NBDE Dental Anatomy TMJ

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1. Are myelinated or unmyelinated Both 15. What are the articular Dense fibrous connective tissue
nerves seen in the TMJ? surfaces of the TMJ
covered with?
2. Composed of dense fibrous Articular disc
connective tissue, and it is 16. What are the functions Provides lateral reinforcement
positioned in between the condyle of the Prevents post. and infer.
and the fossa, dividing the joint Temporomandibular displacement of condyle
into superior and inferior spaces. ligament? Main Stabilizing Ligament
3. Dislocation of the TMJ is almost Anteriorly and 17. What are the two parts of Superior belly and inferior belly
always ... occurs while the lateral pterygoid?
laughing or
18. What does the layer of Offers resistance against both
yawning
fibrocartilaginous tissue compressive and lateral forces
4. The fibrous capsule of the TMJ is Laterally where it provide to the TMJ?
fairly thin except where? forms the
19. What is a crepitation Degenerative process
temporomandibular
sound or a crepitus in (osteoarthritis) of the condyle
ligament (lateral)
the TMJ usually
5. Hypermobility or hypertranslation Subluxation associated with?
of the mand.
20. What is a dull thud in the Self-reducing subluxation of the
6. If a patient has clicking in their Anteromedial TMJ usually associated condyle
TMJ where is this joint most likely with?
to be displaced?
21. What is another name Discal Ligaments
7. Rotary motions take place in which Lower (condyle - for collateral ligaments?
compartment of the TMJ? articular disc)
22. What is another name Lateral ligament
compartment
for temporomandibular
Hinge-type
ligaments?
8. Thicker layer of fibrous tissue Outer fibrous layer
23. What is another term for Tinnitus
which is reinforced by accessory of the fibrous
ear ringing?
ligaments. capsule of the TMJ
24. What is considered to be Articular eminence
9. Translatory movements take place Upper (mand. fossa
the functional part of the
in which compartment of the TMJ? - articular disc)
TMJ?
compartment
25. What is considered to be Articular fossa
10. True/False: True
the nonfunctioning (Ant 3/4 of large mand. fossa)
Condyles are not symmetrical nor
portion of the TMJ?
identical
26. What is dislocation also Open lock
11. The vessel supplies the TMJ? Deep temporal and
referred as?
Masseteric of max.
artery 27. What is it that connects Combined hinge and gliding
Branches of the mand. to the joint
superficial temporal temporal bone?
from external 28. What is the anterior Massetertic and deep temporal
carotid region of the TMJ from V3; Sensory from V3
12. What are collateral ligaments made Collagenous innervated by?
from? connective tissue 29. What is the capsule of Auriculotemporal nerve (V3)
Do Not Stretch the TMJ innervated by?
13. What are considered to be the Shenomandibular 30. What is the difference With subluxation patient can
accessory ligaments of the TMJ? lig. and between Dislocation and return the mand. to its normal
What is their function? Stylomandibular subluxation? position without assistance of
Lig. the dentist
Limit excessive
openings
14. What are large amounts of synovial Painful internal
fluids an indication of in the TMJ? derangements
31. What is the function of the
Collateral ligaments?
32. What is the function of the
inferior heads of the lateral
pterygoid?
33. What is the function of the
masseter?
34. What is the function of the
medial pterygoid?
35. What is the function of the
superior belly of the lateral
pterygoid?
36. What is the function of the
Temporalis?
37. What is the major advantage
of the MRI technique?
38. What is the middle part of the
articular disk called?
39. What is the only movable
joint in the skull that has
dense fibrous connective
tissue on its articular
surfaces?
40. What is the purpose of the
joint capsule and ligaments
of the TMJ?
41. What is the shape of the
Condyle?
42. What is the source of
proprioception in the TMJ?
43. What is the venous drainage
of the TMJ?
44. What kind of tissue is
attached to the anterior band
of the articular disk?
45. What kind of tissue is
attached to the post.
Articular disk?
46. What ligament is most
damaged when using an
inferior alveolar nerve block?
Stabilize the disc on top of
the condyle
Resist movements of disc
away from condyle during
function
Slight depression of the
mand. (jaw closing)
Elevation of the mand.
(Jaw closing)
Elevation of the mand.
(Jaw closing)
Assist in stabilizing the
position of the articular
disk during closing
Elevation of mand. (Jaw
closing)
Retraction of the mand.
(lower jaw backward)
No exposure of the patient
to x-ray radiation
Thinner central
intermediate zone
TMJ
Restrict excessive
displacement of the mand.
Eliptically shaped
long axis is oriented
mediolaterally
Retiodiscal tissue
Superficial temporal,
maxillary, and pterygoid
plexus
Contiguous with the
capsular ligament, the
condyle, and the superior
belly of lateral pterygoid
muscle.
Retrodiscal tissue
Sphenomandibular
ligament
47. What occurs during disc Collateral ligaments
displacement of the TMJ? become
elongated/torn
Allows lateral
pterygoid to pull
articular disc out of
place
48. what occurs with bilateral Protrusion of the
contraction of the lateral pterygoid mand.
muscles?
49. What occurs with unilateral Lateral deviation of
contraction of the lateral mand.
pterygoids?
50. What parts of the TMJ are not Articular cartilage
innervated? and central part of
the articular disc.
51. What path do the nerve fibers that Vessels of the blood
innervate the TMJ follow? supply; End as free
nerve endings
52. what sound is made by the Clicking
articular disc when displaced to
the anterior of the condyle?
53. What structure of the TMJ secretes Inner synovial layer
the fluid that lubricates the TMJ? of fibrous capsule
54. What test is considered to be the MRI
gold standard for providing an
image of the soft tissue of the
temporomandibular joint, esp. the
position of the articular disc?
55. What type of joint is the TMJ? Ginglymoarthroidal
joint
56. What type of movements does the Hinge like rotation
TMJ allow? Sliding
57. Where does the collateral ligaments Arise from the
run? periphery of the disc
and are attached to
the medial and
lateral poles of the
condyle.
58. Where does the inferior belly of the From lateral
lateral pterygoid run? pterygoid plate to
neck of condyle
59. Where does the superior belly of Greater wing of the
the lateral pterygoid run? sphenoid and
infratemporal crest
Inserts on joint
capsule articular
disk and condyle of
neck
60. Where does the From the articular
Temporomandibular ligament eminence to the
run? mandibular condyle
61. Where do you test a patients temporomandibular joint tenderness Joint palpated laterally over the post. surface of the
and noise? condyles with the mouth open
62. Where is the fibrous capsule of the TMJ firm? Medially and Laterally
Why? Stabilize mand. during movement
63. Where is the fibrous capsule of the TMJ loose? Anterior and Posterior
Why? Allow mand. movement
64. Where is the sphenomandibular ligament attached? Lingula of the Mand.

65. Where soes the stylomandibular Ligament attach? Angle of the Mand.

66. Which band is the thicker of the two on the articular disk? Posterior
Anterior or posterior
67. Which component of the TMJ has the most vasculature and Retrodiscal tissue
innervation?
68. which muscle will cause a deviation of the mand. when protruding Lateral Pterygoid
to the side of the damage?