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The Oral Cavity

The Oral Cavity. R. Shane Tubbs, MS, PA-C, PhD. Teeth. 32 adult/20 “milk” teeth Medial/lateral incisor Canine 2 premolars 3 molars. Tooth Innervation. Hard Palate. Palatine process maxillary bone Horizontal plate palatine bone > (3 rd molar), < palatine foramina Incisive foramen.

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The Oral Cavity

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  1. The Oral Cavity R. Shane Tubbs, MS, PA-C, PhD

  2. Teeth • 32 adult/20 “milk” teeth • Medial/lateral incisor • Canine • 2 premolars • 3 molars

  3. Tooth Innervation

  4. Hard Palate • Palatine process maxillary bone • Horizontal plate palatine bone • > (3rd molar), < palatine foramina • Incisive foramen posterior nasal spine

  5. Lingual nerve crosses the submandibular duct twice!

  6. buccinator

  7. Salivary Glands

  8. parotid duct

  9. Muscles • Tensor veli • Levator veli • Palatoglossus • Palatopharyngeus • Musculus uvulae

  10. Extrinsic Tongue (L. lingua; G. glossa) Muscles

  11. XII lesion: tongue deviates to ipsilateral side

  12. Lymphatic Drainage • Gingivae and all teeth less the mandibular incisors drain into the submandibular lymph nodes • Tongue:

  13. Tongue Veins • Return to IJ directly or indirectly • Sublingual absorption

  14. Tongue Topography • Sulcus terminalis • Foramen cecum • Median sulcus and septum

  15. Papillae • Vallate • Foliate: lateral and poorly developed in humans; • Filiform: touch receptors (raspy); no taste buds • Fungiform:

  16. palatoglossal fold

  17. Taste • Tongue (Vallate, foliate, and fungiform) • Soft palate • Oral pharynx • Epiglottis

  18. Taste (SVA) • Geniculate ganglion • Inferior ganglion IX • Inferior ganglion X X IX VII

  19. General Sensation • GSA of lingual anterior 2/3 • GVA of IX posterior 1/3

  20. Lab

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