Opening of jaw is done by
## **Core Concept**
The primary muscles involved in the movement of the jaw include the medial pterygoid, lateral pterygoid, masseter, and temporalis muscles. The action of opening the jaw is specifically associated with the lateral pterygoid muscle, along with the help of the digastric, mylohyoid, and geniohyoid muscles.
## **Why the Correct Answer is Right**
The lateral pterygoid muscle plays a crucial role in depressing the mandible (lower jawbone), which results in the opening of the jaw. This muscle has two heads: the superior head and the inferior head. The superior head of the lateral pterygoid muscle is attached to the articular disc of the temporomandibular joint (TMJ), and the inferior head is attached to the lateral surface of the mandibular condyle. When the lateral pterygoid contracts, it pulls the condyle and the articular disc forward, which helps in opening the jaw.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is incorrect because, although the masseter muscle does play a significant role in the movement of the jaw, its primary action is elevation of the mandible (closing the jaw), not opening it.
- **Option B:** This option is incorrect as the temporalis muscle primarily elevates the mandible, contributing to the closure of the jaw.
- **Option D:** This option is incorrect because, while the medial pterygoid muscle does assist in elevating the mandible and rotating it during the movement of opening and closing the jaw, it is not the primary muscle responsible for opening the jaw.
## **Clinical Pearl / High-Yield Fact**
A key clinical correlation to remember is that the lateral pterygoid muscle is often implicated in temporomandibular joint disorders, which can cause pain and dysfunction in jaw movement. Clinicians may use injections of botulinum toxin or other treatments to relax the lateral pterygoid muscle in certain cases of TMJ dysfunction.
## **Correct Answer:** D. Lateral pterygoid.