Anatomy of the temporomandibular joint and muscles of mastication

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Temporomandibular Joints & Muscles of Mastication

Figure 1. A Lateral view of temporomandibular joint and B ligaments.

Figure 2. Lateral view of A superficial and B deep muscles of mastication.

Figure 3. A Hinge movements, B gliding movements, and C lateral movements of the jaw.

Muscle	Origin	Insertion	Innervation	Action
Temporalis	Temporal fossa Deep surface of temporal fascia	Coronoid process of mandible Anterior border of ramus	Deep temporal nerves (CN V₃)	Elevates & retrudes mandible
Masseter	Zygomatic arch Maxillary process of zygomatic bone	Angle & lateral surface of ramus of the mandible	Masseteric nerve (CN V₃)	Mainly elevates mandible Contributes to protrusion
Medial pterygoid	Deep head Medial surface of lateral pterygoid plate Pyramidal process of palatine bone Superficial head Tuberosity of maxilla	Medial surface of the ramus & angle of the mandible	Medial pterygoid nerve (CN V₃)	Bilaterally Elevation & protrusion of mandible Alternate unilateral contraction Side-to-side grinding movements
Lateral pterygoid	Superior head Infratemporal surface & crest of greater wing of the sphenoid bone Inferior head Lateral surface of the lateral pterygoid plate	Superior head Joint capsule Articular disc Inferior head Pterygoid fovea of neck of mandible	Lateral pterygoid nerve (CN V₃)	Bilaterally Protrusion & depression Unilaterally Lateral chewing movements

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Muscles of Mastication

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Stefan Stoisavljevic, MD,Rachel Yancey,Viviana Popa, MD,Ursula Florjanczyk, MScBMC

Anatomy of the temporomandibular joint and muscles of mastication

Getting into medical school must have been a jaw-dropping moment, but have you ever wondered how it is that your jaw didn’t fall off? You can thank the temporomandibular joint for that!

Now, the temporomandibular joint is a modified synovial hinge joint. So first, just like a hinge joint, it allows for flexion and extension, which translate to elevation…….and depression of the jaw, respectively. Additionally, the TMJ also allows for gliding and rotation.

The articular components of this joint include the mandibular fossa and the articular tubercle of the temporal bone as the superior surface, and the head of the mandible as the inferior surface.

Unlike your average hinge joint, the articular surfaces don’t make direct contact here. They are separated by an articular disc, which is attached to the inner surface of the joint's fibrous capsule.

The articular disc divides the joint into two parts: the superior articular cavity, which allows the mandible to glide causing protrusion…….and retrusion, and the inferior articular cavity, which allows the hinge movements, elevation or closing of the jaw and depression or opening of the jaw, as well as rotational movements.

With all of these movements at the temporomandibular joint, there needs to be strong surrounding support so it doesn’t become dislocated.

This is where ligaments come in handy. The temporomandibular joint is enveloped by the joint capsule and strengthened by one intrinsic and two extrinsic ligaments.

The intrinsic ligament, called the lateral ligament, is a thickening of the joint capsule and extends from the articular tubercle to the neck of the mandible.

It strengthens the joint laterally and helps prevent posterior dislocation. The two extrinsic ligaments are the sphenomandibular ligament and the stylomandibular ligament.

The sphenomandibular ligament extends from the spine of the sphenoid bone to the lingula of the mandible. It supports the joint and serves as a prop during hinge movements.

The stylomandibular ligament extends from the styloid process of the temporal bone to the angle of the mandible. It strengthens the joint, but not as much as other ligaments.