TMD Flashcards

1
Q

collateral ligaments of TMJ

A

medial goes from disc to medial pole

lateral goes from disc to lateral pole

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2
Q

stylomandibular ligament

A
  • primary function to limit excessive jar protrusion
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3
Q

sphenomandibular ligament

A
  • no significant affect on limiting normal mandibular motion
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4
Q

articular disc

A
  • dense fibrous tissue
  • divides joint into superior and inferior compartments
  • posterior attachment to the temporal bone through a section of loose retrodiscal tissue
  • anterior attachment to the capsule and superior lateral pterygoid muscle
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5
Q

mandibular opening muscles

A
  • inferior lateral pterygoid
  • digastric
  • secondary muscles: stylohyoid, geniohyoid, mylohyoid

40-60 mm

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6
Q

mandibular closing muscles

A

temporalis
masseter
medial pterygoid

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7
Q

lateral mandibular movement

A
  • temporalis (ipsilateral)
  • medial and lateral pterygoid (contralateral)

5-10 mm

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8
Q

protrusion

A

5-10 mm

masseter
medial pterygoid
lateral pterygoid

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9
Q

retrusion

A

temporalis
digastric
hyoid muscles

small mobility

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10
Q

innervation

A
  • trigeminal nerve (cn V)
  • opthalmic division (orbit and frontal)
  • maxillary division (anterior portion of temple, maxillary, nasal cavity, upper teeth)
  • mandibular division (post temple, masseter, mandibular, lower teetch)
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11
Q

mouth opening

A
  • rotation of mandible (condyle) on articular disc (20-25 mm)
  • translation of condyle and disc on mandibular fossa (condyle moves anteriorly and inferiorly; anterior surface of mandible moes posteriorly and inferiorly)
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12
Q

mouth closing

A
  • disc and condyle translate together posteriorly
  • condyle rotates posteriorly
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13
Q

lateral mouth movement

A
  • unilateral rotation of ipsilateral condyle
  • unilateral translation of contralateral condyle
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14
Q

craniomandibular disorder symptoms

A
  • face or jaw pain
  • joint sounds
  • limitation in jaw movement
  • muscle tenderness
  • TMJ joint tenderness
  • headache
  • ear symptoms
  • cervical spine disorder
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15
Q

group 1: muscle disorders

A
  • myofascial pain
  • myofascial pain with limitations in aperture
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16
Q

group 2: disc displacement

A
  • disc displacement with reduction
  • disc displacement without reduction but no limitations in aperture
  • disc displacement without reduction and with limitations in aperture
17
Q

group 3: arthralgia, arthritis, arthrosis

A
  • arthralgia
  • OA of TMJ
  • osteroarthrosis of TMJ
18
Q

disc displacement with reduction

A

S path

19
Q

disc displacement without reduction

A

jaw with deviate towards involved side

20
Q

condylar subluxation

A
  • shallow articular eminence
  • lax capsule and ligaments

give clunk sound

jaw will deviate away from side

21
Q

hypermobility intervention

A
  • stabilization
  • teach to not open wide
  • teach to limit mouth opening that can be performed in the tongue up position
  • teach lateral pole palpation
  • isometric exercies
  • address muscle weakness
  • mandibular muscle relaxation
22
Q

hypomobility intervention

A

mobilize

  • manual mobilization
  • self-mobilization
  • intraoral appliance
  • stretching