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Chapter 9
Dental Anatomy Chapter 9 Terms
| Term | Definition |
|---|---|
| Frontal | Forms the forehead, most of the orbital roof, and the anterior cranial floor |
| Occipital | Forms the back and base of the cranium |
| Sphenoid | Forms part of the anterior base of the skull and part of the walls of the orbit |
| Ethmoid | Forms part of the orbit and the floor of the cranium |
| Parietal | Form most of the roof and upper sides of the cranium |
| Temporal | Form the sides and base of the cranium |
| Lacrimal bone | Form part of the orbit at the inner angle of the eye |
| Nasal bone | Form the bridge of the nose |
| Vomer | Forms the base for the nasal septum |
| Nasal concha | Form part of the interior of the nose |
| Zygomatic bone | Form the prominence of the cheeks and part of the orbit |
| Maxilla | Form the upper jaw |
| Mandible | Forms the lower jaw |
| Palatine bones | Form the posterior part of the hard palate and the floor of the nose |
| Hyoid Bone | unique because it does not articulate with any other bone Suspended between the mandible and the larynx |
| Postnatal Development | At birth, the cranial vault is large, and the cranial base and face are small |
| Temporomandibular Joints (TMJs) | Joint on each side of the head that allows for movement of the mandible for speech and mastication (chewing) |
| Capsular Ligament | A fibrous joint capsule completely encloses the TMJ |
| Articular Space | The area between the capsular ligament and the surfaces of the glenoid fossa and condyle |
| Hinge action | • The first phase of mouth opening • Only the lower compartment of the joint is used |
| Gliding movement | • Allows the lower jaw to move forward or backward • It involves both the lower and upper compartments of the joint • The condyle and articular disc “glide” forward and downward along the articular eminence (projection) |
| TMD is complex, involving such factors as: | • Stress • Clenching – holding teeth tightly together • Bruxism – grinding of the teeth • TMD can also be caused by trauma to the jaw, systemic diseases such as osteoarthritis, or wear due to aging |
| Acute masticatory muscle complaints | Muscle inflammation, muscle spasms, and protective muscle splinting |
| Articular disc derangement | The disc may be displaced or damaged |
| Extrinsic trauma | Dislocation of the joint, or fracture of the bones |
| Joint diseases | Degenerative and inflammatory forms of arthritis |
| Chronic mandibular hypomobility | Limited ability to move |
| Symptoms of TMD | • Pain • Joint sounds • Crepitus- cracking sound • Limitations of movement • Trismus- a spasm of the muscles of mastication |
| The two muscles of the neck are both superficial and easily palpated | • Sternocleidomastoid • Trapezius |
| Orbicularis oris | Closes and puckers the lips |
| Buccinator | Compresses the cheeks against the teeth and retracts the angle of the mouth |
| Mentalis | Raises and wrinkles the skin of the chin and pushes the lower lip up |
| Zygomatic major | Draws the angles of the mouth upward and backward, as in laughing |
| Temporalis | Raises mandible and closes jaws |
| Masseter | Raises mandible and closes jaws |
| Internal (medial) pterygoid | Closes jaw: acting with lateral pterygoid on same side, pulls mandible to one side; medial and lateral pterygoids on both sides act together to bring lower jaw forward |
| External (lateral) pterygoid | Depresses mandible to open jaw |
| Digastric | forms with the mandible a submandibular triangle on each side of the neck. |
| Mylohyoid | Forms floor of mouth; elevates (raises) tongue and depresses (lowers) jaw |
| Stylohyoid | Assists in swallowing by raising the hyoid bone |
| Geniohyoid | Draws tongue and hyoid bone forward |
| Intrinsic (within the tongue) | Responsible for shaping the tongue during speech, chewing, and swallowing |
| Extrinsic | Assist in the movement and function of the tongue |
| Genioglossus | Depresses and protrudes tongue |
| Hyoglossus | Retracts and pulls downside of tongue |
| Styloglossus | Retracts tongue |
| Palatoglossus | Elevates base of tongue, arching tongue against soft palate; depresses soft palate toward tongue |
| Palatopharyngeal | Forms posterior pillar of fauces; serves to narrow fauces and helps shut off nasopharynx |
| Serous Saliva | Watery, mainly protein fluid |
| Mucous Saliva | Very thick, mainly carbohydrate |
| Parotid salivary gland (Largest) | Saliva passes from the parotid gland into the mouth through a duct called the parotid duct (also known as Stensen’s duct) |
| Submandibular salivary gland (2nd largest) | Releases saliva into the oral cavity through Wharton’s duct, which ends in the sublingual caruncles Produces 60-65% of the total volume of saliva |
| Sublingual salivary gland (Smallest of the 3) | Releases saliva into the oral cavity through the sublingual duct; smallest gland (also known as Bartholin’s duct) |
| Sialoliths | A stone, or sialolith, may block the salivary glands in the duct opening, preventing saliva from flowing into the mouth. Salivary stones may be removed surgically. |
| Internal carotid artery | supplies blood to the brain and the eyes |
| External carotid artery | supplies blood to the face and mouth |
| Nasopalatine nerve | supplies the mucoperiosteum palatal to the maxillary anterior teeth |
| Greater palatine nerve | supplies the mucoperiosteum, intermingling with the nasopalatine nerve. |
| Anterior superior alveolar nerve (ASA) | supplies the maxillary central, lateral, and cuspid teeth, along with their periodontal membranes and gingivae. This nerve also supplies the maxillary sinus. |
| Middle superior alveolar nerve (MSA) | supplies the maxillary first and second premolars, the mesiobuccal root of the maxillary first molar, and the maxillary sinus. |
| Posterior superior alveolar nerve (PSA) | supplies the other roots of the maxillary first molar and the maxillary second and third molars. It also branches forward to serve the lateral wall of the maxillary sinus. |
| Buccal nerve | supplies branches to the buccal mucous membrane and to the mucoperiosteum of the mandibular molars. |
| Lingual nerve | supplies the anterior two-thirds of the tongue and branches to supply the lingual mucous membrane and mucoperiosteum |
| Inferior alveolar nerve | supplies the lower teeth, gums, chin, and lower lip on one side of the face |
| The major sites of lymph nodes include: | • Cervical (in the neck) • Axillary (under the arms) • Inguinal (in the lower abdomen) |
| Deep cervical lymph nodes | located along the length of the internal jugular vein on each side of the neck, deep to the sternocleidomastoid muscle |
| The sinuses are named for the bones in which they are located | Maxillary – largest of the paranasal sinuses • Frontal – located within the forehead • Ethmoid – irregularly shaped • Sphenoid – located close to the optic nerves |