Oral Cavity Flashcards
space between lips and cheeks and teeth and gingivae
vestibule
*oral vestibule & oral cavity proper
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oral cavity proper: boundaries
anterolaterally:
roof:
floor:
posteriorly:
- Anterolaterally: dental arches
- Roof: hard and soft palate
- Floor: tongue and mucous membrane
- Posteriorly: communicates with oropharynx
Lips
Lips: musculofibrous folds surrounding the mouth formed of skin exteriorly and mucous membrane internally, between these is the orbicularis oris m
shallow depressions attached to upper lip
nasolabial sulci
shallow depressions attached to lower lip
Mentolabial sulci
folds of mucous membrane in the midline, extending from vestibular gingiva to mucosa of upper and lower lips
Labial frenulum
depression above upper lips and below nose in the midline
philtrum
exposed red portion of the upper and lower lips
vermilion
vasculature of upper lip
superior labial branches of facial and infraorbital aa.
vasculature of lower lip
inferior labial branches of facial and mental aa.
nerves of upper lip
superior labial branches of the infraorbital nerve (CN V2)
nerves of lower lip
inferior labial branches of the mental nerve (CN V3)
teeth
participate in mastication and articulation
how many deciduous teeth
20 in children
how many permanent teeth
32 in adults
types of teeth
incisors
canines
premolars
molars
thin cutting edges
incisors
single prominent cones
canines
two cups (bicuspids)
premolars
three or more cusps
molars
*types of teeth
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surfaces of teeth
vestibular (labial or buccal)
lingual
mesial
distal
occlusal
*surfaces of teeth
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vestibular (labial or buccal)
outwards
lingual
inwards
mesial
towards the facial portion of cranium. contact surface
distal
towards middle of cranium. contact surface
occlusal
masticatory surface
parts of teeth
Parts of teeth
Crown: project from the gingivae
Neck: between crown and root
Root: below neck, fixed in the tooth socket by periodontium
Dentine: composes most of tooth, contains pulp cavity
Enamel: covers dentine over crown. This is the hardest substance in human body
Cement: covers dentin over root
Pulp cavity: covered by dentin, contains connective tissue, blood vessels and nerves
Root canal: transmits nerves and vessels to and from pulp cavity through apical foramina
Periodontium: collagenous fibers, located between cement of root and periosteum of alveolus
Dento-alveolar syndesmosis: fibrous joint connecting the root of teeth to the bone of maxilla or mandible
project from the gingivae
crown
between crown and root
neck
below neck, fixed in the tooth socket by periodontium
root
composes most of tooth, contains pulp cavity
dentine
covers dentine over crown. This is the hardest substance in human body
enamel
covers dentin over root
cement
covered by dentin, contains connective tissue, blood vessels and nerves
pulp cavity
transmits nerves and vessels to and from pulp cavity through apical foramina
root canal
collagenous fibers, located between cement of root and periosteum of alveolus
periodontium
fibrous joint connecting the root of teeth to the bone of maxilla or mandible
Dento-alveolar syndesmosis
*parts of teeth
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palate
Palate
- Arched roof of mouth and floor of nasal cavities
- Separates the oral cavity from the nasal cavities and nasopharynx
- Superior (nasal) portion covered with respiratory mucosa, and the inferior (oral) with oral mucosa
- Anterior hard and posterior soft palate
*palate
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Hard palate
- Occupies anterior 2/3rd of palate
- Comprised of palatine process of maxillae and palatine bone
- Incise fossa: posterior to central incisor teeth
- Nasopalatine a. and n. pass from the nose through foramina leading into the incisive fossa
- Greater palatine foramen: medial to 3rd molar
- Greater palatine n. and a. emerge from this foramen and run anteriorly to meet and anastomose with the nasopalatine n. and a. and innervate and supply hard palate
- Lesser palatine foramina: posterior to GPF
- Lesser palatine n. and a. emerge from this foramina and run posteriorly to innervate and supply the soft palate
- Mucous membrane: tightly bound to and covers hard palate
- Palatine glands: mucous secreting glands, deep to mucosa
- Transverse palatine folds: assist with manipulation of food during mastication
- Palatine raphe: extending posteriorly from the incisive fossa to the uvula, is a fold of mucosa membrane that represents the site of fusion of palatal processes
*hard palate
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Incise fossa
- posterior to central incisor teeth
- Nasopalatine a. and n. pass from the nose through foramina leading into the incisive fossa
Greater palatine foramen
- medial to 3rd molar
- Greater palatine n. and a. emerge from this foramen and run anteriorly to meet and anastomose with the nasopalatine n. and a. and innervate and supply hard palate
Lesser palatine foramina
- posterior to GPF
- Lesser palatine n. and a. emerge from this foramina and run posteriorly to innervate and supply the soft palate
Mucous membrane
tightly bound to and covers hard palate
Palatine glands
mucous secreting glands, deep to mucosa
Transverse palatine folds
assist with manipulation of food during mastication
Palatine raphe
extending posteriorly from the incisive fossa to the uvula, is a fold of mucosa membrane that represents the site of fusion of palatal processes
Soft palate
- Occupies posterior 1/3rd of palate and is movable
- Suspended from the posterior border of hard palate by the palatine aponeurosis
- During swallowing the soft palate tenses to squeeze bolus of food posteriorly, then it elevates posteriorly and superiorly against wall of pharynx to prevent passage of food into nasal cavity
- Uvula: conical process hanging from the posteroinferior, curved, free margin of soft palate
- Palatoglossal arch: mucous membrane covering the palatoglossal m. Joins soft palate to tongue
- Palatopharyngeal arch: mucous membrane covering the palatopharyngeal m. Joins soft palate to pharynx
*soft palate
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Uvula
conical process hanging from the posteroinferior, curved, free margin of soft palate
Palatoglossal arch
mucous membrane covering the palatoglossal m. Joins soft palate to tongue
Palatopharyngeal arch
mucous membrane covering the palatopharyngeal m. Joins soft palate to pharynx
Fauces (L. throat)
- space between cavity of mouth and pharynx
- Boundaries
- S: soft palate
- I: root of the tongue
- L: pillars of fauces (palatoglossal and palatopharyngeal arches)
- Isthmus of fauces: space between oral cavity and orophaynx
Palatine tonsils
masses of lymphoid tissue on each side of oropharynx and are bounded by the palatoglossal and palatopharyngeal arches
mm of soft palate Tensor veli palatini
Tensor veli palatini
Levator veli palatini
Palatoglossus
Palatopharyngeus
Uvular
flatten, extended tendon of the tensor veli palatini m. that attaches to the posterior border of the hard palate
Palatine aponeurosis
*mm of soft palate
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*mm of soft palate TABLE
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Tongue
Anterior 2/3rd in oral cavity and posterior 1/3rd in oropharynx
Participates in articulation, swallowing, taste, and oral cleansing
Parts
- Root: attached posterior portion
- Body: between root and apex
- Apex: tip of tongue
Surfaces
- Dorsum: superior surface
- Terminal sulcus: V-shape demarcation, separating ant. 2/3rd and post. 1/3rd
- Foramen cecum: opening at the end of the terminal sulcus, developmental remnant of the thyroglossus duct
- Midline groove: divides anterior part of tongue into R & L parts
- Lingual papillae: vallate, foliate, and fungiform contain taste rec. and buds
- Vallate: large and flat topped, lie anterior to terminal sulcus in a V-shaped row
- Foliate: small lateral folds of lingual mucosa
- Filiform: long and numerous, arranged in V-shape rows parallel to the terminal sulcus. Sensitive to touch
- Fungiform: mushroom shaped, scattered among the filiform papillae, most numerous at apex
- Lingual tonsil: cluster of lymphoid nodules on posterior 1/3rd of tongue
*tongue
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Frenulum
- inferior surface of tongue
- connects tongue to floor of mouth
Sublingual caruncle (papilla)
- inferior surface of tongue
- on each side of lingual frenulum, includes the opening of the submandibular gland duct
Sublingual folds
- inferior surface of tongue
- elevations of sublingual mucosa, containing the openings of the sublingual gland ducts
mm of tongue (extrinsic)
- innervation
- Genioglossus
- Hyoglossus
- Styloglossus
- Palatoglossus
- All innervated by CN XII, except palatoglossus (CN X)
*mm of tongue
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*mm of tongue (TABLE)
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mm of tongue (intrinsic)
innervation?
- Superior and inferior longitudinal
- Act together to make tongue short and thick
- Transverse and vertical
- Act simultaneously to make tongue long and narrow
All innervated by CN XII
*mm of tongue (intrinsic)
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*mm of tongue (intrinsic) TABLE
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innervation of the tongue
- CN V3 (anterior 2/3rd of tongue -> sensation)
- CN VII (anterior 2/3rd via chorda tympani and lingual -> taste)
- CN IX (posterior 1/3rd sensation and taste)
- CN X (taste to root of tongue and epiglottis)
- CN XII (motor to extrinsic and intrinsic m.)
Clinical relevance: these functions can be used clinically to test the integrity of these nerves
*innervation of the tongue
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vasculature of tongue
- Lingual a.
- Dorsal lingual a.: supply root
- Deep lingual a.: supply body
- Lingual v.
- Dorsal lingual v.: drain root
- Deep lingual v.: begins at apex and drains body
*vasculature of tongue
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Salivary glands
- Parotid, submandibular, sublingual
- Secret saliva
- Moisturize mucous membrane of oral cavity
- Lubricates food during mastication
- Begins starch digestion
- Intrinsic mouthwash
- Prevents tooth decay
- Taste
parotid glands
- Largest of salivary glands
- Location: anteroinferior to external acoustic meatus, between the ramus of mandible and mastoid process
- Embedded with the gland (superficial -> deep)
- Branches of facial nerve (CN VII)
- Retromandibular vein
- ECA
- Parotid duct: passes anteriorly from the gland -> crosses masseter m. -> pierces the buccinator m. -> enters oral cavity opposite 2nd maxillary molar
Submandibular glands
- Location: along body of mandible in the submandibular triangle, partly superficial and partly deep to mylohyoid m.
- Submandibular duct: runs medially to open on each side of the lingual frenulum in the sublingual caruncle
Sublingual glands
- Smallest and most deeply situated of salivary glands
- Location: lie in floor of mouth between mandible and genioglossus m.
- Sublingual ducts: 12-15 ducts open along the sublingual folds
*parotid gland
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*submandibular gland
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*sublingual gland
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