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NBDE Dental Anatomy TMJ

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Are myelinated or unmyelinated nerves seen in the TMJ? Composed of dense fibrous connective tissue, and it is positioned in between the condyle and the fossa, dividing the joint into superior and inferior spaces. Dislocation of the TMJ is almost always ...

Both Articular disc

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What are large amounts of synovial fluids an indication of in the TMJ? What are the articular surfaces of the TMJ covered with? What are the functions of the Temporomandibular ligament? What are the two parts of the lateral pterygoid? What does the layer of fibrocartilaginous tissue provide to the TMJ? What is a crepitation sound or a crepitus in the TMJ usually associated with? What is a dull thud in the TMJ usually associated with? What is another name for collateral ligaments? What is another name for temporomandibular ligaments? What is another term for ear ringing? What is considered to be the functional part of the TMJ? What is considered to be the nonfunctioning portion of the TMJ? What is dislocation also referred as? What is it that connects the mand. to the temporal bone? What is the anterior region of the TMJ innervated by? What is the capsule of the TMJ innervated by? What is the difference between Dislocation and subluxation?

Painful internal derangements

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Dense fibrous connective tissue

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Anteriorly and occurs while laughing or yawning Subluxation

Provides lateral reinforcement Prevents post. and infer. displacement of condyle Main Stabilizing Ligament Superior belly and inferior belly Offers resistance against both compressive and lateral forces Degenerative process (osteoarthritis) of the condyle

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Hypermobility or hypertranslation of the mand. If a patient has clicking in their TMJ where is this joint most likely to be displaced? Rotary motions take place in which compartment of the TMJ?

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Anteromedial

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Lower (condyle articular disc) compartment Hinge-type Laterally where it forms the temporomandibular ligament (lateral) Deep temporal and Masseteric of max. artery Branches of superficial temporal from external carotid Outer fibrous layer of the fibrous capsule of the TMJ Upper (mand. fossa - articular disc) compartment True

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The fibrous capsule of the TMJ is fairly thin except where?

Self-reducing subluxation of the condyle Discal Ligaments Lateral ligament

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The vessel supplies the TMJ?

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Tinnitus Articular eminence

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Thicker layer of fibrous tissue which is reinforced by accessory ligaments. Translatory movements take place in which compartment of the TMJ? True/False: Condyles are not symmetrical nor identical What are collateral ligaments made from? What are considered to be the accessory ligaments of the TMJ? What is their function?

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Articular fossa (Ant 3/4 of large mand. fossa) Open lock Combined hinge and gliding joint Massetertic and deep temporal from V3; Sensory from V3 Auriculotemporal nerve (V3) With subluxation patient can return the mand. to its normal position without assistance of the dentist

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Collagenous connective tissue Do Not Stretch Shenomandibular lig. and Stylomandibular Lig. Limit excessive openings

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What is the function of the Collateral ligaments?

Stabilize the disc on top of the condyle Resist movements of disc away from condyle during function Slight depression of the mand. (jaw closing)

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What occurs during disc displacement of the TMJ?

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What is the function of the inferior heads of the lateral pterygoid? What is the function of the masseter? What is the function of the medial pterygoid? What is the function of the superior belly of the lateral pterygoid? What is the function of the Temporalis?

Collateral ligaments become elongated/torn Allows lateral pterygoid to pull articular disc out of place Protrusion of the mand. Lateral deviation of mand. Articular cartilage and central part of the articular disc. Vessels of the blood supply; End as free nerve endings Clicking

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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
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what occurs with bilateral contraction of the lateral pterygoid muscles? What occurs with unilateral contraction of the lateral pterygoids? What parts of the TMJ are not innervated? What path do the nerve fibers that innervate the TMJ follow? what sound is made by the articular disc when displaced to the anterior of the condyle? What structure of the TMJ secretes the fluid that lubricates the TMJ? What test is considered to be the gold standard for providing an image of the soft tissue of the temporomandibular joint, esp. the position of the articular disc? What type of joint is the TMJ? What type of movements does the TMJ allow? Where do you test a patients temporomandibular joint tenderness and noise?

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What is the major advantage of the MRI technique? What is the middle part of the articular disk called? What is the only movable joint in the skull that has dense fibrous connective tissue on its articular surfaces? What is the purpose of the joint capsule and ligaments of the TMJ? What is the shape of the Condyle? What is the source of proprioception in the TMJ? What is the venous drainage of the TMJ? What kind of tissue is attached to the anterior band of the articular disk?

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Inner synovial layer of fibrous capsule MRI

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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.

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Ginglymoarthroidal joint Hinge like rotation Sliding Joint palpated laterally over the post. surface of the condyles with the mouth open Arise from the periphery of the disc and are attached to the medial and lateral poles of the condyle. From lateral pterygoid plate to neck of condyle

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Where does the collateral ligaments run?

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What kind of tissue is attached to the post. Articular disk? What ligament is most damaged when using an inferior alveolar nerve block?

Retrodiscal tissue

Where does the inferior belly of the lateral pterygoid run?

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Sphenomandibular ligament

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Where does the superior belly of the lateral pterygoid run?

Greater wing of the sphenoid and infratemporal crest Inserts on joint capsule articular disk and condyle of neck From the articular eminence to the mandibular condyle Medially and Laterally Stabilize mand. during movement Anterior and Posterior Allow mand. movement Lingula of the Mand. Angle of the Mand. Posterior Retrodiscal tissue Lateral Pterygoid

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Where does the Temporomandibular ligament run? Where is the fibrous capsule of the TMJ firm? Why? Where is the fibrous capsule of the TMJ loose? Why? Where is the sphenomandibular ligament attached? Where soes the stylomandibular Ligament attach? Which band is the thicker of the two on the articular disk? Anterior or posterior Which component of the TMJ has the most vasculature and innervation? which muscle will cause a deviation of the mand. when protruding to the side of the damage?

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