TMJ Flashcards

1
Q

what kind of joint is the TMJ

A

synovial joint (divided into hinge and gliding)

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2
Q

what are the articulations of the TMJ

A

between head of mandible and mandibular fossa and articular tubercle on the squamous part of the temporal bone

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3
Q

why is the TMJ a modified synovial joint

A

includes a small disc

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4
Q

what does the small disc in the TMJ permit

A

gliding movements between the head of the mandible, mandibular fossa and articular tubercle

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5
Q

the TMJ is surrounded by

A

fibrous capsule

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6
Q

what is the nerve supply of the TMJ

A

auriculotemporal and masseteric

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7
Q

what covers the articular surfaces of the TMJ

A

fibrocartilage (membranous ossification)

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8
Q

what ligaments reinforce the TMJ

A

lateral temporomandibular ligament
sphenomandibular and stylomandibular ligaments (medially)

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9
Q

what muscle attaches to the articular disc and capsule of the TMJ

A

lateral pterygoid

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10
Q

what movements can take place between the head of the mandible and the mandibular fossa/disc

A

simple hinge movements

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11
Q

what happens at the TMJ to permit the mouth to open more fully

A

head of the mandible is pulled forwards towards the articular tubercle by lateral pterygoid

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12
Q

the close the mouth what action must occur

A

head of mandible is pulled backwards away from the articular tubercle by posterior fibres of temporalis

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13
Q

what muscle causes head of mandible to be pulled backwards away from the articular tubercle

A

posterior fibres of temporalis

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14
Q

what does the articular disc do to the TMJ

A

divides the cavity
increases the congruency of the articular surfaces allowing a bigger, smoother movement

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15
Q

the joint cavity of the TMJ is divided by

A

fibrous articular disc

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16
Q

where does depression and elevation occur at the TMJ

A

between head of mandible and disc (hinge)

17
Q

where does protrusion and retraction occur at the TMJ

A

between disc and mandibular fossa and articular process (gliding)

18
Q

what happens to close the mouth

A

elevation and retraction pull condyle backwards

19
Q

what happens to open mouth

A

depression and protrusion to slide disc and condyle forwards towards tubercle

20
Q

what occurs in chewing

A

asynchronous gliding

21
Q

what occurs in elevation of the mandible

A

head of mandible and disc move backward and head rotates on lower surface of disc

22
Q

what muscles cause elevation of the mandible

A

temporalis
masseter
medial pterygoid

23
Q

what occurs in depression of the mandible

A

head of mandible rotates on undersurface of articular disc and mandible is pulled forward

24
Q

what muscles cause depression of the mandible

A

lateral pterygoid
digastric
geniohyoid
mylohyoid
(gravity)

25
Q

what happens in protrusion of the mandible

A

articular disc and head of mandible move forward
movement in upper part of cavity

26
Q

what muscles cause protrusion of the mandible

A

lateral pterygoid and medial assists

27
Q

what occurs in retrusion of the mandible

A

articular disc and head of mandible pulled backward into mandibular fossa

28
Q

what muscles cause retrusion of the mandible

A

posterior fibres of temporalis

29
Q

what occurs in lateral chewing

A

protrusion and retrusion combined

30
Q

what muscles cause lateral chewing

A

pterygoids

31
Q

what assists in depression of the mandible

A

gravity and suprahyoid muscles

32
Q

what muscle does not move the mandible but aids in the process of eating

A

buccinator

33
Q

how does buccinator aid in the process of eating

A

forms the lateral walls of the oral cavity and must be moved during chewing or you will accidentally bite the inside of cheek