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
what happens in protrusion of the mandible
articular disc and head of mandible move forward | movement in upper part of cavity
26
what muscles cause protrusion of the mandible
lateral pterygoid and medial assists
27
what occurs in retrusion of the mandible
articular disc and head of mandible pulled backward into mandibular fossa
28
what muscles cause retrusion of the mandible
posterior fibres of temporalis
29
what occurs in lateral chewing
protrusion and retrusion combined
30
what muscles cause lateral chewing
pterygoids
31
what assists in depression of the mandible
gravity and suprahyoid muscles
32
what muscle does not move the mandible but aids in the process of eating
buccinator
33
how does buccinator aid in the process of eating
forms the lateral walls of the oral cavity and must be moved during chewing or you will accidentally bite the inside of cheek