Biomechanics of the Temporomandibular Joint

Abstract

Temporomandibular joint (TMJ) connects the mandible or the lower jaw to the skull and regulates the movement of the jaw (see Figure 1). The TMJ is one of the most complex, delicate and highly used joints in a human body (Alomar et al., 2007). The most important functions of the TMJ are mastication and speech. Temporomandibular disorder (TMD) is a generic term used for any problem concerning the jaw joint. Injury to the jaw, the TMJ, or muscles of the head and neck can cause TMD. Other possible causes include grinding or clenching the teeth; dislocation of the disc; presence of osteoarthritis or rheumatoid arthritis in the TMJ; stress, which can cause a person to tighten facial and jaw muscles or clench the teeth; aging (Bakke et al., 2001; Detamore et al., 2007; Ingawale and Goswami, 2009; Tanaka et al., 2000). The most common TMJ disorders are pain dysfunction syndrome, internal derangement, arthritis, and traumas (Breul et al., 1999; Chen et al., 1998). TMDs are seen most commonly in people between the ages of 20 and 40 years, and occur more often in women than in men (Detamore and Athanasiou, 2003; Detamore et al., 2007; Tanaka et al., 2008a). Some surveys have reported that 20-25% of the population exhibit one or more symptoms of TMD (Detamore et al., 2007; Ingawale and Goswami, 2009). With a large part of population suffering from TMDs, it is a problem that should be looked at more fully. Relations between muscle tensions, jaw motions, bite and joint force, and craniofacial morphology are not fully understood. A large fraction of TMD causes are currently unexplained. There is a great need of better understanding of the etiology of TMDs to develop methods to prevent, diagnose, and cure joint disorders (Beek et al., 2003; Ingawale and Goswami, 2009). This chapter provides a state-of-the-art review of TMJ anatomy, disorders, and biomechanics; and briefly discusses our approach toward threedimensional (3D) anatomical and finite element (FE) modeling to understand the interaction between structure and function of the TMJ.