tmj Flashcards
(23 cards)
articular eminence
primary articular surface
high forces when bitting
no hyaline cartilage (FIBROCARTILAGE)
their for can repair and remodel**
Mandibular fossa
thin bone, not good joint surface
articular disc
needed due to incongruent joint
inferior tmj
mandibular condyle and inferior surface disc
hinge joint
superior TMJ
articular eminence and superior surface disc
articular disc function
increases stability
minimizes loss of mobility
reduces friction and biomechanic stress
collagen - can not repair and remodel
superior lamina (Bilaminar retrodisc Pad)
allows disc to translate anteriorly (opening)
assits with closing
inferior lamina (bilaminar retrodisc pad)
limits forward translation
joint capsule
loose (anterior, medial, posterior)
strong laterally
therefore dislocates anterior
temporomandibular ligament
limits downward, posterior, rotation mandibular depression
depression opening
rolling ( anteriorly)
condyle/inferior disc
gliding (anteriorly)
superior disc
lateral pterygoid
attaches to anterior disc
eccentric** when closing
eccentric control of disc when closing
protrusion and contralateral deviation
protrusion
articular eminence/ superior disc
lower teeth pass upper teeth important for opening
limited by bilaminar retrodiscal tissue
anterior glide
retrusion
articular eminence/superior disc important closing limited by temporomandibular ligament compression of retrodiscal area posterior glide
lateral excursion
ipsilateral condyle (spin in transverse plane) contralateral condyle translates anterior
deviation
'’S’’ curve midline and back
deflection
'’C’’ curve
does not return to midline
primary muscles
temporalis ( closing, retrusin, and ipsilateral deviation )
muscles of mastication
lateral pterygoid
protrusion and contralateral deviation
eccentric* control of disc when closing
medial pterygoid
closing **and protrusion
contralateral deviation
suprahyoid group
mandibular depression
infrahyoid group
stabilizes hyoid
forward head posture
rotates head posteriorly
retrudes jaw
compresses retrodiscal tissue
massication muscle overwork to close jaw