Head and Neck Week 2 - dry room Flashcards
a
mental spikes
b
mental tubercle
c
mental foramen
d
body
e
angle
f
mandibular foramen
g
ramus
h
condyle
i
coronoid
j
mandibular notch
What anatomical changes have occured in an edentulous (no teeth) mandible due to bone resorption?
lack of mandibular height - atrophy
change of position of inferior alveolar nerve and artery
loss of teeth sockets - as these are weak areas
lossing bone masses - osteoclasts eating away bone
How many of each type of decidous teeth?
incisor - 8
canines - 4
molars - 8
How many of each type of permanent teeth?
incisor - 8
canines - 4
premolars - 8
molars - 12
What type of joint is the temporomandibular joint (TMJ)?
synovial hinge type joint
a modified-hinge type of synovial joint made up of the condylar process of the mandible and the mandibular fossa of the temporal bone
What are the 2 articular processes that form the TMJ?
mandibular fossa of the temporal bone
condylar process of the mandible
What movements of the mandible occur at the TMJ?
retraction
elevation
protrusion
depression
side to side movements
the muscles of mastication refer to a group of 4 muscles which act on the TMJ during mastication (chewing)
names the muscles of mastication
temporalis
masseter
lateral pterygoid
medial pterygoid
what are the bony attachments of the temporalis muscle?
originates from the temporal fossa
inserts onto the coroid process of the mandible
(notice that the anterior most fibre of the temporalis muscle are nearly vertical while the posteior most ones are nearly horizontal)
What would the actional of the temporalis msucle be on the mandible when:
anterior fibres contract?
posteiror fibres contract?
anterior - elevates mandible closing the mouth
posterior- retracts mandible, pulling the jaw posteriorly
what are the bony attachments of the masseter?
superficial part = maxillary process of the zygomatic bone
deep part = zygomatic arch of the temporal bone
outer surface of the ramus and angular process of the mandible
what are the actions of the masseter?
elevates mandible, closing mouth
where do the medial and lateral pterygoid muscles attach?
both to lateral pterygoid plate
lateral pterygoid msucle attaches to the lateral surface of the lateral pterygoid plate and the medial pterygoid msucle attaches to the medial surface of the lateral pterygoid plate
Where do the pterygoid muscles attach to the mandible?
lateral pterygoid muscle enters into the joint capsule of the TMJ to inset onto the neck of the mandible and also the articular disc of this joint
medial pterygoid muscle attaches to the medial surface of the ramus and angle of the mandible
What are the actions of thr pterygoid muscles?
when both lateral pterygoid msucles contract they cause the mandible to protrude - push jaw forwards
when the lateral pterygoid msucle cintratcs with the medial pterygoid msucle if the same side it causes medial movement (rotation) of the mandible - side to side
when the 2 medial pterygoid msucles contract they cause mandible to elevate and protrude
name the suprahyoid muscles that depress the mandible?
mylohyoid
digastric
geniohyoid
What causes elevation of the mandible?
masseter
temporalis
medial pterygoid
what causes depression of the mandible
mylohoid
digastric
geniohyoid
what causes protrusion of the mandible
lateral pterygoid
what causes retractino of the mandible
temporalis
what causes side to side movement of the mandible
lateral and medial pterygoid
what is the innervation of the muscles of the mastication
branches of mandibular division of the trigeminal nerve
what type of innervation does the trigeminal supply?
V1 - purley sensory
V2 - purley sensory
V3 - sensory and motor fibres