Jaw musculature and TMJ Flashcards

1
Q

What is the TMJ

A

The articulation between 3 bone surface:
mandibular fossa
articulations tubercle
head of mandible

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2
Q

Where does the articulate tubercle come from

A

The squamous part of the temporal bone

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3
Q

What are the extra capsular ligaments that act to stabilise the TMJ

A

Lateral ligament
Sphenomandibular ligament
Stylomandibular

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4
Q

What is the lateral ligament

A

Sometimes called the temporomandibular joint ligament

It is the major ligament for the joint and provides much strength for it and prevents dislocation

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5
Q

What does the stylomandibular ligament do

A

Along with the facial muscle, supports the weight of the jaw

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6
Q

What are the articulations surfaces of the bones separated by

A

The articular disc

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7
Q

What does the articulations disc do

A

Prevents the rubbing of the bones

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8
Q

What are the articulations surfaces of bone covered by

A

Fibrocartilage

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9
Q

What is the mandible formed by

A

The union of 2 halves, each having a horizontal body and a vertical ramp

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10
Q

What is the mandible angle

A

Where the ramus and the body meet

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11
Q

What are the processes of the ramus

A

The coronoid process and the condylar process

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12
Q

What is the coronoid process

A

The site of attachment for the temporal is muscle

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13
Q

What is the mandibular foramen

A

Passageway for neurovascular structures

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14
Q

What is the mental foramen

A

Passageway for neuromuscular structures

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15
Q

Where is the mental foramen

A

Below the second premolar tooth

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16
Q

What does the mental foramen transmit

A

Terminal branches of the inferior alveolar nerve and the mental artery

17
Q

What is the mental spine

A

A small projection of bone on the posterior aspect of the mandible in the midline

18
Q

What type of joint is the TMJ

19
Q

Why is it unusual that the surfaces of the joint are lined with fibrocartilage

A

Synovial joints are usually lined with hyaline cartilage

20
Q

What is the capsule

A

A fibrous membrane that surrounds the joint and attached to the articular eminence, the articular disk and the neck of the mandibular condyle

21
Q

What is the styloid process

A

Bone that extends down from the temporal bone just below the ear - aids with stabilisation

22
Q

What can an elongated styloid process do

A

Cause mechanical damage to the carotid artery

23
Q

What are the surfaces of the articular disc like

A

Concave undersurface and concavoconvex upper surface

24
Q

What is the function of the concavoconvex upper surface

A

Provides friction free gliding surface for the condyle of the mandible and allows it to fit into the articular tubercle and fossa

25
What muscles are involved in elevation of the mandible
Temporal is Masseter Medial pterygoid
26
What muscle is responsible for the protrusion and depression of the mandible
Lateral pterygoid depression assisted by digastric, geniohyoid and mylohoid muscles Protrusion assisted by medial pterygoid
27
What muscle is responsible for retraction
Temporalis
28
How is lateral movement achieved
Alternately protruding and retracting the mandible on each side
29
When is the TMJ most stable
Mandible is elevated Teeth are occluded Condyle is secure in the articular fossa
30
What is a common injury of the TMJ
Forward dislocation
31
What is the blood supply of the TMJ
External carotid - superficial temporal and maxillary branches
32
What is the nerve supply of the TMJ
Auriculotemporal and masseteric nerve (from CN 5)
33
What are the muscles of mastication
Masseter Temporalis Medial pterygoid Lateral pterygoid
34
What does the medial pterygoid do
Elevates and protrudes mandible
35
What does the lateral pterygoid do
Protrusion and depression of mandible