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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 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 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 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 ...
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.
The systematization of the masticatory force distribution was designed by Nankali in the National Medical University at the orthopedic and implant stomatology department, which was verified (October 1999) by the Scientific Board of National Medical University (O.O. Bogomolets) and international patent organization (УДК; 616.314-76-77:616.314.11-74:678.029.46:612.311) in Kiev.
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While identifying the causes of tongue thrust, it is important to remember that the resting posture of the tongue, jaw, and lips are crucial to the normal development of the mouth and its structures. If the tongue rests against the upper front teeth, the teeth may protrude forward, and adverse tongue pressure can restrict the development of the ...