WorksheetsStomatognathic system
Total questions: 35
Worksheet time: 23mins
Is a system that comprises of a highly coordinated
structure comprising the human masticatory apparatus
(a)
• The upper and lower jaws are the major part of stomatognathic
system. It helps in attachment of muscles, supports the teeth
Comprises of:
a) Maxilla
b) Mandible
(a)
- The mandible forms the lower part of our face.
- U-shaped bone, contains mandibular teeth in alveolar process.
- Suspended from skull by muscles & ligaments.
- Major structural parts-condyle, coronoid process, ramus,
angle, alveolar process, mental protuberance.
- The mandible absorbs all stresses
(a)
- Composes most of upper part of face & contains maxillary
teeth.
- Fused to skull & hence non-mobile.
- Major intra-oral parts- alveolar process, palatal process,
incisive foramen, mid-palatal suture, maxillary tuberosity.
(a)
Teeth:
The hardest, white outer part of the tooth.
Enamel is mostly made of calcium phosphate, a rock-hard
mineral.
Enamel
Dentin
Pulp
Cementum
Periodontal ligament
Teeth:
A layer underlying the enamel. Dentin is made of
living cells, which secrete a hard mineral substance.
Enamel
Dentin
Pulp
Cementum
Periodontal ligament
Teeth:
The softer, living inner structure of teeth, Blood
vessels and nerves run through the pulp of the teeth.
Enamel
Dentin
Pulp
Cementum
Periodontal ligament
The tongue is covered with moist, pink tissue called
mucosa. Tiny bumps called (a) give the tongue its
rough texture. Thousands of taste buds cover the surfaces
of the papillae.
Intrinsic Muscles
Inferior Longitudinal
Transverse muscle
Genioglossus
Styloglossus
Vertical
Intrinsic Muscles
it shortens the tongue and makes the
dorsum of the tongue concave
Inferior Longitudinal
Transverse muscle
Superior Longitudinal
Vertical
Intrinsic Muscles
It also shortens the tongue but it
makes the dorsum of the tongue convex
Inferior Longitudinal
Transverse muscle
Superior Longitudinal
Vertical
Intrinsic Muscles
Function: to make tongue narrow and elongated
Inferior Longitudinal
Transverse muscle
Superior Longitudinal
Vertical
Intrinsic Muscles
Function: to make tongue narrow and elongated
Inferior Longitudinal
Transverse muscle
Superior Longitudinal
Vertical
Extrinsic Muscle
Palatoglossus
Transverse muscle
Genioglossus
Styloglossus
Vertical
Extrinsic Muscle
Function: to protrude the tongue out by pulling
the posterior part forward (or pag nilabas ang
dila sa mouth)
Genioglossus
Hyoglossus
Styloglossus
Palatoglossus
Extrinsic Muscle
Function: it depresses the tongue
Genioglossus
Hyoglossus
Styloglossus
Palatoglossus
Extrinsic Muscle
Function: pulls the tongue upward and backward
Genioglossus
Hyoglossus
Styloglossus
Palatoglossus
Extrinsic Muscle
Function: brings the palatoglossus arches
together and it shut-offs the oral cavity from the
oral pharynx.
Genioglossus
Hyoglossus
Styloglossus
Palatoglossus
- Physiologic activity formedwhen there is normalocclusion
in a cyclicmovement
- A complex function thatuses not only the muscles, teeth,
periodontal supportive structures but also the lips, cheeks
tongue palate and salivary glands
- It consists of a number of chewing strokes
(a)
Chewing stroke:
- Each stroke has a ____ - ____ movement pattern.
(a)
Chewing stroke:
- Each stroke has a ____ - ____ movement pattern.
(a)
Mechanical process of chewing
Initial chewing action
Voluntary
Involuntary
the incisal edge of incisors is the working edge.
Characteristics:
a) Knife-like edge of the incisors
b) Monorooted condition which is sufficient for their simple function
c) Incisors are supported by the intermaxillary sutures & the symphysismenti
d) Lips are in contact & there is the presence of oral seal
e) Teeth comes in full contact
Incisal
Direct crushing
Molar & Pestle
involves shearing movement of the mandible.
- (Shear - to cut through due to sliding action)
- Characteristics:
a. Includes cuspids & bicuspids.
b. Presence of a more inclined plane or more surface contact.
c. Working side is where the food is & the other side will be the balancing side.
- Working site of the occlusion
- No food – balancing side/ non-functioning occlusion
Incisal
Direct crushing
Molar & Pestle
- complete trituration of the food & this involves
all occlusal surfaces.
Characteristics:
a. Normal oral seal produced by the upper & lower lip.
b. Normal occlusion is present.
c. Normal antero-posterior relationship of the maxilla & mandible.
d. Presence of symmetrical phase.
e. Tongue is kept within the oral cavity.
f. There is harmonious relationship between the cranial & facial structure.
g. Mastication is soundless.
Incisal
Direct crushing
Molar & Pestle
- Separation of teeth
- Condyles move forward and Downward
- During opening, the jaw is about 10-15 mm
- Muscles responsible: mylohyoid, Digastric, inferior lateral
pterygoid
Opening
Closing
Occlusal
- Rapid jaw closing phase
- Occlusal surfaces are brought together.
- Accomplished by the masseter, internal pterygoid &
temporalis muscle.
- Muscle undergo isotonic contraction or relaxation
Opening
Closing
Occlusal
- Slow jaw closing phase
- Tooth contact phase
- Power phase
- Food particles are crushed between the occlusal surfaces
- Gradual change to isometric contraction when teeth are in
contact & there is an object between them.
Opening
Closing
Occlusal
muscle contraction that develops tension
without appreciable shortening or change in distance between its
origin & insertion. Clenching of already occluded jaws is an example
Isotonic contraction
Isometric contraction
if there is pressure and change in the muscles example flexion of bicep
Isotonic contraction
Isometric contraction
3 Phases of deglutition
Oral
Pharyngeal
Teeth
Esophageal
Palatal
Phases of Deglutition
- Total swallow time from oral cavity to stomach is no more than 20
seconds the process begins with contractions of the tongue and
striated muscles of mastication. In the oral phase, a formed bolus is
positioned in the middle of the tongue. The bolus is then pressed
firmly against the tonsillar pillars, triggering the pharyngeal phase.
Characteristics:
A. Anterior portion of tongue is retracted
B. Hyoid bone is elevated
C. Mastication stops
D. Respiration reflex stops
E. Back portion of tongue is elevated & retracted against the
palate
Oral
Pharyngeal
Esophageal
- The pharyngeal phase of swallowing is the shortest but is
the most complex.
- In this phase the soft palate elevates closing off the
nasopharynx and preventing nasopharyngeal regurgitation
- Then the pharyngeal phase begins, other activities such as
chewing, breathing, coughing and vomiting are
concomitantly inhibited
- Closure of the nasopharynx
Oral
Pharyngeal
Esophageal
- The bolus is propelled about 25 cm from the
cricopharyngeus through the thoracic esophagus via
peristaltic contractions
- The bolus is propelled downwards at a rate of 3–5 cm/s.
- The lower esophageal sphincter relaxes and the bolus
moves into the gastric cardia.
Oral
Pharyngeal
Esophageal
What are the 2 important reflex action:
To propel food to the right tube
To protect other vital organs
