Quiz 1 Flashcards
_________: the entire cranial-mandibular complex that encompasses the ARTICULATION of the teeth and the surrounding structures that produce and limit movement
Craniomandibular apparatus
________: a portion of this bone forms the glenoid of mandibular fossa. The SHAPE of this fossa determines many of the limits of mandibular movement.
Temporal Bone
_________: a moveable structure which is suspended by musculature and whose movement is limited by ligaments
Mandible
_________: the portion of the mandible that ARTICULATES in the mandibular fossa. The shape of the heads of the ______ determines many of the limits of mandibular movement. The mandible is the only bone in the human body that possesses TWO axes of rotation
Condyle
_________: the size, shape, and alignment of the teeth determine many of the limits of mandibular movements. The role of ______ is considered to be secondary to the role of muscles, ligaments and the bony structures which comprise the temporomandibular joint
Dentition
What are 5 functions of the ligaments SUPPORTING the TMJ and mandible?
- Limit mandibular movement
- Protect the musculature, especially during extreme movement
- Non-elastic
- Non-contractile
- Do not have innervation
What are the 2 accessory ligaments and their function?
- Stylomandibular Ligaments
(Limits EXCESSIVE PROTRUSION movement of the mandible) - Sphenomandibular Ligaments
(Plays a role of limiting PROTRUSIVE movement and LATERAL mandibular movements to either the right or left side)
3 limitations of movement with the TM ligament
- Limits the PURE HINGE AXIS rotational movement of mandible
- Full length of TM ligament occurs no more than 15-20mm of opening, from incisal edges of the max and mand incisors
Name 7 features of the TM or articular disc
- FIBROUS CT
- Interfaces between the mand and temporal bone
- Pliable in texture
- Bi-concave in shape
- Collateral ligaments attach it to the condyle in a MEDIAL and LATERAL position
- No innervation
- No vascularization
Maximum Intercuspation AKA _______ _______ - obsolete term. Commonly referred to as _______ _______ bc the pt can achieve this position by “_____”. Describes an _______ relationship or tooth position. The teeth are contacting in a position that the patient finds most ______. It is easily achievable, but not always ______ by the patient. The number of teeth needed to achieve maximum intercuspation varies with each patient, most likely _____ teeth.
centric occlusion habitual occlusion habit occlusal comfortable reproducible posterior
Sliding from centric to maximum intercuspation. Only __% of the population have no centric relation to maximum intercuspation discrepancy or _____. For patients with a slide (remaining 85%), after the first occlusal contact in centric relation is obtained (this is usually on ___ or more _______ teeth), the patient continues to close and slides on ______ of posterior teeth (“You don’t slide on the inclines of anterior teeth”).
The maxillary and mandibular teeth will come together more completely in the ______ _______ position.
The_____ must move out of their most ideal position (out of fossa) when the teeth come fully together and this position is______, superior and slightly ______ to the maximum intercuspation position
15% Slide 2 Posterior Inclines Maximum Intercuspation Condyles Anterior Lateral
Term describing eccentric movements of the mandible - implies that only the CANINES are touching during the complete extent of lateral movement. Considered the IDEAL occlusal scheme
Canine Protected Articulation
Term describing eccentric movements of the mandible - Entails that one or more of the POSTERIOR teeth, in combination with some of the ANTERIOR teeth are in some degree of CONTACT during the complete extent of lateral movement
Considered SECONDARY occlusal scheme or the most practical approach
Group Function Occlusion - commonly exhibited in OLDER patients
What are the 6 characteristics of an ideal occlusion
- Centric relation and maximum intercuspation occur simultaneously (no slide)
- All teeth contact simultaneously
- All occlusal forces on posterior teeth are directed down the long axis of the teeth
- Posterior tooth contacts dominate over anterior tooth contacts
- All eccentric movements are guided by the anterior teeth
- No crossover contacts on posterior teeth should be seen!!
What is the proper alignment of the articular disc?
Slightly anterior and the thinnest, and most articulated portion is in the middle section