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Related Experiment Videos

Anatomic basis for disk displacement in temporomandibular joint (TMJ) dysfunction

S Wongwatana1, J H Kronman, R E Clark

  • 1Tufts University School of Dental Medicine, Boston, Mass.

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
|March 1, 1994
PubMed
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Direct attachment of the superior head of the lateral pterygoid muscle to the temporomandibular joint (TMJ) disk significantly correlates with anterior disk displacement. However, this muscle may only maintain displacement, not cause it.

Area of Science:

  • Temporomandibular Joint (TMJ) Disorders
  • Biomechanical Analysis
  • Anatomy

Background:

  • The temporomandibular joint (TMJ) disk is crucial for joint function.
  • The superior head of the lateral pterygoid muscle (SLP) has a debated role in TMJ disk displacement.
  • Understanding muscle attachment is key to TMJ disk pathomechanics.

Purpose of the Study:

  • To investigate the insertion site of the SLP into the TMJ disk.
  • To determine the relationship between SLP attachment and TMJ disk displacement.
  • To clarify the SLP's role in the etiology and maintenance of disk displacement.

Main Methods:

  • Histological examination of 78 cadaver TM joints.
  • Sagittal sectioning of TM joint specimens.

Related Experiment Videos

  • Analysis of SLP attachment relative to the TMJ disk and disk position.
  • Main Results:

    • A statistically significant relationship was found between direct SLP insertion into the disk and anterior disk displacement (p = 0.006).
    • 42 specimens had direct SLP insertion, with 30 showing anterior disk displacement.
    • 36 specimens lacked direct insertion, with only 19 showing displacement.

    Conclusions:

    • Direct SLP attachment to the TMJ disk is significantly associated with anterior disk displacement.
    • The SLP may maintain disk displacement but is unlikely to be the primary cause.
    • In normal TMJ configurations, the SLP's role in displacement may be clinically insignificant.