TMJ

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thyroid cartilage

-"adam's apple" -inferior to hyoid bone -provides attachment for infrahyoid muscles

joint capsule

-envelopes TMJ

hyoid bone

-horse shoe shaped bone laying superior to thyroid cartilage around C3 -provides attachment for tongue muscles, suprahyoid & infrahyoid muscles

stylohyoid ligament

-ligament -from styloid process of temporal bone to hyoid bone -holds hyoid bone in place

lateral ligament

-ligament -mandibular condyle to tubercle of temporal bone -limits downward, posterior, and lateral motions of mandible

sphenomandibular ligament

-ligament -spine of sphenoid bone to anterior ramus of mandible -suspends mandible & limits excessive anterior motion

stylomandibular ligament

-ligament -styloid process of temporal bone to posterior ramus of mandible -limits excessive anterior motion

clenched teeth

TMJ's close-packed position

temporal

TMJ's concave surface

mandible

TMJ's convex surface

mouth slightly opened

TMJ's loose-packed position

elevation

closing the mouth

bony

end feel for TMJ elevation

soft tissue stretch

end feel for all TMJ motions (except elevation)

3

how many degrees of freedom does TMJ have

bilaterally: depression protrusion unilateraly: contralateral lateral deviation

lateral pterygoid muscle actions

mandibular condyle & articular disk

lateral pterygoid muscle insertion

trigeminal nerve (cranial nerve V)

lateral pterygoid muscle nerve

lateral pterygoid plate & greater wing of sphenoid

lateral pterygoid muscle origin

bilaterally: elevation unilaterally: ipsilateral lateral deviation

masseter muscle actions

angle of the ramus & coronoid process of mandible

masseter muscle insertion

trigeminal nerve (cranial nerve V)

masseter muscle nerve

zygomatic arch of temporal bone & zygomatic process of maxilla

masseter muscle origin

bilaterally: elevation protrusion unilaterally: contralateral lateral deviation

medial pterygoid muscle actions

ramus & angle of the mandible

medial pterygoid muscle insertion

trigeminal nerve (cranial nerve V)

medial pterygoid muscle nerve

lateral pterygoid plate of the sphenoid bone & the tuberosity of the maxilla

medial pterygoid muscle origin

protraction/retraction elevation/depression lateral deviation

motions of the TMJ (3)

protrusion (protraction)

moving jaw forward

retrusion (retraction)

moving jaw posteriorly

masseter & temporalis

muscles of mandibular elevation (2)

masseter & temporalis

muscles that cause ipsilateral deviation (2)

depression

opening the mouth

lateral deviation

side-to-side jaw movements

bilaterally: elevation retrusion unilaterally: ipsilateral deviation

temporalis muscle actions

coronoid process & ramus of mandible

temporalis muscle insertion

trigeminal nerve (cranial nerve V)

temporalis muscle nerve

temporal fossa

temporalis muscle origin

lateral pterygoid

the muscle that has attachments to the articular disk

roll, glide, spin

types of movement of the mandible on the temporal bone (3)

elevation & protrusion

what motions of the TMJ will be absent if cranial nerve V is severed

buccinator

what muscle lies deep to the masseter muscle

synovial, hingelike

what type of joint is the TMJ


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