Mandibular Movements - Part 2

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Questions and Answers

What type of mandibular movement is referred to as a hinge movement?

  • Protrusive movement
  • Lateral movement
  • Retrusive movement
  • Opening and closing (correct)

Which axis corresponds to the horizontal plane in mandibular movements?

  • Vertical axis
  • Sagittal axis
  • Horizontal axis (correct)
  • Frontal axis

What occurs during the initial phase of the opening motion of the mandible?

  • Protrusive movement of the mandible
  • Rotation in the lower compartment (correct)
  • Gliding movement in the upper compartment
  • Pure lateral movement

How far can the mandible move through pure rotational movements before gliding occurs?

<p>10-20 mm (C)</p> Signup and view all the answers

What type of mandibular movement is described as moving forwards?

<p>Protrusion (A)</p> Signup and view all the answers

Which plane is also known as a side view?

<p>Sagittal Plane (D)</p> Signup and view all the answers

Which of the following describes the main motion of the mandible during opening?

<p>Depression and elevation (A)</p> Signup and view all the answers

In which direction does the condyles move during protrusive movement?

<p>Downwards and forwards (D)</p> Signup and view all the answers

Which axis is best described by facing the patient?

<p>Frontal Axis (A)</p> Signup and view all the answers

What is a result of simultaneous rotation and translation of the mandible?

<p>Complex movement (D)</p> Signup and view all the answers

What muscles are responsible for protrusive movements of the mandible?

<p>External pterygoid muscles (C)</p> Signup and view all the answers

What is the incisal guidance in mandibular movements?

<p>The path of the incisal point from intercuspal to edge to edge position (C)</p> Signup and view all the answers

What is the range of the protrusive condylar path in degrees?

<p>30°-40° (D)</p> Signup and view all the answers

Which muscles are involved in the reverse direction of protrusive movements?

<p>Temporalis muscles (A)</p> Signup and view all the answers

In lateral movements, which side is referred to as the working side?

<p>The side that rotates mostly in a lateral direction (C)</p> Signup and view all the answers

What is the function of the non-working (orbiting) condyle during lateral movement?

<p>It moves forward, downward, and medially (C)</p> Signup and view all the answers

What is the importance of studying mandibular movements?

<p>It aids in designing and adjusting articulators (C)</p> Signup and view all the answers

What angle is associated with the lateral condylar movement?

<p>Bennett angle, about 15° (C)</p> Signup and view all the answers

Which of the following best describes the Bennett shift during mandibular lateral movement?

<p>Lateral and slight movement of the non-working condyle (A)</p> Signup and view all the answers

Which of the following is NOT a purpose of understanding mandibular movements?

<p>Understanding metabolism in oral tissues (B)</p> Signup and view all the answers

Flashcards

Horizontal Axis

The imaginary line that passes through both condyles.

Sagittal Axis

The imaginary line that passes through the condyles perpendicular to the horizontal plane.

Frontal Axis

The imaginary line that runs vertically through the condyles.

Protrusive Movement

Movement of the mandible downwards and forwards along the glenoid fossa and articular eminence.

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Hinge Movement

Rotation of the mandible around the horizontal axis.

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Lateral Movement

Movement of the mandible sideways, with the condyles moving in opposite directions.

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Retrusive Movement

Movement of the mandible backwards.

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Rest Position

The reference point for measuring mandibular movements.

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Maximum Opening Position

The position where the mandible is fully open.

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Complex Mandibular Movement

A combination of rotation and translation that occurs during most mandibular movements.

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Incisal Guidance

The path followed by the incisal point as the mandible moves forward from intercuspal position to edge-to-edge position.

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Protrusive Condylar Path

The path traced by the condyle (the bony knob) in the jaw joint as the mandible moves forward.

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Non-Working Side

The side of the mandible that moves towards the median line (the middle) during a lateral excursion (sideways movement).

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Working Side

The side of the mandible that moves toward the direction of lateral excursion. It mainly rotates.

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Bennett Shift

The slight lateral movement of the working condyle during lateral excursion. It's also known as Bennett Movement.

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Bennett Angle

The angle formed by the non-working condyle's movement medially during lateral excursion. It's approximately 15 degrees.

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Importance of Studying Mandibular Movements

The movements made by the mandible are crucial for understanding the mechanics of chewing, designing dental restorations, and diagnosing jaw problems.

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Asymmetry of Lateral Movements

The right and left lateral movements of the mandible are not symmetrical. One side will rotate while the other side glides forward, downward, and medially.

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Reverse Protrusive Movement

The Temporalis muscle brings the mandible back up and backward (to the initial position) after a protrusive movement.

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Study Notes

Mandibular Movements - Part 2

  • Mandibular movements are complex, involving both rotation and translation.
  • Simultaneous rotation and translation around multiple axes result in intricate movements.

Mandibular Movement Types

  • Protrusion: Assisted by lateral and medial pterygoid muscles.
  • Retraction: Posterior temporalis fibers, deep masseter, geniohyoid, and digastric muscles.
  • Elevation: Temporalis, masseter, and medial pterygoid.
  • Depression: Gravity, digastric, geniohyoid, and mylohyoid muscles.

Reference Planes

  • Sagittal plane: Side view
  • Frontal plane: Facing the patient
  • Horizontal plane: Parallel to the occlusal plane or floor

Axes of Rotation/Centers of Rotation

  • Axes are imaginary lines, around which rotations occur.
  • Movement around the horizontal axis is hinge motion (opening and closing).
  • Movements around the frontal and sagittal axes are rotational.

Basic Mandibular Movements

  • Classified by direction: opening/closing, forwards/protrusive, backwards/retrusive, sideways/lateral.

1- Opening and Closing (Depression and Elevation)

  • Starts at rest, moves to maximum opening.
  • Initial movement is rotation in the lower TMJ compartment.
  • Pure rotation (10-20mm) followed by a gliding movement in the upper compartment.
  • Reverse movement brings the mandible back to rest.

2- Forward (Protrusive Movement)

  • Condyles move downward and forward.
  • This movement follows the glenoid fossa and articular eminence.
  • Protrusion involves contraction of external pterygoid muscles on both sides.
  • Christensen Phenomenon: Posterior teeth separate as the mandibular moves forward.
  • Incisal guidance is the path performed by the incisal point from the intercuspal position to edge positions.

2- Forward (Protrusive Movement) - Condylar Path

  • Sagittal condylar path varies (30-40 degrees) between individuals.

3- Backward (Retrusive Movement)

  • Reverse direction of protrusive movement.
  • Temporalis muscles contract, moving mandible upward and backward.

4- Lateral Movement (Sideways)

  • Right and left lateral movements are asymmetric.
  • The working side condyle rotates, with slight bodily lateral translation.
  • The non-working side condyle moves forward, downward, and medially.
  • The Bennett angle (about 15°) is the angle of the non-working side condyle's medial movement.

Importance of Studying Mandibular Movements

  • Designing, selecting, and adjusting articulators.
  • Developing tooth forms for dental restorations.
  • Diagnosing and treating TMJ disorders.
  • Understanding the fundamental principles of occlusion.
  • Properly selecting teeth.
  • Arranging artificial teeth.

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