TMJ Disorders and Orofacial Pain: The Role of Dentistry in a by A. Bumann, U.U. Lotzmann, G.Groot Landweer

By A. Bumann, U.U. Lotzmann, G.Groot Landweer

Should you (or a family member or a sufferer) have TMJ (TemporoMandibular Joint) difficulties (pain, clicking, and/or reduced beginning of your mouth), this e-book will stroll you thru the stairs to reach at a prognosis. whereas now not written for the layperson, most folks with a powerful scientific history (and very likely a clinical dictionary) can have no challenge knowing this book.

Detailed directions and lots of photographs set this ebook except different TMJ ailment manuals. now not a lot on remedy, yet this publication may help you arrive at an accurate analysis and the way to objectively song remedy with diagrams.

If you will want unique remedies, glance in other places. yet ahead of remedy can commence, the precise nature of the matter will be understood, and this is often the booklet that can assist you do exactly that.

Price is excessive, so be at the glance out for a used replica or a superb sale.

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Additional info for TMJ Disorders and Orofacial Pain: The Role of Dentistry in a Multidisciplinary Diagnostic Approach (Color Atlas of Dental Medicine)

Example text

The inferior stratum inserts on the posterior side of the condyle below the fibrocartilaginous articulating surface and is responsible for stabilizing the disk on the condyle. Anterior disk displacement is possible only when the predominantly collagenous inferior stratum becomes overstretched. The superior stratum, on the other hand, is responsible for retracting the articular disk, especially dur- 25 ing the initial phase of closure, but is of lesser importance in the occurrence of anterior disk displacement (Eriksson et al.

1992) will not interfere with the condyle's blood supply. 73 Sensory innervation of a left temporomandibular joint The afferent nerve fibers arise from the mandibular branch of the trigeminal nerve and exhibit four types of nerve endings. In rats, free nerve endings (type IV), which are potential pain receptors, have been found in the capsule, lateral ligament, bilaminar zone, and in the pars anterior and pars posterior of the disk (Ichikawa et al. 1990, Kido et al. 1991). This has not been verified for human disk structures, however.

Between these two layers lies the genu vasculosum with its numerous vessels, nerves, and fat cells (Griffin and Sharpe 1962). The superior stratum is composed of a loose network of elastic and collagen fibers, fat, and blood vessels (Zenker 1956). 51 Macroscopic anatomical preparation Left: With the jaws closed the bilaminar zone (1) fills the space posterior to both the pars posterior (2) and the condyle (3). The inferior stratum stabilizes the disk on the condyle in the sagittal plane. An overextension of the bilaminar zone through posterosuperior displacement of the condyle is an essential precondition for an anterior disk displacement to occur.

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