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MUSCLES OF MASTICATION
- Aditi Singh (P.G I year)
Dept Of Pediatric & Preventive Dentistry
Seema Dental College & Hospital,Rishikesh
CLASSIFICATION

HISTOLOGY
GROSS ANATOMY

EMBRYOLOGY

INTRODUCTION

DISEASES

APPLIED ANATOMY
INTRODUCTION
Types of muscle tissue
– The basis of the classifications is as
follows:
» DEPENDING UPON THE PRESENCE OR
ABSENCE OF STRIATIONS.
» DEPENDING UPON THE CONTROL AND
» DEPENDING UPON THE FUNCTION.
DEPENDING UPON STRIATIONS

STRIATED MUSCLE
Skeletal and cardiac muscles

NON-STRIATED MUSCLE
Smooth muscles.
DEPENDING UPON THE CONTROL

VOLUNTARY MUSCLE
Skeletal muscles.

INVOLUNTARY MUSCLE
Cardiac and smooth muscles
FUNCTIONAL
CLASSIFICATION
SKELETALMUSCLES
SMOOTH MUSCLES
CARDIAC MUSCLES
MUSCLES ATTACHMENTS
Fleshy Attachments
• They have muscle cells ending close to the
periosteum .
Tendon Attachments
• They are tough, flexible, cable like
concentrations of the collagen fibers
Aponeuroses and
Septa
• They are flattened extensions of thin
concentration.
Raphae

• Interdigitation of tendinous ends.
Forms of Striated muscles also vary
according to situation and function.
1.
2.
3.
4.
5.
6.
7.

Strap like (Flat)
Sternohyoid
Fusiform (Bellied)
Digastrics
Fan shaped (Triangular) Temporalis
Unipennate (Feather like)
Bipennate
Temporalis
Multipennate
Masseter
Sphincter (Circular)
Orbicularis oris
Differences in design
depends on
1. Surface of bone available for muscle
attachment.
2. Speed of contraction.
3. Range of movement.
4. Force of contraction.
Actions of muscles
Muscles move parts only by pulling
them. Musculoskeletal apparatus is
designed in opposing system.
Agonists: They act together to pull in a
given direction.
Antagonists: They pull in the opposite
direction to bring parts back to the
original position.
EMBRYOLOGY
• The muscles of mastication develop from
the mesenchyme of the mandibular
arch.
• Muscle differentiation : 7th week
• Nerve Fibres
: 8th week
• Fetal Histologic
Structures
: 22nd week
TEMPORALIS : 8TH WEEK
• ANTERIOR TO OTIC CAPSULE
MASSETER : 8TH WEEK
• BEGINS ATTACHMENT TO ZYGOMATIC ARCH
MEDIAL & LATERAL PTERYGOID : 7TH
WEEK

• RELATED TO CARTILAGE OF CRANIAL BASE &
CONDYLE
HISTOLOGY
18.05.2004

23
.

CLASSIFICATION OF
MUSCLES OF MASTICATION
SUPRAMANDIBULAR OR ELEVATORS
OF THE MANDIBLE
•
•
•
•

Temporalis
Masseter
Medial pterygoid
Lateral pterygoid
Inframandibular or Depressors of
the mandible
Digastrics
Geniohyoid
Stylohyoid
Mylohyoid
Other muscles which help in
mastication
Buccinator
Depressor anguli oris
Levator anguli oris
Levator labii superioris alaeque nasi
Levator labii superioris
Zygomaticus major
Zygomaticus minor
SUPRAMANDIBULAR OR ELEVATORS
OF MANDIBLE
MUSCLES OF MASTICATION
TEMPORALIS
MASSETER
LATERAL PTERYGOID
MEDIAL PTERYGOID
INFRAMANDIBULAR OR
DEPRESSORS OF MANDIBLE
DISEASES OF THE
MUSCLES
• HYPOTONIA
• MYOTONIA
• HYPERTROPHY
• MUSCLE DYSTROPHIES
• MYASTHENIA
• Myasthenia:
Myasthenia constitutes a group of disease where there
is basic disorder of muscle excitability and contractility
and include
1. Myasthenia gravis.
2. Familial periodic paralysis
3. Aldosteronism
Etiology:
• Etiology is defect in neuromuscular transmission. It
appears that the fault is in acetylcholine mechanism,
the motor end organ being normal.
Clinical features
• Rapidly developing weakness in voluntarily
muscles.
• Difficulty in mastication
• Deglutition, and dropping of the jaws.
• Speech is slow and slurred.
• Disturbance in taste sensation occurs in some
patients.
• Diplopia and ptosis, along with the dropping
of the face lend to the sorrowful appearance
to the patient
• Death frequently occurs from respiratory
failure.
Treatment and prognosis
• Drug of choice is physostigmine, an anti
cholinesterase, No permanent cure for the
disease is known.
APPLIED ANATOMY
INFECTIONS OF SPECIFIC TISSUE SPACES
• Tissues spaces or facial spaces, are potential
spaces situated between planes of fascia which
form natural pathways along which infection
may spread, producing a cellulitis, or within
which infection become localized with actual
abscess formation.
CELLULITIS VS
ABSCESS
TRISMUS

• Trismus is limited opening of the joint.
• Causes: Odontogenic Acute infectionPericoronitis, Lugwid’s, Submasseteric space and
Infra temporal space.
• Chronic infections- Tuberculous, osteomyelitis
of ramus /body of mandible.
•
•
•
•
•
•
•

Trauma
Inflammation
Myositis Ossificans
Tetany
Tetanus
Psychomatic disorders: Trismus Hystericus
Inferior alveolar block given into medial
ptergyoid muscle leads to formation of
hematoma which in turn gets fibrosed
leading to trismus
BRUXISM
BRUXISM
Its the clenching or
grinding of the teeth when
the individual is not
chewing or swallowing.
T/t : Regulate (Control the
habit)
MYOFACIAL PAIN DYSFUNCTION
SYNDROME- MPDS
• MPDS is a pain disorder, in which unilateral
pain is referred from the trigger points in
myofacial structures, to the muscles of head
and neck.
• Pain is constant, dull ache in contract to the
sudden sharp, shooting, intermittent pain of
neuralgias (chronic pain).
TREATMENT FOR MPDS
• REMOVE – EXTRACT
• RESHAPE – GRIND
• REPOSITION – ORTHOGNATHIC
SURGERY
• RESTORE- ENDODONTIC THERAPY
• REPLACE – PROSTHESIS
• RECONSTRUCT- TMJ SURGERY
• REGULATE – CONTROL HABIT AND
SYMPTOMS
References
•
•
•
•
•
•

Williams .P. et al Gray’s Anatomy -38th edition 1995.
Chaurasia B.D. Head and Neck- II volume 4th edition.
I B Singh , Human Embryology– 6th edition
Mc Minn, Last’s Anatomy – 8th edition.
Shafer et al, Text book of oral pathology- – 5th edition.
Malik .N, Text book of oral and maxillofacial surgery1st edition.
• Burkett, Text book of oral medicine- 4th edition
• William R Proffit , Henry Fields, David
Sarver.Contemporary Orthodontics 4th ed

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muscles of mastication

Editor's Notes

  1. Video with multi-colored tint(Intermediate)To reproduce the effects on this slide, do the following:On the Home tab, in the Slides group, click Layout, and then click Blank. On the Insert tab, in the Media group, click Video, and then click Video from file. In the left pane of the Insert Video dialog box, click the drive or library that contains the video. In the right pane of the dialog box, click the video that you want and then click Insert.Under Video Tools, on the Format tab, in the bottom right corner of the Size group, click the arrow to open the Format Video dialog box.In the Format Video dialog box, click Crop in the left pane, under Crop position in the right pane, set Width as 10” and Height as 5.63”. Close the Format Video dialog.Select the video. On the Home tab, in the Drawing group, click Arrange, point to Align, and then do the following: Click Align Center.Click Align Middle. Select the video. Under Video Tools, in the Format tab, in the Adjust group, click the arrow under Color, then under Recolor select Grayscale (first row, second option from left).Select the video, on the Animations tab, in the Animation group, select Play. On the Animations tab, under Timing, click to arrow to the right of Start and select With Previous.On the Home tab, in the Drawing group, click Shapes, and then under Rectangles, click Rectangle (first option from the left). Drag to draw a rectangle on the slide. Under Drawing Tools, on the Format tab, in the Size group, do the following:In the Shape Height box, enter 5.63”.In the Shape Width box, enter 10”.On the Home tab, in the Drawing group, click Arrange, point to Align, and then do the following: Click Align Center.Click Align Middle. Select the shape, and under Drawing Tools, on the Format tab, in the bottom right corner of the Shape Styles group, click the arrow to launch the Format Shape dialog box. In the Format Shape dialog box, click Fill in the left pane, select Gradient Fill in the Fill pane, and then do the following:Click the button next to Preset colors, and then click Rainbow II (fourth row, second option from the left).In the Type list, select Linear. Click the button next to Direction, and then click Linear Left (first row, fifth option from the left).In the Angle box, enter 180 Degrees.Under Gradient stops, select each of the five stops individually, and then in the Transparency box, enter 70%. Also in the Format Shape dialog box, click Line Color in the left pane, and under Line Color in the right pane select No line. Close the Format Shape dialog box. To reproduce the background on this slide, do the following: On the Design tab, in the bottom right corner of the Background group, click the arrow to launch the Format Background dialog box. In the Format Background dialog box, click Fill in the left pane, under Fill in the right pane, select Gradient fill, and then do the following:In the Type list, select Linear.Click the button next to Direction, and then click Linear Down (first row, second option from the left). In the Angle text box, enter 0 Degrees.Under Gradient stops, click Add gradient stop or Remove gradient stop until three stops appear in the slider.Also under Gradient stops, do the following:Select the first stop in the slider, and then do the following:In the Position box, enter 0%.Click the button next to Color, then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left).Select the second stop in the slider, and then do the following: In the Position box, enter 20%.Click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left).Select the third stop in the slider, and then do the following: In the Position box, enter 100%.Click the button next to Color, and then under Theme Colors click White, Background1, Darker 25% (fourth row, first option from the left).Close the Format Background dialog box.