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53 notecards = 14 pages (4 cards per page)

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Chapter 4: Mechanics of Mandibular Movement

front 1

What two types of movement occur in the TMJ?

back 1

rotational and translational

front 2

Rotational moment of mandible the occurs within the (...) cavity of the joint between the superior surface of the (...) and the inferior surface of the (...).

back 2

inferior; condyle; articular disc

front 3

What three planes can rotational movement of the mandible can occur in?

back 3

horizontal, frontal, and sagittal

front 4

In each the horizontal, frontal, and sagittal planes, rotational movement of the mandible occurs around a point, called the (...).

back 4

axis

front 5

Mandibular movement around the horizontal axis is referred to as a (...) movement, and the axis around which it occurs is referred to as the (...).

back 5

hinge; hinge axis

front 6

When the condyles are in their most superior position in the articular fossae and the movement of the mandible is purely rotatational, the axis around which movement occurs is called the (...).

back 6

terminal hinge axis

front 7

Mandibular movement around the frontal axis occurs when one condyle moves (...), while the vertical axis of the opposite condyle remains in the (...).

back 7

anteriorly; terminal hinge position

front 8

Mandibular movement around the sagittal axis occurs when one condyle moves (...) while the vertical axis of the opposite condyle remains in the (...).

back 8

inferiorly; terminal hinge position

front 9

Translational movement of mandible the occurs within the (...) cavity of the joint between the superior surface of the (...) and the inferior surface of the (...).

back 9

inferior; articular disc; articular fossa

front 10

When the mandible moves through the outer range of motion, reproducible describable limits result, which are called (...).

back 10

border movements

front 11

What are the four components of mandibular motion in the sagittal plane?

back 11

  1. posterior opening border
  2. anterior opening border
  3. superior contact border
  4. functional

front 12

The range of posterior and anterior border movements is determined primarily by (...); the superior border movements are determined by the (...).

back 12

ligaments; occlusal surfaces of the teeth

front 13

Posterior opening border movements in the sagittal plane occur as two-stage hinging movements. In the first stage, the condyles are in centric relation, and (...) movement occurs until the anterior teeth are (...) mm mm apart.

back 13

rotational; 20 to 25 mm

front 14

Which ligament limit rotational movement of the mandible?

back 14

TM ligament

front 15

Posterior opening border movements in the sagittal plane occur as two-stage hinging movements. In the second stage, the TM ligaments tighten, and the condyle is (...) as the mouth rotates open to its maximum limit of (...) mm.

back 15

translated; 40 to 60 mm

front 16

Which ligament limits maximum opening of the mandible?

back 16

capsular ligament

front 17

With the mandible maximally opened, closure accompanied by contraction of the (...) will generate the anterior closing border movement and tightening of the (...) produces a posterior movement of the condyles.

back 17

inferior lateral pterygoids; stylomandibular ligaments

front 18

Which ligament limits the posterior border movement?

back 18

stylomandibular ligament

front 19

Whereas the border movements previously discussed are limited by (...), the superior contact border movement is determined by the characteristics of the (...).

back 19

ligaments; occluding surfaces of the teeth

front 20

The precise delineation of the superior contact border depends on the:

  1. the amount of variation between (...),
  2. the steepness of the (...) of the posterior teeth,
  3. the amount of (...) of the anterior teeth,
  4. the (...) of the maxillary anterior teeth, and
  5. the general (...) relationships of the teeth.

back 20

  1. CR and MICP
  2. cuspal inclines
  3. VO and HO
  4. lingual morphology
  5. interarch

front 21

The initial tooth contact in (...) occurs between the mesial inclines of a maxillary tooth and the distal inclines of a mandibular tooth.

back 21

terminal hinge closure (CR)

front 22

If muscular force is applied to the mandible in terminal hinge closure, a superoanterior movement or shift will result until the (...) is reached.

back 22

intercuspal position (ICP)

front 23

The slide from CR to ICP is present in approximately 90% of the population, and the average distance is (...) mm.

back 23

1 to 1.25 mm

front 24

When the mandible is protruded from maximum intercuspation, contact between the incisal edges of the mandibular anterior teeth and the lingual inclines of the maxillary anterior teeth results in an (...) movement of the mandible.

back 24

anteroinferior

front 25

As maxillary and mandibular anterior teeth enter an edge-to-edge relationship in protrusion, the the mandible follows a (...) pathway of movement, which continues until the mandibular incisal edges pass beyond the maxillary incisal edges.

back 25

horizontal

front 26

Once the mandibular incisal edges pass beyond the maxillary incisal edges in protrusion, the mandible moves in a (...) direction until the posterior teeth contact.

back 26

superior

front 27

Once the posterior teeth contact in protrusion, their occlusal surfaces dictate the remaining pathway to the maximum protrusive movement, which joins with the most superior position of the (...) border movement.

back 27

anterior

front 28

How is the description of the superior contact border movement is altered when a person has no discrepancy between CR and maximum intercuspation?

back 28

There is no superior slide from CR to ICP.

front 29

(...) movements occur during activity of the mandible. They usually take place within the border movements and therefore are considered free movements.

back 29

functional

front 30

Most functional activities require maximum intercuspation and therefore typically begin at and below the ICP. When the mandible is at rest, it is found to be located approximately (...) mm below ICP. This position has been called the (...).

back 30

2 to 4 mm; clinical rest position (or postural position)

front 31

If the chewing stroke is examined in the sagittal plane, the movement will be seen to begin and end at the (...) potision.

back 31

intercuspal (ICP)

front 32

With the head upright the teeth are elevated directly into (...) from the postural position.

back 32

maximum intercuspation

front 33

With the head raised 45°, the postural position of the mandible is shifted (...), thus when the teeth occlude, contacts occur (...) to the intercuspal position.

back 33

posteriorly; posterior

front 34

With the head lowered 30°, the postural position of the mandible is shifted (...), thus when the teeth occlude, contacts occur (...) to the intercuspal position.

back 34

anteriorly; anterior

front 35

It has been stated that the normal head position during eating is with the face directed downward 30°. This is referred to as the (...).

back 35

alert feeding position

front 36

A (...) is used to record the mandibular border movements in the horizontal plane. As the mandible moves, the stylus attached to the mandibular teeth generates a pathway on the recording table attached to the maxillary teeth.

back 36

Gothic arch tracer

front 37

What are the four components of mandibular motion in the horizontal plane?

back 37

  1. left lateral border
  2. continued left lateral border with protrusion
  3. right lateral border
  4. continued right lateral border with protrusion

front 38

With the condyles in the CR position, contraction of the right inferior lateral pterygoid will cause the right condyle to move (...). If the left condyle remains situated in CR, this will result in the (...) border movement.

back 38

anteromedially; left lateral

front 39

During the left border movement, the right condyle is called the (...) condyle and the left condyle is called the (...) condyle.

back 39

orbiting; rotating

front 40

With the mandible in the left lateral border position, contraction of the left inferior lateral pterygoid muscle along with continued contraction of the right inferior lateral pterygoid muscle will cause the left condyle to move (...), producing the (...) border movement.

back 40

anteromedially; continued left lateral

front 41

With the condyles in the CR position, contraction of the left inferior lateral pterygoid will cause the left condyle to move (...). If the right condyle remains situated in CR, this will result in the (...) border movement.

back 41

anteromedially; right lateral

front 42

During the right border movement, the right condyle is called the (...) condyle and the left condyle is called the (...) condyle.

back 42

rotating; orbiting

front 43

With the mandible in the right lateral border position, contraction of the right inferior lateral pterygoid muscle along with continued contraction of the left inferior lateral pterygoid muscle will cause the right condyle to move (...), producing the (...) border movement.

back 43

anteromedially; continued right lateral

front 44

As mandibular opening increases, the size of the tracings generated by horizontal border movements become successively (...).

back 44

smaller

front 45

The exact position of the mandible during chewing is dictated by the existing (...).

back 45

occlusal configuration

front 46

What are the four components of mandibular motion in the frontal plane?

back 46

  1. left lateral superior border
  2. left lateral opening border
  3. right lateral superior border
  4. right lateral opening border

front 47

With the mandible in maximum intercuspation, a lateral movement is made to the left. A recording device will disclose an (...) path being generated, which forms the (...) border movement.

back 47

inferiorly concave; left lateral

front 48

The precise nature of the left and right superior border movements in the frontal plane are primarily determined by (...); of secondary influence are the (...).

back 48

tooth contacts; condyle-disc-fossa relationship

front 49

From the maximum left lateral superior border position, an opening movement of the mandible produces a (...) path. As maximum opening is approached, ligaments tighten and produce a (...) directed movement.

back 49

laterally convex; medially

front 50

With the mandible in maximum intercuspation, a lateral movement is made to the left. A recording device will disclose an (...) path being generated, which forms the (...) border movement.

back 50

inferiorly concave; right lateral

front 51

From the maximum right lateral superior border position, an opening movement of the mandible produces a (...) path. As maximum opening is approached, ligaments tighten and produce a (...) directed movement.

back 51

laterally convex; medially

front 52

As in the other planes, functional movements in the frontal plane begin and end at the (...) position.

back 52

intercuspal (ICP)

front 53

By combining mandibular border movements in the three planes (sagittal, horizontal, and frontal), a three-dimensional (...) is produced, that represents the maximum range of movement of the mandible

back 53

envelope of motion