11. 11.
    Ahuja AT, Yuen HY, Wong KT, Yue V, van Hasselt AC. Computed tomography imaging of the temporal bone-normal anatomy. Clin Radiol. 2003;58:681–6.PubMedGoogle Scholar
  12. 12.
    Ejima K, Schulze D, Stippig A, Matsumoto K, Rottke D, Honda K. Relationship between the thickness of the roof of glenoid fossa, condyle morphology and remaining teeth in asymptomatic European patients based on cone beam CT data sets. Dentomaxillofac Radiol. 2013;42(3):90929410.PubMedPubMedCentralGoogle Scholar
  13. 13.
    Al-Koshab M, Nambiar P, John J. Assessment of condyle and glenoid fossa morphology using CBCT in South-East Asians. PLoS One. 2015;10(3):e0121682.PubMedPubMedCentralGoogle Scholar
  14. 14.
    Zeitoun V. High occurrence of a basicranial feature in Homo erectus: anatomical description of the preglenoid tubercle. Anat Rec B New Anat. 2003;274:148–56.PubMedGoogle Scholar
  15. 15.
    Baqaien MA, Al-Salti FM, Muessig D. Changes in condylar path inclination during maximum protrusion between the ages of 6 and 12 years. J Oral Rehabil. 2007;34:27–33.PubMedGoogle Scholar
  16. 16.
    Katsavrias EG. Changes in articular eminence inclination during the craniofacial growth period. Angle Orthod. 2002;72:258–64.PubMedGoogle Scholar
  17. 17.
    Csadò K, Martòn K, Kivovics P. Anatomical changes in the structure of the temporomandibular joint caused by complete edentulousness. Gerodontology. 2012;29:111–6.PubMedGoogle Scholar
  18. 18.
    Katsavrias EG, Dibbets JMH. The postglenoid tubercle: prevalence and growth. Ann Anat. 2002;184(2):185–8.PubMedGoogle Scholar
  19. 19.
    Reicheneder C, Gedrange T, Baumert U, Faltermeier A, Proff P. Variations in the inclination of the condylar path in children and adults. Angle Orthod. 2009;79:958–63.PubMedGoogle Scholar
  20. 20.
    Raustia AM, Pirttiniemi P, Salonen MA, Pyhtinen J. Effect of edentulousness on mandibular size and condyle-fossa position. J Oral Rehabil. 1998;25:174–9.PubMedGoogle Scholar
  21. 21.
    Sa SC, Melo SL, Melo DP, Freitas DQ, Campos PS. Relationship between articular eminence inclination and alterations of the mandibular condyle: a CBCT study. Braz Oral Res. 2017;31:e25.PubMedGoogle Scholar
  22. 22.
    Herring SW, Decker JD, Liu ZJ, Ma T. Temporomandibular joint in miniature pigs: anatomy, cell replication, and relation to loading. Anat Rec. 2002;266:152–66.PubMedGoogle Scholar
  23. 23.
    Sato S, Kawamura H, Motegi K, Takahashi K. Morphology of the mandibular fossa and the articular eminence in temporomandibular joints with anterior disk displacement. Int J Oral Maxillofac Surg. 1996;25:236–8.PubMedGoogle Scholar
  24. 24.
    Iwasaki LR, Crosby MJ, Marx DB, Gonzalez Y, McCall WD Jr, Ohrbach R, et al. Human temporomandibular joint eminence shape and load minimization. J Dent Res. 2010;89:722–7.PubMedPubMedCentralGoogle Scholar
  25. 25.
    Tuijt M, Koolstra JH, Lobbezoo F, Naeije M. Differences in loading of the temporomandibular joint during opening and closing of the jaw. J Biomech. 2010;43:1048–54.PubMedGoogle Scholar
  26. 26.
    Curtis N. Craniofacial biomechanics: an overview of recent multibody modelling studies. J Anat. 2011;218(1):16–25.PubMedGoogle Scholar
  27. 27.
    Mapelli A, Galante D, Lovecchio N, Sforza C, Ferrario VF. Translation and rotation movements of the mandible during mouth opening and closing. Clin Anat. 2009;22:311–8.PubMedGoogle Scholar
  28. 28.
    Seemann R, Czerny C, Schicho K, Undt G, Piehslinger E, Ewers R, et al. Pseudodynamic MRI differs from natural opening of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105:371–8.PubMedGoogle Scholar
  29. 29.
    Sforza C, Tartaglia GM, Lovecchio N, Ugolini A, Monteverdi R, Giannì AB, et al. Mandibular movements at maximum mouth opening and EMG activity of masticatory and neck muscles in patients rehabilitated after a mandibular condyle fracture. J Craniomaxillofac Surg. 2009;37:327–33.PubMedGoogle Scholar
  30. 30.
    Gonzalez B. The not-so-controversial issue of condylar position. Int J Orthod Milwaukee. 2007;18:17–26.PubMedGoogle Scholar
  31. 31.
    Pullinger A. Establishing better biological models to understand occlusion. I: TM joint anatomic relationships. J Oral Rehabil. 2013;40(4):296–318.PubMedGoogle Scholar
  32. 32.
    Cheynet F, Guyot L, Richard O, Layoun W, Gola R. Discomallear and malleomandibular ligaments: anatomical study and clinical applications. Surg Radiol Anat. 2003;25:152–7.PubMedGoogle Scholar
  33. 33.
    Mérida-Velasco JR, Rodríguez JF, de la Cuadra C, Peces MD, Mérida JA, Sánchez I. The posterior segment of the temporomandibular joint capsule and its anatomic relationship. J Oral Maxillofac Surg. 2007;65:30–3.PubMedGoogle Scholar
  34. 34.
    Kubein-Meesenburg D, Nägerl H, Fialka-Fricke J, Hahn W, Weber S, Hönig J, Hansen C, Fanghänel J, Thieme KM, Ihlow D. Functional states of mandibular movements and synovial pumps of the temporomandibular joint. Is it possible to provide a biomechanically correct replacement for the TMJ? Ann Anat. 2012;194(2):200–7.PubMedGoogle Scholar
  35. 35.
    Israel HA, Langevin CJ, Singer MD, Behrman DA. The relationship between temporomandibular joint synovitis and adhesions: pathogenic mechanisms and clinical implications for surgical management. J Oral Maxillofac Surg. 2006;64:1066–74.PubMedGoogle Scholar
  36. 36.
    Ioi H, Kido MA, Zhang JQ, Yamaza T, Nakata S, Nakasima A, Tanaka T. Capsaicin receptor expression in the rat temporomandibular joint. Cell Tissue Res. 2006;325:47–54.PubMedGoogle Scholar
  37. 37.
    Fanghänel J, Gedrange T. On the development, morphology and function of the temporomandibular joint in the light of the orofacial system. Ann Anat. 2007;189(4):314–9.PubMedGoogle Scholar
  38. 38.
    Rinchuse DJ, Kandasamy S. Centric relation: a historical and contemporary orthodontic perspective. J Am Dent Assoc. 2006;137:494–501.PubMedGoogle Scholar
  39. 39.
    Sencimen M, Yalçin B, Doğan N, Varol A, Okçu KM, Ozan H, et al. Anatomical and functional aspects of ligaments between the malleus and the temporomandibular joint. Int J Oral Maxillofac Surg. 2008;37(10):943–7.PubMedGoogle Scholar
  40. 40.
    Koolstra JH, Tanaka E. Tensile stress patterns predicted in the articular disc of the human temporomandibular joint. J Anat. 2009;215:411–6.PubMedPubMedCentralGoogle Scholar
  41. 41.
    Morales H, Cornelius R. Imaging approach to temporomandibular joint disorders. Clin Neuroradiol. 2016;26:5–22.PubMedGoogle Scholar
  42. 42.
    Siéssere S, Vitti M, Semprini M, Regalo SC, Iyomasa MM, Dias FJ, et al. Macroscopic and microscopic aspects of the temporomandibular joint related to its clinical implication. Micron. 2008;39:852–8.PubMedGoogle Scholar
  43. 43.
    Rao VM, Bacelar MT. MR imaging of the temporomandibular joint. Neuroimaging Clin N Am. 2004;14:761–75.PubMedGoogle Scholar
  44. 44.
    Haiter-Neto F, Hollender L, Barclay P, Maravilla KR. Disk position and the bilaminar zone of the temporomandibular joint in asymptomatic young individuals by magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:372–8.PubMedGoogle Scholar
  45. 45.
    Kempers KG, Quinn PD, Silvestein K. Surgical approach to mandibular condylar fractures: a review. J Craniomaxillofac Trauma. 1999;5:25–30.PubMedGoogle Scholar
  46. 46.
    Babakurban ST, Cakmak O, Kendir S, Elhan A, Quatela VC. Temporal branch of the facial nerve and its relationship to fascial layers. Arch Facial Plast Surg. 2010;1:16–23.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • C. Dellavia
    • 1
    Email author
  • L. F. Rodella
    • 2
  • R. Pellecchia
    • 3
  • G. Barzani
    • 3
  1. 1.Department of Biomedical, Surgical and Dental SciencesUniversita degli Studi Di MilanoMilanItaly
  2. 2.Division of Anatomy and Physiopathology, Department of Clinical and Experimental SciencesUniversity of BresciaBresciaItaly
  3. 3.Geisinger Medical CenterDanvilleUSA

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