quiz #7 - TMJ Flashcards

1
Q

temporomandibular Joint (TMJ) - type & movements

A

synovial, condyloid & hinge (also plane), diarthrosis, biaxial

depression (jaw opening), elevation (jaw closing), lateral deviation (left & right), protraction & retraction, slight rotation

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2
Q

temporomandibular Joint (TMJ) - articular surfaces

A

convex condyles of mandible on concave mandibular fossa

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3
Q

temporomandibular Joint (TMJ) - ligaments

A

-fibrous joint capsule (medial & lateral collateral)
-temporomandibular
-stylomandibular
-sphenomandibular
-fibrocartilaginous articular disc that divides joint into two cavities

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4
Q

unique feature of TMJ

A

fibrocartilaginous articular disc that separates synovial cavity of joint into superior/upper joint cavity & inferior/lower joint cavity

disc moves forward as mouth opens

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5
Q

upper joint =

A

plane (gliding) - happens second

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6
Q

lower joint =

A

hinge - happens first

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7
Q

TMJ - articular surfaces

A

articular disc
articular tubercle
mandibular fossa
mandibular condyle

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8
Q

joint capsule & all ligaments limit motions of mandible only, especially…

A

depression & retrusion

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9
Q

TMJ - main ligaments

A

fibrous capsule (medial & lateral collateral ligaments)

temporomandibular ligament (lateral ligament)

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10
Q

TMJ - accessory ligaments

A

stylomandibular ligament
sphenomandibular ligament

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11
Q

TMJ - disc

A

fibrocartilaginous disc

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12
Q

protrusion is limited by…

A

stylomandibular ligament

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13
Q

as the mouth opens, rotation of mandibular condyles occurs around the… followed by…

A

lower joint space

followed by translation of articular disc on upper joint space down to articular eminence

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14
Q

TMJ is like a hinge on a…

A

moveable base

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15
Q

TMJ - movements

A

elevation of mandible (closes mouth)
depression of mandible (opens mouth)
protraction/protrusion of mandible
retraction/retrusion of mandible
lateral deviation (right & left)

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16
Q

TMJ - ROM: elevation of mandible (close mouth

A

no measurement

17
Q

TMJ - ROM: depression of mandible (mouth open)

A

25 - 35 mm (2 or 3 fingers)

18
Q

TMJ - ROM: protraction/protrusion of mandible

A

more than 7 mm

19
Q

TMJ - ROM: retraction/retrusion of mandible

A

3-4 mm

20
Q

TMJ - ROM: lateral deviation (right & left)

A

10-15 mm

21
Q

loose packed position

A

mouth slightly open, lips together, teeth not in contact

22
Q

close packed position

A

teeth tightly clenched

23
Q

capsular pattern of restriction

A

limitation of mouth opening

24
Q

normal end feels - open & close

A

opening: tissue stretch

closing: bone to bone

25
Q

muscle summary - movements: TEMPORALIS

A

closes jaw, moves jaw backward

26
Q

muscle summary - movements: MEDIAL PTERYGOID

A

closes jaw, elevation & protraction of mandible

27
Q

muscle summary - movements: MASSETER

A

(strongest)
closes jaw, elevates mandible during chewing & clenches teeth

28
Q

muscle summary - movements: LATERAL PTERYGOID

A

opens jaw, protraction of mandible

29
Q

muscle summary - other muscles

A

buccinator
SCM
digastric