Q3-TMJ Flashcards
What do ginglymoid and arthodial mean in terms of the TMJ
ginglymoid - hinge
arthodial - glide
The TMJ contains what three components
mandibular condyle
articular (glenoid) fossa and eminence
articular disc
What is the name of the fossa that the TMJ is located in
temporal fossa
What is the name of the fossa that lies deep to TMJ and can be seen after the zygomatic arch is removed
infratemporal fossa
What nerve lies deep to the infra temporal fossa in the pterygomaxillary suture
maxillary nerve
The mandible condyle has a greater (mediolateral or anteroposterior) dimension
mediolateral
The articular fossa is the (nonfunctioning/functioning) portion
nonfunctioning
The articular eminence is the (nonfunctioning/functioning) portion
functioning
The articular disc is made up of what?
fibrous connective tissue
True or False
The articular disc is not vascularized
False; the articular disc is highly vascularized everywhere but the center
True or False
The ligaments of TMJ assist in moving the joint
False; they do not move the joint, they offer support and limit movement
What are the 4 ligaments of the TMJ
fibrous capsule (capsular ligament)
lateral ligament
stylomandibular ligament
sphenomandibular ligament
The synovial membrane is located within which ligament
fibrous capsule; it produces synovial fluid
Which ligament is likened to a shower curtain surrounding the condyle and mandibular fossa
fibrous capsule (capsular ligament)
This ligament prevents excessive rotation and opening
lateral ligament
This ligament has two sets of fibers; OOP (outer oblique portion) and IHP (inner horizontal portion)
lateral ligament
OOP limits lateral rotation and gliding
This ligament prevents excessive protrusion
stylomandibular ligament
This ligament prevents excessive opening
sphenomandibular ligament
What are the four muscles involved in mastication
temporalis
masseter
medial pterygoid
lateral pterygoid
This muscle originates at the zygomatic arch (inf. and medial) and inserts on the lateral surface of rami and angle of the mandible
masseter
This is the strongest muscle of mastication
masseter
This muscle elevates and retrudes the mandible
temporalis
This muscle elevates (closes) the mandible
masseter
This muscle originates in the temporal fossa and inserts on the coronoid process, anterior border of ramus, and the temporal crest
temporalis
This muscle works to elevate the mandible and close the teeth together
medial pterygoid
This muscle originates at the pterygoid fossa and inserts on the medial angle of the mandible
medial pterygoid
This muscle moves the mandible laterally and paired with the other, protrudes and depresses the mandible
lateral pterygoid
This muscle originates on the lateral pterygoid plate and greater wing and inserts on the pterygoid fovea and anterior part of the articular disc
lateral pterygoid
What other muscles assist the lateral pterygoid in depressing the mandible?
suprahyoids (geniohyoid, mylohyoid, digastrics)
intrahyoids (omohyoid, sternohyoid)
These muscles elevate the hyoid which contributes to swallowing
digastrics
What other factors affect position and movement of the mandible besides the muscles of mastication (3)
ligaments
fascia
muscles of facial expression
These muscle(s) control retrusion of the mandible
temporalis
suprahyoids
These muscle(s) control depression of the mandible
both lateral pterygoids
supra- and infra-hyoids
These muscle(s) control elevation of the mandible
masseter
medial pterygoids
temporalis (anterior, vertical, and middle fibers)
These muscle(s) control protrusion of the mandible
both lateral pterygoids
masseter
medial pterygoid
These muscle(s) control lateral excursion of the mandible
right lateral pterygoid moves mandible left and vice versa
What nerve innervate the muscles of mastication
mandibular branch of CN V
What nerve(s) innervate the TMJ
auriculotemporal
masseteric
deep temporal
What arteries irrigate the TMJ
superficial temporal
middle meningeal
internal maxillary
True or False
The ligaments can stretch
False; the ligaments CANNOT stretch; if too much force is applied they elongate and will not be able to return to normal is elongated for too long of a time
True or False
The articular surfaces of the TMJ must be maintained in contact (via capsular ligaments and elevator muscles)
True