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TMJ (temporomandibular) connects ____ and ____ of the ____
Mandibular condyle, mandibular fossa, temporal bone
TMJ (temporomandibular) is a ____ join
Load bearing joint
The articular disc rests between the ____ and ____
Mandibular fossa, mandibular condyle
Articular disc posterior part has ____, ____, and ____, anterior has _____
Collagen fibers, elastic soft tissue, profuse nerve supply, upper lateral pterygoid fibers
Articular disc is ___ shape and has ___ anterior, ___ middle, ___ posterior
Biconcave (doughnut), thick, thin, variable
Provide stability during chewing
Joint capsule
Protrusion
Move jaw forward
Retrusion
Move jaw backward
Protrusion/retrusion amount
6mm
Lateral excursion
Move jaw sideways
Lateral excursion amount
7mm
Mandibular depression: ____ or ___
Opening, incisal opening
Mandibular elevation: ____ or ___
Closing, clenching
Mandibular opening/closing rotates for first ____ and than ____
11mm, translates anterior
Muscles that clench jaw
Masseter, temporalis
Lateral pterygoid
Upper fibers attach to ___ contract with ___
Lower fibers attach to ___ contract with ___
Disc closing, mandible neck opening
Medial pterygoid unilaterally action
Lateral deviate to opposite side
Digastrics (medial /lateral) action
Stabilize hyoid in opening, assist in protrusion/retraction
Disc displacement with reduction (disc movement)
Condyle shift off disc, click with closing and opening
Disc displacement with reduction (pain)
Opening, closing
Disc displacement without reduction (disc movement)
Disc displaced forward, condyle pinches posterior disk
Disc displacement without reduction (pain)
Rest and use
Disc displacement without reduction (end feel)
Limited opening and hard end feel
Lateral pterygoid spasm
Jaw locks
Lateral pterygoid spasm (position)
Contralateral shift, protrusion, back teeth dont touch
Myofascial pain dysfunction
Tight muscles
Jaw closed lock:___, open lock:___
Disc displacement without reduction, lateral pterygoid spasm
Temporomandibular joint (TMJ) joint type
Diarthrodial joint