Lecture 16: Oral Cavity & Esophagus Flashcards
digestive chemical process begins in
the mouth
2 areas of the oral cavity
- Oral vestibule
- Oral cavity proper
borders of oral vestibule
upper lip & teeth, lower lip & teeth
Associated structures of the oral vestibule
-superior labial frenulum
-gingivae
-inferior labial frenulum
what attaches teeth to gums
superior & inferior labial frenulum
Oral cavity proper borders
-posterior border: palatoglossal arch & palatopharyngeal arch
-Superior border: hard & soft palate
-Inferior border: tongue
associated structures of the oral cavity
uvula, lingual frenulum & palatine tonsil
what does the lingual frenulum attach
tongue to floor of mouth
salivary glands
-parotid gland
-submandibular gland
-sublingual gland
-minor glands
3 types of salivary glands
- mucous (lubrication)
- Serous (enzyme containing)
- seromucous
Parotid gland location
anterior to ears, between masseter and skin
what opens behind second upper molar
stensons duct; SEROUS
parotid gland is innervated by
CN IX, glossopharangeal
Submandibular gland location
-inferior to mandible and in between digastric muscles
what opens lateral to linguinal frenulum
Wharton’s duct; SEROMUCOUS
what is the submandibular gland innervated by
CN VII, facial
what empties the submandibular gland
WHarton’s duct
Sublinguinal gland location
-floor of oral cavity inferior to tongue
what connects with Wharton’s duct
Bartholin’s Duct; MUCOUS
what empties the sublinguinal gland
WHarton’s duct
what innervated the sublinguial gland
CN VII, facial
what separates the anterior 2/3 and posterior 1/3 of the tongue
sulcus terminalis
Features of tongue (5)
- Lingual tonsil
- Foliate papillae
- Filiform papillae
- Fungiform papillae
- Circumvallate papillae
WHich features of the tongue have taste buds
-foliate papillae
-fungiform papillae
-circumvallate papillae
Filiform papillae
-just for chewing
-have rough patches to grip food and form bolus
-DO NOT contain taste buds
Innervation for tasteof the tongue
epiglottis - CN X (vagus)
posterior 1/3 - CV IX (glossopharangeal)
anterior 2/3 - CN VII “Chorda Tympani” (facial)
innervation of general sensation of the tongue
epiglottis - CN X (vagus)
posterior 1/3 - CN IX (glossopharangeal)
anterior 2/3 - CNV3 (mandibular branch of trigeminal)
general anatomy of a tooth, superficial - deep
- Crown (visible)
- Neck (where gum begins)
- Root (cannot see)
Dentin is produced by
odontoblasts
periodontal ligaments
attach tooth to maxillae or mandible
Apical foramen
where nerves and vasculature pass
Enamel is produced by
ameloblasts
pulp cavity
-holds neurovasculature and blood vessels
-contains nerves that give sensation
alveolar bone
attached by periodontal ligament to tooth
4 types of teeth
- Molar
- Premolar
- Canine
- Incisor
which teeth grind and crush food
molars and premolars
which teeth shred food
canine
which teeth slice food
incisor
deciduous teeth per quadrant
2 incisors
1 canine
2 molars
Permanent teeth per quadrant
2 incisors
1 canine
2 premolars
3 molars
what teeth do you gain in adulthood
2 premolars
gain 1 molar
why do teeth change in adulthood
because we eat more solid food
why do we need teeth
-increase digestive SA for mechanical digestion
-work in conjunction with saliva to begin the process of digestion in the mouth
how to teeth help enzymes
chewing food actually saves energy because enzymes have more SA to work with and increase efficency
Esophageal hiatus
opening in diaphragm at T 10
when does the esophagus join the stomach
cardiac orifice
what is a continuation off the oropharynx
pharyngeal constrictors
what works together to push food towards stomach
pharyngeal constrictors and esophageal muscles
which portion of the esophagus is voluntary
superior
which portion of the esophagus is involuntary
inferior
how many sphincters does the esophagus have
2
esophageal sphincters
upper and lower
upper esophageal sphincter
closes to lock food in esophagus so it cant go back
lower esophageal sphincter
closes when food enters the stomach
what do the upper and lower esophageal sphincters do
prevents reflux of food
GERD
-impaired LES
-heartburn
-treated with lifestyle modifications and drugs
3 phases of swallowing
oral, pharangeal, esophageal
oral phase
-food is broken down mechanically and chemically
-bolus is moved posteriorly until it reaches the oropharynx
-voluntary
Pharangeal Phase
-soft palate and epiglottis close - breathing stops
-pharangeal constrictors move bolus inferiorly until it reaches the UES
-autonomic
what does the soft palate close
nasopharynx
Esophageal phase
-bolus passes through upper esophageal sphincter
-peristalsis
-bolus passes through lower esophageal sphincter into stomach