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The Mouth. Roof- covered by mucous membranes Front part is a bony portion= hard palate Fleshy rear part= soft palate Purpose: the hard palate divides the mouth and the nasal passages above the soft palate acts as a curtain between the mouth and the pharynx . Tongue.
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The Mouth • Roof- covered by mucous membranes • Front part is a bony portion= hard palate • Fleshy rear part= soft palate • Purpose: • the hard palate divides the mouth and the nasal passages above • the soft palate acts as a curtain between the mouth and the pharynx
Tongue • Made up of many different muscles • Needed for: • Chewing • Swallowing • Talking
Papillae Bitter Sour Sweet Salty • Upper surface is covered by papillae (containing taste buds) • sweet, salty, sour & bitter
Salivary Glands 1. Parotid Gland 2. Submandibular Gland 3. Sublingual Gland • Three pairs • Saliva contains a digestive enzyme called amylase • Amylase breaks down starch
Lips Orbicularis Oris Covered w/ skin on the outside & mucous cells on the inside Major lip muscle = OrbicularisPris Inside portion of both lips are connected to the gums
Permanent Teeth Teeth! Primary Teeth Also known as baby teeth, milk teeth, or deciduous teeth Children have 20 Adult or secondary teeth Adults have 32 permanent teeth
Bell Work Name the five types of teeth found in an adult’s mouth (include how many there are of each).
Types of Teeth Incisors- chisel shaped to bite into food Canines/Cuspids- “cusp” means pointed; next to incisors; tear food Bicuspids/premolars- tear and grind; total of 8 Molars- grind an mash food; have 4-5 cusps; 12 total
Incisors Canine/ Cuspid Bicuspid/ Premolar Molars
Wisdom Teeth (aka third molars) • May grow sideways, partially emerging from the gum • If partially erupted, bacteria grow around the tooth opening infection • Embedded= impacted
Tissue of the Teeth Pulp- blood vessel/nerve/CT Dentin- calcified tissue surrounding the pulp Enamel- non-living calcium phosphate and carbonate surrounding the dentin
Teeth Security Alveoli- tooth socket Gingiva- mucosal tissue covering the alveolar processes Periodontal ligaments- attaches tooth to the alveolar bone; secures teeth
Crown - the visible part of a tooth. Gums - soft tissue surrounding the base of the teeth. Root – anchor extending to the jawbone (range= 1-4)
Periodontal Disease • def: the inflammation/degradation of periodontal ligaments, gingiva, & alveolar bone • Affects: • Gums & bones supporting the teeth
Cont… • Cause: • Accumulation plaque tarter buildup • Result of inadequate brushing & flossing • Most common disease= gingivitis • Gingivitis Periodontal Disease
Gingivitis-inflammation of the gums caused by bacteria in plaque
Moderate Periodontal Disease- Low grade infection of the gums Periodontal pocket (5mm) Tartar Buildup
Advanced Periodontal Disease- destroys the alveolar process that holds the teeth Periodontal pocket (+6 mm)
Cavities • Cause: • Bacteria & food particles stick to teeth plaque • Bacteria digests carbs in food acid • w/o treatment: • Destroys enamel & decay progresses to dentin • Treatment: • filling, root canal, capping, removal
Malocclusion • The failure of the teeth to meet properly • Ie. overbite, underbite, and crowding • Treatment: Braces
Halitosis (aka bad breath) • Cause: • Sulphur produced when bacteria break down food • Smoking, tooth decay or gum disease, diet or dry mouth • Kidney or liver failure
Beyond the Mouth… -Food down the oropharynx • Down the esophagus • To the Stomach
Anatomy • Gastroesophageal/ Cardiac Opening- opening of esophagus into stomach • Lower Esophageal Sphincter/Cardiac Sphincter- muscle surrounding the cardiac opening Cardiac Sphincter Cardiac Opening
Fundus- left of & supperior to cardiac opening • Body- largest part • Greater Curvature • Lesser Curvature Fundus Body Lesser Curvature Greater Curvature
Pyloric Part • Pyloric Antrum= wider part of funnel • Pyloric Canal-=narrow part of funnel • Pyloric Orifice= where pyloric canal opens into small intestine • Pyloric Sphincter (Pylorus)= ring of smooth muscle (regulates gastric movement into small intestine) Pyloric Sphincter Pyloric Orifice Pyloric Antrum Pyloric Canal
Histology • Serosa- outermost layer of the stomach • Simple squamous epithelium & inner CT • Muscularis • Three layers: longitudinal, circular, inner oblique • Submucosa & Mucosa • Rugae- large folds that allow the mucosa & submucosa to stretch • Lined w/ simple columnar epithelium • Epithelium forms tube-like gastric pits= openings for gastric glands
Epithelial Cells (5 types) • Surface Mucous Cells: produce mucous on cell surface; lines gastric pit • In the gastric gland: • Mucous Neck Cells: produce mucous (protects stomach wall from chyme and pepsin) • Parietal Cells: produce HCl (breaks down protein and food microbes) & intrinsic factor (absorption of vitamins) • Chief Cells: produce pepsinogen (activated by HCl which becomes pepsin which breaks down protein) • Endocrine Cells: produce regulatory hormones Surface Mucous Cells Mucous Neck Cells Parietal Cells Endocrine Cell Chief Cells
Stomach • Functions: • Storage • Mixing & Propulsion • Digestion • Absorption Not so much
Mixing & Storage • Chyme- mixture of food & stomach secretion • Stomach Secretions= mucus, hydrochloric acid, gastrin, histamine, intrinsic factor, & pepsinogen
Stomach Movement Food Enters Rugae flatten & volume increases Mixing waves & Peristaltic Contractions Food is mixed w/ secretions= chyme Peristaltic waves- force chyme near pyloric sphincter Peristaltic contractions force chyme through pyloric opening Chyme enters the duodenum
Waves • Mixing Waves- contractions occurring every 20 s, proceeding from the body to the pyloric sphincter. • Peristaltic Waves- occur less frequently, more powerful, force chyme towards the pyloric sphincter.
Heartburn (Pyrosis) • Painful/burning sensation in the chest • Reflux of chyme into the esophagus • Pain may be confused w/ an ulcer or heart attack • Cause: overeating fatty foods, lying down after a meal, too much alcohol or caffeine, & smoking
Stomach Ulcer (Gastric Ulcer) • Cause: • Destruction of the mucosal lining of the stomach by HCl • Symptoms: • Burning/gnawing feeling in the stomach (30 min- 3 hrs.) • May be interpreted as heartburn, indigestion or hunger • Relieved by drinking milk, eating, resting, or antacids • Black stool, vomiting, blood in the stool, anemia
Bell Work Name/identify the various parts of the stomach.
The Small Intestine • Three Parts: • Duodenum (25 cm) • Jejunum (2.5m) • Ileum (3.5m) • Two Accessory Glands • Liver • Pancreas Associated w/ Duodenum Where the greatest amount of digestion and absorption occur!
Duodenum Anatomy • Curves within the abdominal cavity • Head of pancreas is within the arc • Beginning: short/superior part exiting the pylorus of the stomach • Ending: sharp bend joining the jejunum
Two mounds within the Duodenum (2/3 the way down) • Ducts from the liver &/or the pancreas open here
Other Digestive Organs • Pancreas- helps control blood sugar levels • Liver- produces bile to break down fat • Gallbladder- stores bile
Villi- projections of the mucous membrane of the intestine • Covered by simple columnar epithelium