MUSCLE OF MASTICATION:

Primary and Secondary Muscles: Movements, Actions, Embryology, Origin and Muscle Fibre Insertion, Nerve and Blood Supply, and Functions

MUSCLE OF MASTICATION

Primary and Secondary Muscles: Movements, Actions, Embryology, Origin and Muscle Fiber Insertion, Nerve and Blood Supply, and Functions

The group of muscles responsible for the chewing movement of the mandible (click here to read more about mandible anatomy) at the temporomandibular (TMJ) joint are collectively known as the muscle of mastication. They enhance the process of eating, assist in grinding food, and also function to approximate the teeth. All the muscles of mastication mentioned are bilateral structures.

The muscles of mastication can be divided into primary muscles and secondary or accessory muscles

The Primary Muscles

Masseter

Temporalis

Lateral pterygoid

Medial pterygoid

The secondary or accessory muscles

Buccinator

Suprahyoid muscles (digastric muscle, mylohyoid muscle, and geniohyoid muscle)

Infrahyoid muscles (the sternohyoid, sternothyroid, thyrohyoid, and omohyoid muscles)

The masseter muscle is situated in the cheek area, the temporalis muscle is in the temporal fossa, and the lateral and medial pterygoids lie in the infratemporal fossa. The four primary muscles of mastication originate from the skull's surface and attach to the mandible's rami at the TMJ.

Three out of the main muscles are responsible for the adduction of the mandible, and one helps in the abduction.

The movements performed by the muscle of mastication are:

Protrusion (protraction)
moves the mandible forwards
Retraction
pulls the mandible backward
Elevation
elevates the mandible and closes the mouth
Depression
depresses the mandible and opens the mouth
Rotation
produces side-to-side movements of the mandible

Muscles involved in different actions

Close

Temporalis Muscle

Masseter Muscle

Medial Pterygoid Muscle

Open

Lateral Pterygoid Muscle

Anterior Translation

Masseter Muscle (Posterior Fibers)

Medial Pterygoid Muscle

Lateral Pterygoid Muscle

Posterior Translation

Temporalis Muscle (Posterior Fibers)

The muscles of mastication develop from the first pharyngeal arch. They are innervated by motor branches of the mandibular division of the trigeminal nerve (CNV3). The main arterial supply is derived from branches of the maxillary artery.

Embryology

The muscular system develops from intra-embryonic mesoderm from embryonic cells called myoblast. Muscles of mastication are derived from the first brachial arch, i.e., the mandibular arch.

5th-6th week in utero
a. Primitive cells form and differentiate
b. Get oriented to the site of origin and insertion
7th week in utero
a. Mandibular arch mass enlarges
b. Cell migrate to areas of formation of 4 major muscles of mastication
c. Cell differentiation occurs before the formation of the facial arch
10th Week in utero
a. Muscle mass well organized
b. Nerve masses get incorporated

Primary Muscle of Mastication

Temporalis Muscle (Musculus Temporalis)

Origin and Muscle Fibre Insertion

  • The temporalis muscle is a large, flat, and fan-shaped muscle. 
  • It lies within the temporal fossa (a shallow depression on the lateral aspect of the skull) to the inferior temporal line of the lateral skull. 
  • It arises from the entirety of the temporal fossa below the temporal line, as well as the deep surface of the temporal fascia.
  • The temporalis muscle fibers converge inferiorly, forming a tendon that exists the temporal fossa passing underneath the zygomatic arch and inserting into the coronoid process of the mandible.

Nerve and blood supply

The Nerve is supplied by the deep temporal branches of the mandibular nerve.

Blood is supplied by the deep temporal branches of the maxillary artery and the middle temporal branches of the superficial temporal artery.

Function

Its main function is to elevate the mandible, which happens due to the contraction of anterior vertical fibers. The posterior portion has horizontal fiber, which produces a retraction of the mandible by contraction. The temporalis muscle also contributes to the grinding movements by moving the mandible from side to side.

Masseter Muscle

Origin and Muscle Fibre Insertion

  • It is the most powerful, strong, and quadrangular muscle of mastication. 
  • It covers the lateral aspect of the ramus of the mandible and lies superficially to the pterygoids and temporalis, covering them. 
  • It is composed of two layers.
    • The superficial layer originates from the maxillary process of the zygomatic bone and the anterior two-thirds of the zygomatic arch and runs inferiorly and posteriorly to attach to the lateral surface of the angle and lower half of the ramus of the mandible. 
    • The second, deep layer of the masseter muscle originates from the medial surface and inferior margin of the zygomatic arch and runs vertically downwards to insert onto the upper part of the ramus of the mandible and the coronoid process.

Nerve and blood supply

The nerve is supplied by the mandibular division of the Trigeminal Nerve. 

Blood is supplied by the masseteric artery, which emerges from the maxillary artery.

Function

The major function of the masseter muscle is to elevate the mandible and approximate the teeth. The intermediate and deep muscle fibers are responsible for retracting the mandible and the function of the superficial fiber is to protrude the mandible. The deep fibers are important stabilizers of the TMJ.

Medial Pterygoid Muscle

Origin and Muscle Fibre Insertion

  • It is also a quadrangular muscle situated in the infratemporal fossa, located inferiorly to the lateral pterygoid.
  • It originates on the pterygoid process, which is a downward-pointing process that extends from the sphenoid bone. 
  • It is composed of two heads that have two sets of origins. 
  • The larger deep head arises from the medial surface of the lateral pterygoid plate of the sphenoid bone and the adjacent pyramidal process of the palatine bone. 
  • The smaller superficial head originates from the tuberosity of the maxilla. 
  • The medial pterygoid muscle fibers converge inferiorly, forming a tendon that inserts on the medial ramus of the mandible posterior and inferior to the mylohyoid groove of the mandible.

Nerve and blood supply

The nerve is supplied by the medial pterygoid branch of the mandibular nerve.

Blood is supplied by the stems from the pterygoid branches of the maxillary artery.

Function

Its function is to assist with the elevation and protrusion of the mandible. It also helps in the grinding of food by assisting the lateral pterygoid muscle with side-to-side mandibular motion.

Lateral Pterygoid Muscle

Origin and Muscle Fibre Insertion

  • It is a triangular, short, and thick muscle situated in the infratemporal fossa. 
  • It has horizontally orientated muscle fibers and two heads with two distinct origins. 
  • The smaller, superior head arises from the inferior surface of the greater wing and infratemporal crest of the sphenoid bone, which forms the roof of the infratemporal fossa.
  • The larger, inferior head originates from the lateral surface of the lateral pterygoid plate of the sphenoid bone. 
  • The fibers from both heads merge and run posterolaterally to insert onto a shallow depression on the anterior aspect of the neck of the mandible called the pterygoid fovea.

Nerve and blood supply

The nerve is supplied by a branch of the anterior division of the mandibular nerve.

Blood is supplied by the pterygoid branch of 2nd part of the maxillary artery.

Function

This muscle is responsible for the depression of the mandible. It is the sole muscle used for this function. Acting bilaterally, it protracts the mandible, pushing the jaw forwards. The alternating side-to-side movements during chewing are possible due to unilateral contraction on a particular side, in conjunction with the ipsilateral medial pterygoid muscle.

Secondary (Accessory) Muscles of Mastication

Suprahyoid Muscles

This group of muscles comprises the digastric, mylohyoid, and geniohyoid muscles. They depress the mandible against resistance when infrahyoid muscles fix or depress the hyoid bone.

Infrahyoid Muscle

They are composed of the omohyoid, sternohyoid, sternothyroid, and thyrohyoid. They fix or depress the hyoid bone.

Buccinator

The buccinator is a facial expression muscle that helps mastication by pushing food back within the oral cavity.

Important features of Muscle of Mastication

  • Have shorter contraction times than most other body muscles.
  • Incorporate more muscle spindles to monitor their activity
  • Do not have Golgi tendon organs to monitor tension
  • Do not get fatigued easily
  • Psychological stress increases the activity of jaw-closing muscles
  • Occlusal interferences cause a hypertonic synchronous muscle activity
  • The closing movement is also determined by the height of the jaw

Important fact about mastication

  • There are about 15 chews in a series from the time of food until swallowing.
  • Average jaw opening during chewing is between 16-20mm
  • Average lateral displacement on chewing is between 3 and 5mm
  • Duration of the mastication cycle varies between 0.6s to 1s
  • Mastication forces: The average maximum sustainable biting force is 756N
    • Molar region: Biting force range 400-890N
    • Premolar region: Biting force range 222-445N
    • Canine region: Biting force range 133-334N
    • Incisor region: Biting force range 89-111N

References:

1. Human Anatomy By B D Chaurasia's 7th Edition

DrDent_Notes