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Anatomy

Muscles acting on the Temporomandibular Joint

  • Movements of the temporomandibular joint are chiefly from the action of the muscles of mastication.
  • The temporalis, masseter, and medial pterygoid muscles produce biting movements.
  • The lateral pterygoid muscles protrude the mandible with the help from the medial pterygoid muscles and retruded largely by the posterior fibres of the temporalis muscle.
  • Gravity is sufficient to depress the mandible, but if there is resistance, the lateral pterygoid, suprahyoid and infrahyoid, mylohyoid and anterior digastric muscles are activated.

 

Actions Muscles
Depression (Open mouth)
Lateral pterygoid
Suprahyoid
Infrahyoid
Elevation (Close mouth)
Temporalis
Masseter
Medial pterygoid
Protrusion (Protrude chin)
Masseter (superficial fibres)
Lateral pterygoid
Medial pterygoid
Retrusion (Retrude chin)
Temporalis
Masseter (deep fibres)
Side-to-side movements (grinding and chewing)
Temporalis on same side
Pterygoid muscles of opposite side
Masseter

Superior Constrictor Muscle

  • Origin: Hamulus, pterygo-mandibular raphe, and mylohyoid line of the mandible.
  • Insertion: Median raphe of the pharynx.
  • Nerve Supply: Vagus nerve via the pharyngeal plexus.
  • Arterial Supply: Ascending pharyngeal artery, ascending palatine artery, tonsillar branch of the facial artery, and dorsal branch of the lingual artery.
  • Action: Constricts the wall of the pharynx during swallowing.

Smooth Muscle

Light microscopic Structure:

cells - long - spindle shaped,  nucleus lies in the widest widest part of the fiber,  when the fiber contract the nucleus become folded, 30 - 200 µm long,between fibres lie endomycium

Electron microscopic structure:

 Mitochondria, ribosomes, golgi, rough EPR, myofilaments are present but no sarcomeres and no Z lines,thin filaments - actin and tropomyosin (7nm), thick filaments - myosin (17nmØ)

- intermediate filaments (10 nm)

- actin and myosin overlap more than in skeletal muscle and can therefore contract more

 A rudimentary sacroplasmic reticulum is present in the form of invaginations on the surface called caveolae , So there are no T-tubules,  Cells communicate through gap junctions.

Dense bodies

Filaments are attached to dense bodies which take the place of the Z line in skeletal muscle

There are two types of dense bodies - cytoplasmic and membrane

contains a percentage actinin (like the Z line)

dense bodies transmit contractile force to adjacent fibres

 

Arrangement:

Fibres can be single or in groups, normally arranged in sheaths,  In the GIT are 2 or 3 layers

Nerve supply:

2 types:

Where it is arranged in layers a few fibres are innervated together

impulse spread through the gap junctions between fibres (slow contraction)

In the iris and the vas deferens each fiber is individually supplied (quick contraction)

Classified on functional Basis

Secretion ,Protection and waterproofing, Absorbtion, Transport, Sensory

Secretion

Glandular epithelium’s 3 types:

- Exocrine - with ducts

- endocrine - without ducts

- mixed exo-endocrine

Exocrine glands: One cell

- goblet cells

- In lining epitheliums of respiratory tract and GIT

- Secretes musin (protein) Musin + water = mucus, Mucus is a lubricant

More than one cell

 Simple:  Has a single duct,

  • Acinar - mucus glands of the penile urethra
  • Tubular - cripts of Lieberkuhn
  • Coiled tubular - sweat gland
  • Spiral tubular - Gland of Moll
  • Branched tubular - mucous glands of the pyloric region
  • Branched acinar - sebaceous gland in the skin

Compound

  • Consists of a branched duct with numerous secretory end organs
  • Compound tubular - Brünners glands
  • Compound alveolar - mammary, prostate, pancreas, parotid
  • Compound tubuloalveolar - submandibular-, sublingual salivary glands

Endocrine glands

Secrete directly into the blood

One cell :  mast cells,  in soft CT,  near capillaries,

secrete - heparin - histamine

More than one cell

Cells can be arranged in the following ways:

  • Cords - adrenal glands, parathyroid, anterior pituitary
  • anastomosing cords with dilated blood capillaries in-between
  • Isles - pancreas
  • Follicles - thyroid
  • cells line a follicle filled with non-cellular material

  • The tongue is divided into halves by a medial fibrous lingual septum that lies deep to the medial groove.
  • In each half of the tongue there are four extrinsic and four intrinsic muscles.
  • The lingual muscles are all supplied by the hypoglossal nerve (CN XII).
  • The only exception is palatoglossus, which is supplied by the pharyngeal branch of the vagus nerve, via the pharyngeal plexus.

  • This is the posterior curtain-like part, and has no bony support. It does, however, contain a membranous aponeurosis.
  • The soft palate, or velum palatinum (L. velum, veil), is a movable, fibromuscular fold that is attached to the posterior edge of the hard palate.
  • It extends posteroinferiorly to a curved free margin from which hangs a conical process, the uvula (L. uva, grape).
  • The soft palate separates the nasopharynx superiorly and the oropharynx inferiorly.
  • During swallowing the soft palate moves posteriorly against the wall of the pharynx, preventing the regurgitation of food into the nasal cavity.
  • Laterally, the soft palate is continuous with the wall of the pharynx and is joined to the tongue and pharynx by the palatoglossal and palatopharyngeal folds.
  • The soft palate is strengthened by the palatine aponeurosis, formed by the expanded tendon of the tensor veli palatini muscle.
  • This aponeurosis attaches to the posterior margin of the hard palate.

Mylohyoid Muscle

  • Origin: Mylohyoid line of the mandible.
  • Insertion: Median raphe and body of the hyoid bone.
  • Nerve Supply: Nerve to mylohyoid (branch of the trigeminal nerve, CN V3).
  • Arterial Supply: Sublingual branch of the lingual artery and submental branch of the facial artery.
  • Action: Elevates the hyoid bone, base of the tongue, and floor of the mouth; depresses the mandible.

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