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TMJ & Anatomy Series
Dissections Of The Head, Neck And TMJ
by Terry T. Tanaka, D.D.S.
(49 minutes)
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Fresh cadaver dissections are the best means of demonstrating
anatomical material because they are able to demonstrate structures
in their true state, without preserving artifacts. The dissections
start at the superficial layers and proceed deeper into the
subcutaneous fat and fascia demonstrating the vessels and
nerves. The parotid gland and parotid duct are seen superficial
to the elevator muscle, the superficial masseter. Each of
the elevator muscles (temporalis and medial pterygoids) are
dissected and the action of each is explained. The question
of whether one can palpate the lateral pterygoid muscle is
also demonstrated. Dissections of the temporomandibular joint
demonstrate the upper and lower joint compartments, the disc
and its attachments, and a variety of disc perforations and
adhesions. Most importantly, the clinical implications of
each of these perforations and adhesions on mandibular function
is explained. The dissections of the submandibular triangle
and the neck provide insight into the etiology of neck space
infections and cervical function. Of greatest importance is
the realization for the clinician that these muscles of the
neck can and will affect mandibular function. This is most
vividly seen in patients with referred pain from these structures
to the face affecting jaw closure patterns and affecting tooth
contacts.
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