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Upon closing, the condyle will slide off the back of the disc, hence another "click" or "pop" at which point the condyle is posterior to the disc. Upon clenching, the condyle compresses the bilaminar area, and the nerves, arteries, and veins against the temporal fossa, causing pain and inflammation.
The articular surface of the condyle is covered by fibrous tissue, and interfaces with an articular disk (or meniscus) of avascular, non-innervated fibrous tissue (collagen, fibroblasts). When the mouth is closed the meniscus is bordered medially and superiorly by the glenoid fossa of the petrous portion of the temporal bone.
The anterior portion of the disc attaches inferiorly to the anterior condyle and superiorly to the eminence by bending with the joint capsule. Posteriorly, the disc attaches superiorly to the temporal bone and inferiorly to the posterior condyle (the posterior attachments are frequently called the bilaminar zone).
A meniscus (pl.: menisci or meniscuses) is a crescent-shaped fibrocartilaginous anatomical structure that, in contrast to an articular disc, only partly divides a joint cavity. [1] In humans , they are present in the knee , wrist , acromioclavicular , sternoclavicular , and temporomandibular joints ; [ 2 ] in other animals they may be present ...
Each TMJ is covered by a fibrous capsule. There are tight fibers connecting the mandible to the disc, and loose fibers which connect the disc to the temporal bone, meaning there are in effect 2 joint capsules, creating an upper joint space and a lower joint space, with the articular disc in between.
In the temporal bone, the mandibular fossa is bounded anteriorly by the articular tubercle and posteriorly by the tympanic portion of the temporal bone, which separates it from the external acoustic meatus. The fossa is divided into two parts by a narrow slit, the petrotympanic fissure (Glaserian fissure).
This joint is located where the mandibular condyles and the temporal bone meet. [7] [8] Membranes that surround the bones help during the hinging and gliding of jaw movement. For the mouth to close it requires the following muscles: the masseter, temporalis, and medial pterygoid muscle. For the jaw to open it requires the lateral pterygoid ...
The condyle can only be in the same place as it was the last time it was positioned by the dentist if it is consistently moved to the most superior and anterior position within the fossa. It is a physiologic position that is used for reproducibility. The Temporomandibular Joint is not restricted to Centric Relation in function.