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Trismus may be caused by spasm of the muscles of mastication or a variety of other causes. [3] Temporary trismus occurs much more frequently than permanent trismus. [4] It is known to interfere with eating, speaking, and maintaining proper oral hygiene.
Pain and tenderness on palpation in the muscles of mastication, or of the joint itself (preauricular pain – pain felt just in front of the ear). Pain is the defining feature of TMD and is usually aggravated by manipulation or function, [ 2 ] such as when chewing, clenching, [ 12 ] or yawning, and is often worse upon waking.
The mandible is moved primarily by the four muscles of mastication: the masseter, medial pterygoid, lateral pterygoid and the temporalis. These four muscles, all innervated by V 3, or the mandibular division of the trigeminal nerve, work in different groups to move the mandible in different directions. Contraction of the lateral pterygoid acts ...
The four classical muscles of mastication elevate the mandible (closing the jaw) and move it forward/backward and laterally, facilitating biting and chewing. Other muscles are responsible for opening the jaw, namely the geniohyoid , mylohyoid , and digastric muscles (the lateral pterygoid may play a role).
Oromandibular dystonia is characterized by involuntary spasms of the tongue, jaw, and mouth muscles that result in bruxism, or grinding of the teeth, and jaw closure. These conditions frequently lead to secondary dental wear as well as temporomandibular joint syndrome. In addition, problems with chewing, speaking, and swallowing may result from ...
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This also supplies the tensor tympani muscle and the tensor veli palatini muscle. The medial pterygoid nerve is a main trunk from the mandibular nerve, before the division of the trigeminal nerve - this is unlike the lateral pterygoid muscle, and all other muscles of mastication which are supplied by the anterior division of the mandibular nerve.
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