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Human mandible

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Mandible
Mandible. Outer surface. Side view
Mandible. Inner surface. Side view
Details
Precursor1st branchial arch[1]
Identifiers
Latinmandibula
Anatomical terms of bone

The mandible (from Latin mandibula, "jawbone") or inferior maxillary bone forms the lower jaw and holds the lower teeth in place. It also refers to both the upper and lower sections of the beaks of birds.

Components

The mandible consists of:

  • a curved, horizontal portion, the body. (See body of mandible).
  • two perpendicular portions, the rami, which unite with the ends of the body nearly at right angles. (See ramus mandibulae)
  • Alveolar process, the tooth bearing area of the mandible (upper part of the body of the mandible)
  • Condyle, superior (upper) and posterior projection from the ramus, which makes the temporomandibular joint with the temporal bone
  • Coronoid process, superior and anterior projection from the ramus. This provides attachment to the temporalis muscle

Foramina (singular=foramen)

  • Mandibular foramen, paired, in the inner (medial) aspect of the mandible, superior to the mandibular angle in the middle of the ramus.
  • Mental foramen, paired, lateral to the mental protuberance on the body of mandible.

Nerves

Inferior alveolar nerve, branch of the mandibular division of Trigeminal (V) nerve, enters the mandibular foramen and runs forward in the mandibular canal, supplying sensation to the teeth. At the mental foramen the nerve divides into two terminal branches: incisive and mental nerves. The incisive nerve runs forward in the mandible and supplies the anterior teeth. The mental nerve exits the mental foramen and supplies sensation to the lower lip.

Articulations

The mandible articulates with the two temporal bones at the temporomandibular joints

Pathologies

One fifth of facial injuries involve mandibular fracture.[2] Mandibular fractures are often accompanied by a 'twin fracture' on the contralateral (opposite) side.

Aetiology

Frequency by location
  • Motor vehicle accident (MVA) - 40%
  • Assault - 40%
  • Fall - 10%
  • Sport - 5%
  • Other - 5%

Location

  • Condyle - 30%
  • Angle - 25%
  • Body - 25%
  • Symphesis - 15%
  • Ramus - 3%
  • Coronoid process - 2%

The mandible may be dislocated anteriorly (to the front) and inferiorly (downwards) but very rarely posteriorly (backwards).

See also

Additional images

References

  1. ^ hednk-023—Embryo Images at University of North Carolina
  2. ^ Levin L, Zadik Y, Peleg K, Bigman G, Givon A, Lin S (2008). "Incidence and severity of maxillofacial injuries during the Second Lebanon War among Israeli soldiers and civilians". J Oral Maxillofac Surg. 66 (8): 1630–3. doi:10.1016/j.joms.2007.11.028. PMID 18634951. Retrieved 2008-07-16. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)

Public domain This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)