1. Stomatognasi Sem v 1

8/19/2019 1. Stomatognasi Sem v 1

1/69

MATA KULIAHSTOMATOGNASI


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PJMK : Drg. Masykur Rahmad, SpM !K"SKS : # DOS$N P$NGAMPU : I%III : Drg.Dyah Karu&'a, SpOr( I) * )I : Drg. Masykur Rahmad, Sp+m !K"

)II% I : Pr-. Dr. Drg.Hary- Mus('k-, SpPr-s


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Drg. Dyah karu&'a, SpOr(

MATERI

I. PENGANTAR DAN ANATOMI TMJ

II. SISTEM PENGUNYAHAN DAN PENELANAN

III. MALOKLUSI DAN TMJ


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I. P$NGANTAR STOMATOGNASI

DAN ANATOMI TMJ


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STOMATOGNASI SIST$M

STRUKTUR ANATOMIS DAN /UNGSI/ISIOLOGIS RONGGA MULUT DAN RAHANG

SPT 0TH : M$M+UKA M$NUTUP MULUT

+I0ARA,P$NGUN1AHAN P$N$LANAN,

P$RNA/ASAN DLL.

GNATOLOGI

STOMATOGNASI (pengantar)


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GNATOLOGI STOMATOGNASI

G&a(h-s 2 raha&g ! G&a(- "

S(-ma 2 mu3u( % % %4 !S(-ma(-s. g5&"

Ada3ah '3mu ya&g m5mp53a6ar'

'-3-g's m5ka&'sm5 p5&gu&yaha& ya'(u : morfologi,

anatomi, histologi, siologi, patologi

da& p5ra7a(a& -rga& mu3u( (5ru(ama raha&g 8 g'g'

da& huu&ga& -rga&%-rga& (5rs5u( d5&ga& s53uruh(uuh.

!Har95y S(a33ard"


7/69

Th5 s(-ma(-g&a(' sys(5m 's a -&g3-m5ra(5 - -rga&s 7h'h ar5

u&('-&a33y r53a(5d (- 5ah -(h5r.

Th5s5 -rga&s '&3ud5 (h5 ma&d'35, (h5 ma;'33a, (h5 (5mp-r-%ma&d'u3ar 6-'&(, (h5 (55(h a&d (h5'r supp-r('&g s(ru(ur5s,mus35s - mas('a('-&, mus35s - (h5 a5, mus35s - (h5 &5k,

mus35s - (h5 h5ad, a&d (- s-m5 5;(5&( mus35s - (h5 ak.!MarB".

DIFINISI:


8/69

Th5 mas('a(-ry !-r s(-ma(-g&a(h'" sys(5m 'sg5&5ra33y -&s'd5r5d (- 5 mad5 up - (hr55 par(s: (h5

T55(h, (h5 P5r'-d-&(a3 T'ssu5s, a&d (h5 Ar('u3a(-ry

Sys(5m.!DA)IS AND GRA1, #CC="


9/69

Pa!en : per!"aAna#!a tat! $%"a &%#%t per!"a '"%! entr! RAR "'n*!! +ar. Kera *an #%na" Ana#!a D!na&! (,%ng!):

g&n -ara peng%na/an0 &ene#an0 $!-ara *##

F%ng! &e&pengar%/! e&%a p'#a g a*a H%$%ngan g at% *gn g #a!n

SISTEM STOMATOGNASI DPT DITINJAU :

1 FUNGSI TULANG 1 FUNGSI OTOT 1 FUNGSI ARTIKULATIO MANDIULARIS (TMJ) 1 FUNGSI RAHANG DAN MULUT


10/69

STOMATOGNATIK

S's(5m s(-ma(-g&a('k (5rd'r' dar' :

=.

Tu3a&g#. O(-(

. Ar('ku3a('- (5mp-r- ma&d'u3ar's !TMJ"

B. S's(5m raha&g da& mu3u(


11/69

(2)TULANG

%+ag (uuh yg k5ras, $3as('s %R53a(' dp( 5r5aks' (hd (5ka&a& u&gs'

%T5rdap( s5ra(# (ra5u3a d' d3m (3 sp-&g'-sa

sa3'&g m5&y'3a&g, (5gak 3urus,5rg53-ma&g, (dk

(5ra(ur TRAJ$0TORIA

+5&(uk s5sua' u&gs'

% P5ruaha& k5k5rasa& da& arah (5ka&a&

5rak'a( p5ruaha& 4 susu&a& d3m (u3a&g 4 5&(uk 3uar (u3a&g

/'s'-3-g's : T5ka&a& m5&y5aka& p5ruaha& d'&am's

p5ruaha& 5&(uk (u3a&g !hukum E-3"


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13/69

Gr. P5&ampa&g m53'&(a&g ramus ma&d'u3a5 ygm5&u&6ukka& gamara& (ra65(-r'a3


14/69


15/69


16/69

ENTUK 3 FUNGSI

MANDIULA 3 MA4ILLA

MANDI+ULA MAILLA

Tdk m535ka( ra&'um !r53a('+5as"

K5kua(a& s5m5&(ara d'(5r'mama&d'u3a s5&d'r' arud'pa&arka& k5 ra&'um

M5mpu 3ap'sa& k-mpa(a(5a3, 5rhuu&ga& sa(u sama3a'& mrpk 6a3a& d'3a3u'k5kua(a& yg d'(5ruska& k5ra&'um

TMJ

TMJ

+5rhuu&ga& dg as's ra&'' %%sa(u k5sa(ua&

K5kua(a& 3a&gsu&g d'(5ruska&k5 ra&'um


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18/69

!#" OTOT

A. O(-( p5&gu&yah +. O(-( p5&53a&

0. O(-( 7a6ah.


19/69

O(-( U(ama g5raka& ma&d'u3a

O(-( P5&u(up mu3u( =. M. mass5(5r

#. M. p(5ryg-'d5us 3a(5ra3's

. M. P(5ryg-'d5us m5d'a3's

B. M. (5mp-ra3's

O(-( p5muka mu3u(

=. M. M'3-h'-'d5us

#. M. D'gas(r'kus

. M. G5&'-h'-'d5us

O(-( m5ma6uka& ma&d'u3a

1. M. Pterigoideus lateralis 2. M. Pterigoideus medialis(bekerja sama otot pembuka mulut)


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M. MASSETER

!#" Gamar sup5rFs'a3 mass5(5r

!" +a(as a7ah ma&d'u3a

!>" Arus


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M.Pter!g'!*e% &e*!a#!M.Pter!g'!*e% #atera#!

Pa&da&ga& Sag'(a3

!?" Ramus ma&d'u3a yg d'p-(-&g

!#" P(5r'g-'d5us m5d'a3's

!>" Arkus


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M. Te&p'ra#!

Pa&da&ga& La(5ra3

!#>" m. (5mp-ra3's

!>" arus


23/69

M. D!gatr!"%

Pa&da&ga& h-r's-&(a3

!==" K-&d'3us

!#" pr-s. K-r-&-'d5us

!BB" pr-s. Mas(-'d5us"!@?" -s. H'-'d5us

!C" /-sa d'gas(r'ka

!=" )5&(5r !p5ru(" p-s(5r'-r md'gas(r'kus

!#" )5&(5r !p5ru(" a&(5r'-r m

d'gas(r'kus

Pa&da&ga& sag'(a3

!" m s('3-h'-'d5us


24/69

!" T$MPORO MANDI+ULARIS JOINT !TMJ"

D'ar(r-s's

D'5&(uk -35h huu&ga& : Tu3a&g ma&d'u3a

Tu3a&g (5mp-ra3

Ar('ku3a('- ma&d'u3ar'sS5&d' 0ra&'-ma&d'u3a

S5&d' T5mp-r- Ma&d'u3a


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S$NDI : ('('k p5rsa(ua& dar' dua a(au 35'h (u3a&g !MD59'((,#CC#"

/u&gs' S5&d' :

* membentuk kesatuan kuat dan kenyal diantara tulang-tulang

atau suatu satu kesatuan yg sedemikian rupa shg dpt tjd pergerakan diantaranya

* Pertumbuhan dan perkembangan tulang

* Perubahan bentuk penyesuaian tulang utk mengadakan perubahan pd lingkungannya

* Transmisi dan pembebasan energi (tekanan /tegangan) di dlm tulang

SENDI


26/69

K3as'Fkas' s5&d' !MD59'(,#CC#"

=. S5&d' SINARTRODIAL !S'&ar(r-s's"

Permukaan tulang disatukan bundel kolagen membentuk :!T!"# : ikatan antar ujungT$ (e% &sutura tl fasial dan 'ranial)

+ : persatuan T$ . membran intraoseus atau ligamen

(e% & #ntr& os bia dan bula)&

P0 : persatuan konikal tulang ke dlm so'ket

(e%& igi- didlm tl al1eolar)

2& endi #"T"#$ (iartrosis)

Permukaan tulang tdk tersambung (artikulasi yg terputus)3

memungkinkan pgrk fungsional Tl

Permukaan artikular keras, resilian, kuat dan tdk bergesekan

dibungkus kapsul , membran sino1ial dan 'airan sino1ial

empunyai ujung organ sensasi kinestetik -4 pola kontrol pergrk

otot utk grk sendi pd saraf pusat

SuK3as'Fkas' : a. S'mp35 S5d5rha&a m53'a(ka& # p5rmukaa& ar('ku3as' . K-mp-u&ma65muk 44 # p5rmk. Ar('ku3as'

%('ap pasa&g ar('ku3as' 63s 5r5da


27/69

A. OST$OLOGI

+. KOMPON$N JARINGAN LUNAK

0. P$RG$RAKKAN /UNGSIONAL DAN HU+UNGAN +AGIANS$NDI

D. ADAPTASI STRUKTUR /UNGSI S$NDI

$. )ARIASI ANATOMIS .

ANATOMI TMJ (Te&p'r' Man*!$%#arJ'!nt)

(Sen*! Kran!'&an*!$%#a)


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A. Ote'#'g! TMJ

+ag'a& (u3a&g s5&d' kra&'-ma&d'u3aTMJ :

=. Pr-. K-&d'3ar's ma&d'u3a

#. S(ruk(ur g35&-'da3's dasar ra&''

. Huu&ga& a&(ara ag'a Tu3a&g da& ra&''


29/69

(2) Pr'e% "'n*!#ar! Man*!$%#a

: Ter$ent%" p* $ag!an p'ter!'r pr'e"! "e %per!'r *r ra&%&an*!$%#aTer%%n 5 #e/er g #ang!ng0*atar p* $!* ,r'nta# *an %at% "'n*!#

e&!!#!n*r! K'n*!# pan+ang (#ater' 3 &e*!a# "%t%$6 7 68 && te$a# : 28 &&

1 ent%" "'n*!# : $ana" 9ar!a! ("!r! $er$e*a *g "anan0 per&%"aanart!"%#ar &!r!ng ta+a&)


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PROSESUS KONDILARIS MANDIULA 5

D!ran-ang :

2. &en*%"%ng *an &ene&pat"an per&%"aan art!"%#ar *r &an*!$%#a

*pt $e"er+a e!en0 $g p'r' (p!9't) t!ga *e&en! *an e$aga!

t!t!" t%&p%an g "%at (%at% peng%&p!# "e#a ;)

6. $g t!t!" per#e"atan +ar!ngan 't't ('t't &e&a+%"an &an*!$%#a)

;. %t" &e&en%/! ,%ng! (2


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(a). Ta&pa" anter!'r0 ($). Ta&pa" p'ter!'r0(L.) Latera# 0 (M ).

Me*!a#.

1 pen'n+'#an "%t%$ &e*!a# = #atera#1 ta&pa" -e"%ngan g nata p* ,'9ea $ag anter!'r #e/er1 Per&%"aan %ta&a art!"%#ar : &eng/a*ap ara/ anter'%per!'r0"e

$a>a/0 "&* "e

#atera# 7 per&%"aan anter!'r #e$!/ "e-!# *r pa*a p'ter!'r en*! 1 Pan+ang "'n*!# *r "%t%$"e "%t%$ : 2? 68 &&


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Pr'-. K'n*!#ar! ta&pa" #atera#. (#e$ar &a" 28&&)

1 Per&%"aan art!"%#ar %ta&a &eng/a*ap anter'%per!'r.

Se#%r%/ per&%"aan &e&$e#'" "e#%ar *r art!"%#ar %ta&a : (A) Tep! !n,er!'r *r per&%"aan art!"%#ar %ta&a *!"% 7"ap%# &e#e"atp* gr !n! () P%n-a" "'n*!#% (@) Gr p'ter!'r *r per#e"atan "'n*!#%3 *!"% (D) ,'9ea pter!g'!*ea (A) Per&%"aan art!"%#ar %ta&a ( 7 ? &&) (@) Per&%"aan p'ter!'r "'n*!#% ( 7 2? &&)


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P-r-s pa&6a&g k-&d'3us 8 -sa d'pr-y5ks'ka& k5 m5d'a3,%

45r(5mu d' -ram5& mag&um 8 m5m5&(uk sudu( m5muka k5a&(5r'-r =@C d5ra6a(.

Gamar k-&d'3us da& -ssa g35&-'da3's pd (5&gk-rak k5r'&g

!#". S(ruk(ur g35&-'da3's dasar ra&''


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(;) H%$%ngan T%#angT%#ang p* Sen*! "ran!'&an*!$%#a(TMJ)

!==" k-&d'3 !=" $m'&5&s'a ar('ku3ar's

!=>" -sa g35&-'d5a ! B=" -sa ra&''m5d'a !B" m5a(us akus('kus 5ks(5r&us

!@C" p53a( pr5%g35&-'da3's

Pa&da&ga& Sag'(a3 p-s's' 3-s5%pak !g'g'

k-&(ak '&(5rkuspa3 maks'ma3%(5&gk-rakk5r'&g" !Duru3, =>?C"

Tdp p5r5daa& 5sar rua&g d' 5raga'ag s5&d'., k-&d'3 pas d' -sa

Rua&g p3 k5'3 a&(ara p5rmukaa& #

ar('ku3ar d' s's' 3a(5ra3 Rua&g (5r5sar pd p-s(5r-%sup5r'-r da& m5d'a3

K-&d'3 m'r'&g k5 d5pa& k5 arah 35r5&gp-s(5r'-r dr 5m'&5&s'a g35&-'da3's!5m'&5&s'a ar('ku3ar's"

Ku(u 3a(5ra3 8 asp5k p-s(5r-%3a(5ra3k-&d'3%4 (5rpr-y5ks' d' 3uar a(as# dr -sa!ag. K-&d'3 '&' (5r(u(up (3 ra7a& m5a(usaus('us 5;(5r&us (ragus (53'&ga"

Gar's 5&(uk s5&d' pd as's ra&''

d'(a&da' kr's(a (u3a&g yg k5'3


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A. OST$OLOGI


0. P$RG$RAKKAN /UNGSIONAL DAN HU+UNGAN +AGIAN S$NDID. ADAPTASI STRUKTUR /UNGSI S$NDI


. KOMPONEN JARINGAN LUNAK TMJ


36/69

T$RDIRI DARI :

=. S53uu&g ar('ku35r

#. D'skus S5&d' da& Jar'&ga& O(-(

Kapsu3 S5&d'

B. L'gam5& S5&d' kra&'-ma&d'u3a

@. M5mra& S'&-9'a3

. P5mu3uh Darah da& sara

KOMPONEN JARINGAN LUNAK SENDI KRANIOMANDIULA(TMJ)


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!=" S53uu&g Ar('ku3ar !P5mu&gkus p5rmukaa& ar('ku3ar"

p5rmukaa& s5&d' yg m5&5r'ma 5a& (5ka&a& sr 3a&gsu&g,

d's53uu&g' :

3ap'sa& 6ar. Frus sa&ga( ha3us, khusus, kua(

da& a9asku35r,(aha& g5s5ka&

p5m5ah s(r5ss !sh5ar'&g s(r5ss"

T$+AL : d' 35r5&g 8 pu&ak 5m'&5&s'a g35&-'da3's, pr5g&5-'da3's,

g35&-'da3's m5d'a3, p5rmukaa& ar('ku3ar s5&d'

TDK ADA : pd -sa g35&-'da3's p5r'-s(5um ('p's


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(6) DISKUS ARTIKULARIS (MENISKUS)

S%at% tr%"t%r g ta" terp%t% g &ene&pat! r%ang antara $agt%#ang *an per&%"aan art!"%#ar en*!

K5(5a3a& d'skus 5r9ar'as' k5(5a3a& ! R5ss,=>@B":

=. P'(a p-s(5r'-r!p3 (5a3 da& p3 35ar d' a&(5r-%

p-s(5r'-r (5r3(k d' d3am a(ap-sa, d' a(as ag p-s(5r-%sup5r'-r k-&d'3"

#.P'(a a&(5r'-r

! ag d'skus pada u6u&ga&(5r'-r

dar' da5rah ar(5ku3ar d' 7h35r5&g 5m'&5&s'a

Kura&g (5a3"

.p'(a '&(5rm5d'5( ('p's a&(ara

p'(aa&(5r'-r 8 p-s(5r'-r (5r3(k pd

k-&(ak yg s5mp'( dgp5rmukaa&

ar('ku3ar s5&d'.


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Gamar d'skus


40/69


41/69

Per#e"atan *!"% Pa*a : 2. K'n*!#% 6. Pe#at Preg#e n'!*a#! ;. Kap%# en*! -ran!'&an*!$%#a . *!n*!ng p'ter!'r ,'a g#en'!*a#!

?. 't't B te#!nga tenga/

Gamar . P5r35ka(a& d'skus pd k-&d'3

!a" a&(5r'-r : pada p5rs's s3'&5r'-r (5p' a&(5r'-r p5rmukaa&ar('ku3ar

!P" P-s(5r'-r : (5pa( '&5r'-r rua&g s5&d'p-s(5r'-r

P5r35ka(a& p-s(. +5rpu(ar k5 a(as k5arah d'skus, s57ak(u k-&d'3 r-(as'

P5r35ka(a& a&(5r'-r m5mu(ar (uru& 8k53uar dr d'skus

k5dua p5r35ka(a& k5&dur da&m5&duku&g m5mra& s'&-9'a3 pd

p5rmukaa& d3m


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Gamar P5r35ka(a& D'skus pd p5rmukaa& 3a(5ra3 da& m5d'a3 k-&d'3us

(5pa( d' '&5r'-r ku(u

+u&d53 k-3ag5& yg kua( (5rkumpu3 d3m ap s5g'('ga

m5&g'ka(d'skus dg kua( pd k-&d'3 Pada saa( yg sama m5mu&gk'&ka& k-&d'3 5rpu(ar k5 a&(5r'-r pd

p5rmukaa& '&5r'-r d'skus!##" p'(a p-s(5r'-r d'skus !#C" p'(a a&(5r'-r d'skus !@" P5r35ka(a&

d'skus pd ku(u m5d'a3 !@" P5r35ka(a& d'skus pd ku(u 3a(5ra3

!=>" /-sa g35&-'da3's !=" $m'&5&s'a ar('ku3ar's !#=" -&a'm5rdd'5(

Per#e"atan *!"%


43/69

Per#e"atan *!"%

P5r35ka(a& d'skus pd p53a( pr5g35&-'da3's

!a" P53a( pr5g35&-'da3's !" ('mpa&'a

p5r35ka(a& 6ar. Ar5-3ar Fr-us *(dkd'duku&g kapsu3 s5&d'

P$RL$KATAN OTOT%KAPSUL


44/69

Pa&da&ga& Sup5r'-r.

Kapsu3 da& d'skus

!==" Kapsu3 !#C" P'(a a&(5r'-r d'skus !##" p'(a p-s(5r'-r d'skus

!=#" +ag. Sup5r'-r p(5r'g-'d5us 3a(5ra3's

!B>" O(-(


45/69

(;) KAPSUL SENDI

S%at% &anet $er*!n*!ng t!p!0 #'nggar0 #an-!p *r "'#agenp%t!/ &enge#!#!ng! $ag6 t%#ang *an *!"% en*!

(&rp" $%n*e# "'#agen p%t!/ g ter%%n 9ert!"a# )

Me#e"at p* *!"% &e&$ent%" "a9!ta en*! ata *an $a>a/

D!$ata! '#e/ &e&$ran !n'9!a# 7 &en*%"%ng 'rgan "'&p#e"%+%ng ara,

T!*a" &e&$ata! pergr"n en*!


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KAPSUL S$NDI


47/69

Pa&da&ga& Sup5r'-r. KAPSUL

Kapsu3 da& d'skus!==" Kapsu3!=#" +ag. Sup5r'-r p(5r'g-'d5us 3a(5ra3's

!#C" P'(a a&(5r'-r d'skus !##" p'(a p-s(5r'-r d'skus

!B>" O(-(


48/69

() LIGAMEN SENDI

1 Kap%# en*! a+a t*" -%"%p &en*%"%ng ,%ng! en*! per#% *!per"%at tr%"t%r #!ga&ent% #'"a# *! #atera# <

&e*!a#

1 L!ga&ent% 5 #!g te&p'r'&an*!$%#ar #!g. K'#atera# #!g. Ae'r!

1 L!g. Te&p'r' &an*!$%#ar L!g %ta&a peng%at en*! &e&$ata! pergr" *!ta# < !n,er!'r *r&an*# &en*%"%ng p'!! ,%ng!'na# en*!

1 #!g."'#atera# -r $!'#'g! < &e"an! &e&$ata! "'n*!# "e *!ta#/g +ar.

Retr'"'n*!#ar t*" tra%&a

1 L!g. Ae'r! "%rang &e&p%na! &a"na !'#'g! 5 L!g Sp/en'&an*!$%#ar L!g. t!#'&an*!$%#ar


49/69

L!ga&ent%&

Pa&da&ga& 3a(5ra3

Kapsu3 (3h d'h'3a&gka& spy 653as

!B@" 3'g. T5mp-r-ma&d'u3ar

!B" L'g. K-3a(5ra3

!>" arus


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51/69

0aa&g ar(5r' yg k5 kapsu3 s5&d' 5rasa3 :

7& #& Temporalis supersialis(di posterior)

2& #& aksilaris ( di Posterior)

5& #& asseterikus( di anteror)

6& aerah 1askuler intramuskuler m& pterigoideus ekternus 8& Pembuluh darah periosteal9sekeliling sendi kraniomandibula

& alam mandibula dan/ atau tulang temporale

memasuki kapsul sepanjang pe rlekatannya

P5rsyaraa& : 4ominan : 'abang artikularis & #urikulo-temporalis pd

posterior sendi

; sedikit : 'ab& #rtikularis & asseterika < & Temporalis profunda

pd bag anterior sendi

(B) PEMULUH DARAH DAN SYARAF

@. PERGERAKAN FUNGSIONAL DAN


52/69

A. OST$OLOGI


0. P$RG$RAKKAN /UNGSIONAL DAN HU+UNGAN +AGIANS$NDI



@. PERGERAKAN FUNGSIONAL DANHUUNGAN

AGIAN SENDI

! ! * G " " *!#


53/69

M5&g5(ahu' p-s's' da& g5rak k-&d'3us ma&d'u3a d'&a3's's dg Grk d'm5&s'

dg& pusa( sumu r-(as'

=. Sumu r-(as' sag'(a3 h-r's-&(a3 !sumu k-&d'3us r-(as'"

m&(uk p5mukaa& da& p5&u(upa& ma&d'u3a

#. sumu r-(as' )5r('ka3

m5m(k kur9a g5rak h-r's-&(a3

sumu r-(as' k-r-&a3 h-r's-&(a3

m5m(k kur9a g5rak 95r('ka3 p 'da&g k-r-&a3.

P'!! *an Gera" "'n*!#%


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Gamar pusa( r-(as' ma&d'u3aSumu R-(as' Sag'(a3 H-r's-&(a3

R-(as' Ma&d'u3a Pd +'da&g Sag'(a3 dg P-r-s H-r's-&(a3 (ra&s95rsa3 ! THA" m5357a('k5 dua k-&d'3us

G5rak m5muka * m5&u(up mu3u(


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P5rg5raka& r-(as' pada 'da&g h-r's-&(a3 p-r-s 95r('ka3 !)A" d' r5g'-k-&d'3us s's' k5r6a !pa&da&ga& Sag'(a3"

Kur9a g5rak h-r's-&(a3

Gamar pusa( r-(as' ma&d'u3aSumu R-(as' )5r('ka3

Gamar pusa( r-(as' ma&d'u3aS k 3 h ' ( 3


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R-(as' pada 'da&g r-&(a3 p-r-s 'da&g Sag'(a3 p-r-s k-r-&a3

!m33 s's' k5r6a". P-r-s Sag'(a3 !SA". Pa&da&ga& Sag'(a3

Kur9a 95r('ka3

Sumu k-r-&a3 h-r's-&(a3

Pergera"an #atera#


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Pergera"an #atera#

P5rg5raka& ma&d'u3a 3a(5ra3 k5 ka&a&•!E" S's' k5r6a !NE" &-& k5r6a

•!A" G5rak a&(5r-%m5d'a3 dr s's' &-& k5r6a

• k(k (6d r-(as' pd p-r-s 95r('ka3 8 sag'(a3 !k-r-&a3" pd s's' k5r6a• !D" d5pr5s' ma&d'u3a

• r-(as' p-r-s 5&gs53s5&d' !HA"•

!)A" p-r-s 95r('ka3•


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G5rak La(5ra3 Ka&a&


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A. OST$OLOGI


0.P$RG$RAKKAN /UNGSIONAL DAN HU+UNGAN +AGIANS$NDI



D. ADAPTASI STRUKTUR FUNGSI SENDI


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(D) ADAPTASI STRUKTUR FUNGSISENDI

Tu6ua& : % 55s'5&s' maks'ma3 % p5ma&aa(a& rua&g % k53a&ara& u&gs'

d'p5r3uka& s's(5m p5&gu&gk'( k3as

Jar s's(5m p5&gu&yaha& d' susu& rapa( s5ka3' 8 ramp'&g ((p dapa( m53kka& s53uruh u&gs' dg mudah 3a&ar

Adap(as' s(ruk(ur : Pr-s. K-&d'3ar's 5ru&gs' : =. m5&s(a'3ka& g5rak ma&d'u3a

#. sg ('('k (umpu da& pusa( p5rgrka& ma&d'u3a p5&gu&gk'( . p5(u&6uk p5rgrka& ma&d'u3a B. p5r35ka(a& ma&d'u3a pd ra&''


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Gr. P5rg5raka& u&gs'-&a3 k-&d'3us

T6d p5ruaha& %%huu&ga& d'skus *k-&d'3us :

r-(as' a(au p5rp'&daha& k5 d5pa& !(ra&s3as'", r53a(' m5mu(ar k5 d5pa& pd

d'skus a(au s5a3'k&ya !'", !''"

S53ama (ra&s3as' Jar.'3um'&5r (5r5ga&g m5&ar'k k5 d's(a3 pd d'skus 5ruah

5&(uk !s5m5&(ara" m5&y5sua'ka& (k3 3uar yg (dk (5ra(urp5rmukaa& s5&d'!'''"


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!a" Ak'a( 55k a&(5r-%sup5r'-r ak('9'(as 5359a(-r m5mp5r(aha&ka&p5rsa(ua& k-&d'3us *d'skus d3m k-&(ak p-s(5r-%sup5r'-r dr 5m'&5&s'a

ar('ku3ar's

P5rp'&daha& p-s(5r-%'&5r'-r k-&d'3%d'skus d'gh -3 kapu( '&5r'-rp(5r'g-3a(5ra3's da& 5359a(-r !" !"

P5rp'&daha& u&gs'-&a3 p-s(5r- '&5r'-r d'gh 3'g. T5mp-r-ma&d'u3ar' da&k-3a(5ra3

H $ t "t # *! #


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!'" P5rsa(ua& k-&d'3us%d'skus dg d'skuss5p5&uh&ya 5rada d' d3m -ssa

!''" K-&d'3 (5r-(as' pd d'skus s57ak(uma&d'u3a d' (5ka&.

!'''" K-&d'3 (5rus 5r-(as', p5rsa(ua&k-&d'3%d'skus (ra&s3as' k5 a&(5r'-r

Jar'&ga& 5rg5rak k5 d3m rua&ga& yg(5r5&(uk d' p-s(5r'-r k-&d'3

!')" Ma&d'u3a d' (5ka& *d'skus rapa(pd pu&ak k-&d'3

!9" da& !9'" d'skus 5rg5rak da& k-&d'35r-(as' d3m arah k5a3'ka& !'''" da&

!''"

H%$%ngan rt%"t%ra# en*! e#a&apergra"an ,%ng!'na#


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Pa&da&ga& sag'(a3 hu s(ruk(ura3 s5&d' s3m u&gs'

CARIASI ANATOMIS TMJ


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A. OST$OLOGI


0. P$RG$RAKKAN /UNGSIONAL DAN HU+UNGAN +AGIAN S$NDI D. ADAPTASI STRUKTUR /UNGSI S$NDI

$. )ARIASI ANATOMIS

CARIASI ANATOMIS TMJ(Sen*! Kran!'&an*!$%#a)

E C ! ! t ! S *!


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Ukura& da& 5&(uk

UKURAN :

N-rma3 : 5ra&d'&g 3urus dg ukura& sk535(a3 !umum"

(h : K-&d'3 5sar s(ruk(ur d'skus da& g35&-'d5us yg 5sar 6g

A&-rma3 :

K5('dak s5sua'a& ukura& 'asa&ya kr& p5&y'mpa&ga&

p5r(umuha& 8 p5rk5ma&ga&

(h. K-&d'3us k5'3 d3m -sa 5sar

+$NTUK

m-r-3-g' 5&(uk k-&d'3 s5sua' 5&(uk g35&-'d5a

(h: k-&d'3 5mu&g pd ag -&(a3 -ssa da& 5m'&5&s'a sa&ga( 5ku&g

k-&d'3 (k u3a& sa'( -ssa da&gka3

E. Car!a! anat'&! Sen*!Kran!'&an*!$%#a


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Terima =asih

UI

Tu3's : NamaN'm ParaTT D'kumpu3ka& : Juma( # OK #C= !37( k5(ua k53as"


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UI

= a. +arasa3 dar' ka(a apakah S(-ma(-g&as' da& apa ar('&ya. I3mu S(-ma(-g&as' m5mp53a6ar' (5&(a&g apa sa6a

#. Apa ya&g d'maksud d5&ga& TMJ

. G5raka& Ma&d'u3a d'(5&(uka& -35h 5rapa sumup-r-s r-(as' J53aska&Q B. J53aska& m5ka&'sm5 g5rak u&gs'-&a3 s5&d' TMJ @. 0ar'3ah k53a'&a a&a(-m's s5&d' ! dar' (5;--k r-7s'&g '&(5r&5(("

p J ! " R$EARD : % +aha& p5r('ma&ga& da3am p5&'3a'a& N'3a'Akh'r

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