Professional Documents
Culture Documents
Oral Region
Oral Region
Includes the:
Oral cavity and its contents (teeth, gums. And tongue) Palate Oropharynx that contains the palatine tonsils.
ORAL CAVITY
Functions
Mastication Passage of air Speech
ORAL VESTIBULE
It is bounded externally by the lips and cheeks and internally by the teeth and gums
Frenulum
Sickle folds of tissue attaching the lips, cheeks and the tongue to the alveolar bone
TONGUE
Is a mass of striated muscle covered with mucous membrane It is divided into right and left halves by a median fibrous septum.
Root- posterior 1/3 Body- anterior 2/3 Apex Dorsum Foramen cecum- midline at the point of the terminal sulcus Terminal sulcus- V-shaped sulcus that divides the anterior 2/3 from the posterior 1/3 Lingual tonsil- posterior to terminal sulcus Lingual Papilla Medial Sulcus
Lingual Papillae Circumvallate Papillae Filiform Papillae Fungiform Papillae Foliate Papillae
Circumvallate Papillae
there are only about 10 to 14 of these papillae on most people, and they are present at the back of the oral part of the tongue. They are arranged in a circular-shaped row just in front of the sulcus terminalis of the tongue. bitter taste
Filiform Papillae
these are thin, long papillae "V"-shaped cones don't contain taste buds but are the most numerous. These papillae are mechanical and not involved in gustation. They are characterized by increased keratinization
Fungiform Papillae
these are slightly mushroom-shaped if looked at in longitudinal section. These are present mostly at the apex(tip) of the tongue, as well as the sides Innervated by facial nerve Sweet and salty
Foliate Papillae
these are ridges and grooves towards the posterior part of the roof of the mouth found on lateral margins. Innervated by facial nerve(anterior papillae) Glassopharyngeal nerve(posterior papillae) Sour taste
Intrinsic Muscle
These muscle are confined to the tongue and are not attached to the bone They consist of longitudinal, transverse and vertical fibers Nerve Supply: Hypoglossal nerve Action: alter the shape of the tongue
Extrinsic Muscle
These muscles are attached to the bones and the soft palate. They are the genioglossus, hyoglossus, styloglossus and palatoglossus Nerve supply: Hypoglossal nerve
Blood Supply
The lingual artery , the tonsilar branch of the facial artery , and the ascending pharyngeal artery supply to the tongue. The veins drain into the internal jugular vein
Lymph Drainage
Tip: Submental lymph nodes Sides of the anterior two thirds: submandibular and deep cervical lymph nodes Posterior third: Deep cervical lymph nodes
Sensory Innervation
Anterior two thirds: Lingual nerve branch of mandibular division of trigeminal nerve(general sensation) and chorda tympani branch of the facial nerve(taste). Posterior third: Glossopharyngeal nerve(general sensation and taste)
Teeth
Deciduous teeth Permanent teeth
Deciduous teeth
Also known as baby teeth 20 teeth 4 incisors, 2 canines, 4 molars in each jaw Erupt about 6 months after birth and have all erupted by the end of 2 years
Permanent teeth
32 teeth 4 incisors, 2 canines, 4 premolars, 6 molars in each jaw Begin to erupt at 6 years of age Last tooth to erupt is 3rd molar which may happen between the ages of 17 and 30
Clinical Notes
Laceration of the Tongue -wound is often caused by the patients following a blow on the chin when the tongue is partly protruded from the mouth -Also occurs when the patient accidentally bites the tongue while eating, during recovery from an anesthetic or during epileptic shock.
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