Head and Neck Anatomy Flashcards
Landmarks of the anatomy are usually ________ or ____ ______ structures that are easily recognizable
Skeletal, soft tissue
What are landmarks used for? (2)
Used as reference points in describing the locations of anatomical structure
Or for taking measurements
What are the landmarks of the face? (8)
Ala of the nose Nasolabial groove Philtrum Vermillion border Vermillion zone Tubercle of the lip Labial commissures Labial-mental groove
Importance of Landmarks of the Face to Dental Assistant:
Dental assistants may notice _____ or _____ around ____, _____, or ____ areas; knowing the normal landmarks of the face, they can use correct ___________ to describe any _________ and record info as ______ _______
Scars, sores, nose, mouth, chin, terminology, deviation, health history
What can facial scars sometimes indicate? (3)
The person has been in an accident
May have had x-rays taken
Possibly had a surgery
Importance of Landmarks of the Face to Dental Assistant:
He/she may have ________ or had a _____ _____/___
Knowing this info may assist in the details of ______ _______ and _________ ____
Seizures, cleft plate/lip, health history, treatment plan
Understanding landmarks of the oral cavity can aid the dental assistant in what? (4)
Taking radiographs
Placing topical anaesthetic
Recognizing healthy tissue
Recording info or medical history on patient’s chart
What are the landmarks of the oral cavity? (12)
Vestibule Vestibule fornix Labial mucosa Buccal mucosa Parotid papilla Stensen's duct Linea alba Fordyce's spots Alveolar mucosa Gingiva Labial frenum Buccal frenum
What is the linea alba?
Raised white line that runs parallel to where teeth meet on buccal mucosa
Where is the palate area of oral cavity?
On the inside of maxillary teeth, the “roof of the mouth”
What is the palate divided into?
Hard and soft sections
What is the hard palate?
Bony plate covered with pink to brownish pink keratinized tissue
What is the soft palate?
Covers muscle tissue, darker-pink or yellowish
What sections of the palate are anterior and posterior?
Hard palate: Anterior
Soft palate: Posterior
What does the hard palate include? (3)
Incisive papilla
Palatine rugae
Palatine raphe
What is the incisive papilla?
On the hard palate, raised area of tissue lying behind maxillary central incisions
What does the soft palate and oropharynx include? (5)
Uvula Anterior tonsillar pillars Posterior tonsillar pillars Palative tonsils Fauces
Importance of Landmarks of Oral cavity to dental assistant:
Dental assistant should be aware that certain _____ cause patient to ____ _____ __ _____
Drugs, lose sense of taste
What is the average lifespan of taste buds?
10-10 1/2 days
What drug can possibly kill taste buds?
Cancer treatment drugs
How long does it take for a patient’s taste to return?
Around 10 days
What does the tongue include? (6)
Sulcus terminalis Circumvallate papilla Filiform papillae Fungiform papillae Foliate papilla Median sulcus on the dorsal or top surface of the tongue
What are papilla?
Small, raised projections where taste buds are located, anterior to the sulcus, covering the dorsal side of the tongue
What is the lingual frenum?
A line of tissue extending from the tongue to the floor of the mouth, in the middle of the ventral side of the tongue
What does the floor of the mouth include? (3)
Sublingual caruncles
Sublingual folds
Sublingual sulcus
What is the sublingual caruncles?
Two small, raised folds of tissue where the lingual frenum attaches to the floor of the mouth, one on either side of the frenum
How many major pairs of salivary glands supply the oral cavity with saliva? What are they called?
3 major pairs:
Parotid
Submandibular
Sublingual
What is the function of saliva glands?
To secrete saliva to assist in the process of digestion
What is saliva?
A clear fluid secreted by the salivary and mucous glands throughout the mouth
What does the viscosity of saliva depend on?
Individual’s chemical makeup
Diet
Medications
What does saliva contain? (4)
Water
Mucin
Organic salts
Digestive enzyme(ptyalin)
What is the function of saliva? (3)
Moisten and lubricate the oral cavity
Moisten food
Aiding in the mastication and swallowing of food
What is mastication?
Chewing
Identify:
Viral infection of parotid glands
Mumps
What are symptoms of mumps? Who is often affected by mumps?
Swelling and tenderness
Children between ages 5 and 15
How many sections is the skull divided into? What are the sections?
Two sections
Cranium and face
What is the function of the cranium?
Covers and protects the brain
How many bones is the cranium composed of?
8
How many bones is the face composed of? Includes what bones?
14
Maxilla and the mandible
Bones of the cranium:
Forms the forehead, the main portion of the roof of the eye socket (orbit), and part of the nasal cavity
Frontal bone
The frontal bone forms the ________, the main portion of the ____ of the ___ ______, and part of the _____ ______
Forehead, roof, eye socket, nasal cavity
What is the eye socket known as?
Orbit
Bones of the cranium:
Form most of the roof of the skull and the upper half of the sides
Parietal bones
The parietal bones form most of the ____ of the _____ and the _____ ____ of the _____
Roof, skull, upper half, sides
Bones of the cranium:
Form the lower sides and the base of the skull
Temporal bones
Are the temporal bones located above or below the parietal bones?
Below
What are the landmarks of the temporal bones? (4)
External auditory meatus
Mastoid process
Glenoid fossa
Styloid process
What are the only paired bones on the skull? (2)
Parietal bones
Temporal bones
Bones of the cranium:
Forms the back and base of the skull
Occipital bone
The occipital bone forms the ____ and ____ of the _____
Back, base, skull
The occipital bone contains what large opening? What passes through this large opening?
Foramen magnum
Spinal cord
Bones of the cranium:
Is a wedge-shaped bone that goes across the skull anterior to the temporal bones
Sphenoid bone
Describe the sphenoid bone
Single continuous bone, shaped like a bat with its wings spread
Bones of the cranium:
Forms part of the nose, orbits, and floor of the cranium
Ethmoid bone
The sphenoid bone is a ______-______ bone that goes ______ the _____ ________ to the ________ _____
Wedge-shaped, across, skull anterior, temporal bones
The ethmoid bone forms part of the ____, ______, and _____ of the _______
Nose, orbits, floor, cranium
List the eight bones of the cranium
Frontal Parietal 1 Parietal 2 Temporal 1 Temporal 2 Occipital Sphenoid Ethmoid
Bones of the face:
Form the bridge of the nose
Nasal bones
Nasal bones forms the ______ of the ____
Bridge, nose
Bones of the face:
Is a single bone on the inside of the nasal cavity
Vomer bone
The vomer bone is a ______ bone on the ______ of the _____ ______
Single, inside, nasal cavity
Bones of the face:
Scroll-like bones on the outside of the nasal cavities
Inferior nasal conchae
The inferior nasal conchae are a ______-like bones on the _______ of the _____ ________
Scroll, outside, nasal cavities
Bones of the face:
Small and very delicate bones
Lacrimal bones
Lacrimal bones are _____ and very ________
Small, delicate
Bones of the face:
Forms the cheeks
Zygomatic bones
The zygomatic bones form the ______
Cheeks
Bones of the face:
The largest of the facial bones and is composed of two sections of bone joined at the median suture
Maxillae
The maxillae is the largest of the ______ _____ and is composed of ___ sections of bone joined at the ______ ______
Facial bones, two, median suture
Bones of the face:
Joined at the midline, often referred to as the median palatine suture
Palatine bones
The palatine bones are joined at the _______, often referred to as the ______ ________ ______
Midline, median palatine suture
Bones of the face:
The only movable bone of the face
Mandible
The mandible is the only _______ bone of the face
Movable
Describe the mandible
Horseshoe-shaped body that is horizontal, with two vertical extensions called rami
What are the vertical extensions of the mandible called?
Rami
Mandible:
On the inside of the body of the _____ is the __________ _______, which is the beginning of the ________ _______ _____
Ramus, mandibular foramen, internal oblique ridge
In the centre of the mandible on the external surface is a concave area where two bones of the mandible are fused, what is this space called?
Symphysis
The symphysis is in the ______ of the mandible on the ________ _______ is a _______ area where ___ bones of the mandible are _____
Centre, external surface, concave, two, fused
What is the tip of the chin called?
Mental protuberance
What is the importance of bones of head and face? (2)
Understanding landmarks on radiographs
Identifying anatomy whilst assisting during surgical procedure
How many bones is the face comprised of?
14
How many bones of the face are single?
2
How many pairs of bones are there on the face?
6
What are all the bones of the face?
Nasal 1 Nasal 2 Vomer Inferior nasal conchae 1 Inferior nasal conchae 2 Lacrimal 1 Lacrimal 2 Maxillae 1 Maxillae 2 Zygomatic 1 Zygomatic 2 Palatine 1 Palatine 2 Mandible
What does TMJ stand for?
Temporomandibular Joint
What is the TMJ named for?
The temporal and mandible bones
How many parts is the TMJ composed of? What are the parts?
Glenoid fossa
Articular eminence
Condyloid process
What is the TMJ?
The union of the two bones - temporal and mandible bones
The glenoid fossa is part of the:
Temporal bone
The articular eminence is part of the:
Temporal bone
The condyloid process is part of the:
Mandible
Describe the TMJ
Condyle of the mandible articulating with the glenoid fossa and the articular eminence of the temporal bone
What is between the condyle and temporal bone?
Articular disc
What is an articular disc also known as?
Meniscus
Where does the hinge motion occur?
In the lower joint cavity when the mouth opens
How does the hinge motion begin?
Condyles and discs begin by rotating anteriorly
As the motion continues and the mouth opens wider, there’s an ________ _______ ______ as well
Anterior gliding motion
The anterior gliding motion involves both the _____ and ______ cavities
Upper, lower
Does gliding continue during protrusion and lateral movements of the mandible during mastication?
Yes
Each muscle has what 2 things?
Origin and insertion
What is the fixed point and movable point of a muscle?
Origin is the fixed point
Insertion is the movable point
What do the muscles of the head and neck include? (7)
Muscles of mastication Muscles of facial expression Muscles of the floor of the mouth Muscles of the tongue Muscles of the soft palate The pharynx Muscles of the neck
What are the four pairs of muscles of mastication?
Temporal, masseter, medial(internal) pterygoids, lateral(external) pterygoids
Identify the origin, insertion, and function of:
Temporal muscle
Origin: Fan-shaped across the temporal fossa of the temporal bone
Insertion: Inserts into the coronoid process of the mandible and down the anterior border of the remus
Function: Elevates the mandible (closing the jaw), contraction of the posterior fibres retracts the mandible
What group of muscles does the temporal muscle belong?
Muscles of mastication
Identify the origin, insertion, and function of:
Masseter
Origin: Two portions; Superficial(strong, tendinous fibres from zygomatic process of maxilla and from the anterior two thirds of the lower border of the zygomatic arch), and deep portion (muscular and smaller from the medial aspect and inferior border of the posterior one-third of the zygomatic arch)
Insertion: Superficial(insert into the angle and lower border of the mandible), Deep(inserts into the upper section of the remus and lateral surface of coronoid process)
Function: Strong elevator of the jaw; Easily seen when the teeth are clenched
What group of muscles does the masseter muscle belong to?
Muscles of mastication
Identify the origin, insertion, and function of:
Medial(internal) pterygoids
Origin: Medial surface of the lateral pterygoid plate of the sphenoid bone, the lateral portion of the palatine bone, and the maxillary tuberosity
Insertion: Insert into the interior surface of the angle of the mandible (opposite the insertion of the masseter muscle)
Function: Elevates the mandible
What group of muscles does the medial (internal) pterygoids belong to?
Muscles of mastication
Identify the origin, insertion, and function of:
Lateral (external) pterygoids
Origin: Superior portion(from the lateral surface of the greater wing of the sphenoid bone), Inferior portion(from the lateral surface of the lateral pterygoid plate)
Insertion: Superior portion(inserts into the articular capsule of the temporomandibular joint), Inferior portion(inserts into the neck of the condyle of the mandible)
Function: Opens jaw by depressing the mandible, both lateral pterygoid muscles contract means the jaw protrudes, if only one contracts the mandible shifts laterally
What are the major muscles of facial expression? (4)
Orbicularis oris
Buccinator
Mentalis
Zygomatic major
What do muscles of facial expression allow?
Wide variety of facial expressions, including smiling and whistling
What are the muscles of facial expression innervated by?
Facial nerve
What is the facial nerve also known as?
Seventh cranial nerve
Identify the origin, insertion, and function of:
Orbicularis oris
Origin: Complex; there is no skeletal attachment, originates from muscle fibres that surround the mouth
Insertion: Inserts into itself and the surrounding skin
Function: Closing the lips or protruding them
Identify the origin, insertion, and function of:
Buccinator
Origin: Alveolar processes of the maxilla and the mandible and the pterygomandibular raphe
Insertion: Inserts into the corners of the mouth, becoming part of the muscles that surround the mouth
Function: Compresses the cheeks against the teeth to assist during mastication, assists in blowing air out of the mouth
Identify the origin, insertion, and function of:
Mentalis
Origin: Incisive fossa of the mandible
Insertion: Inserts into the skin of the chin
Function: Wrinkles the skin of the chin and protrudes the lower lip
Identify the origin, insertion, and function of:
Zygomatic major
Origin: Zygomatic bone
Insertion: Inserts into the corners of the mouth
Function: Lifts the corners of the mouth upward and backward, as in smiling
What groups are the muscles of the tongue divided into? (2)
Intrinsic
Extrinsic
Describe the intrinsic muscles of the tongue (4)
All within the tongue Responsible for shaping the tongue during: Speech Mastication Swallowing
Describe the extrinsic muscles of the tongue (3)
There are 4 extrinsic muscles
They assist in the movement and functioning of the tongue
What are the four extrinsic muscles of the tongue?
Genioglossus
Hyoglossus
Styloglossus
Palatoglossus
What group of muscles do the orbicularis oris belong to?
Muscles of facial expression
What group of muscles do the buccinator belong to?
Muscles of facial expression
What group of muscles do the mentalis belong to?
Muscles of facial expression
What group of muscles do the zygomatic major belong to?
Muscles of facial expression
Identify the origin, insertion, and function of:
Genioglossus
Origin: Genial tubercle in the centre of the lingual of the mandible
Insertion: Fans out to insert in the inferior surface of the tongue and to the hyoid bone
Function: Most of the work of the tongue, protrudes the tongue and retracts of depresses the tongue
What groups of muscles do the genioglossus belong to?
Muscles of the tongue
Identify the origin, insertion, and function of:
Hyoglossus
Origin: Hyoid bone
Insertion: Runs vertically to insert in the inferior sides of the tongue
Function: Mainly depresses the tongue
What group of muscles do the hyoglossus belong to?
Muscles of the tongue
Identify the origin, insertion, and function of:
Styloglossus
Origin: Anterior surface of the styloid process of the temporal bone
Insertion: Part of the styloglossus inserts in the sides of the tongue while the rest of the muscle continues forward to the tip of the tongue
Function: Retracts the tongue and raises the tip of the tongue
What group of muscles do the styloglossus belong to?
Muscles of the tongue
What is the hyoid bone?
A horseshoe-shaped bone lying at the base of the tongue
What is the horseshoe-shaped bone lying at the base of the tongue called?
The hyoid bone
_______ __ ___ ______ and the ______ __ ___ _____ attach to the hyoid bone for support
Muscles of the tongue
Floor of the mouth
Where are the muscles of the floor of the mouth located?
Between the mandible and the hyoid bone
What are the 4 muscles of the floor of the mouth?
Digastric
Mylohyoid
Stylohyoid
Geniohyoid
Identify the origin, insertion, and function of:
Digastric
Origin: Two portions (bellies), posterior (originates from the mastoid process of the temporal bone), anterior (begins on the lingual surface of the mandible at the midline)
Insertion: Both insert into the intermediate tendon on the hyoid bone
Function: Together (lift the hyoid bone and assist in opening the mouth), posterior (draws the hyoid bone posteriorly), anterior (pulls the hyoid bone anteriorly)
What group of muscles do the digastric belong to?
Muscles of the floor of the mouth
Identify the origin, insertion, and function of:
Mylohyoid
Origin: Composed of left and right halves that join at the midline of the mandible; From the midline each half attaches in a fan shape to the last molar area, thus following the mylohyoid line
Insertion: Inserts into the body of the hyoid bone
Function: Forms the floor of the mouth and assists in depressing the mandible and elevating the tongue
What are the two portions of the digastric muscles called?
Bellies
What group of muscles do the mylohyoid belong to?
Muscles of the floor of the mouth
Identify the origin, insertion, and function of:
Stylohyoid
The styloid process of the temporal bone
Insertion: Inserts into the body of the hyoid bone
Function: Draws the hyoid bone superiorly and posteriorly and stabilizes it
What group of muscles do the stylohyoid belong to?
Muscles of the floor of the mouth
Identify the origin, insertion, and function of:
Geniohyoid
Origin: Above the mylohyoid muscle, the geniohyoid originates from the genial tubercle of the mandible
Insertion: Inserts into the anterior portion of the hyoid bone
Function: Pulls the hyoid bone and the tongue anteriorly
What group of muscles do the geniohyoid muscles belong to?
Muscles of the floor of the mouth
What are the two muscles of the soft palate?
Palatoglossus muscle
Palatopharyngeal muscle
Identify the origin, insertion, and function of:
Palatoglossus
Origin: This muscle forms the anterior arch on each side of the throat and arises from the soft palate
Insertion: Inserts along the posterior side of the tongue
Function: Elevates the posterior portion of the tongue and narrows the fauces
What group of muscles do the palatoglossus muscles belong to?
Muscles of the soft palate
Identify the origin, insertion, and function of:
Palatopharyngeal
Origin: This muscle forms the posterior arch on each side of the throat and also arises from the soft palate
Insertion: Inserts into the thyroid cartilage and the wall of the pharynx
Function: Constricts the nasopharyngeal passage and elevates the larynx
What group of muscles do the palatopharyngeal muscle belong to?
Muscles of the soft palate
What is the swallowing process known as?
Deglutition
What are the soft palate muscles innervated by?
Pharyngeal plexus
What is the function of the muscles of the soft palate?
Raise the soft palate during the swallowing process
How many neck muscles are there?
3
What are the three neck muscles?
Platysma
Trapezius
Sternocleidomastoid
How does the knowledge of neck muscles help the dental assistant?
Helps to perform chairside functions in positions that are not tiring and will not cause injury
Identify the origin, insertion, and function of:
Platysma
Origin: Clavicle and the shoulder
Insertion: Inserts into the inferior border of the mandible
Function: This sheet of muscle draws down the mandible as well as the corners of the mouth and the lower lip
What group of muscles do the platysma belong to?
Muscles of the neck
Identify the origin, insertion, and function of:
Trapezius
Origin: Protuberance on the occipital bone
Insertion: Inserts into the clavicle and shoulders
Function: This large muscle moves the head backward and laterally
What group of muscles do the trapezius belong to?
Muscles of the neck
Identify the origin, insertion, and function of:
Sternocleidomastoid
Origin: The top of the sternum and the clavicle
Insertion: Inserts into the mastoid process and the anterior of the occipital bone
Function: One on each side of the neck assists in elevating the chin
What group of muscles do the sternocleidomastoid belong to?
Muscles of the neck
How many cranial nerves innervate the face and oral cavity?
4
What are the four cranial nerves that innervate the face and oral cavity?
Trigeminal nerve
Facial nerve
Glossopharyngeal nerve
Hypoglossal nerve
What is the largest cranial nerve?
The trigeminal nerve
What is the most important cranial nerve to dental auxiliaries? Why?
Trigeminal nerve
This cranial nerve innervates the maxilla and the mandible
How many branches do the trigeminal nerve divide into?
3
Where does the trigeminal nerve divide?
At the semi-lunar (gasserian) ganglion
What are the three branches do the trigeminal nerve divide into?
Ophthalmic nerve branch
Maxillary nerve branch
Mandibular nerve branch
What type of nerve is the maxillary nerve branch?
Sensory nerve
What does the maxillary nerve branch innervate? (9)
Nose Cheeks Palate Gingiva Maxillary teeth Maxillary sinus Tonsils Nasopharynx Other facial structures
How many branches does the maxillary nerve branch divide into?
4
What are the 4 branches that the maxillary nerve branch divide into?
Zygomatic
Infraorbital
Posterior superior alveolar
Pterygopalatine
How many branches do the zygomatic branch of the maxillary nerve branch divide into?
3
What are the 3 branches the the zygomatic branch divided into?
Greater palatine nerve
Lesser palatine nerve
Nasopalatine nerve
What nerve is the maxillary nerve branch a part of?
Trigeminal nerve
Two nerves come from the infraorbital nerve before it exits through the ____________ _______
Infraorbital foramen
What two nerves come from the infraorbital nerve before it exits?
Middle superior alveolar nerve
Anterior alveolar nerve
The posterior superior alveolar nerves branches ________ from the maxillary nerve
Downward
What does the posterior superior alveolar nerve supply? (4)
Gingiva
Maxillary sinus
Cheeks
Maxillary molars (with one exception)
What is the one exception to the maxillary molars that the posterior superior alveolar nerve supplies?
The mesial buccal root of the first molar, which is innervated by the middle superior alveolar nerve
What does the zygomatic nerve innervate? (3)
Orbicularis oculi
Area around the eye
Area around and behind the zygomatic arch
What is the largest division of the trigeminal nerve?
Mandibular nerve branch
What is the mandibular nerve branch composed of?
Sensory and motor neurons
What are the three branches of the mandibular nerve?
Buccal
Lingual
Inferior alveolar
How many branches does the mandibular nerve have?
3
Where does the buccal nerve branch pass through?
Buccinator muscle to the cheek
What does the buccal muscle innervate? (3)
Buccal mucosa
Buccal gingiva
Buccal of the mandibular molars
Where is the lingual nerve branch?
Descends from the mandibular nerve to the underside of the tongue and extends from the posterior to the anterior of the mouth
Where is the inferior alveolar nerve branch?
Descends from the mandibular nerve and runs parallel to the lingual nerve
What is the first branch of the inferior alveolar nerve branch?
Mylohyoid nerve branch
What does the mylohyoid nerve branch supply?
Mylohyoid muscle and the anterior belly of the digastric muscle
What supplies blood to most of the head and neck?
Common carotid
As the common carotid ascends up the neck, it divides into the ________ and ________ carotid arteries
Internal
External
The internal carotid artery supplies blood to the _____ and ____
Brain
Eyes
The external carotid artery supplies blood to the ____ and ____ ______ and has many ________
Face
Oral cavity
Branches
Where does the external carotid artery branches go? (5)
Throat Tongue Face Ears Wall of the cranium
Branches are named according to the areas they supply and are nearer the surface (more ___________)
Superficial
Describe the lingual artery branch
About even with the hyoid bone
Where does the lingual artery branch supply? (5)
Has branches that supply: The entire tongue Floor of the mouth Lingual gingiva A portion of the soft palate Tonsils
Describe the facial artery
Above the lingual artery, near the angle of the mandible
Branches across the mandible to the corners of the mouth and then upward toward the eye
How many branches does the facial artery have?
6
Where does the facial artery supply? (9)
Pharynx muscles Soft palate Tonsils Posterior of the tongue Submandibular gland Muscles of the face Nasal septum Nose Eyelids
What is the largest of the branches of the external carotid artery?
The maxillary artery
Describe the maxillary artery
Moves anteriorly across the ramus of the mandible, near the condyle, and supplies facial structures
How many sections is the maxillary artery split into?
3
What are the three sections of the maxillary artery?
Mandibular
Pterygoid
Pterygopalatine
Describe the mandibular artery
Behind the ramus of the mandible
How many arteries does the mandibular artery branch into?
Five arteries
Where does the pterygoid artery supply blood to? (4)
Temporal muscles
Masseter muscles
Pterygoid muscles
Buccinator muscles
How many branches does the pterygopalatine artery branch into?
5
What branches does the pterygopalatine artery split into? (5)
Posterior superior alveolar artery Infraorbital artery Middle superior alveolar artery Anterior superior alveolar artery Greater palatine artery
Some of the _____ of the face and oral cavity are located with corresponding ________ and have similar names
Veins
Arteries
What vein drains the facial structures?
Facial vein
Describe the facial vein
Drains the facial structures
Beginning near the eye and descending toward the mandible
What is one of the tributaries of the facial vein?
Deep facial vein
Describe the deep facial vein
Connects the facial vein to the pterygoid plexus of veins
What is the jugular vein split into?
External
Internal
Describe the external jugular vein
Drains the superficial veins of the face and neck into the subclavian vein
Describe the internal jugular vein
Receives blood from the cranium, face, and neck, and drains into the brachiocephalic vein, and then into the superior vena cava, which drains into the heart
Where does the external jugular vein drain into?
Subclavian vein
Where does the superior vena cava drain into?
Heart
Where does the internal jugular vein receive blood from?
Cranium
Face
Neck
Where does the internal jugular vein drain into?
Brachiocephalic vein