Neuroanatomische Grundlagen des kraniomandibulären Systems

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• 作者：W. Schupp ; W. Boisserée
• 刊名：Manuelle Medizin
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：54
• 期：4
• 页码：205-211
• 全文大小：805 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Chiropractic Medicine
  Orthopedics
  Conservative Orthopedics
  Rehabilitation
  Sports Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-0466
• 卷排序：54

文摘

In the final habitual intercuspation the occlusion dominates the positioning of the temporomandibular joints (TMJ) and thus also motor function. If there is a discrepancy between the central physiological TMJ position and the mandibular joint position in habitual intercuspation with existing malocclusion, the consequence is a displacement of the TMJ from the physiological position. Incorrect loading of one or more teeth in malocclusion as well as incorrect loading of the TMJ, lead via proprioceptors, mechanoreceptors and nociceptors to stimulation in the trigeminal nerve with relaying via the caudal section of the spinal nucleus of the trigeminal nerve and the associated trigemino-cervical convergence. The interconnection in the wide dynamic range (WDR) neurons complex results in stimulation in the central nervous system. This information reaches among others the basal ganglia, which are directly involved in the planning of procedural learning and voluntary motor movement. The basal ganglia are involved in many processes, such as perception, learning, emotion, memory, attention and motor function. They select central signal input and output of both motor, cognitive and emotional nature.KeywordsMusculoskeletal systemDental occlusionTemporomandibular jointBasal gangliaCognition