Unit I oral cavity Flashcards
Roof of the oral cavity
the palate
Floor of the oral cavity
tongue and oral mucosa
What supports the tongue and oral mucosa?
the mylohyoid and geniohyoid
Anterior and Lateral boundaries of the oral cavity
the lips and cheeks
Posterior boundary of the oral cavity
oropharyngeal isthmus, demarcated by the palatoglossal arch
List the two parts the oral cavity is divided into
oral vestibule and oral cavity proper
What constitutes the oral vestibule?
the oral cavity external to the tooth rows
List the two openings into the oral vestibule
labial glands and parotid ducts
The parotid duct opens
lateral to the maxillary second molar
What constitutesthe oral cavity proper?
oral cavity internal to the tooth rows
Describe the Philtrum
median groove, externally, that runs from nose to vermillion border of upper lip
The lips contain
the orbicularis oris muscle and labial glands
The cheeks contain
the buccinator muscle and buccal glands (similar to labial glands)
The palate forms what two things?
the roof of the mouth and floor of the nasal cavity
List the parts that constitute the palate
hard and soft palate
The hard palate forms
the anterior 2/3 of palate
the soft palate forms
the posterior 1/3 of the palate
The bony partition of the hard palate between the nasal and oral cavities is formed by
palatine process of the maxilla (anteriorly)
horizontal plate of the palatine bone (posteriorly)
List the foramina of the hard palate
incisive, greater palatine, and lesser palatine foramen
Which foramina of the hard palate transmits the nasopalatine nerve?
the incisive foramen
Which foramina of the hard palatine transmit nerves and blood vessels of the same name?
the greater and lesser palatine foramina
What covers the hard palate?
the mucoperiosteum
What presents a palatine raphe that ends anteriorly in the incisive papilla?
the mucoperiosteum
What does the incisive papilla cover?
emerging nerves in the oral cavity proper
What creates a friction surface in the oral cavity proper?
transverse palatine folds
What is elevated during swallowing to close the opening between the nasopharynx above and oropharynx below?
the soft palate
The soft palate is continuous with what two lateral arches?
the palatoglossal and palatopharyngeal arches
What makes up the palatoglossal arch?
palatoglossal fold (superficially)
palatoglossus muscle (deep to fold)
What makes up the palatopharyngeal arch?
palatopharyngeal fold (superficially)
palatopharyngeus muscle (deep to fold)
Describe the uvula
the median projection of the soft palate
Where does the tonsillar fossa lie?
between the palatoglossal and palatopharyngealarches
What is contained in the tonsillar fossa?
the palatine tonsil
Origin of musculus uvulae
posterior nasal spine
Insertion of musculus uvulae
mucous membrane of uvula
Innervation of musculus uvulae
vagus nerve via pahryngeal plexus
Function of musculus uvulae
elevates uvula
Origin of levator veli palatini
inferior surface of temporal bone
Insertion of levator veli palatini
aponeurosis of soft palate
Innervation of levator veli palatini
vagus nerve via pharyngeal plexus
Function of levator veli palatini
elevates soft palate
Origin of tensor veli palatini
scaphoid fossa of medial pterygoid plate, and pharyngotympanic tube
Insertion of levator veli palatini
its tendon wraps around pterygoid hamulus and inserts into the aponeurosis of the soft palate
Innervation of the tensor veli palatini
mandibular branch of the trigeminal
Function of the tensor veli palatini
tenses soft palate andopens the pharyngotympanic tube
Innervation of the hard palate
greater palatine or nasopalatine nerves
Innervation of the soft palate
lesser palatine nerve
Blood supply to the hard palate
greater palatine artery (from maxillary)
Blood supply to the soft palate
lesser palatine and facial arteries
Paralysis of the musculus uvulae on the left side would cause the uvula to deviate right, what nerve is damaged to cause this?
the left vagus nerve (vice versa forthe opposite side)
The tongue is attached to__, ___, ___, ___, __ by muscles
the hyoid, mandible, styloid process, palate, and pharynx
List the functions of the tongue
Taste, mastication, swallowing, and speech
The apex of the tongue rests against
incisor teeth
The margin of the tongue rests against
teeth and gum on each side
The dorsum of the tongue
is the upper surface of the tongue
The inferior surface of the tongue
is the lower surface of the tongue
The root of the tongue
is attached to its base
The dorsum of the tongue lies
partly in the oral cavity and oropharynx
What is the sulcus terminalis?
a v shaped groove that divides the tongue into two parts
List the two parts of the tongue that the sulcus terminalis creates
oral part (anterior 2/3)
oropharyngeal part (posterior 1/3)
This foramen is located at the apex of the sulcus terminalis
Foramen cecum
What is the foramen cecum a remnant of?
embryonic thyroglossal duct
A shallow visible groove on the surface of tongue
median groove
List the lingual papillae
filiform, fungiform, vallate, and foliate
Conical projections with sharply pointed tips
filiform papillae
Mushroom shaped and contains taste buds
fungiform papillae
Largest of the papillae, and formsa V in front of the sulcus terminalis
vallate papillae
Grooves and ridges along the margin of the tongue
foliate papillae
Which papillae is sensitive to bitterness and may trigger the gag reflex?
the vallate papillae
Describe a thyroglossal cyst
lies on midline of neck and occurs when thyroglossal duct doesn’t completely involute and disappear
Which direction does the oropharyngeal part of the tongue face?
posteriorly
A mass of lymphoid tissue found on the oropharyngeal surface of the tongue
lingual tonsil
Which two folds connect the tongue to the epiglottis?
median and lateral glossoepiglottic folds
The space on either side of the median glossoepiglottic fold
Vallecula
What connects the inferior surface of the tongue to the floor of the mouth?
the fenulum of the tongue
What is it called when the frenulum of the tongue is short S-I and long A-P?
Ankyloglossia
What is the result of ankyloglossia?
the tongue is bound to the floor of the mouth, impeding speech
Nerves, vessels, and extrinsic muscles enter or leave the tongue though the
root of the tongue
What is the innervation of all intrinsic muscles of the tongue?
hypoglossal nerve
List the extrinsic muscles of the tongue
genioglossus, hyoglossus, styloglossus, and palatoglossus
Origin of palatoglossus
soft palate
Insertion of palatoglossus
sides of the tongue
Innervation of the palatoglossus
vagus nerve via the pharyngeal plexus
Function of the palatoglossus
elevates back of tongue
All extrinsic muscles of the tongue except palatoglossus are innervated by what nerve?
hypoglossal nerve
Describe the clinical importance of the genioglossus
pulls tongue forward and prevents tongue from falling backwards, blocking the airway
important for anesthesia and seizure disorders
General sensory innervation to the anterior 2/3 of the tongue is from
the lingual nerve (branch of mandibular from trigeminal)
Taste sensory innervation to the anterior 2/3 of the tongue is from
the chorda tympani (branch of facial nerve)
What nerve provides general and taste sensory innervation to the posterior 1/3 of the tongue?
glossopharyngeal nerve
Taste fibers from which cranial nerve crosses the sulcus terminalis to supply the vallate papillae and initiaties the gag reflex?
glossopharyngeal nerve
Arterial blood supply to the tongue
lingual artery (from external carotid)
Venous blood return from the tongue
lingual vein (to internal jugular)
List the lymph nodes assocaited with the tongue
submandibular, sublingual, and deep cervical nodes
Where does all lymph from the tongue drain to?
deep cervical lymph nodes
Function of the teeth
break down food material to increase surface area to facilitate enzymatic activity and absorption
Describe enamel of the teeth
hardest substance in the body
What does enamel cover?
the crown of the tooth
Describe dentin of the teeth
its internal to enamel
Describe the pulp of teeth
fills cavity of tooth
What is contained in the pulp of teeth?
nerves, blood vessels, and lymphatics
Where do the strucutres in the pulp of teeth enter at?
a foramen at the apex of the root of the tooth
Describe cementum
a bone like substance which covers the root of the tooth
Describe the crown of teeth
it projects above the gingivae and is covered in enamel
Describe the neck of teeth
the junction between the crown and root
Describe the root of teeth
its embedded in the alveolar processes of the maxilla and mandible; covered in cementum
Describe gingivae
specialized oral mucosa that surrounds teeth and covers adjacent alveolar bone
List the 4 types of teeth
incisors, canines, premolars, and molars
Single rooted, chisled shape teeth used for cutting
incisors
Single rooted, pointed teeth used for puncturing and tearing
canines
Single or double rooted teeth with broad chewing surfaces used for grinding
premolars
Multiple rooted teeth with very broad chewing surfaces used for grinding
molars
What would be the labial surface for incisors and canines?
side facing the lip
What would be the labial surface for premolars and molars?
side facing the cheeck
What would be the lingual surface of teeth?
side facing the tongue
What would be the mesial surface of teeth?
side facing anteriorly or towards midline
What would be the distal surface of teeth
side facing posteriorly or away from midline
What is the occlusal surface of teeth?
the chewing surface
What are deciduous teeth?
baby teeth
Describe the types of teeth in deciduous teeth
2 incisors, 1 canine, and 2 molars
How many teeth are total in deciduous teeth?
20
Describe the types of teeth in permanent teeth
2 incisors, 1 canine, 2 premolars, and 3 molars
How many teeth are total in permanent teeth?
32
What type of teeth replace deciduous molars?
premolars
What is the innervation of maxillary teeth?
superior alveolar branches from the maxillary of the trigeminal nerve
What is the innervation of mandibular teeth?
inferior alveolar branches from the mandibular of the trigeminal