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TMJ
Dental Anatomy DENT-110
| Question | Answer |
|---|---|
| temporomandibular ligament | reinforces joint capsule, prevents excessive retraction |
| stylomandibular ligament | formed of cervical fascia. seperates the parotid and submandibular salivary glands. Becomes taut when mandible is protruded |
| sphenomandibular ligament | long membranous band that runs from the angular spine of the sphenoid to the lingular, over the mandibular foramen |
| Inferior alveolar nerve | descends between the sphenomandibular ligament and mandibular ramus to gain access to the mandibular foramen |
| Meckel cartilage | embryonic lower jaw that develops into sphenomandibular ligament |
| Gliding movement | protrusion and retraction |
| rotational movement | depression and elevation |
| Protrusion | gliding in upper synovial cavities. Lateral Pterygoid with bilateral contraction |
| Retraction | gliding in upper synovial cavities. Posterior part of temporalis and suprahyoids |
| Elevation and retraction, closing of the jaws | Gilding in upper synovial cavities, rotation in lower synovial cavities. Masseter, Temporalis, medial pterygoid |
| Depression and protrusion, opening jaws | Gliding in upper synovial cavities, rotation in lower synovial cavities, Syprahyoids and lateral pterygoid |
| Lateral deviation, shifing mandible to one side | Gliding in one upper synovial cavity while the condyle and disc of the other side spin vertically within upper synovial cavity. Lateral pterygoid with unilateral contraction |
| Interocclusal clearance | freeway space. Aprox 2-4mm between opposing teeth of each arch |
| Subluxation | head of the condyle moves too far anteriorly on the articular eminence |
| trismus | reduced opening of the jaws |
| TMD | heterogenous group of musculoskeletal and neuromuscular conditions affecting the TMJ. Most are muscular in origin. |