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TMD is considered by some to be one of the 4 major symptom complexes in chronic orofacial pain, along with burning mouth syndrome, atypical facial pain and atypical odontalgia. [13] TMD has been considered as a type of musculoskeletal, [14] neuromuscular, [15] or rheumatological disorder. [14]
The temporalis (the sphenomandibularis is considered a part of the temporalis by some sources, and a distinct muscle by others) The medial pterygoid; The lateral pterygoid; In humans, the mandible, or lower jaw, is connected to the temporal bone of the skull via the temporomandibular joint. This is an extremely complex joint which permits ...
Contraction of the lateral pterygoid acts to pull the disc and condyle forward within the glenoid fossa and down the articular eminence; thus, the action of this muscle serves to protrude the jaw, it with the assistance of gravity, and the digastricus muscle also opens the jaw. The other three muscles close the mouth; the masseter and the ...
Oromandibular dystonia (OMD) is an uncommon focal neurological condition affecting the jaws, face, and mouth. [1] 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.
Consequently, an open mouth posture can lead to malocclusions and problems in swallowing. Other causes of open-mouth posture are the weakness of lip muscles, overall lack of tone in the body or hypotonia, and prolonged/chronic allergies of the respiratory tract.
Trismus is defined as painful restriction in opening the mouth due to a muscle spasm, [5] however it can also refer to limited mouth opening of any cause. [6] Another definition of trismus is simply a limitation of movement. [4]
The jaw elevator muscles develop the main forces used in mastication. The force generated during routine mastication of food such as carrots or meat is about 70 to 150 newtons (16 to 34 lbf ). The maximum masticatory force in some people may reach up to 500 to 700 newtons (110 to 160 lbf ).
The cause is believed to be muscle tension or spasms within the affected musculature. [1] Diagnosis is based on the symptoms and possible sleep studies. [1] Treatment may include pain medication, physical therapy, mouth guards, and occasionally benzodiazepine. [1] It is a relatively common cause of temporomandibular pain. [1]