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The Oral Cavity & Salivary
         Glands
Oral Cavity
   The cavity that extends from lips to pharynx & contains the
                           tongue & teeth

2 parts:

1. Vestibule:
   space between ?
   contains ?
   divides into sulci: labial & buccal

2. Oral cavity proper:
   enclosed by teeth


* The vestibule communicates with cavity proper at: 1. ?? & 2. ??
Oral Cavity Proper

Space that enclosed by teeth & bounded:

Roof: hard palate

Floor: reflection of M.M. under the tongue

Ant.: communicates with Vestibule

Post.: communicates with oropharynx
Openings

2 openings:

Oral fissure:
  from vestibule to outside

Oropharyngeal opening (isthmus):
  from cavity proper to oropharynx
Teeth

                                  2 sets

1. Deciduous (primary) teeth:
   5 in each quadrant (?)
   start eruption ~ 6m
   fully erupted ~ ??

1st primary tooth to erupt is ?
2. Permanent teeth:

8 in each quadrant (?)

Start eruption ~ ??

Fully erupted ~ 12 y (Except?)

*3rd molar = wisdom tooth
   (because it erupts at older age)
Innervation of The Teeth




Gingivae                              Teeth
The Tongue
       A muscular organ that covered with mucous memb.




Divides
Oral part: ant. 2/3
Pharyngeal part: post. 1/3

Surfaces:
Palatal (dorsal)
Tip & margins (opposite?)
Lower surface (ventral, opposite?)
Root:
   connects tongue to ??
Dorsum of The Tongue
Median fissure
  fibrous septum
Sulcus terminalis:
  V-shaped ridge, separates?
Foramen cecum: (blind opening)
  at apex of sulcus term.
  marks the site of ?

Lingual papillae: 4 types
   filiform
         smallest & numerous
   fungiform
         tip & margins
   vallate
         8-12, in front of ?
   foliate
         linear folds, on the sides
         near terminal sulcus
Lingual Tonsil:
   aggregation of L. nodules

  on post. 1/3 of the tongue

  part of Waldeyer’s ring
  (4 kinds of tonsils)
Ventral Surface of The Tongue
Covered by smooth & thin m.m.

1. Frenulum:
   fold of m.m. connects …

2. Deep ling. Artery & vein
   from??

3. Fimberiated fold
Muscles of The tongue
                              2 types
Intrinsic:
   not attached to bone

  3 directions:
       longi., transv., & vertical

  innervation?

  Action:
       change tongue shape

Extrinsic:
  4 (5?) muscles
Innervation to The Tongue

Sensory:
  general:    Ant. 2/3 ?
              Post. 1/3 ?

  Special:    Ant. 2/3 ?
              Post. 1/3 ?

Motor: ??
Arterial Blood Supply to The Tongue

Lingual a.:
   from??
   pass deep to hyoglossus m.
   Branches: 3?

Tonsillar a.
  from ?

Ascending pharyngeal a.
Lymph Drainage

Tip:
   submental L.N.

Lat. Ant. 2/3:
   submandibular L.N.

Medial Ant. 2/3:
  DCLN

Post. 1/3:
  DCLN
Genioglossus & Airway Patency

Genioglossus m. is under constant state of contraction, to prevent
  the tongue from collapsing posteriorly & obstructing airway.

- Hypercontraction = ??

* When the pt. is deeply
  anesthetized

genioglossus may relaxed &
The base of the tongue
moves posteriorly
Submandibular Salivary Gland
Mixed gland (mucous & serous, mainly ?)

Rests on post. Border of ??

2 parts: large superficial
         small deep



* Relations to superficial & deep parts:
Submandibular duct (Warton’s)
same length as parotid duct
  (~ 5cm)



arises from deep part of the gland
                
             pass ant.
                
    opens beside the frenulum
        (sublingual papilla)
Sublingual Salivary Gland

Mixed gland (mainly ?)

Beneath m.m. of floor of mouth

Opens into the floor of mouth:
  8-20 ducts (subling. Fold)

* Relations to the gland:

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The oral cavity & salivary glands

  • 1. The Oral Cavity & Salivary Glands
  • 2. Oral Cavity The cavity that extends from lips to pharynx & contains the tongue & teeth 2 parts: 1. Vestibule: space between ? contains ? divides into sulci: labial & buccal 2. Oral cavity proper: enclosed by teeth * The vestibule communicates with cavity proper at: 1. ?? & 2. ??
  • 3. Oral Cavity Proper Space that enclosed by teeth & bounded: Roof: hard palate Floor: reflection of M.M. under the tongue Ant.: communicates with Vestibule Post.: communicates with oropharynx
  • 4. Openings 2 openings: Oral fissure: from vestibule to outside Oropharyngeal opening (isthmus): from cavity proper to oropharynx
  • 5. Teeth 2 sets 1. Deciduous (primary) teeth: 5 in each quadrant (?) start eruption ~ 6m fully erupted ~ ?? 1st primary tooth to erupt is ?
  • 6. 2. Permanent teeth: 8 in each quadrant (?) Start eruption ~ ?? Fully erupted ~ 12 y (Except?) *3rd molar = wisdom tooth (because it erupts at older age)
  • 7. Innervation of The Teeth Gingivae Teeth
  • 8. The Tongue A muscular organ that covered with mucous memb. Divides Oral part: ant. 2/3 Pharyngeal part: post. 1/3 Surfaces: Palatal (dorsal) Tip & margins (opposite?) Lower surface (ventral, opposite?) Root: connects tongue to ??
  • 9.
  • 10. Dorsum of The Tongue Median fissure fibrous septum Sulcus terminalis: V-shaped ridge, separates? Foramen cecum: (blind opening) at apex of sulcus term. marks the site of ? Lingual papillae: 4 types filiform smallest & numerous fungiform tip & margins vallate 8-12, in front of ? foliate linear folds, on the sides near terminal sulcus
  • 11.
  • 12. Lingual Tonsil: aggregation of L. nodules on post. 1/3 of the tongue part of Waldeyer’s ring (4 kinds of tonsils)
  • 13. Ventral Surface of The Tongue Covered by smooth & thin m.m. 1. Frenulum: fold of m.m. connects … 2. Deep ling. Artery & vein from?? 3. Fimberiated fold
  • 14.
  • 15. Muscles of The tongue 2 types Intrinsic: not attached to bone 3 directions: longi., transv., & vertical innervation? Action: change tongue shape Extrinsic: 4 (5?) muscles
  • 16.
  • 17. Innervation to The Tongue Sensory: general: Ant. 2/3 ? Post. 1/3 ? Special: Ant. 2/3 ? Post. 1/3 ? Motor: ??
  • 18. Arterial Blood Supply to The Tongue Lingual a.: from?? pass deep to hyoglossus m. Branches: 3? Tonsillar a. from ? Ascending pharyngeal a.
  • 19.
  • 20. Lymph Drainage Tip: submental L.N. Lat. Ant. 2/3: submandibular L.N. Medial Ant. 2/3: DCLN Post. 1/3: DCLN
  • 21.
  • 22. Genioglossus & Airway Patency Genioglossus m. is under constant state of contraction, to prevent the tongue from collapsing posteriorly & obstructing airway. - Hypercontraction = ?? * When the pt. is deeply anesthetized genioglossus may relaxed & The base of the tongue moves posteriorly
  • 23. Submandibular Salivary Gland Mixed gland (mucous & serous, mainly ?) Rests on post. Border of ?? 2 parts: large superficial small deep * Relations to superficial & deep parts:
  • 24. Submandibular duct (Warton’s) same length as parotid duct (~ 5cm) arises from deep part of the gland  pass ant.  opens beside the frenulum (sublingual papilla)
  • 25. Sublingual Salivary Gland Mixed gland (mainly ?) Beneath m.m. of floor of mouth Opens into the floor of mouth: 8-20 ducts (subling. Fold) * Relations to the gland: