Muscles of mastication, Temperomandibular Joint, Oral Cavity Flashcards

1
Q

What is the classification of the Temperomandibular Joint? What makes it atypical?

A

Modified synovial hinge joint:

  • depression and elevation (hinge movements)
  • retraction and protraction (gliding movements)

It is atypical as it has no hyaline cartilage on the bony surfaces. Instead the bony articular surfaces are covered by fibrocartilage.

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2
Q

What are the bony articulations of the Temperomandibular Joint?

A
  • Mandibular Fossa of Temporal Bone
  • Condylar Process of Mandible
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3
Q

What are the attachments of the joint capsule of the Temperomandibular Joint?

A
  • Articular Tubercle
  • Mandibular Fossa
  • Neck of the Mandible
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4
Q

Where is the joint capsule of the Temperomandibular Joint loose and where is it tight?

A
  • Loose above articular disc
    • Allows protraction and retraction
  • Tight below articular disc
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5
Q

What does the thickened part of the Tempermandibular Joint Capsule form? What does it do?

A
  • Lateral (temporaomandibular) ligament
    • Prevents posterior dislocation
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6
Q

What are the extrinsic ligaments of the Temporomandibular Joint?

A

Stylomandibular Ligament

Sphenomandibular Ligament

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7
Q

Give the origin, attachment and function of the Stylomandibular Ligament.

A
  • Origin:
    • Styloid Process
    • Angle of the Mandible
  • Function:
    • Limited contribution to stability of the Mandible
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8
Q

Give the attachment and function of the Sphenomandibular Ligament.

A
  • Attachment:
    • Spine of the Sphenoid
    • Lingula of the Mandible
  • Function:
    • Primary passive support of the Mandible
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9
Q

What is the blood supply to the Temperomandibular Joint?

A

Superficial Temporal Artery

Superficial Temporal Vein

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10
Q

What is the innervation to the Temperomandibular Joint?

A
  • Auriculotemporal Nerve
  • Masseteric Branches of CN V3
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11
Q

What are the differences in function between the superior part of the Temporomandibular Joint and the inferior part?

A

Inferior = Allows for hinge movements

Superior = Allows for gliding

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12
Q

Which muscles enable elevation of the Temporomandibular Joint?

A

Temporalis

Masseter (superficial and deep heads)

Medial Pterygoid (superficial and deep heads)

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13
Q

Which muscles enable depression of the Temperomandibular Joint?

A

Suprahyoid Muscles

Infrahyoid Muscles

Lateral Pterygoid (Superior and Inferior Heads)

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14
Q

Which muscles enable protrusion of the Temporomandibular Joint?

A

Masseter (Superficial Fibres)

Lateral Pterygoid (Superior and Inferior Heads)

Medial Pterygoid (Superficial and Deep Heads)

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15
Q

Which muscles enable retraction of the Temporomandibular Joint?

A
  • Masseter
  • Temporalis
  • Lateral Pterygoid
    • Superior head applies traction to the articular disk to prevent posterior movement
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16
Q

What is the innervation for the muscles of mastication?

A

Branches of the Trigeminal Nerve (CN V3)

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17
Q

What is the innervation of the Masseter Muscle?

A

Masseteric Branches of CN V3

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18
Q

What is the innervation of the Temporalis (Temporal) Muscle?

A

Deep Temporal Branches of CN V3

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19
Q

What is the innervation of the Lateral Pterygoid Muscle?

A

Lateral Pterygoid Branches of CN V3

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20
Q

What is the innervation of the Medial Pterygoid Muscle?

A

Medial Pterygoid Branches of CN V3

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21
Q

Which ganglion does this nerve arise from?

A

Ophthalmic Branch (CN V1​) of Trigeminal Nerve

Arises from Cilliary Ganglion

Sensory Only

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22
Q
A
  • Maxillary Branch (CN V2) of Trigeminal Nerve
    • Sensory Only
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23
Q
A
  • Mandibular Branch (CN V3) of Trigeminal Nervee
    • Sensory and Motor
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24
Q

What is the ganglion of the Ophthalmic Branch?

A

Cilliary Ganglion

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25
Q

What are the ganglia of the Maxillary Branch?

A

Pterygopalatine ganglion

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26
Q

What are the ganglia of the Mandibular Branch?

A

Otic ganglion

Submandibular ganglion

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27
Q

What part of the face does the Supraorbital Nerve supply?

A

Forehead. It is a branch of the Frontal Nerve

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28
Q

What part of the face does the Supratrochlear Nerve supply?

A

Nose Bridge and Eyelids. It is a branch of the Frontal Nerve

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29
Q

What does the Lacrimal Nerve supply?

A

Lacrimal Gland

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30
Q

What part of the face does the Nasociliary Nerve supply?

A

Nasal Cavity and Septum

Eye

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31
Q

What are the parts of the Oral Region

A
  • Oral Cavity
  • Teeth
  • Gingivae
  • Tongue
  • Palate
  • Region of the palatine tonsils
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32
Q

What is the Oral Cavity divided into?

A

Oral Vestibule

Oral Cavity Proper

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33
Q

What are the borders of the Oral Vestibule?

A
  • Anterior
    • Lips
    • Oral Fissure
  • Lateral
    • Cheeks
      • Buccinator and Skin (External)
      • Mucosa (Internal)
  • Posterior and Medial
    • Upper and Lower Dental Arcades
    • Alveolar Bone
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34
Q

What are the borders of the Oral Cavity Proper?

A
  • Lateral and Anterior
    • Upper and Lower Dental Arcades
    • Alveolar Bone
  • Roof:
    • Hard Palate
    • Soft Palate
  • Floor:
    • Myohyoid Muscle
    • Geniohyoid Muscles
    • Tongue
  • Posterior:
    • Oropharyngeal Isthmus
    • Oropharynx
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35
Q

How far does the Oral Vestibule extend?

A
  • Laterally and Superiorly
    • Nasolabial Sulci
    • Nares
  • Inferiorly
    • Mentolabial Sulcus
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36
Q

Explain the structure of the lip part of the Oral Vestibule

A
  • External
    • Skin
  • Muscles
    • Orbicularis Oris
    • Superior Labial Muscle
    • Inferior Labial Muscle
  • Internal (Intraoral / Vestibular)
    • Musosa
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37
Q

What arteries supply the lip part of the Oral Vestibule?

A

Superior Labial Branch of Facial Artery

Inferior Labial Branch of Facial Artery

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38
Q

What is the innervation of the lip part of the Oral Vestibule

A
  • Upper Lip:
    • Superior Labial Branch of Infra-Orbital Nerve (CN V2)
  • Lower Lip:
    • Inferior Labial Branch of the Mental Branch of the Inferior Alveolar Nerve (CN V3)
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39
Q

Explain the lymphatic drainage of the lip part of the Oral Vestibule

A
  • Upper Lip
    • Submandibular Lymph Nodes
  • Lateral part of Lower Lip
    • Submandibular Lymph Nodes
  • Medial part of Lower Lip
    • Submental Lymph Nodes
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40
Q
A

Vestibule

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41
Q
A

Buccinator Muscle

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42
Q
A

Oral Fissure

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43
Q
A

Vermillion border of lip

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44
Q
A

Orbicularis Oris Muscle

45
Q
A

Facial Artery

46
Q
A

Superior and Inferior Labial Arteries

47
Q
A

Philtrum

48
Q
A

Orbicularis Oris Muscle

49
Q
A

Artery and Vein

50
Q
A

Labial Salivary Glands

51
Q
A

Vermillion Borders

52
Q
A
53
Q

Explain the structure of the cheek part of the Oral Vestibule

A
  • External
    • Skin
  • Muscles
    • Buccinator Muscle
      • Continuous with the Superior Constrictor of the Oropharynx Posterior at the Pterygomandibular Raphe
  • Internal (Intraoral / Vestibular)
    • Mucosa with imbedded Buccal Glands
54
Q

Where does the blood supply of the cheek part of the Oral Vestibule come from?

A

Buccal Branch of Maxillary Artery

55
Q

Explain the innervation of the cheek part of the Oral Vestibule

A
  • Motor
    • Buccal Branch of Facial Nerve (CN VII)
  • Sensory
    • Buccal Brach of Mandibular Nerve (CN V3)
56
Q

Explain the structure of the gingivae part of the Oral Vestibule

A
  • Fibrous tissue covered by muscous membrane
  • Gingiva Proper
    • Connected firmly to alveolar processes and necks of teeth
    • Pink, stippled, keratinizing
  • Alveolar mucosa
    • Unattached mucosa
    • Shiny, red, non-keratinizing
57
Q

Briefly explain the general innervation of the gingivae part of the Oral Vestibule

A
  • Upper Arch
    • Branches of the Maxillary Nerve (CN V2)
  • Lower Arch
    • Branch of the Mandibular Nerve (CN V3)
58
Q
A

Nasopalatine Nerve (from V2)

59
Q
A

Anterior Superior Alveolar Nerve (from V2​)

60
Q
A

Middle Superior Alveolar Nerve (from V2​)

61
Q
A

Posterior Superior Alveolar Nerve (from V2​)

62
Q
A

Greater Palatine Nerve (from V2​)

63
Q
A

Posterior Superior Alveolar Nerve (from V2​)

64
Q
A

Middle Superior Alveolar Nerve (from V2​)

65
Q
A

Anterior Superior Alveolar Nerve (from V2​)

66
Q
A

Lingual Nerve (from V3​)

67
Q
A

Buccal Nerve (from V3​)

68
Q
A

Mental Nerve from Inferior Alveolar Nerve (from V3​)

69
Q
A

Incisive Branch of Inferior Alveolar Nerve

70
Q
A

Main Trunk of Inferior Alveolar Nerve (from V3​)

71
Q

How many teeth are there in adults? In children?

A

32 in adults

20 in children

72
Q

What is the blood supply of the Upper Arcade of teeth?

A
  • Anterior Superior Alveolar Artery
    • From Infra-orbital Branch of Maxillary Artery within the Pterygopalatine Fossa
  • Posterior Superior Alveolar Artery
    • Branch of the Maxillary Artery as it enters Pterygopalatine Fossa

Venous drainage has same name and distribution as the arteries

73
Q

What is the blood supply of the Lower Arcade of the teeth?

A
  • Inferior Alveolar Artery
    • Branch of Maxillary Artery in Infratemporal Fosssa
    • Runs within Mandibular Foramen

Venous drainage has same name and distribution as the arteries​

74
Q

Briefly explain the general innervation for the Teeth

A
  • Upper Arcade
    • Branch of Superior Alveolar Nerve (Branch of Maxillary Nerve - CN V2)
  • Lower Arcade
    • Inferior Alveolar Nerve (Branch of Mandibular Nerve - CN V3)
75
Q

Explain the course of the Inferior Alveolar Nerve

A

Branch of CN V3 (which itself branches in infratemporal fossa from CN V)

Enters Mandibular Foramen

Branches to regions of teeth

76
Q

Explain the lymphatic drainage of the teeth

A

Drain into:

Submental Lymph Nodes

Submandibular Lymph Nodes

Deep Cervical Lymph Nodes

77
Q

What is the Hard Palate formed by?

A
  • Anterior two-thirds:
    • Palatine Process of Maxilla Bones
  • Posterior one-third:
    • Horizontal Plates of the Palatine Bones
78
Q

What suspends the soft palate?

A

Suspended to the Hard Palate by Palatine Aponeurosis

79
Q

Explain the funcitoning of the Soft Palate as a valve

A
  • Superiorly
    • Seals off nasal cavity when swallowing
  • Inferiorly
    • Seals off oral cavity (e.g. holding water in mouth while breathing)
80
Q

What are the histological features of the Palate?

A

Closely attached mucosa

Embedded Palatine Glands secrete saliva

81
Q
A

Palatoglossal Arch

82
Q
A

Palatopharyngeal Arch

83
Q
A

Palatine Tonsil

84
Q
A

Anterior margin of Oropharyngeal Isthmus (Palatoglossal Arch)

85
Q
A

Posterior wall of Oropharynx

86
Q

What are the muscles of the Soft Palate? Where do they arise?

A

Arise from the base of the skull and descend to the palate

  • Tensor Veli Palaini
  • Levator Veli Palatini
  • Palatoglossal
  • Musculus Uvulae
87
Q

What is the blood supply to the Soft Palate?

A

Greater Palatine Artery

Lesser Palatine Artery

Ascending Palatine Artery

Venous drainage contributes to Pterygoid Venous Plexus

88
Q

Explain the sensory innervation to the Palate?

A

Branches of Maxillary Nerve (CN V3)

  • Greater Palatine Nerve
  • Nasopalatine Nerve
  • Lesser Palatine Nerve
89
Q

Explain the motor innervation to the Palate

A

Pharyngeal Nerve Plexus

Except Tensor Veli Palatini - Mandibular Nerve (CN V3)

90
Q

Which part of the tongue is mobile? Which part is fixed?

A

Root - Fixed (Posterior 1/3)

Body - Mobile (Anterior 2/3)

91
Q

Where is the tongue located?

A

Partly in Oral Cavity

Partly in Oropharynx

92
Q

What are the surfaces of the tongue?

A

Dorsum (Superior and Posterior)

Inferior Surface (Rests on floor)

93
Q

What are the numerous papillae that make the surface of the tongue rough?

A

Vallate

Fungiform

Foliate

Filiform (Only papillae without taste buds)

94
Q

What divides the muscles of the tongue?

A

Midline Lingual Septum

95
Q

What are the extrinsic muscles of the tongue?

A

Styloglossus Muscles

Hyoglossus Muscles

Palatoglossus Muscles

Genioglossus Muscles

96
Q

What are the intrisic muscles of the tongue?

A

Superior Longitudinal Muscles

Transvers Muscles

Vertical Muscles

Inferior Longitudinal Muscles

97
Q

What is the motor innervation of the tongue?

A

Hypoglossal Nerve (CN XII)

Except Palatoglossus - Pharyngeal Plexus

98
Q

Explain the general sensory innervation of the tongue

A

Anterior two-thirds: Lingual Nerve (from CN V3)

Posterior one-third: Glossopharyngeal Nerve (CN IX)

99
Q

Explain the special sensory (taste) of the tongue

A
  • Anterior two-thirds
    • Chorda Tympani (Branch of CN VII)
  • Posterior one-third
    • Glossopharyngeal (CN IX)
100
Q

What is the arterial supply of the tongue?

A
  • Lingual Artery (Branch of External Carotid Artery)
    • Dorsal Lingual Artery - Root of tongue
    • Deep Lingual Artery - Body of tongue
101
Q

What is the venous drainage of the tongue?

A

Root of tongue: Dorsal Lingual Vein

Body of tongue: Deep Lingual Vein

Both join the Sublingual Vein

102
Q
A

Frenulum

103
Q
A

Sublingual Fold (Plica)

104
Q
A

Sublingual Caruncle

105
Q

Explain the lymphatic drainage of the Tongue

A
  • Root:
    • Bilaterally to Superior Deep Cervical (Jugulodigastric) Lymph Nodes
  • Medial part of Body:
    • Bilaterally into Inferior Deep Cervical Lymph Nodes
  • Lateral parts of Body:
    • Submandibular Lymph Nodes
  • Apex and Frenulum:
    • Submental Lymph Nodes
106
Q

What fossa is the Mandibular Branch (CN V3) of Trigeminal Nerve associated with?

A

Infratemporal Fossa

107
Q

What fossa is the Maxillary Branch (CN V2) of Trigeminal Nerve associated with?

A

Pterygopalatine Fossa

108
Q

What is the Sphenomandibular ligament made of?

A

Thickening of Parotid Fascia