Dental Hygiene Boards- Anatomy

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Created by:

nkcktk3  on May 5, 2012

Subjects:

Head and neck anatomy

Description:

ADHP 2012 Board material- anatomy of head and neck

Classes:

sccc dental hygiene 2014, SB-Class 2013, DHYG 1020, ADHP 2012 Dental Hygiene Boards

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Dental Hygiene Boards- Anatomy

Nerve for tongue
Lingual Nerve
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Definitions

Nerve for tongue Lingual Nerve
Nerve for cheek Buccal Nerve
Nerve for #6-11 Anterior Superior Alveolar Nerve
Nerve for Posterior upper molars Posterior superior alveolar nerve
Nerve for upper premolars Middle superior alveolar nerve
Nerve for mandible Inferior alveolar nerve
Nerve for Floor of the mouth Mylohyoid nerve
Ganglion Accumulation of neuron cell bodies outside the central nervous system
Maxilla Pair bones
Landmarks- Infraorbital foramen
Processes- alveolar, zygomatic, frontal, and palatine
synapse junction between 2 neurons or a neuron and muscle
temporomandibular ligament TMJ
Located lateral side of each joint
forms a reinforcement of the capsule of the TMJ
Prevents excessive retraction of the mandible
Neuron cellular component pertaining to nervous system
nervous system causes muscles to contract
stimulates glands
allows for sensations to be perceived
mylohyoid muscle muscle in the floor of the mouth
attaches to mylohyoid ridge
buccinator muscle of facial expression
helps mastication by keeping food on the chewing surface
cheek muscle
buccinator and mylohyoid muscles 2 accessory muscles of mastication
cleft palate results from incomplete fusion of the maxillary bones at palatine process
open area that can involve from no teeth to involving teeth, palate, lip, and nasal.
can involve pedodontist, oral surgeon, and pediatrician some appliances may be needed after birth.
can involve several surgeries
mucocele blockage of minor salivary gland
occurs mainly in lip
about the size of a dime
must be removed
bacteremia bacteria traveling within the vascular system
medial area that is closer to the median plane of the body or structure
temporomandibular disorder disorder involving one or both temporomandibular joints
innervation nerve supply to the periodontium
depression of the mandible lowering of the lower jaw
muscle type of body tissue that shortens under neural control, causing soft tissue and bony structures to move
action movement accomplished by a muscle when the muscle fibers contract
bones mineralized structures of the body that protect internal soft tissues and serve as the biomechanical basis for movement
lingual structures closest to the tongue
buccal structures closest to the inner cheek
superior area that faces toward the head of the body, away from the feet
superficial structures located toward the surface of the body
sagittal plane any plane of the body created by an imaginary plane parallel with the median plane
inferior area that faces away from the head and toward the feet of the body
deep structures located inward, away from the body surface
apex pointed end of a conical structure
dorsal back of an area of the body
distal area that is farther away from the median plane of the body
cardiovascular disease when atherosclerosis occurs in arteries leading to the heart
frontal section section of the body through any frontal plane
articulation area where the bones are joined to each other
parotid gland largest gland. paired. located in front of ear, outside of skull, under skin and muscle. Stenson's Duct. Serous secretions- 25% of total volume.
Responsible for mumps
mandible (V3) 3rd and largest division of trigeminal nerve
sensory and motor to mandible
facial paralysis loss of muscle actions in muscles of facial expressions
plasma watery basis of blood composition
red blood cells erythrocytes
white blood cells mono-, lymph-, leukocytes; varying types
platelets important part of blood composition for clotting
arteries blood vessel that carries blood away from heart
has muscles on inside of walls
veins blood vessel that carries blood to heart
operates by valves
capillary tiny blood vessel that branches off small artery to supple blood to tissue
venule smaller vein that drains the capillaries in the tissue area
plexus network of veins that comes together (paired)
heart hollow organ
dual action pump
thick muscular walls
right side pumps to lungs
left side pumps to body
posterior back of an area of the body
mitral and tricuspid 2 valves of the heart
maxillary sinusitis infection of the maxillary sinus
stylomandibular ligament runs from styloid process of temporal bone to the angle of the mandible
taut when mandible is protruded
neurotransmitter chemical agen that is discharged to cause action of a muscle
nerve bundle of neurons
muscles allows us to move
usually works in groups
2 kinds- involuntary and voluntary
dorsal top posterior of tongue
mandible single bone
only movable bone of face
many landmarks present
largest and strongest bone of face
articulates with temporal bone to form TMJ
zygomatic bone also known as malar bone
forms cheek bone
forms zygomatic arch with temporal bone
4 process form arch
often seen in panoramic and PAX
efferent (motor) carries info away from brain/spinal cord to the body
(info from brain)
normal flora resident microorganisms that usually do not cause infections
hilus depression on one side of a lymph node where lymph flows out by way of an efferent lymphatic vessel
spinal cord carries messages to the brain and carries messages from brain part of central nervous system
anastomosis communication of a blood vessel with another blood vessel by a connecting channel
sphenomandibular, stylomandibular, temporomandibular 3 TMJ Ligaments
median structure at the median plane
afferent vessel type of lymphatic vessel in which lymph flows into the lymph node
Trigeminal Nerve V cranial nerve
sensory and motor
supplies most oral features and facial muscles, teeth, tongue, palate
olfactory nerve I cranial nerve
sensory
sense of smell
optic nerve II cranial nerve
sensory
sight and visual impluses
oculomotor nerve III cranial nerve
motor
movement of eyeball and dilation of pupils
trochlear nerve IV cranial nerve
motor
movement of eyeball
abducens nerve VI cranial nerve
motor
movement of eyeball
proximal area closer to the median plane of the body
masseter muscle strong muscle in the buccal region which is felt when a patient clenches the teeth together
orbicularis oris muscle of facial expression
origin- encircles the mouth
insertion- angle of mouth
actions: closes lips, pursing lips, rolling lips inward, puckering
lateral pterygoid muscle muscle
origin- several different places on sphenoid
insertion- condyle, near TMJ
action- protrudes and lateral deviation of mandible
fibers run horizontally
medial pterygoid muscle muscle
origin- sphenoid bone
insertion- angle of mandible, medial surface
action- elevates mandible
forms sling with masseter; synergist with masseter
masseter, temporal, medial pterygoid, lateral pterygoid 4 muscles of mastication
voluntary muscle muscles used for walking and tirggered by thought
involuntary muscle muscle auto-responses from body
ex: breathing, digestion, heartbeat, eyes
retromolar pad triangular area where medial and lateral views of the mandible come together
Provides support for patients with lower partial
mandibular canal area used for mental block on lingual and opens into mental foramen
opportunistic infections normal flora creating an infectious process because the body's defenses are compromised
lymphadenopathy swelling of lymph nodes :abnormal enlargement"
can be helped with antibiotic
median plane plane created by an imaginary line that divides the body into right and left halves
zygomatic process of maxilla forms part of cheekbone with zygomatic arch
often seen in panoramic and periapical films
opportunisitic pathogen capable of causing disease only when the host's resistance is lowered
lymphatic vessels part of lymphatic system that runs parallel to most veins in the body
alveolar, zygomatic, frontal, palatine 4 bones with processes attaching to maxilla
5 anatomic parts of TMJ articular fossa
articular eminence
condyle
articular disc
synovial fluid
articular disc divides space between bones
synovial fluid padding in between bones
vomer single bone
also known as nasal septum
forms midline of nose
not important to oral cavity
forms inferior portion of nasal septum
arch prominen bridgelike bony structure
ranula mucole that appear in floor of mouth of major salivary glands
midsagittal section section of the body through the median plane
meatus opening or canal in the bone
ramus vertical portion of mandible
angle attaches several muscles to mandible
body horizontal portion of mandible
condyle portion of mandible that connects to the TMJ
coronoid process main portion of the anterior border of ramus
alveolar process forms sockets of teeth
8 landmarks of mandible oblique ridge
mental foramen
mandibular canal
alveolar process
mylohyoid grooves
mandibular foramen
lingula retromolar pad
7 types of muscles of head and neck cervical muscles
muscles of facial expression
muscles of mastication
muscles of tongue
muscles of the pharynx
muscles of the hyoid
muscles of the soft palate
anesthesia shuts down communication of nerves and neurons by blocking the chemicals from entering at the synapses
sympathetic nervous system "flight or flight" responses
parasympathetic nervous system "rest or digest" responses
central and peripheral nervous systems 2 branches of nervous system
sensory and motor 2 branches of peripheral nervous system
sympathetic and parasympathetic nervous systems 2 branches of autonomic nervous system
gliding movement of TMJ allows jaw to move forward and backward
occurs between disk and articular eminence in the upper synovial cavity
rotational movement of TMJ depression and elevation of jaw
occurs between disc and condyle of lower synovial cavity
Central nervous system control center
one of the major divisions of nervous system
composed of brain and spinal cord
surrounded by skull and spinal vertebrae for protection
sensory/afferent vessels carries infor from the periphery of the body to brain or spinal cord
maxillary sinuses largest of paranasal sinuses
paired
located within the maxilla
Significant to dentistry with max post exts-perforation, max sinus infections, implant placements/sinus lifts, and with air travel- with infection, descension is painful
frontal sinuses paired sinuses located in frontal bone
separated by septum
drains into nasal cavity
irregularly shaped
sphenoid sinuses sinuses located in sphenoid bone
cannot be palpated in oral exam
ethmoid sinuses located in the ethmoid bone
cannot be palpated in oral exam
ligament a band of fibrous tissue that connects bones
alvoelar process of the maxilla houses/forms sockets of teeth
bone on facial surface is thin
effected by perio dz
resorbs quickly after extraction
forms as deciduous teeth erupt
mitral valve prolapse when the valve connection the left ventricle and left atrium is leaking
aorta biggest artery in body
4 processes of zygomatic arch Zygomatic process of temporal bone
temporal process of zygomatic bone
maxillary process of zygomatic bone
zygomatic process of maxillary bone
pulmonary artery only artery that carries deoxygenated blood
carries it to the lungs
pulmonary vein only vein that carries oxygenated blood
mandible single bone
only movable bone of the face
many landmarks
largest and strongest facial bone
articulates with temporal bone to form TMJ
Heart Several arteries branch directly off the aorta to feed the _____________
sublingual gland paired glands located in the anterior floor of mouth under the tongue.
smallest gland with many ducts
mixed salivay composition, but predominantly mucous- 10% volume
hematoma trauma to a blood vessel
Palatine process of the maxilla forms hard palate
fuses in teh middle at suture line
If fusion doesn't occur, cleft palate forms
frontal process of the maxilla fuses with frontal bone facially
vermillion zone shaded area of lips that is darker than surrounding skin
vermillion border transition zone betweek skin and vermillion zone
philtrum area under nose that extends from nasal septum to the top of the lip
tubercle point on upper lip where the philtrum terminates
labial commissure corners of mouth
greater palatine foramen aiming area for palatal injections
Maxillary (V2) nerve 2nd division of trigeminal nerve
sensory to maxilla and surrounding tissues
suicide nerve- can effect women 40+ years old on right side and causes excruciating pain (also called Tie Douleureaux or Trigeminal Neuralgia)
palatine bones paired bones
most posterior part of the hard palate
2 bones fuse together @ the midline to form the hard palate
greater palatine foramen located @ posterior lateral region
opthalmic (V1) nerve 1st and smallest division of trigeminal nerve
carries sensory information to brain
sensory for eyeball, cornea, and forehead
zygomatic bones also known as malar bone
forms cheek bone
helps form zygomatic arch
paired
lacrimal bones paired bones
irregular thin plates of bone that forms the medial wall of the orbit (eye)
lacrimal (tear duct) glands are present @ the margin of these bones
inferior nasal conchae paired bones
within the bony part of the nose
lateral portion of the nasal septum
pterygoid venus plexus drains everything from head and neck area to the heart
external auditory meatus short canal leading to the tympanic cavity
nasal bones paired bones
forms bridge of the nose
ethmoid bone single bone
midline bone int he cranium
part of nose
lies behind the frontal bone, between the eyes
part of floor of cranial base
sphenoid bone single bone
bat-shaped
forms anterior base of the skull
has many foramens and processes
landmark- greater wing of sphenoid
parietal bones paired bones
forms upper back side of skull
sinus cavity within the bone
submandibular gland paired glands lcoated inside the medial angle of mandible
walnut sized
Wharton's Duct
Mixed salivary compostion- 60-65%
Empties behind mandibular anterior teeth
frontal bone single bone
forms the forehead and top of the eye
has supraorbital notch
temporal bone paired bones
landmarks- mastoid process, styloid process, zygomatic process, external auditory meatus
occipital bone single bone
forms back of head
landmark- foramen magnum
(huge hole in this bone through which the spinal cord passes)
process like a projection; an irregularly shaped extension named for where it is going
landmarks characteristics that appear on a specific bone
nerve block type of injection that anesthetizes a larger area than local infiltration because the local anesthetic agen is deposited near large nerve trunks
external acousitc meatus tube through which sound waves are transmitted to the middlbe ear within the skull
bones protect
support
basis for movement
consideration in spread of dental infections
apex tip of tongue
ventral under tongue
lateral sides of tongue
anatomical postition position in which the body is erect, with arms @ the sides, plams and toes directed forward, and eyes looking forward
zygomatic region region of the head that is lateral to the infraorbital region
overlies zygomatic arch (cheek bone)
inferior nasal conchae paired bones withing the body part of the nose
lateral portion of nasal septum
temporal region of the head where the external ear is a prominent feature
anastomose to join together; in the periodontium, a complex system of blood vessels supplies blood to the periodontal tissues
alveolar bone proper also known as cribriform plate
thin layer of bone that lines the socket to surround the root of the tooth
effernt vessel type of lymphatic vessel in which lymph flows out of the lymph node in the area of the node's hilus
foramen/ foramina short, windowlike opening in the bone
insertion end of the muscle that is attatched to the more movable structure
7 types of facial bones vomer
lacrimal bones- paired
inferior nasal conchae- paired
zygomatic bones- paired
maxillary bones- paired
mandible
6 types of cranial bones occipital
frontal
parietal-paired
temporal- paired
sphenoid
ethmoid
22 Number of bones in the skull
labial structure closest to lips
origin end of the muscle that is attached to the least movable structure
lateral deviation of the mandible shifting of the lower jaw to one side
atherosclerosis the narrowing and blockage of the arteries by a buildup of plaque
plexus network of blood vessels, usually veins
thrombus/thrombi clot that forms on the inner blood vessel wall
afferent nerve sensory nerve that carries information from the periphery of the body to the brain or spinal cord
process general term for any prominence on a bony surface
facial structures closest to the facial surface
alveolar bone the bone that surrounds the roots of the teeth. It forms the bony sockets that support and protect the roots of the teeth
external outer side of the wall of a hollow structure
contralateral structures on the opposite side of the body
joint site of a junction or union between two or more bones
lateral area that is farther away from the median plane of the body or structure
temporomandibular joint joint located inferior to the zygomatic arch and just anterior to the ear
where upper skull forms a joint with the lower jaw
oral cavity inside of the mouth
paresthesia abnormal sensation from an area such as burning or prickling
embolus/emboli foreign material or thrombus traveling in the blood that can block the vessel
horizontal plane plane created by an imaginary line that divides the body @ any level into superior and inferior portions
internal inner side of the wall of a hollow structure
ipsilateral structures on the same side of the body
palatal structure closest to the palate
elevation of the mandible rising of the lower jaw
retraction of the mandible bringing backward of the lower jaw
hematoma bruise that results when a blood vessel is injured and a small amount of blood escapes into the surrounding tissue and clots
capillary smaller blood vessel that branches off an arteriole to supply blood directly to tissue
plaque substance which consists of cholesterol (mainly), calcium, clotting proteins, and other substances that can be found lining arteries
vein type of blood vessel that travels to the heart, carrying blood
Bell's Palsy type of unilateral facial paralysis involving the facial nerve
anesthesia the loss of feeling or sensation resulting from the use of certain drugs or gases that seruve as inhibitory neurotransmitters
Abducen's Nerve Paralysis loss of funtion of the 6th cranial nerve
bacteremia bacteria traveling within the vascular system
anterior front area of the body
artery type of blood vessel that carries blood away from the heart
cells smallest structural unit of living matter capable of functioning independently
protrusion of the mandible bringing forward of the lower jaw
facial paralysis loss of action of the facial muscles
transverse section section of the body through any horizontal plane
8 number of cranial bones
14 number of facial bones
occipital single bone
forms back of head
landmark- foramen magnum
foramen magnum huge foramen in occipital bone through which the spinal cord passes
temporal bone paired bones
landmarks- mastoid process, styloid process, zygomatic process, external auditory meatus
frontal bone single bone
forms the forehead and the top of the eye
contains supraorbital notch
location of frontal sinuses
parietal bone paired bones
forms upper back side of skull
sphenoid singe bone
bat-shaped
forms anterior base of skull
many foramen and processes
landmark- greater wing of sphenoid
ethmoid single bone
midline bone of cranium
part of nose
lies behind the frontal bone, between the eyes
vomer single bone
also known as nasal septum
forms midline of nose
not important to oral cavity
forms inferior portion of nasal septum
nasal bones paired
forms bridge of nose
lacrimal bones paired
irregular thin plates of bone that forms the medial wall of the orbit
lacrimal glands (tear ducts) present @ the margin of this bone
palatine bones paired
most posterior part of the hard palate
they fuse together to form hard palate
greater palatine foramen located @ posterior lateral region
maxilla paired bones
landmark- infraorbital foramen
has processes with 4 different bones
Cranial Nerves On Old Olympus Tiny Tops, A Finn And German Viewed Some Hops
Cranial Nerve; sensory /motor Some Say Marry Money, But My Brother Says, Bad Business, Marry Money
2 cranial nerves controlling tongue IX-Glossopharyngeal
XII- Hypoglossal
most facial and oral pain through these 2 nerves V- trigeminal
VII- facial
Paired All cranial nerves are ________
Trigeminal Nerve Gasserion ganglion present
3 divisions feeding eye, maxilla, and mandible
Gasserion Ganglion also known as trigeminal ganglion
Where the 3 division of trigeminal nerve meet
eminence tubercle or rounded elevation on a bony surface
Surfaces and Sutures 2 places where bones grow at
pathogen a virus, microorganism, or other substance that causes dz
primary node lymph node that drains lymph from a particular region
secondary node lymph node that drains lymph from a primary node
hemorrhage large amounts of blood that escape into the surroudning tissue without clotting
when a blood vessel is seriously injured
base posterior 1/3 of tongue
body anterior 2/3 of tongue
ventral front area of the body
temporomandibule joint a joint on each side of the ehad that allows for movement of the mandible, speech, and mastication
Location: where condyle of mandible articulates with the zygomatic process of the temporal bone
articular disc also called a meniscus
attached to condyle on medial and lateral poles
shape conforms with shape of adjacent articulating bones
completely divides TMJ into 2 compartments
can be wrinking, torn, hardened, or detached on one end
sphenomandibular ligament not part of TMJ, but rather on the medial side of the mandible
Attaches @ spine of sphenoid bone to the lingual of the mandibular foramen
becomes taut when mandible is protruded
frontal plane plane created by an imaginary line that divides the body at any level into anterior and posterior portions
subluxation dislocation of joints
paranasal sinus provides ventilation to head
lightens skull
drainage
acts as sound resonators
provides mucous for nasal cavity
can be involved with allergies or infection as in primary sinusitis or in tooth infection as in secondary sinusitis
lymphatic system filters toxins and other foreign bodies out of body
typically green in diagrams
has valve system similar to veins
metastasis spread of cancer from primary location
once cancer enters lymphatic system, it can enter the blood stream and spread
Facial nerve VII nerve
muscles of facial expression, tear glands, salivary glands
sensory and motor
Acoustic nerve VIII nerve
hearing and balance
also known as auditory or vestibular cochlear
sensory and motor
Glossopharyngeal nerve IX nerve
primarily sens of taste
sensory and motor
Vagus nerve X nerve
vocal cords, heart, respiration, digestion
autonomic nervous system
sensory and motor
Spinal Accessory nerve XI nerve
synergist to Vagus nerve
Motor
Hypoglossal nerve XII nerve
primarily tongue movement
motor
amylase begins process of breaking food down into simple sugars in saliva
sialolith stone formed in glands
cause by minerals in saliva
causes facial swelling with recurrence with little pain
pt placed on antibiotic and sugar-free lemon drops to increase salivary flow
Oral surgeon can remove stone or part of gland if necessary
coronal towards the crown of a tooth
infraorbital region region of the head located inferior to the orbial region and lateral to the nasal region
local infiltration type of injection that anesthetizes a small area- one or two teeth and associated structures- when the local anesthetic agent is deposited near nerminal nerve endings
suture generally immovable articulation in which bones are joined by fibrous tissue
trigeminal nerveinnervates to the maxilla by the second branch and the mandible by the third branch
have sensory, motor, and intermediate roots that attach directly to the brain
responsible for the sensory sensibility of most of the skin of the front part of the face and head, the teeth, oracl cavity, maxillary sinus, and nasal cavity
superior vena cava large vein on top of heart
inferior vena cava large vein coming in from bottom of the heart
valves there are no ________ in the veins of the head and neck, which makes infection very easy to spread and to linger in an area
xerostomia decreased saliva flow
scalp layers of soft tissue overlying the bones of the brain case
mastoid process site for large muscles of the neck to attach
endocrine secreted into blood; hormones, such as thyroid and pituitary glands
exocrine secreted to specific locations by ducts; salivary and lacrimal glands
mucous ropey saliva composition
serous water saliva composition
mixed both watery and ropey saliva composition combined
thyroid largest endocrine glandthyroxine
should be part of extraoral exam- palpate
goiter- inflammed neck
responsible for metabolic rate and temp- control
hypo prefix meaning not enough
hyper prefix meaning too much
lingual artery artery to tongue
facial artery artery to cheek
posterior superior alveolar artery artery to max molars
middle superior alveolar artery artery to max premolars
anterior superior alveolar artery artery to #6-11
inferior alveolar artery artery to mandible
infraorbital artery connects anterior superior alveolar artery and middle superior alveolar arter to the maxillary artery
maxillary artery feeds all area of face. connects to external carotid artery
external carotid artery connects to common carotid arter
common carotid artery connects to aorta
middle superior alveolar vein...
anterior superior alveolar vein...
posterior superior alveolar vein...
infraorbital vein...
pterygoid venus plexus...
maxillary vein...
retromandibular vein...
common facial vein...
internal jugular vein...
inferior alveolar vein...

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