Asymmetries in the jaw create tension in the musculature because the muscles try to correct the resulting distortions of the three-dimensional alignment and make torque movements to be able to occlude the teeth. The muscles are placed in a state of constant contraction. These situations require permanent compensation of the neck muscles, to keep the head upright and the eyes level.

Often, contrary to what has always been thought, we have to consider the possibility of having interferences as a consequence, and not as a cause of TMD.

The postural position of the jaw is very important and can manifest itself in the entire posture of the individual.

Sem Título-1YAVICH, L.G. Changes in mandibular condyle orientation due to trauma in early childhood. JBA, Curitiba, v.1, n.4, p.270-279,
Oct./Dec. 2001.

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Greenstick fractures provoke morphofunctional pathology and can cause alterations in growth and anatomy. When we study the temporomandibular joint in anatomy books, we verify that the majority of these descriptions assume that the mandibular and condyle has no pathology in orientation, size or shape, a fact that we know is not always so.

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TMJ laminography, original image and with color enhancement showing right open and closed TMJ and left open and closed TMJ.

Laminography of the temporomandibular joint where you can appreciate the change in the condylar growth axis.

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MRI where we can appreciate the change of direction of the axis. The relation between the disk and the head of the mandible looks healthy, but because of the pathological change of the growing axis the retrodiscal compression is important
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Atlas  of healthy and pathological images of the temporomandibular joint. English-Spanish and Portugues 1. ed. São Paulo: Artes Médicas, 2008. v. 1. 256p.“Atlas of Healthy and Pathologic Images of Tempomandibular Joint”. Artes Médicas, English-Spanish and Portugues 1. ed. São Paulo: Artes Médicas, 2008. v. 1. 256p

ATLAS1Cover of the Atlas of Healthy and Pathological Images of the Temporomandibular Joint. English-Spanish and Portugues 1. ed. São Paulo: Artes Médicas, 2008. v. 1. 256p.