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42 Cards in this Set

  • Front
  • Back
3 axes of rotation
Horizontal, vertical, sagittal
Horizontal axis is motion through
sagittal plane
In a centric relation, rotation occur at: lower joint space or upper joint space?
lower joint space = rotation
Translation occur at upper joint space or lower joint space?
translation = upper joint space
Vertical axis motion through what plane?
Horizontal plane
mediotrusive is: working side or non-working side?
Mediotrusive = non-working side
Laterotrusive is working side or non-working side?
Laterotrusive = working side
Balancing side is mediotrusive or laterotrusive?
balancing side = mediotrusive = non-working side
sagittal axis motion through what plane?
frontal plane
during a left or right lateral excursion there is movement about what axes of rotation?
all 3: Horizontal, vertical, sagittal
During a protrusitive meovement what axes of rotation occur?
Protrusive movement = NO movement about any axes of rotation.
In a Centric relation or terminal hinge axis what are the condyles doing and what are the disc doing?
In CR postion: condyles are in their most superoanterior position, resting on the posterior slopes of the articular eminences. Disc - properly interposed.
Discription of CR position:
Exact position; Most orthopedically stable position; Most muscular stable position; Most repeatable position; Unchangeable in the short term; Limit of mandibular movement posteriorly.
Discribe the disc.
Dense connective tissue with no nerve or blood supply. It divides the superior joint space from the inferior joint space. Disc is thicker in anterior and posteior portion and thinnest at intermediate.
Retiodiscal tissue
Highly vascularized; produce synovial fluid.
Translation movement
Translation movement = Condyle comes forward pulling the disc - condyle pulls the disc. All translation occur at upper joint space.
Function of Collateral Ligament
Collateral Ligament: restricts the movement of disc away from the condyles.
Function of capsular ligament.
Capsular Ligament: Restrict medial, lateral, and inferior forces that might seperate the joint.
Function of the Temporomandibular Ligament Outer Oblique Portion:
Outer Oblique Portion: resists excessive dropping of the condyle; Limits roational opening movement of the condyle thereby producing translation of the mandible.
Function of Temporomandicular ligament Inner Horizontal Portion:
Inner Horizontal Portion: Limits posterior movement of the condyle and disc.
Function of Stylomandibular ligament:
Stylomandibular Ligament: Limits protrusive movement of the mandible.
Innervation of the Temporomandibular Ligament:
Primarily Auriculotemporal nerve.
Muscles of Mastication
Temporalis, Messeter, Medial & Lateral Pterygoid.
Function of Temporalis Ms.
Temporalis: Anterior portion - raises the mandible vertically; Middle portion - elevates and retrudes the mandible; Posterior portion - elevates and slightly retrudes the mandible.
Function of Massester Ms.
Messeter: elevates the mandible.
Function of Medial Pterygoid ms.
Medial Pterygoid Ms: elevates the mandible.
Superior lateral pterygoid attach to what and Inferior lateral pterygoid attach to what?
Superior lateral pterygoid attach to disc.
Inferior Lateral Pterygoid attach to neck of condyle.
Function of inferior lateral pterygoid:
Inferior lateral pterygoid: pulls the condyle forward in the fossa during protrustion or orbiting movements.
Function of superior lateral pterygoid:
Superior Lateral Pterygoid: Maintains the disc in the most anterior rotary position possible on the condyle when the mandible is at rest.
Determinant of mandibular movements:
Right TMJ; Left TMJ; Occlusion of teeth; Neuromuscular system.
Occulsion of teeth is static or Dynamic?
Occlusion of the teeth is a static position.
Intercuspal Position (ICP)
Maximum interdigiation and where anterior guidence begins.
Cusp-marginal ridge (static)
One tooth occlude with 2 teeth.
cusp-fossa (static)
1 tooth occlude with 1 tooth
Mutually protected occlusion (dynamic)
Canine guided occlusion: Laterotrusive side - canines only; Mediotrusive side - no tooth contact.
Unilateral balanced occlusion (dynamic)
Group function occlusion: Laterotrusive side - all facial cusps; mediotrusive side - no tooth contact.
Bilateral balanced occlusion:
Bilateral: laterotrusive side - all facial cusp; mediotrusive side - all posterior teeth contact.
Latero-trusive excursion on bilateral occlusal contacts:
bilateral temporal & masseter activity.
Latero-trusive excursion on lateral trusive contacts (group functions):
working side temporal & messeter activity.
Latero-trusive excursions on canines only contact (mutually protected occlusion):
working side temporal activity.
Optimum occlusion:
1) Even and simultaneous contact of all teeth, ICP
2) Forces directed down long axis of teeth
3) Lighter contacts on anterior teeth than posterior
4) During lateral movement, mediotrusive side is discluded immediately
5) During protrusive movement, all posterior teeth are discluded immediately.
CR= ICP
Even and simultaneous contact of all teeth.