Podcast
Questions and Answers
What is the primary source of innervation for the oral cavity?
What is the primary source of innervation for the oral cavity?
Which division of the trigeminal nerve supplies the maxillary teeth and sinuses?
Which division of the trigeminal nerve supplies the maxillary teeth and sinuses?
Enlarged lymph nodes can indicate which of the following?
Enlarged lymph nodes can indicate which of the following?
Where are the deep cervical lymph nodes located?
Where are the deep cervical lymph nodes located?
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Which of the following is NOT a function of the paranasal sinuses?
Which of the following is NOT a function of the paranasal sinuses?
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Which of the following groups includes superficial lymph nodes of the head?
Which of the following groups includes superficial lymph nodes of the head?
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What results from lymphadenopathy during an infection?
What results from lymphadenopathy during an infection?
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The maxillary sinus is located within which bone?
The maxillary sinus is located within which bone?
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How many regions is the head divided into?
How many regions is the head divided into?
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Which of the following bones is NOT considered part of the cranium?
Which of the following bones is NOT considered part of the cranium?
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What is unique about the hyoid bone?
What is unique about the hyoid bone?
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Which bones are primarily visible on the anterior view of the skull?
Which bones are primarily visible on the anterior view of the skull?
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What is the primary function of the temporomandibular joints (TMJs)?
What is the primary function of the temporomandibular joints (TMJs)?
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Which of the following correctly describes the relationship of the mandible at birth?
Which of the following correctly describes the relationship of the mandible at birth?
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Which components make up the three bony parts of the temporomandibular joint?
Which components make up the three bony parts of the temporomandibular joint?
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What is found in the articular space of the temporomandibular joint?
What is found in the articular space of the temporomandibular joint?
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What type of movement allows the lower jaw to move forward or backward at the TMJ?
What type of movement allows the lower jaw to move forward or backward at the TMJ?
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Which of the following is NOT a common symptom of temporomandibular disorders (TMD)?
Which of the following is NOT a common symptom of temporomandibular disorders (TMD)?
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Which muscle is responsible for closing and puckering the lips?
Which muscle is responsible for closing and puckering the lips?
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What is the main function of salivary glands?
What is the main function of salivary glands?
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Which muscle group includes the masseter muscle?
Which muscle group includes the masseter muscle?
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Which salivary gland releases saliva through Wharton's duct?
Which salivary gland releases saliva through Wharton's duct?
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What condition can cause TMJ disorders related to jaw movement?
What condition can cause TMJ disorders related to jaw movement?
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Which cranial nerve is primarily responsible for the movement of muscles of mastication?
Which cranial nerve is primarily responsible for the movement of muscles of mastication?
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What is a potential cause of mandibular hypermobility?
What is a potential cause of mandibular hypermobility?
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Which artery supplies blood to the facial region?
Which artery supplies blood to the facial region?
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Study Notes
Head Regions
- The head is divided into 11 regions: frontal, parietal, occipital, temporal, orbital, nasal, infraorbital, zygomatic, buccal, oral, and mental.
Skull Bones
- The skull has two main sections: the cranium and the face.
- The cranium, composed of 8 bones, protects the brain.
- The face consists of 14 bones.
Cranium Bones
- Single bones: frontal, occipital, sphenoid, ethmoid
- Paired bones: parietal, temporal
Facial Bones (Anterior View)
- Lacrimal bone
- Nasal bone
- Vomer
- Nasal concha
- Zygomatic bone
- Maxilla
- Mandible
- Palatine bones (technically not facial)
Hyoid Bone
- The hyoid bone does not articulate with any other bone; it's suspended between the mandible and larynx.
Postnatal Development
- At birth, the cranial vault is large, while the cranial base and face are small.
- The face lacks significant vertical dimension due to unerupted teeth.
- Several skull bones fuse postnatally.
- The mandible is in two halves at birth, fusing later.
Temporomandibular Joints (TMJs)
- Located on each side of the head, allowing mandible movement for speech and chewing.
- Structure comprises the glenoid fossa, articular eminence, and condyloid process of the temporal and mandible bones.
Capsular Ligament
- Encloses the TMJ, binding the temporal bone's articular eminence and fossa to the mandibular condyle and its neck.
Articular Space
- Located between the capsular ligament and the glenoid fossa and condyle surfaces.
- Contains the articular disc (meniscus), which divides the space into upper and lower compartments.
Jaw Movement
- Hinge action: Initial phase of mouth opening, involving the lower compartment only.
- Gliding movement: Allows forward/backward jaw movement, engaging both upper and lower joint compartments. The condyle and disc glide along the articular eminence.
Temporomandibular Disorders (TMD)
- Conditions affecting one or both TMJs.
- Factors include stress, clenching, bruxism, trauma, systemic diseases, and aging.
TMD Categories
- Acute masticatory muscle complaints
- Articular disc derangement
- Extrinsic trauma
- Joint diseases
- Chronic mandibular hypermobility
TMD Symptoms
- Pain
- Joint sounds
- Limited movement
TMD Causes
- Stress
- Teeth clenching
- Bruxism
- Jaw/head/neck trauma
- Diseases (e.g., arthritis)
- Malocclusion
Muscles of the Head and Neck
- Seven major groups: neck, facial expression, mastication, floor of the mouth, tongue, soft palate, and pharynx.
Major Muscles of the Neck
- Sternocleidomastoid and Trapezius; can be painful due to improper posture during dental assisting.
Major Muscles of Facial Expression
- Orbicularis oris (closes/puckers lips)
- Buccinator (compresses cheeks, retracts mouth corner)
- Mentalis (elevates chin skin, pulls lower lip up)
- Zygomaticus major (elevates mouth corners—laughing)
Major Muscles of Mastication
- Temporalis
- Masseter
- Medial pterygoid
- Lateral pterygoid
Muscles of the Floor of the Mouth
- Digastric, mylohyoid, stylohyoid, geniohyoid
Muscles of the Tongue
- Intrinsic: shape tongue during speech, chewing, swallowing
- Extrinsic: move and position the tongue (genioglossus, hyoglossus, styloglossus, palatoglossus)
Muscles of the Soft Palate
- Palatoglossus, palatopharyngeus
Salivary Glands
- Produce saliva for lubrication, cleansing, digestion (through enzymes), and tooth remineralization.
- Classified as major or minor.
Minor Salivary Glands
- Smaller, more numerous, located in buccal, labial, lingual mucosa, soft palate, hard palate, and floor of the mouth.
- Ebner's gland is associated with large circumvallate papillae on the tongue.
Major Salivary Glands
- Parotid (Stensen's duct)
- Submandibular (Wharton's duct)
- Sublingual (Bartholin's duct)
Major Arteries of the Face and Oral Cavity
- Common carotid
- Internal carotid
- External carotid
- Facial
- Lingual
- Maxillary
- Inferior alveolar
- Pterygoid
- Pterygopalatine
Major Veins of the Face and Oral Cavity
- Maxillary vein
- Retromandibular vein
- External jugular vein
- Subclavian vein
- Facial vein
- Common facial vein
- Deep facial vein
- Lingual veins
- Internal jugular vein
Cranial Nerves
- 12 pairs, serving sensory and motor functions; named for location/function, denoted by Roman numerals.
Innervation of the Oral Cavity
- Trigeminal nerve (primary) with branches: maxillary, mandibular, ophthalmic.
Maxillary Division of the Trigeminal Nerve
- Supplies maxillary teeth, periosteum, mucous membrane, maxillary sinuses, and soft palate.
- Branches include nasopalatine, greater palatine, and superior alveolar nerves.
Mandibular Division of the Trigeminal Nerve
- Supplies buccal, lingual, inferior alveolar, mylohyoid, small dental, mental, and incisive nerves.
Lymph Nodes of the Head and Neck
- Important for extraoral examination; enlarged nodes may signal infection or cancer.
- Drain intraoral structures (teeth), eyes, ears, nasal cavity, throat.
Structure and Function of Lymph Nodes
- Small, round/oval structures in lymph vessels.
- Major sites: cervical, axillary, inguinal.
- Head lymph nodes are superficial or deep.
Superficial Lymph Nodes of the Head
- Five groups: occipital, retroauricular, anterior auricular, superficial parotid, facial.
Deep Cervical Lymph Nodes
- Located along the internal jugular vein in the neck, deep to the sternocleidomastoid muscle.
Lymphadenopathy
- Enlarged, firm lymph nodes due to increased lymphocyte size and count in lymphoid tissue, aiding disease defense.
Paranasal Sinuses
- Air-filled spaces within the skull connecting to the nasal cavity.
- Functions: produce mucus, lighten skull bones, provide resonance for sound.
- Sinuses include maxillary, frontal, ethmoid, and sphenoid.
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Description
Explore the intricate anatomy of the skull and head. This quiz covers the division of the head into regions, the bones of the cranium and face, the unique hyoid bone, and insights into postnatal skull development. Test your knowledge about these essential components of human anatomy.