病理學 ( 含口腔病理學 )

陳玉昆助理教授 : 高雄醫學大學 口腔病理科 07-3121101~2755 yukkwa@kmu.edu.tw

Diseases affecting TMJ

顳 顎 關 節 疾 病

Understanding:1. Vocabulary2. Anatomy of TMJ3. Normal joint function4. Temporomandibular disorders5. Patient evaluation6. Examination7. Imaging8. Main pathological conditions affecting TMJ

學 習 目 標學 習 目 標

1. Oral Pathology for the Dental Hygienist. Olga AC Ibsen, Joan Anderson Phelan, 4th edition, 2004, Chapter 10, p. 356-364

2. Eric Whaites: Essentials of dental radiography & radiology 3rd edition, Chapter 29, p. 371-388

3. 自購網路資源： super_toolcool

References:References:

參考資料

Diseases Affecting theTemporomandibular Joint

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Diseases Affecting theTemporomandibular Joint

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Diseases Affecting theTemporomandibular Joint

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Diseases Affecting theTemporomandibular Joint

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Condyle head

Disc/meniscus

Glenoid fossa

Lateral pterygoidattachment

Upper joint space

Lower joint space

Ext auditory meatus

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Lateral Anterior

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mandible

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Restposition

Mouth closed

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Rotary and translatory movements of condyle during normal mouth opening

Restposition

Mouthclosed

Primaryrotation

Mouthopened

Translation

Mouth openedinitially

Mouth openedwidely

Secondaryrotation

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Conventional radiographic projectionsOther techniques and investigations

Imaging

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Summary of different parts of TMJshown by the conventional projections

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Main pathological conditions affecting the TMJ Main pathological conditions affecting the TMJ

TMJ pain dysfunction syndromeInternal derangementsOsteoarthritisJuvenile rheumatoid arthritis (Still’s disease)AnkylosisTumorsFracturesDevelopmental anomalies

SummariesSummaries Knowing:

1.Anatomy (glenoid fossa, disk, condyle, capsule, superior belly of lateral pterygoid muscle2.Function of muscles of mastication3.Three factors implicated in TMD4.Two symptoms suggestive of TMD5.Imaging methods for TMD6.Main pathological conditions affecting TMJ