ORAL CAVITY Flashcards
Enumerate the parts of the oral cavity
Lips Palate Pharynx Floor of the mouth Cheek
Found on the ANTERIOR part of the oral cavity
Lips
Found on the SUPERIOR part of the oral cavity
Palate
POSTERIOR portion of the oral cavity
Pharynx
INFERIOR portion of the oral cavity
Floor of the mouth
LATERAL portion of the oral cavity
Cheek
Enumerate the blood supply of the mouth
Facial artery Inferior alveolar artery Maxillary artery Infraorbital artery Postero superior alveolar arteries
Enumerate the LYMPHATIC SUPPLY of the mouth
Deep cervical nodes
Submental nodes
Submandibular nodes
Extends from the LIPS to the OROPHARYNGEAL ISTHMUS
Oral cavity (mouth)
Junction of the mouth and pharynx
Oropharyngeal isthmus
Bounded by the soft palate, palatoglossal folds, and the dorsum of the tongue
Oropharyngeal isthmus
The oropharyngeal isthmus is bounded ABOVE by the?
Soft palate
Palatoglossal folds
The oropharyngeal isthmus is bounded BELOW by the?
Dorsum of the tongue
Subdivisions of the oral cavity
Oral Vestibule
Oral cavity proper
SLIT LIKE space between the cheeks and the gums
Vestibule
This communicates with the exterior through the oral fissure
Vestibule
Superiorly and inferiorly, the vestibule is LIMITED by what?
By the REFLECTION of the mucus membrane from the lips and cheeks onto the gums
Where does the jaw communicates when it is closed?
With the ORAL CAVITY PROPER behind the 3rd MOLAR tooth on each side
The vestibule is bounded ANTERIORLY by the?
Lips
The vestibule is bounded LATERALLY by the?
Cheeks
The vestibule is bounded SUPERIORLY by the?
Mucolabial
Mucobuccal folds
The vestibule is bounded POSTERIORLY and MEDIALLY by the?
Teeth and gums
Marks the opening of the duct of the parotid gland
Small papilla on the mucosa opposite the upper 2nd molar
Duct of the parotid gland that connects it to the mouth
Stensen’s papilla on the Buccal vestibule
Cavity within the ALVEOLAR MARGINS of the maxilla and mandible
Oral cavity proper
The ROOF of the oral cavity is formed ANTERIORLY by?
Hard palate
The ROOF of the oral cavity is formed POSTERIORLY by?
Soft palate
The FLOOR of the oral cavity is formed by?
Mylohyoid muscle
Where does the anterior 2/3 of the tongue lie
Floor
It is covered with MUCUS MEMBRANE
Floor of the mouth
A mucosal fold, found in the midline that connects the TONGUE to the FLOOR of the mouth
Frenulum
What is found on eacg side of the frenulum
A small papilla that has the opening duct of the SUBMANDIBULAR GLAND
Submandibular gland
Wharton’s duct
This is produced by the Sublingual gland
Round ridge extending backward and laterally from the papilla
SUBLINGUAL GLAND
Bartholins
Rivinus
Composed of SKELETAL MUSCLES and moves VOLUNTARILY
Tongue
Mass of STRIATED MUSCLES covered with mucus membrane
Tongue
Divides the tongue into right and left halves
Median septum
Three parts of the tongue
Oral
Pharyngeal
Root
This comprises the ANTERIOR 2/3 the tongue
Oral
This comprises the POSTERIOR 1/3 the tongue
Pharyngeal
This comprises the ROOT the tongue
Base
Two tongue surfaces
Dorsal
Ventral
Divided into ANTERIOR 2/3 and POSTERIOR 1/3 by the sulcus terminalis
Dorsal surface
V shaped sulcus that divides the tongue into ANTERIOR 2/3 and POSTERIOR 1/3
Sulcus terminalis
This faces backwards and is marked by a the foramen cecum
Apex of the sulcus terminalis
A pit that marks the apex of the sulcus
Foramen cecum
An embryological REMNANT, marks a te SITE of the upper end of the THYROGLOSSAL DUCT
Foramen cecum
This portion of the tongue contains a ROUGH MUCOSA and shows 3 types of papilla
Anterior 2/3
3 types of papilla visible on the anterior 2/3 of the tongue
Filliform
Fungiform
Vallate
This portion of the tongue has NO PAPILLAE but shows NODULAR SURFACE because of underlying lymphatic nodules
Posterior 1/3
Underlying lymphatic nodules on the posterior 1/3 of the tongue
Lingual tonsils
Surface of the tooth that is SMOOTH and has NO PAPILLAE
Ventral surface
This is where you ye frenulum is found
Ventral surface, midline anteriorly
This is found LATERAL to the frenulum and can be seen through the mucosa
deep lingual vein
A fold of mucosa Found LATERAL to the LINGUAL VEIN
Plica fimbriata
Two types of tongue muscles
Extrinsic
Intrinsic
Muscles confined to the tongue (inside only)
Intrinsic muscle
Has no bony attachment
Intrinsic
The intrinsic muscles of the tongue is consists of
Longitudinal fibers
Transverse fibers
Vertical fibers
Fiber of the intrinsic muscle of the tongue that is for SHORTENING
Longitudinal
Fiber of the intrinsic muscle of the tongue that is for SHRINKING
Transverse fibers
Fiber of the intrinsic muscle of the tongue that is for FLATTENING
Vertical fibers
Function of the INTRINSIC MUSCLE
Alter the SHAPE of the tongue
Connects the tongue to the SURROUNDING STRUCTURES
Extrinsic muscle
Where are extrinsic muscles connected
Soft palate
Bones (mandible, hyoid, styloid?
The entrinsc muscles of the tongue includes
Palatoglossus
Geniglossus
Hyoglossus
Styloglossus
Extrinsic muscle that connects the PALATE to the TONGUE
Palatoglossus
Extrinsic muscle that connects the GENIAL TUBERCLE to the TONGUE
Genioglossus
Extrinsic muscle that connects the HYOID BONE to the TONGUE
Hyoglossus
Extrinsic muscle that connects the STYLOID PROCESS to the TONGUE
Styloglossus
Function of EXTRINSIC MUSCLES of the tongue
Help in movement of the tongue
Genioglossus on BOTH sides acting TOGETHER
Protrusion
Styloglossus and Hyoglossus on BOTH sides acting TOGETHER
Retraction
Hyoglossus and Genioglossus on BOTH sides acting TOGETHER
Depression
Styloglossus and Palatoglossus on BOTH sides acting TOGETHER
Elevation
Sensory nerve supply of tye anterior 2/3 of the tongue, general sensations
Lingual nerve
Sensory nerve supply of tye anterior 2/3 of the tongue, special sensations
Chorda tympani
Sensory nerve supply of tye POSTERIOR 1/3 of the tongue, general and special sensations
Glosopharyngeal nerve
Sensory nerve supply of tye BASE of the tongue, general and special sensations
Internal laryngeal nerve
General sensory
Lingual nerve
Lingual nerve
CN V
Special sensory
Chorda tympani
Chorda tympani
CN VII
Internal laryngeal nerve
CN X
General and special sense
Glosopharyngeal
Glosopharyngeal
CN IX
Motor nerve supply of the INTRINSIC MUSCLE
Hypoglossal nerve
Motor nerve supply of the EXTRINSIC MUSCLE
All supplied by HYPOGLOSSAL EXCEPT PALATOGLOSSUS
Only extrinsic muscle that is NOT supplied by the hypoglossal nerve but the PHARYNGEAL PLEXUS
Palatoglossus
Arterial blood supply
Lingual artery
Tonsillar brance of facial artery
Ascending pharyngeal artery
Venous (veins) blood supply
Lingual vein
This ultimately drains to the internal jugular vein
Lingual vein
Lympahatic drainage in the TIP of the tongue
SUBMENTAL nodes, bilaterally and then DEEP CERVICAL nodes
Anterior 2/3 lymphatic drainage
SUBMANDIBULAR unilaterally and then deep cervical nodes
Posterior 1/3 lymphatic drainage
Deep cervical nodes (jugulodigastric)
Most important ARTICULATOR for speech production
Tongue
Provide mechanism for taste
Tongue
Located on different areas of the tongue but generally found around the edges
Taste buds
4 main taste
Bitter
Sour
Salty
Sweet
The tongue is needed for?
Sucking Chewing Swallowing Eating Drinking Kissing Sweeping the mouth Making funny faces
Clinical notes of the tongue
Lacerations of the tongue
Tongue tie
Lesion of the HG nerve
Due to large frenulum
Ankyloglossia
Treatment for tongue tie or ankyloglossia
Frenectomy
This condition causes the tongue to be atrophied and wrinkled
Lesion on HG nerve
Median conical projection marked by median raphe
Uvula
Free margins of the SOFT PALATE amd splitting into 2 parts as they approach the lateral wall
Palatin arches
Also known as anterior pillar of fauces or anterior palatine arch
Palatoglossal arch
Ecloses the palatoglossus muscle
Palatoglossal arch
Also known as posterior pillar of fauces or posterior palatine arch
Palatopharyngeal arch
Enclose the palatopharyngeus muscle
Palatopharyngeal arch
Lies on the ROOF of the oral cavity
Palate
Two parts of the palate
Hard
Soft
Bony palate anteriorly
Hard
Muscular palate posteriorly
Soft palate
Lies on the ROOF of the oral cavity and forms the FLOOR of the nasal cavity
Hard palate
The hard palate is formed by?
Palatine process of maxillae in front
Horizontal plates of palatin behind
This is bounded by ALVEOLAR ARCHES
Hard palate
Posteriorly continues with the soft palate
Hard palate
The under surface of the hard palate is covered by what?
Mucoperiosteum
Contains TRANSVERSE RIDGES in the anterior part specifically the PALATINE RUGAE
Hard palate
Attached to the posterior border of the hard palate
Soft palate
The upper and lower surface of the Soft palate is covered by?
Mucus membrane
Composition of Soft palate
Muscle fibers Aponeurosis Lymphoid tissue Glands Blood vessels Nerves
Tenses the soft palate
Tensor veli palatini
Origin of the tensor veli palatini
Spine of sphenoid
Auditory tube
Insertion of tensor veli palatini
Forms palatine aponeurosis
Elevates or raises the soft palate
Levator veli palatini
Origin of levator veli palatini
Petrous temporal bone
Auditory tube
Palatine aponeurosis
Insertion of levator veli palatini
Palatine aponeurosis
Origin of tye musculus uvulae
Posterior border of the hard palate
Insertion of musculus uvulae
Mucosa of uvula
Elevates the uvula
Musculus uvulae
Pulls the root of the tongue UPWARD, narrowing the Oropharyngeal isthmus
Palatoglossus
Origin of palatoglossus
Palatine aponeurosis
Insertion of palatoglossus
Side of the tongue
Elevates the wall of the pharynx
Palatopharyngeus
Origin of palatopharyngeus
Palatine aponeurosis
Insertion of palatopharyngeus
Posterior border of the thyroid cartilage
Sensory nerve supply of the tongue
Maxillary nerve V2
Branches of maxillary nerve
Greater palatine nerve
Lesser
Nasopalatine
Nerve that supplies the region of the soft palate
Glosopharyngeal
Motor nerve supply of tongue
Pharyngeal plexus
Only muscle that is NOT supplied by the pharyngeal plexus
Tensor veli palatini
Nerve supply of tensor veli palatini
Nerve to medial pterygoid, a branch of mandibular divisions of the trigeminal nerve
Blood supply of the tongue
Branches of maxillary artery
Ascending palatine, branch of facial artery
Ascending pharyngeal, branch of external carotid artery
Branches of
Maxillary artery
Greater palatine
Lesser
Sphenopalatine
Conditions of the palate
Cleft palate
Paralysis of soft palate
Types of cleft palate
Unilateral
Bilateral
Median
The pharyngeal isthmus cannot be closed during swallowing
Paralysis of the soft palate