TMJ
Type:
ginglymoarthrodial synovial joint Ginglymus:
Arthrodial:
Articulations:
Head of mandibular condyle
Supporting Ligaments
Main (Intrinsic) Articular fibrous capsule surrounds the J. attached sup.: inf.: Lat. (TM) Lig.: runs downwards backwards between? prevents? protects?
Accessory (Extrinsic) Stylomandibular lig.: extends between? thickened part of ? Sphenomandibular lig.: lies on medial side & extends between? 3. Is there any other lig.??
Movements
1. Depression of mand. (mouth opening) 3 muscle groups ? * Main mover ?
3. Protrusion: (forwards) 3 muscles? main one? 4. Retrusion, Retraction: (backwards) by ?? 5. Lat. Movement to the sides: by ??
1. Rotation: condyle & lower surface of articular disc ( compartment) 20o (hinge)
2. Translation: condyle & disc articular tubercle until ?? (gliding)
Relations of TMJ
Ant.: masseteric a. & n. (from?) Post.: glenoid process of ? tympanic plate of EAM & ?? Lat.: parotid gland Med.: max. Vessels & auriculotemp. N.
Dislocation of TMJ
The head of the mandible moves ant. To the articular tubercle mandible is depressed & the pt. cannot close his mouth Cause: excessive contraction of lat. Pterygoid m. as in: taking a large bite over opening for the dentist
Rx.: pressure the mandible inf. Then post. by grasping the mandible with your thumbs over lower dentition
Clicking of TMJ
When the post. Band of articular disc is anteriorly displaced (in front of mand. Condyle) *As the pt. opens his mouth: the displaced disc, at a certain point, returns to its normal position producing the click sound in the joint Ant. Displacement with reduction
Maxilla
Body & 4 Processes
Body pyramidal hollow inside (max. sinus) Upper surface: ? Anterolateral surface: ? Posterolateral surface: ? Medial surface: ?
Maxillary Processes
Zygomatic: projects lat., ant. zyg. Arch
Maxillary Foramina
2 foramina: Infraorbital F. ant. wall, infraorbital n. & a. Incisive Foramen: between palatine processes post. to central incisors incisive n. (nasopalatine n.)
Mandible
Largest & strongest facial bone
Body:
mental foramen alveolar process mental protuberance sup. & inf. Mental spines mylohyoid line
Ramus:
mandibular notch coronoid process
condylar process:
head & neck lingula & mand. foramen