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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).
The trigeminal nerve carries general somatic afferent fibers (GSA), which innervate the skin of the face via ophthalmic (V1), maxillary (V2) and mandibular (V3) divisions. The trigeminal nerve also carries special visceral efferent (SVE) axons, which innervate the muscles of mastication via the mandibular (V3) division.
The trigeminal motor nucleus contains motor neurons that innervate muscles of the first branchial arch, namely the muscles of mastication, the tensor tympani, tensor veli palatini, mylohyoid, and anterior belly of the digastric. [1] It is situated in the upper pons, inferior to the lateral part of the floor of the fourth ventricle. [2]
A study also reports that 52% of the elderly exhibit an absence of jaw jerk reflex, in an average age of 81.8 years. [7] Jaw muscles do not display very prominent changes in muscular tissue with age in healthy elderly, as their oral cavities are in constant motor movement (i.e.: performing tasks such as talking and chewing etc.).
The trigeminal nerve is a mixed cranial nerve responsible for sensory data such as tactition (pressure), thermoception (temperature), and nociception (pain) originating from the face above the jawline; it is also responsible for the motor function of the muscles of mastication, the muscles involved in chewing but not facial expression. [20]
Signs and symptoms of temporomandibular joint disorder vary in their presentation. The symptoms will usually involve more than one of the various components of the masticatory system, muscles, nerves, tendons, ligaments, bones, connective tissue, or the teeth. [23] The three classically described, cardinal signs and symptoms of TMD are: [11] [24]
V 1 (ophthalmic nerve) is located in the superior orbital fissure V 2 (maxillary nerve) is located in the foramen rotundum. V 3 (mandibular nerve) is located in the foramen ovale. Receives sensation from the face, mouth and nasal cavity, and innervates the muscles of mastication. VI Abducens: Mainly motor Nuclei lying under the floor of the ...
The masseteric nerve is a nerve of the face. It is a branch of the mandibular nerve (CN V 3). It passes through the mandibular notch to reach masseter muscle. It provides motor innervation the masseter muscle, and sensory innervation to the temporomandibular joint.