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Presentation dev of-tongue/cosmetic dentistry courses
1. GROWTH AND
DEVELOPMENT OF TONGUE
AND SALIVARY GLANDS
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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
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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.
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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.
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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
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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.
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13. Musculature and connective tissue
• Branchial arch mesenchyme forms the
connective tissue and the lymphatic and
the blood vessels of the tongue
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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
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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.
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21. Musculature and connective tissue
• Branchial arch mesenchyme forms the
connective tissue and the lymphatic and
the blood vessels of the tongue
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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.
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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
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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
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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
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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
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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.
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31. • The inferior surface of the
tongue shows the
frenulum linguae,deep
lingual veins and the plica
fimbriata
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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.
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33. ANOMILIES OF THE TONGUE
• Aglossia
• Microglossia
• Macroglossia
• Bifid tongue
• Ankyloglossia
• Lingual thyroid
• Fissured tongue
• Median rhomboid glossitis
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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
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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.
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41. ANOMILIES OF THE TONGUE
• Aglossia
• Microglossia
• Macroglossia
• Bifid tongue
• Ankyloglossia
• Lingual thyroid
• Fissured tongue
• Median rhomboid glossitis
www.indiandentalacademy.com