Critical periods in the prenatal morphogenesis of the human lateral pterygoid muscle, the mandibular condyle, the articular disk, and medial articular capsule

This study was prompted by the renewed clinical interests in understanding the natural history or early morphogenesis of the human temporomandibular joint. Using histologic preparations of 52 representative human embryos and fetuses, each of the major components of the joint was systematically assessed for its changing structure and related to an approximate time scale. The emergence and continued morphogenesis of the joint articular fossa, mandibular condyle, disk, capsule, lateral pterygoid muscle fibers, and both joint cavities occur in regular temporal and spatial pattern. A key observation from this study of embryos and fetuses ranging in age from 32 days to 22 weeks is that each of the component parts of the TMJ progressively emerge with some kind of continuity from a common mass of embryonic mesenchyme interposed between the future temporal bone and mandibular regions. The observations of this study lead to the suggestion that significant development disturbances to this common tissue mass or "developmental field" can lead to anomalous morphogenesis of those structures expected to emerge over time from the "developmental field" of the temporomandibular joint. Timing and the identification of a critical time period for the joint are important variables. This study identifies the critical period in the early morphogenesis of TMJ structures as generally falling between the early 7th and 11th prenatal weeks.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/26852/1/0000416.pd