Professional Documents
Culture Documents
Stomatognathic System
Stomatognathic System
Stomatognathic System
Occlusion definition
Stomatognathic system definitions and functions
Muscles of mastication
TMJ anatomy
Pathology related to muscles of mastication
Reorganized approach you don’t need the existing occlusion, all the
relation between the maxilla and the mandible is
going to be replaced .
so .. you need to find something that never change
even the pt lost his teeth which is called
(CENTRIC RELATION ) / retroduded contact position
indicated :
when you don’t have enough teeth to hold
centric occlusion
you have enough teeth but the occlusion is very
harmful
STOMATOGNATHIC SYSTEM:
STOMA = MOUTH
GANTHION = JAW
Anatomical components
The TMJ
The muscle of mastication
The TMJ
Movements of mandible
Rotation is when the condyle moves in its place without sliding , very early
movement
This 2 movements can be seen when the both side of the mandible
moves
What if one side only moves and the other side moves differentely like the
right makes rotation movement and the left make translation movements or
vice versa , this is called SLIDING SHIFT that the mandible moves to the right
or to the left Lateral movement .
Articular capsule : that covers and protects the joints , any problems in the
function will refer to pt either by pain/ clicking or crepitus .
Functional muscles of mastication
Insertion : angle of mandible & inferior half of the lateral side of the madible
Deep layer
Action : the muscle elevates the mandible to close the mouth ; and clenches
the teeth
Intermediate bundle
Action : protrusive movement
Note the posterior bundle is the only muscle fiber that is responsible of
the centric relation of the mandible, so it is very difficult to instruct
the pt to put the mandible in centric relation .
Origin :pterygoid fossa and medial surface of the lateral pterygoid plate
Inferior layer
Note : from the 4 major muscles , the only one that occludes in
CENTRIC RELATION is the Posterior bundle of temporalis muscle
Non masticatory muscles are :
Digastric muscle
Mylohyoid muscle
Geniohyoid muscle
Right & left Temporalis muscles (anterior fibres Right & left Masseter
muscles
b) DEPRESSION:
Right & left Inferior heads of Lateral pterygoids Right & left Suprahyoid
and Infrahyoid muscles Anterior belly of Digastric & Mylohyoid
c) PROTRUSION:
Right & left Inferior heads of Lateral pterygoid Right & left Medial
pterygoids
d) RETRUSION:
Right & left Posterior fibres of Temporalis Right & left Deep heads of
Masseter
Clinical Features
- Predominantly in young
- Pain
- Clicking
- Jaw locking
Etiology :
Occlusal disturbance
Treatment :
Local physiotherapy
Reference
Essentials of human anatomy- A K DATTA
edition
Scully,C. and D. H. Felix, D.H. (2006) , Oral Medicine — Update for the
dental practitioner Orofacial pain, British Dental Journal Vol. 200 (2):75-8