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ARTICULATIO ARTICULATIO TEMPOROMANDIBULARIS TEMPOROMANDIBULARIS (ATM) (ATM) Muh. Iqbal Basri Muh. Iqbal Basri

Art Temporomandibularis

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  • ARTICULATIO TEMPOROMANDIBULARIS (ATM)Muh. Iqbal Basri

  • ARTICULATIO TEMPOROMANDIBULARIS (ATM)Dibentuk olehCAPITULUM MANDIBULAE PROC.CONDYLOIDEUS (sebagai caput articularis)FOSSA MANDIBULARIS + TUBERCULUM ARTICULARE PARS SQUAMOSA OSSIS TEMPORALIS (sebagai cavitas articularis)

  • CAPSULA ARTICULARIS ATMLonggar/ dan lemahHanya dilateral yang kuat, ok diperkuat oleh adanya LIG.TEMPOROMANDIBULAREPada bagian ventral capsula articularis berinsertio caput superius M.PTERYGOIDEUS LATERALIS (EXTERNUS)

  • CAVUM ARTICULARIS +DISCUS ARTICULARIS ATMCavum articularis ATM terbagi dua oleh adanya discus articularis yg letaknya horizontalDiscus articularis membagi menjadi: 1.CAVUM ARTICULARIS SUPERIUS(antara discus art.thdp fossa mandibularis)2.CAVUM ARTICULARIS INFERIUS(antara discus art. thdp capitulum mandibulae

  • Discus articularis melekat pd permukaan dalam capsula articularisBentuknya oval :Bagian anterior : konkaf ke tuberculum articulareBagian posterior : konveks ke fossa mandibularis

  • MORFOLOGI & FUNGSIONAL ATMMORFOLOGI

    FUNGSIONAL Cav.art.sup.Cav.art.inf.ART.PLANA (PLANE JOINT)ART.TROCHLEARIS (HINGE JOINT)Pd art. planaNONAXIALPd art.trochlearisUNIAXIAL (axis transversal)

  • LIGAMENTA ATMA. Ligamentum yang capsulair yaitu LIG.TEMPOROMANDIBULARE

    B. Ligamentum extracapsulair/accessoriaArahnya dari cranial ke caudoposteriorDari tuberculum articulare ke collum mandibulare processus condyloideus

  • Ligamentum extracapsulairLIG.SPHENOMANDIBULARE (dari spina angularis os sph. Ke lingula mandibulae)LIG.STYLOMANDIBULARE (dari proc.styloideus ke angulus mandibulae)RAPHE PTERYGOMANDIBULARE (dari hamulus pterygoideus ke linea mylohyoidea)

  • GERAKAN MANDIBULAE

    1.Depresio mandibulaePada art.trochlearis /cav.art.inferior2.Elevatio mandibulaePada art.trochlearis /cav.art.inferior3.Protractio mandibulae (=protrusio)Pada art.plana / cav.art.sup.4.Retractio mandibulae (=retrusio)Pada art. Plana / cav.art.sup5.Side to side movement(=lateral displacement,grinding mov.,chewing mov.)Pada art.plana / cav.art.sup.

  • OTOT MASTIKASI (=otot pengunyah)Terletak pada regio temporalis + regio infratemporalis + regio parotideaTerdiri:

    Semua otot mastikasi diinnervasi oleh cabang N.MANDIBULARISM.MASSETERM.TEMPORALISM.PTERYGOIDEUS LATERALIS/EXTERNUSM.PTERYGOIDEUS MEDIALIS/INTERNUS

  • M.MASSETERTerletak pada regio parotidea Ditutupi/diprofunda glandula parotideaTd.pars superficial(miring ke caudopost) + pars profunda (vertikal)Origo : ARCUS ZYGOMATICUSInsertio: angulus mandibulae + lat. Ramus mandibulaePeranan:terutama elevatio mandibulae (pars prof) & Protractio (pars superf)

  • M.TEMPORALISTerletak pd regio temporalisDiprofunda arcus zygomaticusTd. Pars anterior (vertikal) + pars profunda (agak horizontal)Origo : FOSSA TEMPORALISInsertio: Proc.coronoideus mandibulaePeranan:elevatio mandibulae (pars ant) & retractio mandibulae (pars posterior)

  • M.PTERYGOIDEUS LAT/EXTTerletak pada regio infratemporalisDiprofunda ramus mandibulaeTd caput/pars superius + caput/pars inferiusOrigo : caput sup.(FACIES INFRATEMPORALIS ALA MAGNA OS SPH.) & caput inf.(LAMINA LAT.PROC.PTERYGOIDEUS)Insertio: caput sup.(capsula art + discus art)Peranan: Protractio(bilateral),depresio mandibulae(bilateral) & side to side(homolateral)

  • M.PTERYGOIDEUS MED/INTTerletak pd regio infratemporalisDiprofunda ramus mandibulae + inferior m.pterygoideus lateralisTd caput superficialis + caput profundaOrigo:caput superf(PROC.PYRAMIDALIS OSSIS PALATINI) & caput prof.(LAMINA LAT.PROC.PTERYGOIDEUS)Insertio: sisi medial angulus mandibulaePeranan: protractio (bilateral), elevatio mandibulae(bilateral), side to side (homolateral)

  • Otot yg berperanan pd ATM

    OTOTDEPRESIOELEVATIO1.M.MASSETER pars superf pars prof.__+++2.M.TEMPORALIS pars anterior pars posterior__+_3.M.PTERYGOIDEUS LATERALIS caput superius caput inferius++__4.M.PTERYGOIDEUS MEDIALIS caput superfCaput prof__++5.OTOT SUPRA + INFRA HYOID+_6.GRAVITASI+_

  • Otot yg berperanan pd ATM

    OTOTPROTRUSIORETRACTIO1.M.MASSETER pars superf pars prof.+__+2.M.TEMPORALIS pars anterior pars posterior___+3.M.PTERYGOIDEUS LATERALIS caput superius caput inferius++__4.M.PTERYGOIDEUS MEDIALIS caput superfCaput prof++__5.OTOT SUPRA + INFRA HYOID__6.GRAVITASI__

  • Otot yg berperanan pd ATM

    OTOTSIDE TO SIDE1.M.MASSETER pars superf pars prof.__2.M.TEMPORALIS pars anterior pars posterior__3.M.PTERYGOIDEUS LATERALIS caput superius caput inferius++4.M.PTERYGOIDEUS MEDIALIS caput superfCaput prof++5.OTOT SUPRA + INFRA HYOID_6.GRAVITASI_

  • DISLOKASI MANDIBULAESuatu keadaan dimana caput mandibulae bergerak melewati tuberculum articulare sehingga terjebak pd fossa infratemporalis didepan ATMTerjadi, bila mulut dibuka terlalu lebar sehingga tidak bisa tertutup kembali


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