anatomy of oral cavity Flashcards
the ____ opens into the oral cavity
oral fissure
upper lip
superior border is base of nose
philtrum and ridges are part of upper lip
lower lip
inferior border is central region of mentolabial sulcus
four zones of surface of lip
- hairy skin
- vermilion border
- vermilion
- oral mucosa
transition between keratinized stratifiied squamous epithelium of skin with nonkeratinized stratified epithelium of oral mucosa is?
vermilion border
two areas of oral cavity
- vestibule
2. oral cavity proper
the space between the teeth and inner mucosal lining of the lips and cheeks
vestibule
anterior and lateral boundaries of vestibule
anterior: intraoral surfaces of the lips (labial mucosa)
lateral: cheek
alveolar mucosa
thin, nonkeratinized, stratified squamous epithelium
attached gingival
thick, keratinized, stratified squamous epithelium often showing stippled surface
free gingiva + attached gingiva =
keratinized tissue
what’s better, thick or thin keratin layer?
thicker is better
oral cavity proper
space contained within the upper and lower dental arches
anterior and lateral boundaries of oral cavity proper
lingual surfaces of teeth and corresponding alveolar processes
posterior, superior, and inferior boundaries of oral cavity proper?
posterior: palatoglossal arch
superior: hard palate
inferior: mylohyoid muscle
superior (nasal) surface of hard palate covered with _____ and inferior surface covered with _____
superior surface covered with respiratory mucosa
inferior surface covered with oral mucosa
hard palate bones
- palatal processes of maxillae form the anterior two-thirds of the hard palate
- horizontal plates of the palatine bones form the posterior third of the hard palate
sutures of hard palate
- median palatine (maxillary palatal process)
- transverse palatine (palatal processes of maxilla and palatine bone)
foramina of hard palate
- incisive foramen : distally to maxillary central incisors transmits the nasopalatine vessels and nerves
- greater palatine foramen: medially to roots of the 3rd molar and transmits the greater palatine vessels and nerve
- lesser palatine foramen: posteriorly to greater palatine foramen and transmits the lesser palatine vessels and nerves
what nerve supplies the hard palate?
greater palatine nerve
what nerve supplies the soft palate?
lesser palatine nerve
what ganglion is associated with oral cavity?
pterygopalatine ganglion
nasopalatine nerve
supplies lingual gingiva and palatal mucosa anterior to maxillary canines
greater palatine nerves
supply lingual gingiva and palatal mucosa from maxillary canines posteriorly
lesser palatine nerve
- arises from the pterygopalatine ganglion
- drops inferiorly through lesser palatine canal –> oral aspect of palate posterior to greater foramen
supply the soft palate mucosa
blood supply of oral cavity
nasopalatine artery
greater palatine artery
lesser palatine artery
palatal gingiva and mucosa attached to ______
alveolar bone (mucoperiosteum)
what has no bone framework –aponeurosis?
soft palate
2 main functions of soft palate
- closure of oropharyngeal isthmus
- closure of oropharynx from nasopharynx
structure of soft palate
- mucosal lining (nasal mucosa superiorly, oral mucosa inferiorly)
- palatal mucous glands below the mucosa
- membranous palatine aponeurosis
- five paired skeletal muscles, which attach to aponeurosis
palatopharyngeus
origin: palatine aponeurosis
insertion: lateral wall of pharynx
forms posterior pillar (palatopharyngeal arch)
action: elevates pharynx and larynx; closes oral cavity from oropharynx
inervation: CN X (vagus nerve)
palatoglossus
origin: palatine aponeurosis
insertion: side of tongue
forms anterior pillar (palatoglossal arch)
action: approximates the tongue and soft palate; closes oral cavity from oropharynx
innervation: CN X (vagus nerve)
levator veli palatini
origin: auditory tube
insertion: palatine aponeurosis
action: elevates soft palate to seal nasopharynx from oropharynx during swallowing
innervation: CN X
more medial
tensor veli palatine
origin: auditory tube (bony part–temporal bone)
insertion: palatine aponeurosis (hooks over Hamulus)
action: tenses soft palate
innervation: V3 (all others innervated by vagus)
uvular muscle
origin: posterior nasal spine
insertion: submucosa of uvula
action: elevates uvula to help seal nasopharynx
innervation: CN X
all palatal muscles except for ______ receive a motor supply by ________. The ______ is supplied by motor branches of _______.
all palatal muscles except for the tensor veli palatini muscle receive a motor supply from the vagus nerve. The tensor veli palatini muscle is supplied by motor branches of the mandibular nerve (V3)
descending palatine artery
arises from maxillary artery (3rd part)
- supplies nasal cavity (inferior meatus), hard palate, maxillary gingiva, soft palate, nasal septum
body of the tongue
anterior two thirds of tongue
root of tongue
posterior third (oropharynx) of tongue
sulcus terminalis
V-shaped groove, the apex of which points posteriorly in midline
- divides tongue into anterior two-thirds and posterior third
foramen cecum
small pit at apex of sulcus terminalis
dorsum
superior and posterior roughened aspects of tongue
sublingual surface
covered with thin, transparent muscosa thru which you can see many underlying vessels
lingual frenulum
fold of mucous membrane; from the floor of mouth, to inferior surface of tongue
4 types of papilla on dosum of tongue
a. vallate (circumvallate)
b. fungiform
c. filiform
d. foliate
filiform papillae
most numerous
thread shaped and sensitive to tactile stimuli
only lingual papillae without taste buds
foliate papillae
on lateral margins of tongue
fungiform papillae
mushroom-shaped and containing mechanical and thermal receptors and taste buds
vallate (circumvallate) papillae
circular and large (2 mm diameter)
- 12 of them are placed in V shaped row anterior and parallel to sulcus terminalis
- each surrounded by circular trough, or moat
extrinsic muscles of tongue
originate from remote structures and insert into tongue (3 pairs)
intrinsic muscles of tongue
originate from tongue and insert into tongue (3 pairs)
genioglossus
extrinsic
origin: superior mental spine (genial tubercle)
insertion: entire extension of ventral surface of tongue
action: protrusion of tongue
innervation: CN XII (hypoglossal)
hyoglossus
extrinsic
origin: hyoid bone
insertion: lateral aspect of tongue
action: pull the sides of tongue downward and depress dorsum of tongue
innervation: CN XII (hypoglossal)
styloglossus muscle
extrinsic
origin: styloid process
insertion: lateral aspect of tongue
action: draw up sides of tongue to create a trough for swallowing. Also help in retracting tongue
innervation: CN XII (hypoglossal)
accessory extrinsic muscles of tongue
infrahyoid and suprahyoid
move hyoid bone up and down and with it the base of the tongue
longitudinal muscle
intrinsic
-runs anteroposterior direction and distributed as superior and inferior bundles
action- shortens tongue
nerve supply- hypoglossal nerve ( CN XII)
transverse muscle
intrinsic
fibers run horizontally at right angles just below superior longitudinal bundle
-action: narrows the tongue; elongates the tongue
-nerve supply: hypoglossal nerve ( CN XII)
vertical muscle
intrinsic
- runs from the dorsum of the tongue down to the inferior surface
- action: widens and flattens the tongue
- nerve supply: hypoglossal nerve (CN XII)
general sensation of tongue
- lingual nerve (branch of V3) carries general sensation from anterior two-thirds of the tongue
- glossopharyngeal nerve (CN IX) carries general sensation from posterior third of tongue
- vagus nerve (X) carries general sensation from area surrounding epiglottis
special sensation of tongue
- taste
- facial nerve (CN VII) via chorda tympani conveys taste sensation from anterior two thirds of tongue
- glossopharyngeal nerve (IX) carries taste sensation from posterior third of tongue
- vagus nerve (X) carries taste sensation from the area surrounding the epiglottis
major salivary glands
parotid, submandibular, sublingual
parotid gland
location: parotid region
secretion: serous (watery secretions)
duct: parotid duct – travels anteriorly along lateral border of masster, rolls over anterior border of masseter to piece cheek, and empties into oral cavity at occlusal level 2nd max molar
cranial nerve supply of parotid
presynaptic fibers from glossopharyngeal nerve (IX)
postsynaptic fibers: otic ganglion through auriculotemporal nerve
submandibular
location: submandibular fossa of mandible
secretion: mixed seromucous
duct: continues forward from deep portion of gland and empties into oral cavity behind lower central incisors
sublingual
location: floor of mouth, medial to sublingual fossa of mandible, above the mylohyoid muscle
secretion: mucous gland
duct: open directly into oral cavity through openings in sublingual fold
cranial nerve supply of submand, sublingual
presynaptic from chorda tympani (VII)
postsynaptic from submandibular ganglion through lingual nerve
minor salivary glands produce—-
5-8% of total output
labial glands, palatine glands, pharyngeal glands
nerve supply of accessory salivary glands
presynaptic fibers from superior salivary nucleus via CN VII–greater petrosal nerve
synapse–pterygopalatine ganglion
postsynaptic fibers via pharyngeal nerve, descending palatine and nasal nerves supply the glands
uppper gingiva supplied by
anterior superior alveolar nerve
middle superior alveolar nerve
posterior superior alveolar nerve
greater palatine and nasal palatine?
lower gingiva supplied by
long buccal
mental
lingual
upper teeth supplied by
anterior superior alveolar
middle superior alveolar
posterior superior alveolar
lower teeth supplied by
inferior alveolar nerve