EDS, stress, cervical pain, chronic pain comes along with
TMD
What are the motions of the TMJ
laterotrusion
protrusion
retrusion
opening
closing
Mastication – closing
Disc control by which muscle
Postural/Supporting
to perform laterotrusion
CL muscles?
ipsilateral muscles?
ipsilateral muscles: masseter and temporalis
contralateral muscles: the pterygoids (medial and lateral)
lateral movement of mandible
laterotrusion
arthrokinematics
ipsilateral: pivot/rotation
contalateral: anterior medial traslation
opening arthrokinematics
first 20 mm = posterior roll/anterior glide
next 20 mm = anterior inferior translation
closing arthrokinematics
first = posterior superior translation
second = anterior roll/posterior glide
opening and closing involves 2 distinct motions each
true
for oral hygiene what is required in regards to ROM
20 mm
what are the norms for each motion
retrusion/retraction - 3 - translation
protrusion/protraction - 6 - translation
laterotrusion - 9 - ipsilateral pivot contralateral translation
opening - 40-50 roll/glide > translation
what muscles involved in protrusion and retrusion
protrusion: anterior temporalis and the pterygoids
retrusion: posterior temporalis and the pterygoids
what muscles involved in laterotrusion
contralateral pterygoids
ipsilateral masseter and temporalis
from the trigeminal ganglion coming from cranial nerve 5 (V) where do the branches go into the face?
opthalimic towards the eyes top of head
maxillary towards the middle of the face
manibular branch towards the bottom of the face/jaw
c0-c3
trigeminal
facial
glossopharyngeal
vagus
c1-4 spinal nerves
trigeminal nucleus which is responsible for crosstalk pain discomfort
cranial nerve is important