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The Oral Cavity
Anatomy of the Oral Cavity
Question | Answer |
---|---|
What is the space between the lips and the anterior surface of the teeth? Inside the teeth? | The vestibule; the oral cavity proper |
What is the tissue of the oral cavity like? | The oral cavity is lined by mucous membrane with non-keratinized stratified squamous epithelium (except gums and hard palates, which ARE keratinized) |
The oral cavity proper communicates posteriorly with the ____ via the ____ ____, which passes between the ____ arches and the tongue. | oropharynx; oropharyngeal isthmus; palatoglossal |
Upper and lower frenula | connect upper and lower lip to the alveolar process |
Lingual frenulum | midline fold connecting tongue to floor of mouth |
Sublingual caruncle (papilla) | openings to the submandibular ducts into floor of mouth OPPOSITE of lingual frenulum |
sublingual folds | formed by sublingual glands running inthe direction of the sublingual caruncle (papilla); small ducts of the sublingual glands open along the folds |
* Deep lingual veins | on either side of the lingual frenulum |
* * Parotid papilla | Opening of the parotid duct (stenson's duct) into vestibule opposite the second upper molar tooth |
What is the sulcus terminalis? | Inverted V-shaped groove separating the anterior 2/3 fromt he posterior 1/3 of tongue |
What is the foramen cecum? | Located in the junction of the two limbs of the sulcus terminalis (site of embryonic thyroglossal duct) |
What are the lingual papillae? Where are they? | Upfoldings of mucus membrane covering the dorsal surface of the anterior 2/3 of tongue |
What are the four types of papillae on the tongue? | Filiform, fungiform, foliate, circumvallate |
* Filiform papillae | conical shaped projections arranged in rows which diverge from midline, run parallel to sulcus terminalis; lack taste buds |
* Fungiform papillae | Scattered throughout filiform pap.; more common along tip of tongue; appear as red dots due to rich blood supply; Apex large and rounded, base narrower; taste buds along surface (CN VII) (cordae tympani) |
* Foliate papillae | Lateral upfoldings of the tongue; poorly developed in humans; taste buds along lateral surfaces (CN VII) |
* Circumvallate papillae | About 12 or so arranged in a row in front of sulcus terminalis; much larger than fungiform or foliates; numerous taste buds along sides (CN IX) |
Where are the lingual tonsils? | On the posterior one third of the tongue |
Median and lateral glossoepiglottic folds | reflections of mucosa onto the epiglottis |
Valleculae | Depressions between the glossoepiglottic folds, contain some taste buds (CN X) |
What does the Lingual Nerve (CN V3) innervate? | General sensation for the anterior 2/3 of tongue |
What does the Chorda tymapani of CN VII innervate? | Taste for anterior 2/3 of tongue |
What does the lingual branch (CN IX) innervate? | General sensation and taste for posterior 1/3 of tongue |
What does the internal laryngeal nerve (CN X) innervate? | General sensation and taste in the valleculae of the tongue AND palatoglussus (motor) |
What does the hypoglossal nerve innervate? (CN XII) | Motor to all muscles of the tongue (except palatoglossus--CN X) |
Where does the lingual artery arise from? | The external carotid artery just behind the greater horn of the hyoid bone |
What do the deep lingual and sublingual veins form? | The vena comitans nervi hypoglossi, which is joined by the dorsal lingual vein to form the lingual vein, which opens into the jugular foramen |
What are the intrinsic muscles of the tongue attached to? What about the extrinsic muscles of the tongue? | Located entirely within the tongue-->no bony attachments; arise from bony attachments outside of tongue |
& * Name the nerve and action of the genioglossus | Hypoglossal nerve; pulls tongue forward and potrudes it; assists in creating a central furrow during swallowing, anterior fibers retract the protruded tip of the tongue |
* * Name the nerve and action of the hyoglossus | Hypoglossal nerve; depresses the tongue |
* * Name the nerve and action of the styloglossus | Hypoglossal nerve; pulls tongue upward and backward, assists in creating a central furrow during swallowing |
* * Name the nerve and action of the palatoglossus | Vagus nerve (via pharyngeal plexus); depresses palate, moves palatoglossal arch toward midline, elevates back of tongue |
What is the nerve and action of the digastric muscle? | N: anterior belly is CNV3, posterior belly is CNVII; elevates hyoid or depresses mandible |
What is the nerve and action of the mylohyoid? | CN V3; raises the hyoid and the tongue (swallowing) or depresses the mandible (forms anatomical floor of the mouth) |
What is the nerve and action of the geniohyoid? | C1 via the hypoglossal nerve; raises the hyoid or depresses the mandible |
What is the nerve and action of the stylohyoid? | CN VII; raises the hyoid and pulls it anteriorly |
where is the submandibular gland (what muscle is it next to)? | Large U-shaped gland, wraps around posterior free border of the mylohyoid muscle; has superficial and deep parts which are continuous over the posterior border of the mylohyoid |
* * Where is the superficial part of the submandibular gland? | Wedged between the body of the mandible and the mylohyoid muscle; laterally, related to the submandibular fossa |
* * Where is the deep part of the submandibular gland? | Lies in the space between the mylohyoid muscle (lateral) and the styloglossus and hyoglossus (medial) |
* * Where does the submandibular duct run? | Emerges from the medial side of the deep part of the submandibular g.; it is crossed LATERALLY by the LINGUAL NERVE, runs anteriorly between the sublingual gland and the genioglossus muscle; enters floor at sublingual caruncle (next to lingual frenulum) |
* * Where are the sublingual glands? | They are the most superificial structures in the floor of the mouth; almond shaped, which forms the sublingual folds |
* * What lies superior, inferior, lateral, and medial to the sublingual glands? | Sup: mucous membrane; inf: mylohyoid; lateral: sublingual fossa of the mandible; medial: submandibular duct, lingual nerve, genioglossus |
Where does the lingual nerve arise from? | From CN V3 in the infratemporal fossa; joined by the chorda tympani from the facial nerve (CN VII) |
* * * Where does the lingual nerve pass through? | closely related to the THIRD MOLAR TOOTH and can be damaged during extraction; passes forward across the styloglossus and hyoglossus; crosses LATERAL side of submandibular duct, winds below it, and runs upward on its MEDIAL SIDE |
* * What nerve and artery are DEEP to the hyoglossus muscle? | Lingual artery and glossopharyngeal nerve |
* * What structures run superficial (anterior to the muscle?) | Superior level (lateral to medial or supperficial to deep): sublingual gland, submandibular duct, lingual nerve); Inferior level: hypoglossal nerve, vena comitantes nervi hypoglossi |