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TMJ Muscles Muscles of Mastication (All attach onto the mandible) • Temporalis – Contributes to side-to-side grinding (lateral deviation) of mandible. – Tight temporalis may be involved with tension headaches and TMJ dysfunction • Masseter – – – – Square-shaped muscle, divided into superficial & deep layers. Prime mover of mandibular elevation at TMJ. Large parotid glands are superficial to masseter. Proportional to its size, strongest muscle in body. • Lateral Pterygoid – Aka external pterygoid. – Lateral deviation is important for grinding and chewing food. – Hypertonicity could excessively pull on TMJ structures causing dysfunction. • Medial Pterygoid – Aka internal pterygoid – Fairly thick, quadrilateral muscle – Fiber directions are identical to masseter but medial pterygoid is internal to mandible and masseter is external. Temporalis O: Temporal fossa I: Coronoid process/Ramus of mandible A: Elevation of Mandible N: CN V (Trigeminal nerve) Palpation: page 83 Masseter O: Inferior margins of both zygomatic bone and zygomatic arch of temporal bone I: Angle, ramus`, coronoid of a mandible A: Elevates, protracts and retracts the mandible N: CN V (Trigeminal Nerve) Palpation: page 86 Lateral Pterygoid O: Sphenoid bone I: Mandible & TMJ A: Protraction of Mandible N: CN V (Trigeminal nerve) Palpation: page 89 Medial Pterygoid O: Sphenoid bone I: Internal surface of Mandible A: Elevates and protracts the mandible N: CN V (Trigeminal nerve) Palpation: page 92