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Dental Anatomy

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Dental/ORAL anatomy

by dr kibe
objective
• Student acquire knowledge of oral
anatomy
• Knowledge necessary in applied anatomy
ORAL ANATOMY
scope
 learn the bones of oral region
 Learn the soft tissues of oral region
 learn the nerve and blood and lymphatics
 Learn tooth morphology
Mouth (Oral Cavity) Anatomy
· Lips (labia) – protect
the anterior opening
· Cheeks – form the
lateral walls
· Hard palate – forms
the anterior roof
· Soft palate – forms
the posterior roof
· Uvula – fleshy
projection of the
soft palate
Clinical anatomy
• The mandible is mostly
fractured at the canine socket
where it is weak. Involvement
of the IAN in the callus may
cause neuralgic pain, which
may be referred to the areas of
distribution of the buccal and
auriculotemporal nerves.
• Next common fracture areas
are- angle and neck of the
mandible.
Mouth (Oral Cavity) Anatomy
· Lips (labia) – protect
the anterior opening
· Cheeks – form the
lateral walls
· Hard palate – forms
the anterior roof
· Soft palate – forms
the posterior roof
· Uvula – fleshy
projection of the
soft palate
Mouth (Oral Cavity) Anatomy
· Vestibule – space
between lips
externally and teeth
and gums internally
· Oral cavity – area
contained by the
teeth
· Tongue – attached
at hyoid bone and
styloid processes of
the skull, and by the
lingual frenulum
Tongue

· Dorsum (upper part of


tongue covered with
papillae taste receptor and
buds)
· filiform papillae

· fungiform papillae

· circumvallate papillae

· Paltine tonsil
and lingual
tonsil
Mouth (Oral Cavity) Anatomy
· Vestibule – space
between lips
externally and teeth
and gums internally
· Oral cavity – area
contained by the
teeth
· Tongue – attached at
hyoid bone and
styloid processes of
the skull, and by the
lingual frenulum
Tongue

· Dorsum (upper part of


tongue covered with papillae
taste receptor and buds)
· filiform papillae

· fungiform papillae

· circumvallate papillae

· Paltine tonsil and


lingual tonsil
Teeth
• Teeth
(mechanical breakdown)
– Incisors used for cutting
– Canines used for stabbing
and holding
– Molars large surface area
used for grinding
• Primary or deciduous teeth
20
• Secondary or permanent
teeth 32
Structure of Teeth

Crown - exposed surface of tooth


Neck - boundary between root and crown

Enamel - outer surface (the hardest substance in the


body 95% calcium salts)
Dentin – bone-like, but noncellular(70% calcium
salts)
Pulp cavity - hollow with blood vessels and nerves
Root canal - canal length of root
gingival sulcus - where gum and tooth meet
Processes of the Mouth

· Mastication (chewing) of food


· Mixing masticated food with saliva to
produse easy digestied food called bolus
· Saliva contain 2 enzyme,salivary amylase
and lingual lipase
· Initiation of swallowing by the tongue
· Allowing for the sense of taste
Pharynx Anatomy
· Nasopharynx –
not part of the
digestive system
· Oropharynx –
posterior to oral
cavity
· Laryngopharynx –
below the oropharynx
and connected to
the esophagus
Extrinsic Tongue Muscles

Figure 10.7c
Salivary glands
-Parotid gland: In the parotid fossa, three main
structures transverse this gland – facial nerve,
external carotid artery, and retromandibular
vein. The parotid duct opens near the upper 2nd
molar tooth. The gland is completely serous.
- Submandibular gland: Sitting most
posteriorly in the submandibular triangle, it is
supplied by the facial artery and vein.
Submandibular ducts, which cross the lingual
nerves, open on both sides of the tongue
frenulum. It is mostly serous but partially
mucus,.
- Sublingual gland: The smallest salivary
gland sits beneath the oral mucosa in the floor
of the mouth. It has multiple small openings.
This gland is almost completely mucus-
secreting.
mucosa
• Mainly stratified squamous epithelium non-
keratinized
• Keratinized at tip of piriform papillae
• Papillae wt taste buds=fungiform and
circumvallate. Also buds in folia
linguae=present on posterolateral of tongue
ORIGIN: Superior portion –
infratemporal surface of greater
wing of sphenoid. Inferior portion
– lateral surface of lateral
pterygoid plate

INSERTION: fibers a re directed


laterally and backwards into the
front of the pteygoi plate

ACTION: depress, proturude and


move the mandible from side to
side
TEMPORALIS MUSCLE

It is a large, fan-shaped
muscle at the sides of the
head.
ORIGIN: the floor of temporal
fossa and temporal fascia

COURSE: anterior fibers run


vertically downwards while the
posterior fibers are almost
horizontal in position

INSERTION: the apex and deep


surface of the coronoid process
and along the anterior border ACTION: anterior fibers
of the ramus elevate the mandible,
while the posterior fibers
retract the mandible
LATERAL (or EXTERNAL)
PTERGOID MUSCLE
It is a thick and triangular
muscle with two heads.
It is the muscle of
mastication that occupy
primarily a horizontal
position.
Muscles of Mastication

Figure 10.7a
Muscles of Mastication

Figure 10.7b
Action of muscles during masticatory movements

• Opening / Depressor jaw muscles


– mylohyoid / digastric / inferior lateral pterygoid

• Closing / elevator jaw muscles


– medial pterygoid / superficial masseter / tempolaris
THE MUSCLES OF MASTICATION

COMMON CHARACTERISITICS:
1. All are inserted to the mandible
2. All are innervated by the mandibular division of the
trigeminal nerve
3. All are concerned un biting and chewing

FUNCTIONS:
1. To move the mandible
2. To secure then stabilize the mandibular positions
3. To determine the direction of mandibular movements
MASSETER MUSCLE

It is a flat quadrangular
muscle, partly tendinous, partly
fleshy.
It overlies the lateral surface
of the mandibular ramus.
Superficial part
ORIGIN: maxillary process of
zygomatic bone and anterior 2/3 of
the zygomatic process of the maxilla
INSERTION: angle of the mandible
and posterior part of ramus

Deep part
ORIGIN: medial aspect of
the zygomatic arch ACTION: elevate the jaw,
INSERTION: central and with the superficial fibers
upper part of ramus as high causing protraction
as the coronoid
TEMPORALIS MUSCLE

It is a large, fan-shaped
muscle at the sides of the
head.
ORIGIN: the floor of temporal
fossa and temporal fascia

COURSE: anterior fibers run


vertically downwards while the
posterior fibers are almost
horizontal in position

INSERTION: the apex and deep


surface of the coronoid process
and along the anterior border ACTION: anterior fibers
of the ramus elevate the mandible,
while the posterior fibers
retract the mandible
LATERAL (or EXTERNAL)
PTERGOID MUSCLE
It is a thick and triangular
muscle with two heads.
It is the muscle of
mastication that occupy
primarily a horizontal
position.
ORIGIN: Superior portion –
infratemporal surface of greater
wing of sphenoid. Inferior portion
– lateral surface of lateral
pterygoid plate

INSERTION: fibers a re directed


laterally and backwards into the
front of the pteygoi plate

ACTION: depress, proturude and


move the mandible from side to
side
MEDIAL (or INTERNAL)
PTERYGOID MUSCLE
It is almost a mirror-like
image of the masseter
muscle.
It is rhomboidal and
runs practically in the
same direction on the
inner surface of the
mandible
ORIGIN: medial surface
of lateral pterygoid plate,
the posterior surface of
the tubercle of palatine
bone and tuberosity of
maxilla

INSERTION: pterygoid
tuberosity

ACTION: elevates and protracts the mandible. It also


moves the jaw from side to side when acting singly.
SPHENOMANDIBULAR MUSCLE

This is one a part of


the accessory ligament
of TMJ, now regarded as
the 5th muscle of
mastication. It run
medial to the TMJ
ORIGIN: spine of sphenoid bone at the base of the skull

INSERTION: lingula on the mesial side of the ramus


Action of muscles during masticatory movements

• Opening / Depressor jaw muscles


– mylohyoid / digastric / inferior lateral pterygoid

• Closing / elevator jaw muscles


– medial pterygoid / superficial masseter / tempolaris

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