TMJ Flashcards
What type of joint is the TMJ?
Modified hinge-type synovial joint
What are the articulations of the TMJ?
- Head of mandible
- Mandibular fossa of temporal bone
What attaches to the lingula?
Spehnomandibular ligament
What attaches to the coronoid process?
Temporalis
What attaches to the pterygoid fovea?
Lateral pterygoid muslce
What attaches to the ramus of the mandible?
- Masseter
- Medial pterygoid muscle
What attaches to the angle of the mandible?
- Stylomandibular ligament
- Masseter
- Medial pterygoid muscle
Post-glenoid tubercle function
Prevent posterior dislocation of the TMJ
What attaches to the styloid process?
Stylomandibular ligament
What attaches to the spine of the sphenoid?
Sphenomandibular ligament
Two articulation of the temporal bone?
- Mandibular fossa
- Articular eminence
Tempromandibular ligament function
Prevent posterior dislocation of TMJ
What stabilizes the TMJ?
Fibrous joint capsule
The articular disks separates…
The TMJ into two synovial compartments
Hinge/rotational movements of TMJ
Inferior synovial cavity
Gliding/translational actions of TMJ
Superior synovial compartment
Is the retrodiscal tissue vascularized?
Yes, heavily vascularized
Is the central portion of the articular disc vascularized?
No
Does the central portion of the articular disc have sensory innervation?
No
Sensory innervation of the TMJ
Branches of the auriculotemporal nerve
Arterial supply to the TMJ
Branches of the superficial temporal and maxillary
Translation of the TMJ must occur in order for..
The jaw to open widely
Masseter origin
Zygomatic arch
Masseter insertion
Lateral surface of the ramus and angle
Masseter innervation
Masseteric nerve of CN V3
Masseter action
- Elevate mandible
- Protrusion
- Retrusion
What part of the master assists in protrusion?
Superior head
What part of the master assists in retrusiuon?
Deep head
Temporalis origin
- Temporal lines
- Temporal fossa
Temporalis insertion
- Coronoid process
- Ramus
Temporalis innervation
Anterior and posterior deep temporal, CN V3
Temporalis action
- Elevate mandible
- Retrude mandible
Lateral pterygoid muscle origin, superior head
- Infratemporal surface of greater sphenoid wing
- Infratemporal ridge
Lateral pterygoid muscle origin, inferior head
Lateral surface of lateral pterygoid plate of sphenoid
Lateral pterygoid muscle insertion
- Pterygoid fovea on neck of mandible
- Articular disc
Lateral pterygoid muscle innervation
Lateral pterygoid nerve, CN V3
Lateral pterygoid muscle action
- Depression of mandible
- Protrusion of mandible
Medial pterygoid muscle, superficial head origin
Maxillary tuberosity
Medial pterygoid muscle, deep head origin
Medial surface of lateral pterygoid plate of sphenoid
Medial pterygoid muscle insertion
Medial aspect of ramus and angle of mandible
Medial pterygoid muscle innervation
Medial pterygoid nerve of CN V3
Medial pterygoid muscle action
- Elevate mandible
- Protrudes mandible
What muscles elevate the mandible?
- Temporalis
- Masseter
- Medial pterygoid
What muscles retrude the mandible?
- Temporalis
- Masseter
What muscles protrudes the mandible
- Lateral pterygoid muscle
- Masseter
- Medial pterygoid, superficial head
What muscle depresses the mandible?
Lateral pterygoid
Anterior dislocation of the TMJ
- Mandibular condyle is anterior of the articular eminence
- Jaw is open
What is the most common type of TMJ dislocation?
Anterior dislocation
What is TMD?
Acute/chronic problems with the TMJ that can result in pain or dysfunction
Components of the TMJ
- Articular disc
- Synovial membrane
- Joint capsule
- Ligaments