TMJ Flashcards

1
Q

Joint type

A

true synovial

gliding, hinging, slight rotation, sliding motion

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2
Q

Articular surfaces are

A

fibrocartilage

well vascularized and innervated so can regenerate when injured

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3
Q

Upper joint space is what

A

temporal bone to disc

glides forward and backward

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4
Q

Lower joint space is what

A

disc to condyle of the mandible

angular joint surface motion

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5
Q

Articular disc

A

biconcave

well vascularized and innervated except for the middle part! that is where it gets deformed

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6
Q

Resting position of TMJ

A

jaw closed with 2-5mm between the teeth

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7
Q

DOF

A

3
Dep/Elevation
Protrusion/Retrusion
Lateral deviation

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8
Q

Depression involves what

A

anterior translation and glide

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9
Q

Elevation involves what

A

Posterior and superior glide

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10
Q

Protrusion and retrusion include what

A

condyle and disc translate together ant/post

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11
Q

Lateral deviation includes what

A

axial rotation on the ipsilateral side

ant translation on contralateral side

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12
Q

Chewing stroke

A

depression
lateral deviation (toward working side)
elevation
shear action = compress and shift food up and medial

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13
Q

Temporomandibular ligament

A

two parts - oblique and horizontal
oblique - neck of condyle to articular condyle - resists downward/post motion
horizontal - lat condyle to post disc - resists post motion of condyle

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14
Q

Stylomandibular ligament

A

styloid process to post ramus of mandible

limits protrusion

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15
Q

Sphenomandibular ligament

A

spine of sphenoid to middle surface of ramus

resists excessive forward translation

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16
Q

Mouth opening - early and late phases

A

early - spin at lower joint space

late - glide at upper joint space

17
Q

MM that do elevation

A

massater
temporalis
medial pterygoid

18
Q

MM that do protrusion

A

lat pterygoid
masseter
med pterygoid

19
Q

MM that do lateral deviation

A

ipsilateral temporalis
ipsilateral masseter
contralateral med/lat pterygoids

20
Q

MM that do retrusion

A

post temporalis
digastrics
stylohyoid
sphenomandibular ligament

21
Q

Buccal

A

surface next to cheek

22
Q

Lingual

A

next to tongue

23
Q

Labial

A

next to lips

24
Q

Mesial

A

front (center)

25
Q

Maximal intercuspation

A

ligual cusps of maxillary premolars and molars rest in deepest parts of occlusal sulci of mandibular premolars and molars

26
Q

Central occlusion

A

point of initial teeth contact on closing

ideally is maximal intercuspation

27
Q

Angles classes of occlusion - class 1

A

straight profile

28
Q

Angles classes of occlusion - class II

A

convex profile

protracted maxilla or retracted mandible

29
Q

Angles classes of occlusion - class III

A

concave profile

retracted maxilla

30
Q

Numbering system - permanent

A

L to R: 16 to 1 (top)

L to R: 17 to 32 (bottom)

31
Q

Numbering system - deciduous teeth

A

L to R: J - A (top)

L to R: K - T (bottom)

32
Q

Close packed

A

ant - max opening

post - max retrusion