{"id":6079,"date":"2025-09-29T11:29:26","date_gmt":"2025-09-29T09:29:26","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=6079"},"modified":"2025-12-01T09:49:30","modified_gmt":"2025-12-01T08:49:30","slug":"articulation-temporo-mandibulaire","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=6079","title":{"rendered":"Articulation temporo-mandibulaire"},"content":{"rendered":"\n<h2 id=\"introduction\" class=\"wp-block-heading\">Introduction<\/h2>\n\n\n\n<h3 id=\"les-4-fonctions\" class=\"wp-block-heading\">Les 4 fonctions<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mastication<\/li>\n\n\n\n<li>Phonation<\/li>\n\n\n\n<li>Ventilation<\/li>\n\n\n\n<li>D\u00e9glutition<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 id=\"anatomie\" class=\"wp-block-heading\">Anatomie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>En avant du tragus de l&rsquo;oreille<\/li>\n\n\n\n<li>Bicondylaire, seul articulation o\u00f9 1 seul os forme 2 articulations<\/li>\n\n\n\n<li>Doivent fonctionner de fa\u00e7on synchrone et harmonieuse<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"341\" height=\"252\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-70.avif\" alt=\"\" class=\"wp-image-6089\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-70.avif 341w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-70-300x222.avif 300w\" sizes=\"auto, (max-width: 341px) 100vw, 341px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 id=\"la-mandibule\" class=\"wp-block-heading\">La mandibule<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Os unique, impair et m\u00e9dian, mobile et articul\u00e9 avec les temporaux<\/li>\n\n\n\n<li>2 fonctions : os cortical basal, os spongieux sur lequel s&rsquo;implantent les dents<\/li>\n\n\n\n<li>La croissance de l&rsquo;os alv\u00e9olaire d\u00e9pend de la stimulation masticatoire : plus on stimule les dents, plus on stimule la croissance alv\u00e9olaire<\/li>\n\n\n\n<li>2 branches montantes oblique en dehors et en arri\u00e8re : angle mandibulaire<\/li>\n\n\n\n<li>Processus condylaire en arri\u00e8re, incisure mandibulaire en avant<\/li>\n\n\n\n<li>Le disque se pose sur le condyle<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large is-resized\"><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-71.avif\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-71-1024x1024.avif\" alt=\"\" class=\"wp-image-6097\" style=\"width:257px;height:auto\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-71-1024x1024.avif 1024w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-71-300x300.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-71-150x150.avif 150w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-71-768x768.avif 768w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-71-144x144.avif 144w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-71-80x80.avif 80w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-71.avif 1400w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h4 id=\"los-temporal\" class=\"wp-block-heading\">L&rsquo;os temporal<\/h4>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li>Os pair, de chaque c\u00f4t\u00e9 du cr\u00e2ne entre les os sph\u00e9no\u00efde, pari\u00e9tal et occipital<\/li>\n\n\n\n<li>3 parties : rocher, masto\u00efde, \u00e9caille<\/li>\n\n\n\n<li>Processus zygomatique avec insertions muscle mass\u00e9ter et muscle temporal<\/li>\n\n\n\n<li>Fosse mandibulaire ou cavit\u00e9 gl\u00e9no\u00efde en avant<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"609\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-72-1024x609.avif\" alt=\"\" class=\"wp-image-6104\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-72-1024x609.avif 1024w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-72-300x178.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-72-768x457.avif 768w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-72.avif 1535w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 id=\"os-hyoide\" class=\"wp-block-heading\">Os hyo\u00efde<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tr\u00e8s profond<\/li>\n\n\n\n<li>Entre C2 et C3<\/li>\n\n\n\n<li>\u00ab\u00a0Squelette\u00a0\u00bb de la langue\u00a0\u00bb : dans le complexe naso-oro-pharyng\u00e9<\/li>\n\n\n\n<li>Mobilisation de l&rsquo;os hyo\u00efde pour travailler la gaine visc\u00e9rale du cou<\/li>\n\n\n\n<li>Seul os non reli\u00e9 \u00e0 un autre os par une articulation<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large is-resized\"><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-73.avif\"><img loading=\"lazy\" decoding=\"async\" width=\"736\" height=\"1024\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-73-736x1024.avif\" alt=\"\" class=\"wp-image-6106\" style=\"width:152px;height:auto\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-73-736x1024.avif 736w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-73-216x300.avif 216w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-73-768x1068.avif 768w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-73.avif 900w\" sizes=\"auto, (max-width: 736px) 100vw, 736px\" \/><\/a><\/figure>\n<\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"820\" height=\"547\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-82.avif\" alt=\"\" class=\"wp-image-6912\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-82.avif 820w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-82-300x200.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-82-768x512.avif 768w\" sizes=\"auto, (max-width: 820px) 100vw, 820px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 id=\"capsule-articulaire\" class=\"wp-block-heading\">Capsule articulaire<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sur le condyle mandibulaire<\/li>\n\n\n\n<li>Les freins m\u00e9niscaux sont constitu\u00e9s par les fibres du muscle (freins courts et longs)<\/li>\n\n\n\n<li>Ligament<\/li>\n\n\n\n<li>M\u00e9nisque : structure fibro-cartilagineuse non attach\u00e9 \u00e0 l&rsquo;os sur lequel s&rsquo;ins\u00e8re le pt\u00e9rygo\u00efdien m\u00e9dial, le mass\u00e9ter et le buccinateur\n<ul class=\"wp-block-list\">\n<li>Accroches du m\u00e9nisque :<\/li>\n\n\n\n<li>Fibre courte profonde : temporo-m\u00e9niscale et mandibulo-m\u00e9niscale<\/li>\n\n\n\n<li>Fibre longue superficielle : <\/li>\n\n\n\n<li>&#8211; Ligament lat\u00e9ral externe emp\u00eache la propulsion de la machoire vers l&rsquo;avant.<\/li>\n\n\n\n<li>&#8211; Le pt\u00e9rygo\u00efdien lat\u00e9ral permet au m\u00e9nisque de bien se positionner sur la t\u00eate du condyle. <\/li>\n\n\n\n<li>Si le mass\u00e9ter est trop spasm\u00e9, c&rsquo;est souvent le signe que le pt\u00e9rygo\u00efdien est en souffrance.<\/li>\n\n\n\n<li><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"733\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-80-1024x733.avif\" alt=\"\" class=\"wp-image-6910\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-80-1024x733.avif 1024w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-80-300x215.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-80-768x550.avif 768w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-80.avif 1106w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"679\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-81-1024x679.avif\" alt=\"\" class=\"wp-image-6911\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-81-1024x679.avif 1024w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-81-300x199.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-81-768x509.avif 768w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-81.avif 1398w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"652\" height=\"438\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-83.avif\" alt=\"\" class=\"wp-image-6913\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-83.avif 652w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-83-300x202.avif 300w\" sizes=\"auto, (max-width: 652px) 100vw, 652px\" \/><\/figure>\n\n\n\n<h3 id=\"equilibre-de-latm\" class=\"wp-block-heading\">\u00c9quilibre de l&rsquo;ATM<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Permet une bonne occlusion, une bonne ventilation<\/li>\n\n\n\n<li>D\u00e9pend de l&rsquo;\u00e9quilibre musculaire, des joues, de la langue, des l\u00e8vres<\/li>\n\n\n\n<li>Prendre en compte : l&rsquo;os temporal, l&rsquo;os hyo\u00efde, la mandibule, le rachis cervical, les m\u00e9nisques et les ligaments<\/li>\n\n\n\n<li>Le fascia du mass\u00e9ter est directement li\u00e9 au trap\u00e8ze : un traumatisme au niveau de l&rsquo;\u00e9paule peut entra\u00eener des r\u00e9percussions sur l&rsquo;ATM.<\/li>\n\n\n\n<li>L&rsquo;os temporal (\u00e9caille, rocher, masto\u00efde, apophyse zygomatique) a une action dans la mastication, la phonation, l&rsquo;audition et le vestibulaire.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 id=\"dysfonction-de-latm\" class=\"wp-block-heading\">Dysfonction de l&rsquo;ATM<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>En cas de manque de coordination entre les 2 articulations, le disque peut \u00eatre endommag\u00e9 ou d\u00e9plac\u00e9, ce qui emp\u00eache le fonctionnement normal et harmonieux : on parle alors de trouble ou de dysfonctions de l&rsquo;ATM<\/li>\n\n\n\n<li>Le disque a la particularit\u00e9 d&rsquo;\u00eatre soutenu par des ligaments qui sont en r\u00e9alit\u00e9 des expansions musculaires. Il absorbe les pressions.<\/li>\n\n\n\n<li>Prendre en compte l&rsquo;articulation controlat\u00e9rale en de dysfonction de l&rsquo;ATM : si l\u00e9sion d&rsquo;un c\u00f4t\u00e9, la compensation de l&rsquo;autre c\u00f4t\u00e9 entra\u00eenera un risque accru d&rsquo;usure<\/li>\n\n\n\n<li>Les acouph\u00e8nes peuvent \u00eatre li\u00e9s \u00e0 la dysfonction de l&rsquo;ATM<\/li>\n\n\n\n<li>Une dysfonction de l&rsquo;ATM peut avoir des r\u00e9percussions sur la clavicule, le sternum, l&rsquo;\u00e9paule. En cas de douleur de la cheville, la cha\u00eene ascendante peut avoir une r\u00e9percussion sur l&rsquo;ATM<\/li>\n\n\n\n<li>Parafonction : pr\u00e9disposition \u00e0 m\u00e2cher plus d&rsquo;un c\u00f4t\u00e9 va entra\u00eener le d\u00e9veloppement du mass\u00e9ter c\u00f4t\u00e9 pr\u00e9f\u00e9rentiel qui va entra\u00eener une rotation de la mandibule. Donc dans le bilan, on va demander de quel c\u00f4t\u00e9 m\u00e2che le patient.<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-68.avif\"><img loading=\"lazy\" decoding=\"async\" width=\"793\" height=\"445\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-68.avif\" alt=\"\" class=\"wp-image-6082\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-68.avif 793w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-68-300x168.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-68-768x431.avif 768w\" sizes=\"auto, (max-width: 793px) 100vw, 793px\" \/><\/a><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 id=\"objectif-de-la-reeducation\" class=\"wp-block-heading\">Objectif de la r\u00e9\u00e9ducation<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>R\u00e9tablir la fonction normale, harmonieuse et sym\u00e9trique<\/li>\n\n\n\n<li>Pr\u00e9cocit\u00e9 de la prise en charge<\/li>\n\n\n\n<li>Auto-r\u00e9\u00e9ducation \u00e0 faire chez soi tous les jours<\/li>\n\n\n\n<li>Le patient est l&rsquo;auteur de sa r\u00e9\u00e9ducation, l&rsquo;articulation est constamment mobilis\u00e9e<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 id=\"les-muscles\" class=\"wp-block-heading\">Les muscles<\/h3>\n\n\n\n<h4 id=\"muscles-elevateurs-fermeture\" class=\"wp-block-heading\">Muscles \u00e9l\u00e9vateurs (fermeture)<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Temporal : tracte vers l&rsquo;arri\u00e8re et \u00e9l\u00e8ve (nerf mandibulaire)<\/li>\n\n\n\n<li>Mass\u00e9ter<\/li>\n\n\n\n<li>Pt\u00e9rygo\u00efdien lat\u00e9ral<\/li>\n<\/ul>\n\n\n\n<h4 id=\"muscles-de-louverture\" class=\"wp-block-heading\">Muscles de l&rsquo;ouverture<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Digastrique<\/li>\n\n\n\n<li>Sous-hyo\u00efdien<\/li>\n\n\n\n<li>Sus-hyo\u00efdien<\/li>\n<\/ul>\n\n\n\n<h4 id=\"muscles-masticateurs\" class=\"wp-block-heading\">Muscles masticateurs<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>El\u00e9vateur : temporal, mass\u00e9ter, pt\u00e9rygo\u00efdien lat\u00e9ral<\/li>\n\n\n\n<li>Abaisseur : sus et sous-hyo\u00efdien<\/li>\n\n\n\n<li>Propulseur : p\u00e9trygo\u00efdien lat\u00e9ral, m\u00e9dial, mass\u00e9ters<\/li>\n\n\n\n<li>R\u00e9tropulseur (retour en position physiologique) : p\u00e9trygo\u00efdien lat\u00e9ral, sus et sous hyo\u00efdien<\/li>\n\n\n\n<li>Diducteurs : pt\u00e9rygo\u00efdiens<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-79.avif\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"588\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-79-1024x588.avif\" alt=\"\" class=\"wp-image-6908\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-79-1024x588.avif 1024w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-79-300x172.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-79-768x441.avif 768w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-79-1536x882.avif 1536w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-79.avif 1840w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"301\" height=\"284\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-84.avif\" alt=\"\" class=\"wp-image-6916\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h4 id=\"la-langue\" class=\"wp-block-heading\">La langue<\/h4>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>R\u00f4le de la langue<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Croissance de la face<\/li>\n\n\n\n<li>Mastication<\/li>\n\n\n\n<li>D\u00e9glutition<\/li>\n\n\n\n<li>Phonation<\/li>\n\n\n\n<li>Ventilation<\/li>\n<\/ul>\n\n\n\n<p>Position au repos<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dent non en contact<\/li>\n\n\n\n<li>Langue au palais qui ne touche pas les incisives<\/li>\n\n\n\n<li>L\u00e8vres jointes sans crispation<\/li>\n\n\n\n<li>Respiration nasale<\/li>\n<\/ul>\n\n\n\n<p>L&rsquo;os hyo\u00efde est seulement tenu par la langue (squelette de la langue)<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-77-1024x576.avif\" alt=\"\" class=\"wp-image-6127\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-77-1024x576.avif 1024w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-77-300x169.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-77-768x432.avif 768w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-77.avif 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 id=\"physiologie-de-latm\" class=\"wp-block-heading\">Physiologie de l&rsquo;ATM<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ouverture\/fermeture : 50mm (3doigts) et 35mm (pr\u00e9hension alimentaire de confort). Le mouvement comprend une combinaison translation\/glissement\/rotation<\/li>\n\n\n\n<li>Protusion : mouvement vers l&rsquo;avant avec le contact des dents. Ouverture moyenne de 9mm<\/li>\n\n\n\n<li>R\u00e9trusion : retour vers l&rsquo;arri\u00e8re depuis la  protusion<\/li>\n\n\n\n<li>Diduction : mouvement lat\u00e9ral \u00e0 partir de la position inter cuspidienne. En moyenne 9mm sym\u00e9trique (si &lt;5mm : pathologique). Part des dents en contact, puis rel\u00e2chement de la pression puis sur le c\u00f4t\u00e9.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>Position de repos : position myo-centr\u00e9, les dents ne sont pas serr\u00e9es<\/p>\n\n\n\n<p>Position inter-cupidienne : position avec les dents serr\u00e9es<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"biomecanique\" class=\"wp-block-heading\">Biom\u00e9canique<\/h2>\n\n\n\n<h3 id=\"fonction-normale-de-latm\" class=\"wp-block-heading\">Fonction normale de l&rsquo;ATM<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pendant la fonction normale, le disque articulaiire demeure sur la t\u00eate du condyle et l&rsquo;accompagne dans tous les mouvements<\/li>\n\n\n\n<li>Les surfaces articulaires maintiennent une relation normale tout au long des mouvements mandibulaires, tant \u00e0 l&rsquo;ouverture qu&rsquo;\u00e0 la fermeture<\/li>\n\n\n\n<li>Tout ceci se produit de faon simultan\u00e9e et synchronis\u00e9e pour les 2 ATM<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"851\" height=\"107\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-78.avif\" alt=\"\" class=\"wp-image-6130\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-78.avif 851w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-78-300x38.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-78-768x97.avif 768w\" sizes=\"auto, (max-width: 851px) 100vw, 851px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Rose = disque articulaire<\/li>\n<\/ul>\n\n\n\n<p>Strie = pt\u00e9rygo\u00efdien lat (ins\u00e9r\u00e9 sur le disque)<\/p>\n\n\n\n<p>Orange = freins m\u00e9niscaux<\/p>\n\n\n\n<p>Rouge = ligaments courts<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introduction Les 4 fonctions Anatomie La mandibule L&rsquo;os temporal Os hyo\u00efde Capsule articulaire \u00c9quilibre de l&rsquo;ATM Dysfonction de l&rsquo;ATM Objectif de la r\u00e9\u00e9ducation Les muscles Muscles \u00e9l\u00e9vateurs (fermeture) Muscles de l&rsquo;ouverture Muscles masticateurs La langue&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=6079\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Articulation temporo-mandibulaire\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[396],"tags":[],"class_list":["post-6079","post","type-post","status-publish","format-standard","hentry","category-champs-specifiques-champ-tete"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/6079","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6079"}],"version-history":[{"count":24,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/6079\/revisions"}],"predecessor-version":[{"id":6917,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/6079\/revisions\/6917"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6079"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6079"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6079"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}