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Stomatognathic System/TMJ

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Question
Answer
4 Structural elements   1) Teeth 2) Bones 3) Cartilage 4) Ligaments  
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3 Functional elements   1) Muscles 2) Blood supply 3)Nerves  
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3 Bony parts of the system   1) Maxilla 2) Mandible 3) TMJ  
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5 parts of the maxilla   1. Body 2. Zygomatic Process 3. Nasal process 4. Palatine process 5. Alveolar process  
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2 Horizontal components of the mandible   1. Body 2. Alveolar process to hold teeth  
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3 vertical components of the mandible   1. Ramus 2. coronoid process 3. condyles  
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3 parts of the TMJ   1. temporal bone 2. glenoid fossa 3. condyle  
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4 Ligaments   1. capsular 2. temperomandibular 3. sphenomandibular 4. stylomandibular  
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Location of he capsular ligament   Encapsulates the TMJ (synovial capsule)  
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Attachment of the capsular ligament   Condyle of the mandible to the zygomatic process  
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Attachment ofthe temperomandibular ligament   Lateal aspect of the condylar neck to the zygomatic process  
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Function of the temperomandibular ligament   Rotation (up to the point where the jaw must translate)  
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Main suspensory ligament in hinge movement (rotation)   Temperomandibular ligament  
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Attachment of the sphenomandibular ligament   From the medial ramus to the sphenoid bone  
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Function of sphenomandibular ligament   Translation (takes over after rotation)  
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Main suspensory ligament in translation   Sphenomandibular ligament  
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Attachment of the stylomandibular ligament   Distal ramus to the styloid process  
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Function of the stylomandibular ligament   Prevents excessive anterior drift when opening widely  
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CT type of the disc assembly   Dense avascular collagenous  
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Why is it good that there are no nerves in the disc assembly?   Otherwise, with breakdown, there would be pain in the disc  
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Shape of the disc assembly   Biconcave  
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Two ligaments that attach to the disc assembly   Medial and lateral collateral ligaments  
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4 muscles of mastication   1. Masseter 2. Temporalis 3. Lateral (external) pterygoid 4. Medial pterygoid  
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Muscles of mastication or neck muscles: Which are used for closing the mouth?   Muscles of mastication  
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Function of the masseter   Elevate the mandible/clench  
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Origin of the masseter   Zygomatic arch  
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Insertion of the masseter   Lateral mandibular ramus  
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Origin of the temporalis muscle   Temporal fossa  
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Insertion of the temporalis muscle   Coronoid process  
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Function of the anterior and middle belly of the temporalis muscle   Elevate the mandible  
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Function of the posterior belly of the temporalis muscle   Retrude the mandible  
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Origin of the medial pterygoid   Medial pterygoid plate  
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Insertion of the medail pterygoid   Medial ramus/mandibular angle  
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Function of the medial pterygoid muscle   Elevate the mandible  
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Function of the inferior and superior lateral pterygoid   Protrude mandible/side to side movement  
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Origin of the inferior head of the lateral pterygoid   Lateral surface of lateral pterygoid plate  
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Insertion of the inferior head of the lateral pterygoid   Pterygoid fovea on condylar neck  
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Origin of the superior head of the lateral pterygoid   Greater wing of the sphenoid  
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Insertion of the superior head of the lateral pterygoid   TMJ meniscus and pterygoid fovea  
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Two muscles of the "mandibular sling"   1. massetor 2. medial pterygoid  
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Most impotant suprahyoid muscle   Digastric  
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4 other functional muscles   1. suprahyoid 2. infrahyoid 3. SCM 4. trapezius  
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Functions of the suprahyoids   Depress/retract mandible, elevate hyoid/larynx  
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4 Infrahoid muscles   1. thyro 2. sterno 3. sternothyroid 4. omo  
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Function of the infrahyoids   Lower the hyoid bone and larynx  
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Four extrinisic tongue muscles   1. palatoglossus 2. genio 3. stylo 4. hyo  
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3 things attached to styloid process   1. Styloglossus 2. Stylomandibular ligament 3. Stylohyoid  
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2 Major arteries to the head/neck   1. internal carotid 2. external carotid  
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3 branches of the external carotid   1. lingual 2. facial 3. maxillary  
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Major plexus of veins in the head that will cause hematoma if you hit it with a PSA   Pterygoid plexus  
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3 divisions of Trigeminal nerve   1. opthalmic 2. maxillary 3. mandibular  
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4 Sensory divisions of the maxillary division   1. PSA 2. greater palatine 3. nasopalatine 4. infraorbital  
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4 sensory branches of the mandibular division   1. IA 2. mental 3. lingual 4. buccal  
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Motor branch of the mandibular division   masticatory nerve  
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Innervation of the muscles of mastication   Trigeminal neve, Mandibular division  
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Name of the sensory branch of the fascial nerve   Glossopalatine  
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2 Sensory ares of the facial nerve   1. Anterior 2/3 tongue 2. soft palate  
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2 Motor areas of the facial nerve   1. muscles of facial expression 2. submaxillary/sublingual glands  
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Function of the TMJ   Connect mandible to maxilla  
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TMJ joint type   Diarthrosis (free moving)  
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TMJ movement type   Ginglymoarthroidal (rotation and translation)  
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Bony components of the TMJ   1. Condyles 2. Glenoid fossa 3. Articular eminence  
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A line bisecting the midline of condyles form an angle of ____ degrees   135  
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True or false: Retrodiscal tissue does not have nerves or blood supply   False, if there is displacement of the joint, this will move into the condylar space and cause pain  
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Two types of joint spaces of the TMJ   1. Superior cavity 2. Inferior cavity  
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Cavity that predominates during translation   Superior cavity  
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Cavity that predominates during rotation   Inferior cavity  
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4 Suprahyoid muscles   1. Genio 2. Mylo 3. Stylohyoid 4. Digastric  
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