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The adult mandible is the skull's largest and strongest bone. [2] In old age, the bone can become greatly reduced in volume where there is a loss of teeth, and consequent resorption of the alveolar process and interalveolar septa. Consequently, the chief part of the bone is below the oblique line.
The mylohyoid line is a bony ridge on the internal surface of the body of the mandible. The mylohyoid line extends posterosuperiorly. The mylohyoid line continues as the mylohyoid groove on the internal surface of the ramus. The mylohyoid muscle originates from the anterior (front) part of the mylohyoid line. [1]
External oblique line of the mandible (shown in red) A vertical incision is performed on the inferior and lateral sides of the soft tissue in the mouth at a distance from the adjacent gums . [ 17 ] The cut is performed from the mandibular ramus to the mandibular body along the external oblique line, down to the mandibular first molar region ...
The angle of the mandible, which may be either inverted or everted, is marked by rough, oblique ridges on each side, for the attachment of the masseter laterally, and the pterygoideus internus (medial pterygoid muscle) medially; the stylomandibular ligament is attached to the angle between these muscles.
The posterior portion has fibers which run horizontally and contraction of this portion results in retrusion of the mandible. The middle portion which fibers run in an oblique direction towards inferior and anterior are used for both elevation and retraction of the mandible and in a unilateral contraction provoke lateral movement of the ...
Fibres at the back of the muscle cross the mandible, some being inserted into the bone below the oblique line, others into the skin and subcutaneous tissue of the lower part of the face. Many of these fibers blend with the muscles about the angle and lower part of the mouth. [1]
Mandible fracture causes vary by the time period and the region studied. In North America, blunt force trauma (a punch) is the leading cause of mandible fracture [37] whereas in India, motor vehicle collisions are now a leading cause. [38] On battle grounds, it is more likely to be high velocity injuries (bullets and shrapnel). [39]
Three-dimensional analysis of the clinical photos, X-rays and 3D CT scans from the front, lateral, oblique, basal and overhead views are required for a detailed evaluation. [3] The level of protrusion of the mandible angle, the size of the masseter muscle and the overall structure of the jaw are evaluated.