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Temporomandibular Joint

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Clinical Oral Anatomy
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Abstract

The bilateral temporomandibular joint (TMJ) is the only true joint in the oromaxillofacial region. As the name implies, two bones contribute to the TMJ, i.e., the temporal bone and the mandible. The temporomandibular joint includes bony components comprising the glenoid fossa and condylar process, an articular disk that separates the joint into an upper and lower compartment with distinct functions, synovial membrane, capsule, and ligaments. The latter two structures both stabilize and limit the movements of the mandible.

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Literature

  • Abe S, Ouchi Y, Ide Y, Yonezu H. Perspectives on the role of the lateral pterygoid muscle and the sphenomandibular ligament in temporomandibular joint function. Cranio. 1997;15:203–7.

    Article  PubMed  Google Scholar 

  • Aiken A, Bouloux G, Hudgins P. MR imaging of the temporomandibular joint. Magn Reson Imaging Clin N Am. 2012;20:397–412.

    Article  PubMed  Google Scholar 

  • Almasan OC, Hedesiu M, Baciut G, Baciut M, Bran S, Jacobs R. Nontraumatic bilateral bifid condyle and intermittent joint lock: a case report and literature review. J Oral Maxillofac Surg. 2011;69:e297–303.

    Article  PubMed  Google Scholar 

  • Alomar X, Medrano J, Cabratosa J, Clavero JA, Lorente M, Serra I, Monill JM, Salvador A. Anatomy of the temporomandibular joint. Semin Ultrasound CT MR. 2007;28:170–83.

    Article  PubMed  Google Scholar 

  • Barghan S, Merrill R, Tetradis S. Cone beam computed tomography imaging in the evaluation of the temporomandibular joint. J Calif Dent Assoc. 2010;38:33–9.

    PubMed  Google Scholar 

  • Barghan S, Tetradis S, Mailya S. Application of cone beam computed tomography for assessment of the temporomandibular joints. Aust Dent J. 2012;57 Suppl 1:109–18.

    Article  PubMed  Google Scholar 

  • Bravetti P, Membre H, El Haddioui A, Gérard H, Fyard JP, Mahler P, Gaudy JF. Histological study of the human temporo-mandibular joint and its surrounding muscles. Surg Radiol Anat. 2004;26:371–8.

    Article  PubMed  Google Scholar 

  • Bronoosh P, Shakibafard A, Mokhtare MR, Munesi RT. Temporal bone pneumatisation: a computed tomography study of pneumatized articular tubercle. Clin Radiol. 2014;69:151–6.

    Article  PubMed  Google Scholar 

  • Christo JE, Bennett S, Wilkinson TM, Townsend GC. Discal attachments of the human temporomandibular joint. Aust Dent J. 2005;50:152–60.

    Article  PubMed  Google Scholar 

  • Crowley C, Wilkinson T, Piehslingher E, Wilson D, Czerny C. Correlations between anatomic and MRI sections of human cadaver temporomandibular joints in the coronal and sagittal planes. J Orofac Pain. 1996;10:199–216.

    PubMed  Google Scholar 

  • Dennison J, Mahoney P, Herbison P, Dias G. The false and the true bifid condyles. J Comp Human Biol. 2008;59:149–59.

    Article  Google Scholar 

  • Detamore MS, Athanasiou KA. Structure and function of the temporomandibular joint disc: implications for tissue engineering. J Oral Maxillofac Surg. 2003;61:494–506.

    Article  PubMed  Google Scholar 

  • Fujita S, Iizuka T, Dauber W. Variation of heads of lateral pterygoid muscle and morphology of articular disc of human temporomandibular joint – anatomical and histological analysis. J Oral Rehabil. 2001;28:560–71.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Kuroda S, Tanimoto K, Izawa T, Fujihara S, Koolstra JH, Tanaka E. Biomechanical and biochemical characteristics of the mandibular condylar cartilage. Osteoarthritis Cartilage. 2009;17:1408–15.

    Article  PubMed  Google Scholar 

  • Lopez-Lopez J, Ayuso-Montero R, Salas EJ, Rosello-Llabres X. Bifid condyle: review of the literature of the last 10 years and report of two cases. Cranio. 2010;28:136–40.

    Article  PubMed  Google Scholar 

  • Miloglu O, Yilmaz AB, Yildirim E, Akgul HM. Pneumatization of the articular eminence on cone beam computed tomography: prevalence, characteristics and a review of the literature. Dentomaxillofac Radiol. 2011;40:110–4.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nakai M, Abe M, Miyazaki A, Fujimiya M, Hiratsuka H. Macroscopic and microscopic features of the mandibular condyle in autopsied elderly individuals. Clin Anat. 2014;27:399–407.

    Article  PubMed  Google Scholar 

  • Onishi M. Arthroscopy of the temporomandibular joint. Kokubyo Gakkai Zasshi. 1975;42:207–13.

    Article  PubMed  Google Scholar 

  • Pedulla E, Meli GA, Garufi A, Cascone P, Manadala ML, Deodato L, Palazzo G. Morphometric evaluation of the temporomandibular joint and the masticatory spaces: the role of high-definition MRI. Minerva Stomatol. 2009;58:127–43.

    PubMed  Google Scholar 

  • Piette E. Anatomy of the human temporomandibular joint. An updated comprehensive review. Acta Stomatol Belg. 1993;90:103–27.

    PubMed  Google Scholar 

  • Pullinger AG, Seligman DA, John MT, Harkins S. Multifactorial modeling of temporomandibular anatomic and orthopedic relationships in normal versus undifferentiated disc displacement joints. J Prosthet Dent. 2002;87:289–97.

    Article  PubMed  Google Scholar 

  • Pullinger A. Establishing better biological models to understand occlusion. I: TM joint anatomic relationships. J Oral Rehabil. 2013;40:296–318.

    Article  PubMed  Google Scholar 

  • Sahman H, Etöz OA, Sekerci AE, Etöz M, Sisman Y. Tetrafid mandibular condyle: a unique case report and review of the literature. Dentomaxillofac Radiol. 2011;40:524–30.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sala-Perez S, Vazquez-Delgado E, Rodriguez-Baeza A, Gay-Escoda C. Bifid mandibular condyle: a disorder in its own right? J Am Dent Assoc. 2010;141:1076–85.

    Article  PubMed  Google Scholar 

  • Salha R, Shah J, Sidebottom AJ. Sphenomandibular ligament calcification causing progressive restriction of mouth opening: case report and literature review. Oral Surg. 2014;7:184–6.

    Article  Google Scholar 

  • Stratmann U, Schaarschmidt K, Santamaria P. Morphometric investigation of condylar cartilage and disc thickness in the human temporomandibular joint: significance for the definition of osteoarthritic changes. J Oral Pathol Med. 1996;25:200–5.

    Article  PubMed  Google Scholar 

  • Szentpetery A, Kocsis G, Marcsik A. The problem of the bifid mandibular condyle. J Oral Maxillofac Surg. 1990;48:1254–7.

    Article  PubMed  Google Scholar 

  • Tanner JM, Friedlander AH, Chang TI. Bilateral bifid mandibular condyles diagnosed with three-dimensional reconstruction. Dentomaxillofac Radiol. 2012;41:691–5.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tsiklakis K, Syriopoulos K, Stamatakis HC. Radiographic examination of the temporomandibular joint using cone beam computed tomography. Dentomaxillofac Radiol. 2004;33:196–201.

    Article  PubMed  Google Scholar 

  • Wang X, Yang C, Goddard G, Qiu W. Normal and pathological anatomy of the TMJ viewed by computerized arthroscopic images. Cranio. 2003;21:196–201.

    Article  PubMed  Google Scholar 

  • Yale SH. Radiographic evaluation of the temporomandibular joint. J Am Dent Assoc. 1969;79:102–7.

    Article  PubMed  Google Scholar 

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von Arx, T., Lozanoff, S. (2017). Temporomandibular Joint. In: Clinical Oral Anatomy. Springer, Cham. https://doi.org/10.1007/978-3-319-41993-0_25

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  • DOI: https://doi.org/10.1007/978-3-319-41993-0_25

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