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56 Cards in this Set

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What is the purpose of muscle?
The purpose of muscle is to provide force
What are the three types of force muscle can provide?
Pulling force
Tension force
Contraction force
What are the structural components of muscle?
Motor unit
Motor endplate
What is a motor unit?
The number of fibers innervated by a single neuron
If a neuron innervates many fibers, the movement is gross (masseter)

If a neuron innverates very few fibers, the movement is intricate (Inf Lat Pterygoid)
Type 1 vs Type 2 muscle fibers
Type 1 are slow muscle fibers while Type 2 are fast muscle fibers
Properties of Type 1
high concentration of myoglobin
deep red color
slow, sustained contractions
rely on aerobic metabolism
resistant to fatigue
80% of lat pterygoid is Type 1
Properties of Type 2
white color
quick contractions
rely on anaerobic metabolism
fatigue rapidly
Masseter and Temporalis
Muscles Stuff
Go to notebook
The TMJ has bilateral articulation, what does that mean?
It means that each joint cannot function separately
What makes the articular surface of the TMJ unique for a synovial joint?
It is made of dense fibrous connective tissue which makes it less susceptible to DJD and better for repair and regeneration
The TMJ is a compound joint. What are the compartments?
Inferior and superior compartments
What are the properties of the Inferior compartment?
-consists of the tissues that surround the inferior synovial cavity
-can only do rotational movement (ginglymoid)
-Condye-disc complex
What are the properties of the Superior compartment?
-consist of tissues that surround the superior synovial cavity
-disk-eminence complex
-free sliding movement (arythmoidal)

What is the function of the disk?
-Acts as non-ossified bone
-divides the two compartments
-isolates synovial fluid
-determines joint movement
What maintains the joint's stability?
Since there are no attachments and the joint is in constant contact with its articulating surface, it is maintained by muscle activity (resting tonus)
-the superior retrodiscal lamina and the superior lateral pterygoid also play siginificant roles in stability
What is IAP?
-pressure between the surfaces caused by muscle activity
-less space equals more activity equals more pressure
What allows for disc movement in a stable joint?
Superior retrodiscal lamina
Inferior retrodiscal lamina
Superior lateral pterygoid
Anterior capsular ligament
Properites of the Superior Retrodiscal Lamina
-made of elastic fibers
-ONLY STRUCTURE THAT CAN RETRACT THE DISC POSTERIORLY ON CONDYLE
Superior Lateral Pterygoid
-draws disc forward
Anterior capsular and Inferior Retrodiscal
only passively restrict extreme border movements
What happens when in resting closed position?
-condye in contact with intermediate and posterior zones of disc
-tonus of SLP exceeds retraction force of SRL
What happens when condyle moves forward?
force of SRL exceeds SLP tonus which causes the disc to rotate posteriorly
What happens during power stroke?
-IAP is decreased on biting side due to food being used as a fulcrum
-IAP is increased in opposite side
-SLP is active and rotates disc forward to maintain contact (STABILITY)
What happens as food is chewed?
-disc moves posteriorly on condyle
-SLP returns to tonus
Actions of Ligaments
-Ligaments DO NOT stretch
-they restrict some movements while allowing others
-elongated ligaments are not good and compromise function
What does the term Arcon mean for an articulator?
It means the condylar guidance is in the upper member and condyle is on the lower member
What is condylar guidance?
rotates on the horizontal axis to mimic anatomy from +60 to -20 degrees
What is bennet calibration?
medial-lateral adjustment that goes from 0-20 degrees
What does the centric lock do?
It allows for no movements except hing movements
What is an orbitale indicator?
provides vertical orientation for maxillary arch
What three points are used to measure spatial position with a facebow?
bite plane, orbitale pointer, and the earpieces
What adjustments can be made on our semi-adjustable articulator?
condylar inclination, lateral translational movement, condylar distance, anterior guidance
What does the incisal guidance represent?
lingual surface of upper anterior teeth
tilting one side of the table effects
canine guidance
What is "centric relation occlusion" or simply "centric occlusion"?
If centric relation and maximal intercuspation occur at the same time, it can be referred to as centric occlusion.
What is Habitual Maximum intercuspation or musculoskeletay stable position?
This is when maximal intercuspation does not occur at centric relation. (90% of people)
Properties of Class I occlusion
-Most typical relationship (75%)
-MB cusp of mandibular 1st molar in the embrasure between max 1st molar and max 2nd premolar
-Lower canines mesial to uppers
Properties of Class II occlusion
-Disto or retrognathic occlusion (20%)
-MB cusp of mandibular 1st molar in CF of maxillary 1st molar
-MB of lower is in CF and aligned with buccal groove
Properties of Class III occlusion
-Mesio or prognathic occlusion (5%)
-Buccal cusp of maxillary 2nd premolar in buccal groove of 1st mandibular molar
-incisors edge to edge or even behind
-posterior teeth crossbite
-MB cusp of 1st molar in embrasure between first and second maxillary premolars
-DB of 1st molar in embrasure between 1st molar and second maxillary premolar
-ML of upper 1st molar occludes in mesial fossa of 2nd molar
Posterior crossbite
When the buccal cusps of mandibular teeth are outside of the buccal cusps of maxillary teeth
Open Bite
opposing teeth lack contact usually caused by tongue habits
What do the incisal edges of the lowers contact?
lingual surfaces of the uppers
Which cusps are centric cusps?
Buccal of lower and lingual of upper

-Centric cusps contact fossa of opposing teeth
Which cusps are guiding cusps?
Lingual of lower and buccal of upper
Summary of Centric contacts
ML of uppers and DB of lowers occlude in CF
DL of uppers and MB of lowers occlude in embrasures
Summary of Premolar centric contacts
L of upper in distal fossa of lower

B of lower in embrasure of upper
Summary of Anterior central contacts
incisal edge of lowers occlude on marginal ridges of uppers
Eccentric movements
any movement of mandible from ICP that results in tooth contact

Ideally, this only refers to anterior teeth, but posterior teeth could contact resulting in occlusal interference.
Retrusive movements
posterior movement from ICP
Protrusive movements
forward movement from ICP
Laterotrusive or Mediotrusive movements
left or right movements from ICP

working-condyle rotates
non-working: down, forward, medial

Laterotrusive is the side it moves to (working side)

Mediotrusive is the opposite (non-working side)
Anterior guidance
present in protrusive movement

helps in incising during eating and articulation of sound
Horizontal overlap is known as
overjet
Vertical overlap is known as
overbite
Balanced occlusion
indicated for complete dentures and means simultaneous posterior and anterior contacts during lateral and protrusive movements
Group function
canine rise does not take all other teeth out of occlusion