NBDE Dental Anatomy TMJ

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1. Are myelinated or unmyelinated Both 15. What are the articular Dense fibrous connective tissue
nerves seen in the TMJ? surfaces of the TMJ
covered with?
2. Composed of dense fibrous Articular disc
connective tissue, and it is 16. What are the functions Provides lateral reinforcement
positioned in between the condyle of the Prevents post. and infer.
and the fossa, dividing the joint Temporomandibular displacement of condyle
into superior and inferior spaces. ligament? Main Stabilizing Ligament
3. Dislocation of the TMJ is almost Anteriorly and 17. What are the two parts of Superior belly and inferior belly
always ... occurs while the lateral pterygoid?
laughing or
18. What does the layer of Offers resistance against both
yawning
fibrocartilaginous tissue compressive and lateral forces
4. The fibrous capsule of the TMJ is Laterally where it provide to the TMJ?
fairly thin except where? forms the
19. What is a crepitation Degenerative process
temporomandibular
sound or a crepitus in (osteoarthritis) of the condyle
ligament (lateral)
the TMJ usually
5. Hypermobility or hypertranslation Subluxation associated with?
of the mand.
20. What is a dull thud in the Self-reducing subluxation of the
6. If a patient has clicking in their Anteromedial TMJ usually associated condyle
TMJ where is this joint most likely with?
to be displaced?
21. What is another name Discal Ligaments
7. Rotary motions take place in which Lower (condyle - for collateral ligaments?
compartment of the TMJ? articular disc)
22. What is another name Lateral ligament
compartment
for temporomandibular
Hinge-type
ligaments?
8. Thicker layer of fibrous tissue Outer fibrous layer
23. What is another term for Tinnitus
which is reinforced by accessory of the fibrous
ear ringing?
ligaments. capsule of the TMJ
24. What is considered to be Articular eminence
9. Translatory movements take place Upper (mand. fossa
the functional part of the
in which compartment of the TMJ? - articular disc)
TMJ?
compartment
25. What is considered to be Articular fossa
10. True/False: True
the nonfunctioning (Ant 3/4 of large mand. fossa)
Condyles are not symmetrical nor
portion of the TMJ?
identical
26. What is dislocation also Open lock
11. The vessel supplies the TMJ? Deep temporal and
referred as?
Masseteric of max.
artery 27. What is it that connects Combined hinge and gliding
Branches of the mand. to the joint
superficial temporal temporal bone?
from external 28. What is the anterior Massetertic and deep temporal
carotid region of the TMJ from V3; Sensory from V3
12. What are collateral ligaments made Collagenous innervated by?
from? connective tissue 29. What is the capsule of Auriculotemporal nerve (V3)
Do Not Stretch the TMJ innervated by?
13. What are considered to be the Shenomandibular 30. What is the difference With subluxation patient can
accessory ligaments of the TMJ? lig. and between Dislocation and return the mand. to its normal
What is their function? Stylomandibular subluxation? position without assistance of
Lig. the dentist
Limit excessive
openings
14. What are large amounts of synovial Painful internal
fluids an indication of in the TMJ? derangements
31. What is the function of the Stabilize the disc on top of 47. What occurs during disc Collateral ligaments
Collateral ligaments? the condyle displacement of the TMJ? become
Resist movements of disc elongated/torn
away from condyle during Allows lateral
function pterygoid to pull
articular disc out of
32. What is the function of the Slight depression of the
place
inferior heads of the lateral mand. (jaw closing)
pterygoid? 48. what occurs with bilateral Protrusion of the
contraction of the lateral pterygoid mand.
33. What is the function of the Elevation of the mand.
muscles?
masseter? (Jaw closing)
49. What occurs with unilateral Lateral deviation of
34. What is the function of the Elevation of the mand.
contraction of the lateral mand.
medial pterygoid? (Jaw closing)
pterygoids?
35. What is the function of the Assist in stabilizing the
50. What parts of the TMJ are not Articular cartilage
superior belly of the lateral position of the articular
innervated? and central part of
pterygoid? disk during closing
the articular disc.
36. What is the function of the Elevation of mand. (Jaw
51. What path do the nerve fibers that Vessels of the blood
Temporalis? closing)
innervate the TMJ follow? supply; End as free
Retraction of the mand.
nerve endings
(lower jaw backward)
52. what sound is made by the Clicking
37. What is the major advantage No exposure of the patient
articular disc when displaced to
of the MRI technique? to x-ray radiation
the anterior of the condyle?
38. What is the middle part of the Thinner central
53. What structure of the TMJ secretes Inner synovial layer
articular disk called? intermediate zone
the fluid that lubricates the TMJ? of fibrous capsule
39. What is the only movable TMJ
54. What test is considered to be the MRI
joint in the skull that has
gold standard for providing an
dense fibrous connective
image of the soft tissue of the
tissue on its articular
temporomandibular joint, esp. the
surfaces?
position of the articular disc?
40. What is the purpose of the Restrict excessive
55. What type of joint is the TMJ? Ginglymoarthroidal
joint capsule and ligaments displacement of the mand.
joint
of the TMJ?
56. What type of movements does the Hinge like rotation
41. What is the shape of the Eliptically shaped
TMJ allow? Sliding
Condyle? long axis is oriented
mediolaterally 57. Where does the collateral ligaments Arise from the
run? periphery of the disc
42. What is the source of Retiodiscal tissue
and are attached to
proprioception in the TMJ?
the medial and
43. What is the venous drainage Superficial temporal, lateral poles of the
of the TMJ? maxillary, and pterygoid condyle.
plexus
58. Where does the inferior belly of the From lateral
44. What kind of tissue is Contiguous with the lateral pterygoid run? pterygoid plate to
attached to the anterior band capsular ligament, the neck of condyle
of the articular disk? condyle, and the superior
59. Where does the superior belly of Greater wing of the
belly of lateral pterygoid
the lateral pterygoid run? sphenoid and
muscle.
infratemporal crest
45. What kind of tissue is Retrodiscal tissue Inserts on joint
attached to the post. capsule articular
Articular disk? disk and condyle of
46. What ligament is most Sphenomandibular neck
damaged when using an ligament 60. Where does the From the articular
inferior alveolar nerve block? Temporomandibular ligament eminence to the
run? mandibular condyle
61. Where do you test a patients temporomandibular joint tenderness Joint palpated laterally over the post. surface of the
and noise? condyles with the mouth open
62. Where is the fibrous capsule of the TMJ firm? Medially and Laterally
Why? Stabilize mand. during movement
63. Where is the fibrous capsule of the TMJ loose? Anterior and Posterior
Why? Allow mand. movement
64. Where is the sphenomandibular ligament attached? Lingula of the Mand.

65. Where soes the stylomandibular Ligament attach? Angle of the Mand.

66. Which band is the thicker of the two on the articular disk? Posterior
Anterior or posterior
67. Which component of the TMJ has the most vasculature and Retrodiscal tissue
innervation?
68. which muscle will cause a deviation of the mand. when protruding Lateral Pterygoid
to the side of the damage?