oral cavity Flashcards
oral cavity borders
lips, cheeks, palatoglossal folds, palate, mylohyoid m.
vestibule is the…
space between the lips/cheeks and the teeth
oral cavity proper is the…
space between teeth
palatoglossal arch
external features of the oral cavity (4)
- Lips – thin less pigmented epithelium, superficial vascular supply
* No sweat/sebaceous glands
* Labial glands are present at border of lips and oral mucosa - Angle of the mouth = commissure of the lips
- Philtrum – midline depression between nose and upper lip
- Vermillion border – transition between lips and skin
* Site of infections, cold sores, cheilitis (various inflammation)
mucolabial fold vs mucobuccal fold
mucolabial: teeth and lips
mucobuccal: teeth and cheeks
what features are within the cheeks?
buccal submucosa with glands
buccinator
parotid papilla (opposite 2nd molar)
sublingual caruncles
openings for sublingual and submandibular gland ducts, on either side of lingual frenulum
*associated with glands
sublingual folds
tubular ducts for sublingual gland – empty saliva here below tongue
*associated with glands
submandibular ducts aka
Wharton’s duct
gingiva is a _____ layer covering alveolar bone
mucousal
fuaces that separate oral cavity from pharynx
palatoglossal arch
palatine tonsils
palatopharyngeal arch
green: palatoglossal arch
red: palatine tonsils
yellow: palatopharyngeal arch
vasculature of the fauces
- Descending palatine artery (maxillary a.)
- Ascending palatine a. (br of facial a.)
- Tonsillar br. (facial a.)
- Ascending pharyngeal a. (br of ECA)
- Dorsal lingual a. (br of lingual a.)
innervation of the fauces
- CN V-2 - Lesser palatine n. sensory and innervates
the tonsil - CN VII – parasympathetic Gr. Petrosal
fibers = glands - Sympathetic – Deep Petrosal fibers
- CN IX – Sensory (posterior)
what is the landmark for anesthetic injection for the IA block?
pterygomandibular raphe
What muscle attachments is pterygomandibular raphe made up of?
posterior attachment for buccinator
anterior attachment for pharyngeal constrictor
What innervates the 1st molar
MB Cusp USUALLY?
middle superior alveolar nerve
*posterior superior alveolar nerve to the palatal and distobuccal roots
Foliate papilla are located
on sides of tongue
fungiform papilla are located on the
dorsum
filiform papilla are located on the
central/dorsum
circumvallate papilla are located
in the medial plane
muscles of the oral cavity (7)
mylohyoid
geniohyoid
stylohyoid
hyoglossus
styloglossus
palatoglossus
geniorglossus
mylohyoid muscle
mylohyoid muscle function
elevate hyoid and tongue during swallowing
geniohyoid muscle function
elevate hyoid and tongue during swallowing
geniohyoid muscle origin and insertion
inferior mental spine to body of hyoid bone
stylohyoid muscle function
elevate hyoid during swallowing
geniohyoid muscle
stylohyoid muscle
extrinsic vs intrinsic tongue muscle definition
Extrinsic – from somewhere else to the tongue
Intrinsic – entirely contained in the tongue
extrinsic tongue muscles (4)
hyoglossus
styloglossus
palatoglossus
genioglossus
hyoglossus muscle origin and insertion
greater horn of hyoid to the lateral tongue
hyoglossus muscle function
retract and depress the tongue
hyoglossus muscle
styloglossus muscle origin and insertion
styloid process to the lateral tongue
styloglossus muscle function
retract and elevate the tongue
styloglossus
palatoglossus muscle function
elevate the posterior tongue
palatoglossus muscle
genioglossus muscle function
protrude or depress the tongue
elevate or depress the apex of tongue
genioglossus muscle origin and insertion
genial tubercle to the meshwork of muscles
intrinsic tongue muscles (4)
superior longitudinal muscle
vertical muscle
transverse muscle
inferior longitudinal muscle
functions of intrinsic tongue muscles
Superior and inferior longitudinal – shorten
tongue, curl up or down
Transverse – narrows and lengthens tongue
Vertical – flattens and widens tongue
innervation
mylohyoid:
geniohyoid:
stylohyoid:
hyoglossus:
styloglossus:
palatoglossus:
genioglossus:
mylohyoid: CN V-3
geniohyoid: Cervical 1 through CN XII
stylohyoid: CN VII
hyoglossus: CN XII
styloglossus: CN XII
palatoglossus: CN X
genioglossus: CN XII
motor tongue innervation via
CN XII
*except palatoglossus m. -> CN X
hard/soft palate blood supple
artery of the tongue
lingual artery
branches of the lingual artery
dorsal lingual
sublingual
deep
dorsal lingual artery emerges…
posterior to hyoglossus
dorsal lingual artery supplies the
dorsum, posterior 1/3 of tongue, mucosa of palatoglossal arch, tonsil, epiglottis, and soft palate
sublingual artery supplies the
floor of oral cavity, mucosa, sublingual gland, surrounding muscles
deep lingual artery supplies the
inferior surface of tongue up to tip
oral cavity lymphoid tissue drains into the
submandibular nodes (lingual)
the oral cavity lymphoid tissue monitors…
air water and food as its taken in
the lingual/palatine tonsils drain into
submandibular nodes
innervation of tongue muscles
CN XII (except palatoglossis m. -> CN X)
innervation of palate muscles
CN X (except tensor veli palatini -> CN V-3)
innervation of pharyngeal muscles
CN X (except stylopharyngeus m. -> CN IX)
innervation of laryngeal muscles
CN X (all recurrent except cricothyroid m.)
Innervation
Tongue muscles:
Palate muscles:
Pharyngeal muscles:
Laryngeal muscles:
Tongue muscles: CN XII
(except palatoglossus m. -> CN X)
Palate muscles: CN X
(except tensor veli palatini -> CN V-3)
Pharyngeal muscles: CN X
(except stylopharyngeus m. -> CN IX)
Laryngeal muscles: CN X
(all recurrent except Cricothyroid m.)
routes of infection from the oral cavity