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R. Shane Tubbs, MS, PA-C, PhD
The Oral Cavity R. Shane Tubbs, MS, PA-C, PhD
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Teeth 32 adult/20 “milk” teeth Medial/lateral incisor Canine
2 premolars 3 molars
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Tooth Innervation
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Hard Palate posterior nasal spine Palatine process maxillary bone
Horizontal plate palatine bone > (3rd molar), < palatine foramina Incisive foramen posterior nasal spine
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Lingual nerve crosses the submandibular duct twice!
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buccinator
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Salivary Glands
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parotid duct
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Muscles Tensor veli Levator veli Palatoglossus Palatopharyngeus
Musculus uvulae
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Extrinsic Tongue (L. lingua; G. glossa) Muscles
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XII lesion: tongue deviates to ipsilateral side
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Lymphatic Drainage Gingivae and all teeth less the mandibular incisors drain into the submandibular lymph nodes Tongue:
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Tongue Veins Return to IJ directly or indirectly Sublingual absorption
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Tongue Topography Sulcus terminalis Foramen cecum
Median sulcus and septum
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Papillae Vallate Foliate: lateral and poorly developed in humans;
Filiform: touch receptors (raspy); no taste buds Fungiform:
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palatoglossal fold
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Taste Tongue (Vallate, foliate, and fungiform) Soft palate
Oral pharynx Epiglottis
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Taste (SVA) X IX VII Geniculate ganglion Inferior ganglion IX
Inferior ganglion X X IX VII
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General Sensation GSA of lingual anterior 2/3 GVA of IX posterior 1/3
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Lab
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