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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 movement in all planes. The muscles of mastication originate on the skull and insert into the mandible, thereby allowing for jaw movements during contraction.
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 ...
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 temporalis muscle is covered by the temporal fascia, also known as the temporal aponeurosis. This fascia is commonly used in tympanoplasty, or surgical reconstruction of the eardrum. The temporalis muscle is accessible on the temples, and can be seen and felt contracting while the jaw is clenching and unclenching.
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.
The digastric muscle (also digastricus) (named digastric as it has two 'bellies') is a bilaterally paired suprahyoid muscle located under the jaw.Its posterior belly is attached to the mastoid notch of temporal bone, and its anterior belly is attached to the digastric fossa of mandible; the two bellies are united by an intermediate tendon which is held in a loop that attaches to the hyoid bone.
"open your jaw and move it from side to side" to test for pain free normal temporo-mandibular joint movement. "put your hands behind your head with your elbows as far back as they can go. Now try to touch the small of your back" to test for normal sterno-clavicular, gleno-humeral and acromio-clavicular joint movement.
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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