Oral Region Flashcards
Where is the TMJ joint
where the mandibular condyle of the mandible articulates with the mandibular fossa and the articular tubercle of the temporal bone
What movements are possible at the TMJ?
depression, elevation, protrusion, retrusion, lateral (side to side) movement
Dislocation of the TMJ usually occurs….
anteriorly
when mandibular condyle displaces anterior to the articular tubercle
What is TMJD (temporomandibular joint disorder)?
pain/functional disorders that influence the muscles of mastication andTMJ
prevalence 5-12% more common in younger ppl and children
Innervation rule for muscles of mastication? Action rule?
motor innervation: mandibular n. (CN V3)
move the TMJ
Where is temporalis located? Where does it insert?
occupies temporal and infratemporal fossae
inserts onto coronoid process of mandible
Action of temporalis?
elevates and retrusion of mandible
Where is masseter muscle located? insertion?
occupies infratemporal fossa, inserts onto ramus of mandible
Action of mandible?
elevates mandible
Where is lateral pterygoid located? Origin? insertion?
occupies infratemporal fossa
O: sphenoid
I: TMJ joint capsule and mandibular condyle
Action of lateral pterygoid?
protrude mandible (bilateral)
lateral movement (unilateral)
Where is medial pterygoid located? Origin? Insertion?
occupies infratemporal fossa
O: sphenoid
I: ramus of mandible
Action of medial pterygoid?
elevate and protrude mandible (bilateral)
lateral movement (unilateral)
Name the 4 somatic sensory branches of mandibular n. (CN V3)
buccal nerve
lingual n.
auriculotemporal n.
inferior alveolar n.
What does the buccal n. innervate?
somatic sensory to cheek and mandibular gingivae
What does the lingual n. innervate?
somatic sensory to mandibular gingivae. floor of mouth and anterior 2/3 tongue
What does auriculotemporal n. innervate?
somatic sensory to ear region
What does inferior alveolar n. innervate?
somatic sensory to mandibular teeth and gingivae, chin, lip
Why would you perform a inferior alveolar nerve block? Where would you direct the needle?
to anesthetize region for dental work, direct needle toward mandibular foramen
Nerve to mylohyoid is a branch off of? What does it innervate?
inferior alveolar n.
motor to mylohyoid and anterior digastric
Chorda tympani is a branch off of….joins….to reach tongue
facial n. (CN VII)
lingual n. (CN V3)
What does chorda tympani innervate?
special sensory to anterior 2/3 of tongue
parasympathetic to submandibular and sublingual salivary glans
The maxillary a. is a branch off of….It gives off…..and….in the infratemporal fossa
External carotid a.
middle meningeal and inferior alveolar
middle meningeal a. supplies blood to? by passing through?
dura mater
foramen spinosum
Inferior meningeal a. supplies blood to? by passing though?
mandibular teeth
mandibular foramen and canal
What is the pterygoid venous plexus?
network of veins that drains much of the area supplied by the maxillary a.
Where does the pterygoid venous plexus drain?
pterygoid venous plexus >
maxillary vein>
retromandibular vein>
external jugular vein