University Of Aden University Of Aden Faculty of dentistry Faculty of dentistry 2012 2012 Oral Medicine Oral Medicine Dr .Muhgat Abdo Dr .Muhgat Abdo Oral & Dentofacial Surgeon Oral & Dentofacial Surgeon www.adendent -faculty.net [email protected][email protected]
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University Of AdenUniversity Of AdenFaculty of dentistryFaculty of dentistry
What is the main function of What is the main function of CartilageCartilage??
What is the difference between What is the difference between TMJ articular cartilage and TMJ articular cartilage and cartilage of other synovial cartilage of other synovial jointsjoints??
What are the goals of non-What are the goals of non-surgical management of TMJ surgical management of TMJ disordersdisorders??
What are the indications to What are the indications to proceed with TMJ surgeryproceed with TMJ surgery??
Functional Movement of TMJ:Functional Movement of TMJ:1.1. ElevationElevation ( (Jaw ClosingJaw Closing))2.2. Depression Depression ((Jaw OpeningJaw Opening))3.3. ProtrusionProtrusion4.4. RetrutionRetrution5.5. LaterotrusionLaterotrusion
Classification of TMJ Disorders:Classification of TMJ Disorders:1.1. Developmental Disorders of TMJDevelopmental Disorders of TMJ2.2. Degenerative Joint DiseaseDegenerative Joint Disease3.3. Inflammatory Disorders of the JointInflammatory Disorders of the Joint4.4. Traumatic Disorders of TMJTraumatic Disorders of TMJ5.5. Metabolic DisordersMetabolic Disorders6.6. Neoplastic DisordersNeoplastic Disorders7.7. TMJ Disorders Syndrome or Myofacial TMJ Disorders Syndrome or Myofacial
Definition:Definition: When muscle spasm develops, dysfunction as well When muscle spasm develops, dysfunction as well
as pain occurs and the condition usually is as pain occurs and the condition usually is designated as MPDS.designated as MPDS.It is initiated as spasm of one or more masticatory It is initiated as spasm of one or more masticatory muscle.muscle.
Temporomandibular disorders are a group of Temporomandibular disorders are a group of maladies which can affect the TMJ, as well as the maladies which can affect the TMJ, as well as the associated muscles of the jaw, face and neck as associated muscles of the jaw, face and neck as well as related neurological and vascular well as related neurological and vascular structures.structures.
((MPDSMPDS))Signs & Symptoms:Signs & Symptoms: Pain of the joint on palpation.Pain of the joint on palpation. Pain on movement of the joint.Pain on movement of the joint. Altered TMJ function, including trismus, Altered TMJ function, including trismus,
reduced opening, and mandibular deviation on reduced opening, and mandibular deviation on opening.opening.
Joint popping, clicking or crepitus.Joint popping, clicking or crepitus. Facial pain.Facial pain. Pain on palpation of the muscles of mastication.Pain on palpation of the muscles of mastication. Pain on opening. Pain on opening.
medication, physical therapy, and splint medication, physical therapy, and splint therapy. Occlusal adjustment.therapy. Occlusal adjustment.
• Irreversible Therapies that involve Irreversible Therapies that involve permanent changes in the function or permanent changes in the function or morphology of the masticatory system morphology of the masticatory system (Surgical treatment).(Surgical treatment).
((MPDSMPDS))Prevention:Prevention: Eliminate oral habits such as teeth grinding and Eliminate oral habits such as teeth grinding and
yawing widely.yawing widely.
Dental treatment (orthodontic treatment, Dental treatment (orthodontic treatment, prosthetic restoration, orthognathic surgery and prosthetic restoration, orthognathic surgery and TMJ surgery).TMJ surgery).
Seek effective treatment for diseases such as Seek effective treatment for diseases such as osteoarthritis and fibromyalgia.osteoarthritis and fibromyalgia.
Early Diagnosis and therapy.Early Diagnosis and therapy.