Mastication and ingestion Flashcards
reason for chewing
maintenance of oro-facial tissues
what happens to our food as it breaksdown
surface area increases and releases chemicals
purpose of saliva
clear the mouth
buffer the acids
lubricates the mouth
why we need to chew our foods eg meat
to break down foods in order for enzymes to break down the proteins
in eg. fish- reason for chewing
speeds up absorption
how many teeth are needed in the dentition
5-5 atleast after this starts to fall away
however if molars do not meet then no benefit
lower dentiton kept in eg denture supported by what
atleast 2 implants
think ahead- planning
save roots>tooth
3 basic stages of chewing
1- anterior to posterior taste /spit out
2- chew- make bolous especially red meats
3- ready to swallow then swallow- if not keep chewing
mechanics of
lips
jaw
cheek
tongue
lips- take food in mouth shut to keep food in
jaw- chewing cycles
cheek- buccinator directs
tongue- strong, crushes food, directs, mix
how long is a chewing cycle
1 second
4 phases of chewing cycle
open
fast close
slow close
intercuspal
food breakdown occurs in what chewing cycle stages
slow close and intercuspal
how we chew for
1. tough foods
2. brittle foods
3. abnormal patterns
- lateral wide
- vertical
- double circle / clicking jaw
what muscle moves the condyle forward
lateral pterygoid
condyle on ws and nws
ws- moves a lot
nws- doesnt move
the angle and movement named after
bennetts angle and movement
innervation of tmj
cn5-trigeminal
ws and nws for closing and opening
closing
ws- less movement to og position
nws-all movement
opening
ws - tiny lateral shift 1mm
nws- moves most-down fowrad medial
in the chewing cycle what muscles open
mylohyoid
lateral pterygoid
digastric
in the chewing cycle what muscles close
temporalis
masseter
medial pterygoid
lateral pterygoid can also close
control of mastication 3 x
higher centres
chewing centres
motor nucleaus
problem with amalgum
takes 24 hours to set- need to eat other side and modify behaviour
higher centres function
sends signals (eg. speed up/ slow down)
manual control
however pain signals slow
chewing centres function
to contract/ relax
motor nucleus function
much quicker reflex- lower down
how a preffered side is determined
early on
pain/ no teeth
can change sides
swallowing levels
highest- day
then- eating
lowest- sleeping
why important to get clef palate fixed
so that food doesn’t go into nasopharynx
swallowing liquid 3x
oral- close lips, tongue pushes to back, seal nasal cavity
pharyngeal- tongue powerful - pushes correct way down
oesophageal - movement down tube, wave of muscle contractions very powerful can occur upside down
swallowing food x3
preparing stage
pharyngeal stage
oesophageal stage
summary of swallowing food
food in broken down, process to the back of the tongue, finally swallowed.