Oral functions Flashcards
What is the origin, insertion and action of the masseter muscle
Origin - zygomatic arch
Insertion - lateral surface and angle of mandible
Action - elevates mandible
How do you examine the masseter muscle
Place one finger
intra-orally and the
other on the cheek
When would a patients masseter muscle be tender
In patients who have a clenching habit
What is the origin, insertion and action of the temporalis
Origin - floor of temporal fossa
Insertion - coronoid process and anterior border of ramus
Action - elevates and retracts mandible
What muscle is affected by a bruxist habit
Temporalis
How is the temporalis examined
Palpate its origin by asking the
patient to clench the teeth
together.
What is the origin, insertion and action of the lateral pterygoid
Origin: from the lateral surface of the lateral pterygoid plate
Insertion: anterior border of the condyle and intra-articular disc via two independent heads
Function: protrudes and laterally deviates the mandible and the inferior head functions with the mandibular depressors during openings.
Where does the inferior and superior belly of the lateral condyle attach
The inferior belly of the lateral pterygoid
attaches to the head of the condyle.
The superior belly inserts into the intra articular disc
How is the lateral pterygoid examined
Best examined by recording its response to
resisted movement. (ask patient to push jaw against pressure)
There is a good correlation between the
resisted movement test and the muscle being
tender to palpation.
What is the origin, insertion and action of the medial pterygoid
Origin - deep head: medial surface of lateral pterygoid plate ; superficial head: tuberosity of maxilla
Insertion - medial surface of angle of mandible
Action - elevates and assists in protrusion of the mandible
How is the medial pterygoid examined
There is no reliable way of examining this muscle
Following a LA injection if a patient cannot fully open their mouth the next day what muscle was hit
Medial pterygoid
What is trismus
Lockjaw, chewing muscles become contracted and inflamed
What are the movements of the TMJ
Rotation - initial opening Translation - wider opening
What TMJ movement is needed for protrusive and retrusive movements
Translation