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GROWTH AND
DEVELOPMENT OF TONGUE
AND SALIVARY GLANDS
www.indiandentalacademy.com
INDIAN DENTAL ACADEMY
Leader in continuing Dental Education
CONTENTS
 INTRODUCTION
 DEFINITION OF GROWTH AND DEVELOPMENT
 DEVELOPMENT OF TONGUE
 ANOMALIES OF TONGUE
 DEVELOPMENT OF SALIVARY GLANDS
 ANOMALIES OF SALIVARY GLANDS
 PROSTHODONTIC CONSIDERATATIONS
 SUMMARY
 REFERENCES
www.indiandentalacademy.com
Introduction
• Tongue is a muscular organ in the floor of the
mouth associated with a function of taste,
speech, mastication and deglutition.
• The tongue also influence the path of eruption of
teeth.
• The salivary glands are important organs of oral
cavity which produces saliva, essential fluid
required for normal mastication, swallowing and
digestion.
• Hence it is essential to study the growth and
development of tongue and salivary gland.
www.indiandentalacademy.com
Definition of growth:
• Krogman : Increase in size, change in proportion
and progressive complexity.
• Todd: An increase in size.
• Moyers: Quantitative aspect of biological
development per unit time.
Definitions of development:
• Todd: Development is progress towards maturity.
• Moyers: Development refers to all the naturally
occurring unidirectional changes in the life of an
individual from its existence as a single cell to its
eloboration as a multifactorial unit terminating in
death. Thus, it encompasses the normal sequential
events between fertilization and death.www.indiandentalacademy.com
DEVELOPMENT OF TONGUE
www.indiandentalacademy.com
• During the early 4th
week of I.U.L. the lateral part
of mesoderm of ventral foregut region becomes
segmented to form a series of 5 distinct bilateral
mesenchymal swellings called as pharyngeal
arches.
• Pharyngeal clefts: Arches are seperated by deep
grooves called pharyngeal clefts.
• Pharyngeal pouch: are outpocketings appearing
along the most cranial part of foregut.
www.indiandentalacademy.com
www.indiandentalacademy.com
DEVELOPMENT OF TONGUE
• Tongue arises from the ventromedial wall of the
primitive oropharynx from the inner lining of the
first four branchial arches.
• Development of tongue can be studied under
the following headings
– Anterior 2/3rd
(or the body of tongue)
– Posterior 1/3rd
(base of the tongue)
– Musculature and connective tissue
– Papillae and taste buds.
– The nerve supply
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
Anterior 2/3rd
of the tongue
• During the 4th
week of IUL, paired lateral swellings
appear on the internal aspect of the 1st
brachial arches
Tuberculum impar is a median
eminence whose caudal end has a pit called the
foremen caecum
• These lateral swellings rapidly enlarge, merge with each
other and overgrow the tuberculum impar to form the
body of the tongue
• A U shaped sulcus, the linguogingival groove develops in
front of the oral part, which allows it to be free and highly
mobile except at the region of the lingual frenum wherewww.indiandentalacademy.com
Posterior 1/3rd
of the tongue
• The base of the tongue is initially indicated by two
midline elevations that develop caudal to the foremen
caecum
• The copula
• The hypobrachial eminence
• As the tongue develops, the hypobranchial
eminence,overgrows the second branchial arch to
become continous with the body of the tongue. The
site of union b/w the the body and base of the tongue is
delineated by a V shaped groove, called the sulcus
terminalis.
www.indiandentalacademy.com
Musculature and connective tissue
• Branchial arch mesenchyme forms the
connective tissue and the lymphatic and
the blood vessels of the tongue
www.indiandentalacademy.com
• During the early 4th
week of I.U.L. the lateral part
of mesoderm of ventral foregut region becomes
segmented to form a series of 5 distinct bilateral
mesenchymal swellings called as pharyngeal
arches.
• Pharyngeal clefts: Arches are seperated by deep
grooves called pharyngeal clefts.
• Pharyngeal pouch: are outpocketings appearing
along the most cranial part of foregut.
www.indiandentalacademy.com
www.indiandentalacademy.com
DEVELOPMENT OF TONGUE
• Tongue arises from the ventromedial wall of the
primitive oropharynx from the inner lining of the
first four branchial arches.
• Development of tongue can be studied under
the following headings
– Anterior 2/3rd
(or the body of tongue)
– Posterior 1/3rd
(base of the tongue)
– Musculature and connective tissue
– Papillae and taste buds.
– The nerve supply
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
Anterior 2/3rd
of the tongue
• During the 4th
week of IUL, paired lateral swellings
appear on the internal aspect of the 1st
brachial arches
Tuberculum impar is a median
eminence whose caudal end has a pit called the
foremen caecum
• These lateral swellings rapidly enlarge, merge with each
other and overgrow the tuberculum impar to form the
body of the tongue
• A U shaped sulcus, the linguogingival groove develops in
front of the oral part, which allows it to be free and highly
mobile except at the region of the lingual frenum wherewww.indiandentalacademy.com
Posterior 1/3rd
of the tongue
• The base of the tongue is initially indicated by two
midline elevations that develop caudal to the foremen
caecum
• The copula
• The hypobrachial eminence
• As the tongue develops, the hypobranchial
eminence,overgrows the second branchial arch to
become continous with the body of the tongue. The
site of union b/w the the body and base of the tongue is
delineated by a V shaped groove, called the sulcus
terminalis.
www.indiandentalacademy.com
Musculature and connective tissue
• Branchial arch mesenchyme forms the
connective tissue and the lymphatic and
the blood vessels of the tongue
www.indiandentalacademy.com
Tongue musculature`
• During the 5th
to 7th
week of the IUL, 3-4
occipital myotomes,
migrate anteriorly to
form the musculature
of the tongue.
www.indiandentalacademy.com
Papillae of the tongue
• Papillae are projections of mucous membrane
on the dorsum of the tongue
Circumvalate papillae
Fungiform papillae
Filliform papillae
Foliate papillae
www.indiandentalacademy.com
Taste buds
• Taste buds are located on the dorsum of
the tongue and are associated with the
papillae
Taste buds appear around 8th
week of IUL
Taste buds arise by inductive interaction
b/w the epithelial cells and the invading
gustatory nerve cells
www.indiandentalacademy.com
Nerve supply of the tongue
• Development of tongue from the branchial arch explains
its nerve supply
Sensory supply
Ant 2/3rd
-Lingual nerve for general sensation.chorda
tympani for the special sensation
Post 1/3r
Glossopharyngeal nerve
Posterior most part -vagus nerve
Motor supply
All the intrinsic and extrinsic muscles except the
palatoglossus are supplied by the hypoglossal nerve.
Palatoglossus –pharyngeal plexus
www.indiandentalacademy.com
www.indiandentalacademy.com
Arterial supply:
It is chiefly derived from the lingual artery a branch of
external carotid artery. The root of the tongue is also
supplied by tonsillar and ascending pharyngeal artery.
Venous drainage:
The deep lingual vein is the principal vein of the tongue.
Lymphatic drainage:
The tip of the tongue drains into submental nodes. The
remaining part of the anterior 2/3rd
drains into the
submandibular nodes. The posterior 1/3rd
of the tongue
drains into jugulo-omohyoid nodeswww.indiandentalacademy.com
www.indiandentalacademy.com
Structure of the tongue
• The bulk of the
tongue is made of
muscles
• Intrinsic muscles
• Extrinsic muscles
www.indiandentalacademy.com
• The oral part of the
dorsum of the tongue has
numerous papillae
associated with the taste
buds.
• The pharyngeal part of
the dorsum of the tongue
is rich in lymphoid follicles
that is collectively called
the lingual tonsil. Mucous
glands are also present.
www.indiandentalacademy.com
• The inferior surface of the
tongue shows the
frenulum linguae,deep
lingual veins and the plica
fimbriata
www.indiandentalacademy.com
• The entire tongue is in the mouth at birth .Its
post 1/3rd
desends into the pharynx by the age of
4yrs. The tongue normally doubles in
length,breadth and thickness from birth to
adolesence reaching maximal size at about
8yrs.
www.indiandentalacademy.com
ANOMILIES OF THE TONGUE
• Aglossia
• Microglossia
• Macroglossia
• Bifid tongue
• Ankyloglossia
• Lingual thyroid
• Fissured tongue
• Median rhomboid glossitis
www.indiandentalacademy.com
ANKYLOGLOSSIA
www.indiandentalacademy.com
LINGUAL THYROID
www.indiandentalacademy.com
FISSURED TONGUE
www.indiandentalacademy.com
MEDIAN RHOMBOID GLOSSITIS
www.indiandentalacademy.com
• The oral part of the
dorsum of the tongue has
numerous papillae
associated with the taste
buds.
• The pharyngeal part of
the dorsum of the tongue
is rich in lymphoid follicles
that is collectively called
the lingual tonsil. Mucous
glands are also present.
www.indiandentalacademy.com
• The inferior surface of the
tongue shows the
frenulum linguae,deep
lingual veins and the plica
fimbriata
www.indiandentalacademy.com
• The entire tongue is in the mouth at birth .Its
post 1/3rd
desends into the pharynx by the age of
4yrs. The tongue normally doubles in
length,breadth and thickness from birth to
adolesence reaching maximal size at about
8yrs.
www.indiandentalacademy.com
ANOMILIES OF THE TONGUE
• Aglossia
• Microglossia
• Macroglossia
• Bifid tongue
• Ankyloglossia
• Lingual thyroid
• Fissured tongue
• Median rhomboid glossitis
www.indiandentalacademy.com
ANKYLOGLOSSIA
www.indiandentalacademy.com
LINGUAL THYROID
www.indiandentalacademy.com
FISSURED TONGUE
www.indiandentalacademy.com
MEDIAN RHOMBOID GLOSSITIS
www.indiandentalacademy.com

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Presentation dev of-tongue/cosmetic dentistry courses

  • 1. GROWTH AND DEVELOPMENT OF TONGUE AND SALIVARY GLANDS www.indiandentalacademy.com INDIAN DENTAL ACADEMY Leader in continuing Dental Education
  • 2. CONTENTS  INTRODUCTION  DEFINITION OF GROWTH AND DEVELOPMENT  DEVELOPMENT OF TONGUE  ANOMALIES OF TONGUE  DEVELOPMENT OF SALIVARY GLANDS  ANOMALIES OF SALIVARY GLANDS  PROSTHODONTIC CONSIDERATATIONS  SUMMARY  REFERENCES www.indiandentalacademy.com
  • 3. Introduction • Tongue is a muscular organ in the floor of the mouth associated with a function of taste, speech, mastication and deglutition. • The tongue also influence the path of eruption of teeth. • The salivary glands are important organs of oral cavity which produces saliva, essential fluid required for normal mastication, swallowing and digestion. • Hence it is essential to study the growth and development of tongue and salivary gland. www.indiandentalacademy.com
  • 4. Definition of growth: • Krogman : Increase in size, change in proportion and progressive complexity. • Todd: An increase in size. • Moyers: Quantitative aspect of biological development per unit time. Definitions of development: • Todd: Development is progress towards maturity. • Moyers: Development refers to all the naturally occurring unidirectional changes in the life of an individual from its existence as a single cell to its eloboration as a multifactorial unit terminating in death. Thus, it encompasses the normal sequential events between fertilization and death.www.indiandentalacademy.com
  • 6. • During the early 4th week of I.U.L. the lateral part of mesoderm of ventral foregut region becomes segmented to form a series of 5 distinct bilateral mesenchymal swellings called as pharyngeal arches. • Pharyngeal clefts: Arches are seperated by deep grooves called pharyngeal clefts. • Pharyngeal pouch: are outpocketings appearing along the most cranial part of foregut. www.indiandentalacademy.com
  • 8. DEVELOPMENT OF TONGUE • Tongue arises from the ventromedial wall of the primitive oropharynx from the inner lining of the first four branchial arches. • Development of tongue can be studied under the following headings – Anterior 2/3rd (or the body of tongue) – Posterior 1/3rd (base of the tongue) – Musculature and connective tissue – Papillae and taste buds. – The nerve supply www.indiandentalacademy.com
  • 11. Anterior 2/3rd of the tongue • During the 4th week of IUL, paired lateral swellings appear on the internal aspect of the 1st brachial arches Tuberculum impar is a median eminence whose caudal end has a pit called the foremen caecum • These lateral swellings rapidly enlarge, merge with each other and overgrow the tuberculum impar to form the body of the tongue • A U shaped sulcus, the linguogingival groove develops in front of the oral part, which allows it to be free and highly mobile except at the region of the lingual frenum wherewww.indiandentalacademy.com
  • 12. Posterior 1/3rd of the tongue • The base of the tongue is initially indicated by two midline elevations that develop caudal to the foremen caecum • The copula • The hypobrachial eminence • As the tongue develops, the hypobranchial eminence,overgrows the second branchial arch to become continous with the body of the tongue. The site of union b/w the the body and base of the tongue is delineated by a V shaped groove, called the sulcus terminalis. www.indiandentalacademy.com
  • 13. Musculature and connective tissue • Branchial arch mesenchyme forms the connective tissue and the lymphatic and the blood vessels of the tongue www.indiandentalacademy.com
  • 14. • During the early 4th week of I.U.L. the lateral part of mesoderm of ventral foregut region becomes segmented to form a series of 5 distinct bilateral mesenchymal swellings called as pharyngeal arches. • Pharyngeal clefts: Arches are seperated by deep grooves called pharyngeal clefts. • Pharyngeal pouch: are outpocketings appearing along the most cranial part of foregut. www.indiandentalacademy.com
  • 16. DEVELOPMENT OF TONGUE • Tongue arises from the ventromedial wall of the primitive oropharynx from the inner lining of the first four branchial arches. • Development of tongue can be studied under the following headings – Anterior 2/3rd (or the body of tongue) – Posterior 1/3rd (base of the tongue) – Musculature and connective tissue – Papillae and taste buds. – The nerve supply www.indiandentalacademy.com
  • 19. Anterior 2/3rd of the tongue • During the 4th week of IUL, paired lateral swellings appear on the internal aspect of the 1st brachial arches Tuberculum impar is a median eminence whose caudal end has a pit called the foremen caecum • These lateral swellings rapidly enlarge, merge with each other and overgrow the tuberculum impar to form the body of the tongue • A U shaped sulcus, the linguogingival groove develops in front of the oral part, which allows it to be free and highly mobile except at the region of the lingual frenum wherewww.indiandentalacademy.com
  • 20. Posterior 1/3rd of the tongue • The base of the tongue is initially indicated by two midline elevations that develop caudal to the foremen caecum • The copula • The hypobrachial eminence • As the tongue develops, the hypobranchial eminence,overgrows the second branchial arch to become continous with the body of the tongue. The site of union b/w the the body and base of the tongue is delineated by a V shaped groove, called the sulcus terminalis. www.indiandentalacademy.com
  • 21. Musculature and connective tissue • Branchial arch mesenchyme forms the connective tissue and the lymphatic and the blood vessels of the tongue www.indiandentalacademy.com
  • 22. Tongue musculature` • During the 5th to 7th week of the IUL, 3-4 occipital myotomes, migrate anteriorly to form the musculature of the tongue. www.indiandentalacademy.com
  • 23. Papillae of the tongue • Papillae are projections of mucous membrane on the dorsum of the tongue Circumvalate papillae Fungiform papillae Filliform papillae Foliate papillae www.indiandentalacademy.com
  • 24. Taste buds • Taste buds are located on the dorsum of the tongue and are associated with the papillae Taste buds appear around 8th week of IUL Taste buds arise by inductive interaction b/w the epithelial cells and the invading gustatory nerve cells www.indiandentalacademy.com
  • 25. Nerve supply of the tongue • Development of tongue from the branchial arch explains its nerve supply Sensory supply Ant 2/3rd -Lingual nerve for general sensation.chorda tympani for the special sensation Post 1/3r Glossopharyngeal nerve Posterior most part -vagus nerve Motor supply All the intrinsic and extrinsic muscles except the palatoglossus are supplied by the hypoglossal nerve. Palatoglossus –pharyngeal plexus www.indiandentalacademy.com
  • 27. Arterial supply: It is chiefly derived from the lingual artery a branch of external carotid artery. The root of the tongue is also supplied by tonsillar and ascending pharyngeal artery. Venous drainage: The deep lingual vein is the principal vein of the tongue. Lymphatic drainage: The tip of the tongue drains into submental nodes. The remaining part of the anterior 2/3rd drains into the submandibular nodes. The posterior 1/3rd of the tongue drains into jugulo-omohyoid nodeswww.indiandentalacademy.com
  • 29. Structure of the tongue • The bulk of the tongue is made of muscles • Intrinsic muscles • Extrinsic muscles www.indiandentalacademy.com
  • 30. • The oral part of the dorsum of the tongue has numerous papillae associated with the taste buds. • The pharyngeal part of the dorsum of the tongue is rich in lymphoid follicles that is collectively called the lingual tonsil. Mucous glands are also present. www.indiandentalacademy.com
  • 31. • The inferior surface of the tongue shows the frenulum linguae,deep lingual veins and the plica fimbriata www.indiandentalacademy.com
  • 32. • The entire tongue is in the mouth at birth .Its post 1/3rd desends into the pharynx by the age of 4yrs. The tongue normally doubles in length,breadth and thickness from birth to adolesence reaching maximal size at about 8yrs. www.indiandentalacademy.com
  • 33. ANOMILIES OF THE TONGUE • Aglossia • Microglossia • Macroglossia • Bifid tongue • Ankyloglossia • Lingual thyroid • Fissured tongue • Median rhomboid glossitis www.indiandentalacademy.com
  • 38. • The oral part of the dorsum of the tongue has numerous papillae associated with the taste buds. • The pharyngeal part of the dorsum of the tongue is rich in lymphoid follicles that is collectively called the lingual tonsil. Mucous glands are also present. www.indiandentalacademy.com
  • 39. • The inferior surface of the tongue shows the frenulum linguae,deep lingual veins and the plica fimbriata www.indiandentalacademy.com
  • 40. • The entire tongue is in the mouth at birth .Its post 1/3rd desends into the pharynx by the age of 4yrs. The tongue normally doubles in length,breadth and thickness from birth to adolesence reaching maximal size at about 8yrs. www.indiandentalacademy.com
  • 41. ANOMILIES OF THE TONGUE • Aglossia • Microglossia • Macroglossia • Bifid tongue • Ankyloglossia • Lingual thyroid • Fissured tongue • Median rhomboid glossitis www.indiandentalacademy.com