Anatomi TMJ 2

  TMJ  ANATOMI & FISIOLOGI INDRADEWI S

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KOMPONEN TMJ 1. Fossa mandibulare 2. Meniscus / discus articulare 3. Prosesus condyle 4. Ligamentum

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FOSSA MANDIBULA •  Anterior •

: eminetia eminetia articulare articulare

Posterior pars squamos os temporale  –

Fissura squamotimpanica

 –

Fissura petrotimpanica

 –

Fissura squamopetrotimpanica

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Discus articulare •

•

Pembagi kompartemen  –

Superior —fosa mand

 –

Inferior ---condyle

Pembentuk facies articulare resiprokal antara

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Cont’d •

3 zone  –

 Anterior

 –

Intermediate— tipis.articulating surface

 –

Posterior plg tebal

Di compartemen ada sel endotel pembentuk lapisan sinovial,cairan sinovial dihasilkan di retrodiscal pad/tissue

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Sinovial •

Fungsi :  –  –

•

Pertukaran metabolit krn permk.articulare permk.articulare avascular Lubrikan

Cara kerja - Boundary lubrication Terjadi saat pergerakan sendi untuk mencegah friksi saat sendi bergerak - Weeping lubrication

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LIGAMENTUM •

Fungsional :  –

discal—L/MDL

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Discal Ligament •

Medial discal

•

Lateral discal

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CAPSULAR LIGAMENT •

• •

Condylus dikelilingi ligamentum capsulare, mempunyai 4 bagian : - anterior - posterior

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TEMPOROMANDIBULAR LIG •

Terdiri dari :  –

Oblik external

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 ASSESORIES  ASSESORIES LIG •

Sphenomandibula :  –

dr spina sphenoid

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VASKULARISASI

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INERVASI