![Page 1: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/1.jpg)
Author: Petr Valášek
General Medicine and Dentistry – Anatomy 1
Univerzita Karlova v Praze – 1. lékařská fakulta
Digestive system 1
Development. Oral cavity. Teeth.
Tongue. Salivary glands. Palate.
Pharynx
Institute of Anatomy
![Page 2: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/2.jpg)
https://www.123rf.com/photo_98860922_stock-vector-human-gut-
digestive-system-gastrointestinal-tract-.html
![Page 3: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/3.jpg)
Saliva 1000
Stomach 1500
Brunners Glands (duodenum) 200
Pancreas 1000-1500
Bile 1000
Small Intestine 1800
Large Intestine 200
Total 7000ml/day
![Page 4: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/4.jpg)
Development of digestive system
Čihák, R.: Anatomie 2, Avicenum, Praha, 1988
![Page 5: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/5.jpg)
FOREGUT
MIDGUT
HINDGUT
oesophagus, stomach (liver, pancreas, spleen)
proximal duodenum
distal duodenum, jejunum, ileum, colon caec. asc. trans.
colon descendens, sigmoideum, rectum
(bladder, urachus)
truncus coeliacus
a. mesenterica superior
a. mesenterica inferior
n. vagus
n. vagus
sacral parasympathetic
Cannon-Böhm pointFlexura lienalis
Anastomosis magna Halleri
Development of digestive system
![Page 6: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/6.jpg)
SACRAL
PARASYMPATICUS
VAGUS
a. mesenterica sup.
a. mesenterica inf.
a. coeliaca
Cannon-Böhm
Anastomis magna Halleri
![Page 7: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/7.jpg)
Development…
K. L. Moore: The Developing Human, W.B. Saunders, Philadelphia, 1982
a) Growth
b) Rotation (1. stomach, 2. colon, 3. omental bursa)
c) Fusion of peritoneum
![Page 8: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/8.jpg)
Development
Langman embryology
![Page 9: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/9.jpg)
Langman embryology
Development
![Page 10: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/10.jpg)
Langman embryology
Development
![Page 11: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/11.jpg)
Langman embryology
Development
![Page 12: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/12.jpg)
Vývoj
Langman embryology
![Page 13: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/13.jpg)
Langman embryology
Development
![Page 14: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/14.jpg)
General structure of digestive tube
P. L. Williams et al.: Gray´s Anatomy. Churchill Livigstone, New York, 1995
![Page 15: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/15.jpg)
Tunica mucosa
Epithel
Lamina propria mucosae
Lamina muscularis mucosae
Tunica submucosa
Plexus submucosus
Tunica muscularis
Plexus myentericus
Serosa /adventitia
![Page 16: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/16.jpg)
Cavum oris
![Page 17: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/17.jpg)
Cavum oris
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
Vestibulum oris
Cavum oris proprium
![Page 18: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/18.jpg)
Dutina ústní = cavum oris= oral cavity
ventrálně - labia oris; rima oris
dorsálně - isthmus faucium
laterálně - buccae
kraniálně - palatum
kaudálně - diaphragma oris (m. mylohyoideus)
![Page 19: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/19.jpg)
fornix vestibuli sup. & inf.
frenulum labii sup. & inf.
papilla parotidea
komunikace s cavitas oris
propria:
-za zubními oblouky
(trigonum retromolare)
-štěrbiny mezi zuby
(tremata)
-diastemata
![Page 20: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/20.jpg)
Cavum oris propriumdentes
lingua
palatum
tonsilla palatina
glandulae salivatoriae
isthmus faucium
![Page 21: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/21.jpg)
Cavum oris - floor
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
![Page 22: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/22.jpg)
Blood and nerve supply of lips and face
A. facialis a. labialis sup.& inf.
A. temporalis superficialis a. transversa faciei
A. maxillaris a. buccalis
V. facialis
V. transversa faciei v. retromandibularis
v. faciei profunda pl. pterygoideus
n. l. submentales, submandibulares
Inervace
senzitivní: n.V/2 n.infraorbitalis, zygomaticus
V/3 n.mentalis, buccalis
motoricky: n.VII
![Page 23: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/23.jpg)
Teeth
![Page 24: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/24.jpg)
Permanent dentition
Cro
wn
Neck
Roo
t
Enamel
Dentin
Cementum
Medulla
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
![Page 25: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/25.jpg)
korunka
krček
kořen
apex radicis
sklovina
pulpa
dentin
cement
cavitas dentis
canalis radicis, foramen apicis
Tooth structure - Stavba zubu
![Page 26: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/26.jpg)
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
Dentition-directions and fixationVestibular
Distal
Mesial
Lingual
![Page 27: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/27.jpg)
Parodont
- zajišťuje upevnění zubu v čelisti
Součásti :
kost alveolu s periostem
cement
periodontium, ozubice (závěsný
vazivový aparát; vlákna mají různý směr)
Lig.circulare, lig. horizontale, alveolární
vlákna
gingiva, dáseň (sliznice na alveolárních
výběžcích; srůstá s periostem =
mukoperiost)
periodontium
![Page 28: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/28.jpg)
Gingival
Transseptal
Alv. crest
Horisontal
Obliqual
Apical
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
Dentition fixation
![Page 29: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/29.jpg)
Jednotlivé zuby -liší se tvarem, počtem kousacích hrbolků a kořenů
Definitivní chrup = dentes permanentes - 32 zubů ve 4 kvadrantech
1 kvadrant: 2 řezáky (dentes incisivi), 1 špičák (dens caninus),
2 zuby třenové (dentes praemolares), 3 stoličky (dentes molares)
Značení
a) I1 I2 C P1 P2 M1 M2 M3
b) 1 2 3 4 5 6 7 8
c) označení kvadrantů 1 2
4 3
24
Pohled na pacienta, 1. je pravý
horní a pak po směru hodin
P1
4
![Page 30: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/30.jpg)
Jednotlivé zuby -liší se tvarem, počtem kousacích hrbolků a kořenů
Definitivní chrup = dentes permanentes - 32 zubů ve 4 kvadrantech
1 kvadrant: 2 řezáky (dentes incisivi), 1 špičák (dens caninus),
2 zuby třenové (dentes praemolares), 3 stoličky (dentes molares)
Značení
a) I1 I2 C P1 P2 M1 M2 M3
b) 1 2 3 4 5 6 7 8
P1 4
c) Naming of quadrants 1 2
4 3
24
Left upper 4
Looking at the patient, 1. is upper
right, then clockwise
![Page 31: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/31.jpg)
tooth occlusive tubercles roots
I řezací hrana 1
C 2 šikmé hrany 1 1
P 2 1 (2)
M - horní 4 ; rýhy do tvaru „H“ 3
- dolní 4 (5) ; rýhy do kříže 2
![Page 32: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/32.jpg)
Dočasný chrup = dentes decidui, lactei, temporales
20 zubů ve 4 kvadrantech
1 kvadrant: 2 řezáky (dentes incisivi), 1 špičák (dens caninus),
2 stoličky (dentes molares) ; zuby třenové nejsou vytvořeny
Značení
a) i1 i2 c m1 m2
b) I II III IV V
m1 IV
c) označení kvadrantů 5 6
8 7
84
![Page 33: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/33.jpg)
![Page 34: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/34.jpg)
![Page 35: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/35.jpg)
Erupce
i1 6.-8.M
i2 7.-12.M (horní dřív)
m1 12.-16.M
c 15.-20.M
m2 20.-30.M
Zubní věk - dle erupce
- dle dalšího vývoje zubu (abraze, sekundární dentin)
M1 6 - 8 R
I1 6 - 7 R
I2 7 - 9 R
P1 9 - 11 R
C 9 - 14 R
P2 11 - 14 R
M2 10 - 15 R
M3 17 - 30 R
![Page 36: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/36.jpg)
Chrup jako celek – druhy skusu
1 2 3 4 5 6
1 – nůžkovitý (psalidodontie, nejčastější)
2 – klešťovitý (labidodontie)
3 – střechovitý (stegodontie)
4 – progenie
5 – opisthodontie
6 – otevřený skus
![Page 37: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/37.jpg)
Wearing of teeth
abrasion =
enamel filed off
Gingival recession =
neck becomes visible
![Page 38: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/38.jpg)
Blood and nerve supply of teeth
n.V/2 rr.alveolares sup. post.
rr.alveolares sup. ant.
n.V/3 n. alveolaris inf.
plexus dent. (sup., inf.)
rr. dentales, gingivales
aa. alveolares sup. post.
aa. alveolares sup. ant.
a. alveolaris inf.
vv. – along arteries to
plexus pterygoideus
ln. submandibulares (x M3)
![Page 39: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/39.jpg)
n.maxillaris (V2)
n.mandibularis
(V3)n.alveolaris inf.
rr.alveolares sup.post.,ant.
a.maxillaris
a.alveolaris inf.
aa.alveolares sup.post.,ant.
žíly - podél tepen do plexus
pterygoideus
lymfa do nodi submandibulares
Blood and nerve supply of teeth
![Page 40: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/40.jpg)
![Page 41: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/41.jpg)
Dental anesthesia – conductive/nerve block
foramen infraorbitale
foramen mentale
foramen incisivum
foramen palatinum maius
tuber maxillae
foramen mandibulare
![Page 42: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/42.jpg)
Lingua-Glossa
Jazyk
Tongue
![Page 43: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/43.jpg)
Jazyk - lingua (latinsky), glossa (řecky)
valleculae
plicae glossoepigloticae
radix
sulcus terminalis
corpus
dorsum
apex
![Page 44: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/44.jpg)
![Page 45: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/45.jpg)
Tongue musclesTongue skeleton – T-shaped
aponeurosis linguae, septum linguae
Extraglossal muscles: m. genioglossus
m. hyoglossus
m. styloglossus
m. palatoglossus
Intraglossal muscles – 3-dimensional network of fibres
m. longitudinalis sup., inf.
m. transversus linguae innervation - n.XII
m. verticalis linguae except m.palatoglossus (IX)
![Page 46: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/46.jpg)
Intrinsic muscles
http://www.ouhsc.edu/histology
![Page 47: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/47.jpg)
![Page 48: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/48.jpg)
Extrinsic muscles
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
![Page 49: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/49.jpg)
Wikiskripta Grays anatomy https://web.duke.edu/anatomy/Lab24-25/bisectedHead.html
https://web.duke.edu/anatomy/Lab2
4-25/bisectedHead.html
Extrinsic muscles
![Page 50: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/50.jpg)
Lingua
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
![Page 51: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/51.jpg)
Innervation
motor:
n. XII
(m.palatoglossus IX/X)
senzitive V, IX, X
V/3
IX
X
sensory VII, IX, X
V+VII
vegetative:
parasympathetic
ggl .submandibulare
sympathetic
plexus lingualis
![Page 52: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/52.jpg)
Blood supply
R. Čihák: Anatomie 2, Avicenum, Praha, 1988
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
![Page 53: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/53.jpg)
Glandulae salivatoriae
Slinné žlázy
Salivary glands
![Page 54: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/54.jpg)
Slinné žlázy-small – in the oral mucosa
(gll. labiales, buccales, linguales, palatinae)
-large
Glandula parotis
ductus parotideus (Stenoni) – opens in vestibulum oris
at level of upper M2 ; RTG contrast = sialograph
Vessels : a.temporalis sf., a.auricularis post., a. maxillaris
vv. parotidae v. retromandibularis
ln. parotidei ln. cervicales sf. & prof.
Nerves - parasymp. innervation: n.IX ( n. tympanicus
n. petrosus minor ggl. oticum )
![Page 55: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/55.jpg)
![Page 56: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/56.jpg)
Glandula submandibularis
ductus submandibularis – around posterior edge of m.mylohyoideus
sublingual space opens on caruncula sublingualis
Tractus angularis
Blood : a.+ v. facialis, a.+ v. lingualis; ln. submandibulares
Glandula sublingualis
d. sublingualis major – with d. submandibularis
dd. sublinguales minores - laterálně plica sublingualis
Blood : a.+ v. sublingualis, a.+ v. submentalis
ln. cervicales profundi
Innervation of both – parasympathetic fibres n.VII via n.lingualis
ggl. submandibulare
![Page 57: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/57.jpg)
caruncula
sublingualis..
.
.
plica
sublingualis
![Page 58: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/58.jpg)
![Page 59: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/59.jpg)
![Page 60: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/60.jpg)
![Page 61: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/61.jpg)
Salivary glands
R. Čihák: Anatomie 2, Avicenum, Praha, 1988F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
![Page 62: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/62.jpg)
Palatum
Patro
Palate
![Page 63: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/63.jpg)
Palate - Palatum - patroPalatum durum
Palatum molle = velum palati
skeleton - aponeurosis palati muscle origins
Blood vessels and nerves
A. palatina desc. (a. maxillaris), a. palatina asc. (a. facialis)
Venous plexus pterygoideus, plexus pharyngeus
Lymphonodi submandibulares, cervicales profundi
Innervation motor: V/3 (tensor), VII (levator), IX - X
sensitive: V/2 nn.palatini maj. & min., n. nasopalatinus
![Page 64: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/64.jpg)
![Page 65: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/65.jpg)
m. levator veli palatini
VII + pl. pharyngeus
m. palatoglossus
m. palatopharyngeus
inervace:
plexus pharyngeus IX-X
m. tensor veli pal.
V/3
m. uvulae
![Page 66: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/66.jpg)
V3
Pl Ph,VII
Pl Ph
Palatum durum et mole
R. Čihák: Anatomie 2, Avicenum, Praha, 1988
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
![Page 67: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/67.jpg)
Pharynx
Hltan
Pharynx
![Page 68: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/68.jpg)
Pharynx
R. Čihák: Anatomie 2, Avicenum, Praha, 1988
Pars nasalis Pars oralis Pars laryngea
![Page 69: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/69.jpg)
Pharynx
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
![Page 70: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/70.jpg)
Pharynx-muscles
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
![Page 71: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/71.jpg)
Pharynx-blood supply
F. H. Netter: Anatomický atlas člověka. Grada/Avicenum, Praha, 2003
A pharyngea asc. A palat asc. A palat desc.
![Page 72: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/72.jpg)
Muscles of pharynx:
Constrictores:
Superior
Medius
Inferior
Levatores:
Stylopharyngeus
Salpingopharyngeus
![Page 73: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/73.jpg)
Developemnt of face-cleavage
R. Čihák: Anatomie 2, Avicenum, Praha, 1988
![Page 74: Digestive system 1 Development. Oral cavity. Teeth. Tongue ...Author: Petr ValášekGeneral Medicine and Dentistry –Anatomy 1 Univerzita Karlova v Praze –1. lékařská fakulta](https://reader033.vdocuments.us/reader033/viewer/2022051903/5ff3ac662383084e78432bf9/html5/thumbnails/74.jpg)
Source:
Sobotta J: Atlas of Human Anatomy Vol 1 –2 Munich, Urban und
Schwarzenberg, 1993
Wiliams P & Warvick R: Gray´s Anatomy, 37 ed, Churhill Livingstone, 1996
Netter, F: Atlas of Human Anatomy, 4th ed., Elseviesr, USA, 2006
Tillman: Atlas der Anatomie, Springer, Heidelberg, 2005