Skull As a Whole
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Anatomy of Maxillary and Mandibular Local Anesthesia
Anatomy of Mandibular and Maxillary Local Anesthesia Patricia L. Blanton, Ph.D., D.D.S. Professor Emeritus, Department of Anatomy, Baylor College of Dentistry – TAMUS and Private Practice in Periodontics Dallas, Texas Anatomy of Mandibular and Maxillary Local Anesthesia I. Introduction A. The anatomical basis of local anesthesia 1. Infiltration anesthesia 2. Block or trunk anesthesia II. Review of the Trigeminal Nerve (Cranial n. V) – the major sensory nerve of the head A. Ophthalmic Division 1. Course a. Superior orbital fissure – root of orbit – supraorbital foramen 2. Branches – sensory B. Maxillary Division 1. Course a. Foramen rotundum – pterygopalatine fossa – inferior orbital fissure – floor of orbit – infraorbital 2. Branches - sensory a. Zygomatic nerve b. Pterygopalatine nerves [nasal (nasopalatine), orbital, palatal (greater and lesser palatine), pharyngeal] c. Posterior superior alveolar nerves d. Infraorbital nerve (middle superior alveolar nerve, anterior superior nerve) C. Mandibular Division 1. Course a. Foramen ovale – infratemporal fossa – mandibular foramen, Canal -> mental foramen 2. Branches a. Sensory (1) Long buccal nerve (2) Lingual nerve (3) Inferior alveolar nerve -> mental nerve (4) Auriculotemporal nerve b. Motor (1) Pterygoid nerves (2) Temporal nerves (3) Masseteric nerves (4) Nerve to tensor tympani (5) Nerve to tensor veli palatine (6) Nerve to mylohyoid (7) Nerve to anterior belly of digastric c. Both motor and sensory (1) Mylohyoid nerve III. Usual Routes of innervation A. Maxilla 1. Teeth a. Molars – Posterior superior alveolar nerve b. Premolars – Middle superior alveolar nerve c. Incisors and cuspids – Anterior superior alveolar nerve 2. Gingiva a. Facial/buccal – Superior alveolar nerves b. Palatal – Anterior – Nasopalatine nerve; Posterior – Greater palatine nerves B. -
Association Between Facial Type and Mandibular Canal Morphology
Brazilian Dental Journal (2016) 27(5): 609-612 ISSN 0103-6440 http://dx.doi.org/10.1590/0103-6440201600973 1Department of Morphology, Anatomy Association between Facial division, Piracicaba Dental School, UNICAMP - Universidade Estadual Type and Mandibular Canal de Campinas, Piracicaba, SP, Brazil 2Department of Physiological Morphology – Analysis in Sciences, Pharmacology/ Anesthesiology/Therapeutics division, UNICAMP - Universidade Estadual Digital Panoramic Radiographs de Campinas, Piracicaba, SP, Brazil Ana Paula Guidi Schmidt1, Ana Cláudia Rossi1, Alexandre Rodrigues Freire1, Correspondence: Profa. Dra. Ana 2 1 Cláudia Rossi, Avenida Limeira, Francisco Carlos Groppo , Felippe Bevilacqua Prado 901, 13414-903, Piracicaba, SP, Brazil. Tel: +55-19-2106-5721. e-mail: [email protected] In this study we investigate the association between facial type and mandibular canal course morphology analysing this in digital panoramic radiographs images. We used 603 digital images from panoramic radiographs. We selected only panoramic radiographs of fully dentate individuals, who had all lower molars bilaterally and with complete root formation. The sample distribution was determined by facial type and sex. The course of the mandibular canal, as seen in the panoramic radiographs, was classified into 3 types, bilaterally. The classification used was: type 1 if the mandibular canal is in contact or is positioned at most 2 mm from the root apex of the three permanent molars; type 2 if the mandibular canal is located halfway between the root apex of the three permanent molars and a half away from the mandibular basis; and type 3 if the mandibular canal is in contact with or approaches, a maximum of 2 mm from the cortical bone of the mandibular basis. -
Inferior Alveolar Nerve Trajectory, Mental Foramen Location and Incidence of Mental Nerve Anterior Loop
Med Oral Patol Oral Cir Bucal. 2017 Sep 1;22 (5):e630-5. CBCT anatomy of the inferior alveolar nerve Journal section: Oral Surgery doi:10.4317/medoral.21905 Publication Types: Research http://dx.doi.org/doi:10.4317/medoral.21905 Inferior alveolar nerve trajectory, mental foramen location and incidence of mental nerve anterior loop Miguel Velasco-Torres 1, Miguel Padial-Molina 1, Gustavo Avila-Ortiz 2, Raúl García-Delgado 3, Andrés Ca- tena 4, Pablo Galindo-Moreno 1 1 DDS, PhD, Department of Oral Surgery and Implant Dentistry, School of Dentistry, University of Granada, Granada, Spain 2 DDS, MS, PhD, Department of Periodontics, College of Dentistry, University of Iowa, Iowa City, USA 3 Specialist in Dental and Maxillofacial Radiology. Private Practice. Granada, Spain 4 PhD, Department of Experimental Psychology, School of Psychology, University of Granada, Granada, Spain Correspondence: School of Dentistry, University of Granada 18071 - Granada, Spain [email protected] Velasco-Torres M, Padial-Molina M, Avila-Ortiz G, García-Delgado R, Catena A, Galindo-Moreno P. Inferior alveolar nerve trajectory, mental foramen location and incidence of mental nerve anterior loop. Med Oral Received: 07/03/2017 Accepted: 21/06/2017 Patol Oral Cir Bucal. 2017 Sep 1;22 (5):e630-5. http://www.medicinaoral.com/medoralfree01/v22i5/medoralv22i5p630.pdf Article Number: 21905 http://www.medicinaoral.com/ © Medicina Oral S. L. C.I.F. B 96689336 - pISSN 1698-4447 - eISSN: 1698-6946 eMail: [email protected] Indexed in: Science Citation Index Expanded Journal Citation Reports Index Medicus, MEDLINE, PubMed Scopus, Embase and Emcare Indice Médico Español Abstract Background: Injury of the inferior alveolar nerve (IAN) is a serious intraoperative complication that may occur during routine surgical procedures, such as dental implant placement or extraction of impacted teeth. -
Morfofunctional Structure of the Skull
N.L. Svintsytska V.H. Hryn Morfofunctional structure of the skull Study guide Poltava 2016 Ministry of Public Health of Ukraine Public Institution «Central Methodological Office for Higher Medical Education of MPH of Ukraine» Higher State Educational Establishment of Ukraine «Ukranian Medical Stomatological Academy» N.L. Svintsytska, V.H. Hryn Morfofunctional structure of the skull Study guide Poltava 2016 2 LBC 28.706 UDC 611.714/716 S 24 «Recommended by the Ministry of Health of Ukraine as textbook for English- speaking students of higher educational institutions of the MPH of Ukraine» (minutes of the meeting of the Commission for the organization of training and methodical literature for the persons enrolled in higher medical (pharmaceutical) educational establishments of postgraduate education MPH of Ukraine, from 02.06.2016 №2). Letter of the MPH of Ukraine of 11.07.2016 № 08.01-30/17321 Composed by: N.L. Svintsytska, Associate Professor at the Department of Human Anatomy of Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», PhD in Medicine, Associate Professor V.H. Hryn, Associate Professor at the Department of Human Anatomy of Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», PhD in Medicine, Associate Professor This textbook is intended for undergraduate, postgraduate students and continuing education of health care professionals in a variety of clinical disciplines (medicine, pediatrics, dentistry) as it includes the basic concepts of human anatomy of the skull in adults and newborns. Rewiewed by: O.M. Slobodian, Head of the Department of Anatomy, Topographic Anatomy and Operative Surgery of Higher State Educational Establishment of Ukraine «Bukovinian State Medical University», Doctor of Medical Sciences, Professor M.V. -
A Description of the Geological Context, Discrete Traits, and Linear Morphometrics of the Middle Pleistocene Hominin from Dali, Shaanxi Province, China
AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 150:141–157 (2013) A Description of the Geological Context, Discrete Traits, and Linear Morphometrics of the Middle Pleistocene Hominin from Dali, Shaanxi Province, China Xinzhi Wu1 and Sheela Athreya2* 1Laboratory for Human Evolution, Institute of Vertebrate Paleontology and Paleoanthropology, Chinese Academy of Sciences, Beijing 100044, China 2Department of Anthropology, Texas A&M University, College Station, TX 77843 KEY WORDS Homo heidelbergensis; Homo erectus; Asia ABSTRACT In 1978, a nearly complete hominin Afro/European Middle Pleistocene Homo and align it fossil cranium was recovered from loess deposits at the with Asian H. erectus.Atthesametime,itdisplaysa site of Dali in Shaanxi Province, northwestern China. more derived morphology of the supraorbital torus and It was subsequently briefly described in both English supratoral sulcus and a thinner tympanic plate than and Chinese publications. Here we present a compre- H. erectus, a relatively long upper (lambda-inion) occi- hensive univariate and nonmetric description of the pital plane with a clear separation of inion and opis- specimen and provide comparisons with key Middle thocranion, and an absolute and relative increase in Pleistocene Homo erectus and non-erectus hominins brain size, all of which align it with African and Euro- from Eurasia and Africa. In both respects we find pean Middle Pleistocene Homo. Finally, traits such as affinities with Chinese H. erectus as well as African the form of the frontal keel and the relatively short, and European Middle Pleistocene hominins typically broad midface align Dali specifically with other referred to as Homo heidelbergensis.Specifically,the Chinese specimens from the Middle Pleistocene Dali specimen possesses a low cranial height, relatively and Late Pleistocene, including H. -
Introduction to the Skeletal System and the Axial Skeleton 155
chapter Introduction to the 7 Skeletal System and the Axial Skeleton CHAPTER OVERVIEW OBJECTIVES 7.1 Introduction to the Skeletal System ……………… 153 1. Describe the gross anatomy and structure of a long 7.2 Bone Structure ………………………………………… 154 bone 7.3 Bone Histology ………………………………………… 155 2. Describe and compare the underlying histology of spongy and compact bone. 7.4 The Human Skeleton: Axial and Appendicular Divisions …………………………………………………… 156 3. List the five general shapes of bones. 7.5 Bone Classification and Markings ………………… 157 4. Describe and compare the different kinds of bone markings visible on the skeleton. 7.6 Axial Skeleton …………………………………………… 159 7.6a Cranium 5. Identify the components of the axial skeleton: cranial, 7.6b Facial facial, hyoid, vertebra, ribs and sternum. 7.6c Hyoid Bone 7.6d Vertebral Column 7.6e Thoracic Cage 7.1 Introduction to the Skeletal System The skeletal system serves to support the body’s soft tissues and to protect the body’s soft internal organs. Another important function that the bones have is to store materials such as calcium, phosphorus and lipids. Additionally, blood cells are synthesized in the red bone marrow to be released into the bloodstream. Bones serve as levers for the muscular system, working with them to produce movement and maintain posture. The human body contains 2 major kinds of bone tissue: compact and spongy. Compact bone (dense bone) is found on the outer surface of bones and serves as a place to absorb most of the stress on the bones. Spongy bone (cancellous tissue) is found on the inside of the compact bone layer. -
Anatomy of Mandibular Vital Structures. Part I: Mandibular Canal and Inferior Alveolar Neurovascular Bundle in Relation with Dental Implantology
JOURNAL OF ORAL & MAXILLOFACIAL RESEARCH Juodzbalys et al. Anatomy of Mandibular Vital Structures. Part I: Mandibular Canal and Inferior Alveolar Neurovascular Bundle in Relation with Dental Implantology Gintaras Juodzbalys1, Hom-Lay Wang2, Gintautas Sabalys1 1Department of Oral and Maxillofacial Surgery, Kaunas University of Medicine, Lithuania 2Department of Periodontics and Oral Medicine, University of Michigan, Ann Arbor Michigan, USA Corresponding Author: Gintaras Juodzbalys Vainiku 12 LT- 46383, Kaunas Lithuania Phone: +370 37 29 70 55 Fax: +370 37 32 31 53 E-mail: [email protected] ABSTRACT Objectives: It is critical to determine the location and configuration of the mandibular canal and related vital structures during the implant treatment. The purpose of the present paper was to review the literature concerning the mandibular canal and inferior alveolar neurovascular bundle anatomical variations related to the implant surgery. Material and Methods: Literature was selected through the search of PubMed, Embase and Cochrane electronic databases. The keywords used for search were mandibular canal, inferior alveolar nerve, and inferior alveolar neurovascular bundle. The search was restricted to English language articles, published from 1973 to November 2009. Additionally, a manual search in the major anatomy, dental implant, prosthetic and periodontal journals and books were performed. Results: In total, 46 literature sources were obtained and morphological aspects and variations of the anatomy related to implant treatment in posterior mandible were presented as two entities: intraosseous mandibular canal and associated inferior alveolar neurovascular bundle. Conclusions: A review of morphological aspects and variations of the anatomy related to mandibular canal and mandibular vital structures are very important especially in implant therapy since inferior alveolar neurovascular bundle exists in different locations and possesses many variations. -
MBB: Head & Neck Anatomy
MBB: Head & Neck Anatomy Skull Osteology • This is a comprehensive guide of all the skull features you must know by the practical exam. • Many of these structures will be presented multiple times during upcoming labs. • This PowerPoint Handout is the resource you will use during lab when you have access to skulls. Mind, Brain & Behavior 2021 Osteology of the Skull Slide Title Slide Number Slide Title Slide Number Ethmoid Slide 3 Paranasal Sinuses Slide 19 Vomer, Nasal Bone, and Inferior Turbinate (Concha) Slide4 Paranasal Sinus Imaging Slide 20 Lacrimal and Palatine Bones Slide 5 Paranasal Sinus Imaging (Sagittal Section) Slide 21 Zygomatic Bone Slide 6 Skull Sutures Slide 22 Frontal Bone Slide 7 Foramen RevieW Slide 23 Mandible Slide 8 Skull Subdivisions Slide 24 Maxilla Slide 9 Sphenoid Bone Slide 10 Skull Subdivisions: Viscerocranium Slide 25 Temporal Bone Slide 11 Skull Subdivisions: Neurocranium Slide 26 Temporal Bone (Continued) Slide 12 Cranial Base: Cranial Fossae Slide 27 Temporal Bone (Middle Ear Cavity and Facial Canal) Slide 13 Skull Development: Intramembranous vs Endochondral Slide 28 Occipital Bone Slide 14 Ossification Structures/Spaces Formed by More Than One Bone Slide 15 Intramembranous Ossification: Fontanelles Slide 29 Structures/Apertures Formed by More Than One Bone Slide 16 Intramembranous Ossification: Craniosynostosis Slide 30 Nasal Septum Slide 17 Endochondral Ossification Slide 31 Infratemporal Fossa & Pterygopalatine Fossa Slide 18 Achondroplasia and Skull Growth Slide 32 Ethmoid • Cribriform plate/foramina -
Atlas of the Facial Nerve and Related Structures
Rhoton Yoshioka Atlas of the Facial Nerve Unique Atlas Opens Window and Related Structures Into Facial Nerve Anatomy… Atlas of the Facial Nerve and Related Structures and Related Nerve Facial of the Atlas “His meticulous methods of anatomical dissection and microsurgical techniques helped transform the primitive specialty of neurosurgery into the magnificent surgical discipline that it is today.”— Nobutaka Yoshioka American Association of Neurological Surgeons. Albert L. Rhoton, Jr. Nobutaka Yoshioka, MD, PhD and Albert L. Rhoton, Jr., MD have created an anatomical atlas of astounding precision. An unparalleled teaching tool, this atlas opens a unique window into the anatomical intricacies of complex facial nerves and related structures. An internationally renowned author, educator, brain anatomist, and neurosurgeon, Dr. Rhoton is regarded by colleagues as one of the fathers of modern microscopic neurosurgery. Dr. Yoshioka, an esteemed craniofacial reconstructive surgeon in Japan, mastered this precise dissection technique while undertaking a fellowship at Dr. Rhoton’s microanatomy lab, writing in the preface that within such precision images lies potential for surgical innovation. Special Features • Exquisite color photographs, prepared from carefully dissected latex injected cadavers, reveal anatomy layer by layer with remarkable detail and clarity • An added highlight, 3-D versions of these extraordinary images, are available online in the Thieme MediaCenter • Major sections include intracranial region and skull, upper facial and midfacial region, and lower facial and posterolateral neck region Organized by region, each layered dissection elucidates specific nerves and structures with pinpoint accuracy, providing the clinician with in-depth anatomical insights. Precise clinical explanations accompany each photograph. In tandem, the images and text provide an excellent foundation for understanding the nerves and structures impacted by neurosurgical-related pathologies as well as other conditions and injuries. -
Topographical Anatomy and Morphometry of the Temporal Bone of the Macaque
Folia Morphol. Vol. 68, No. 1, pp. 13–22 Copyright © 2009 Via Medica O R I G I N A L A R T I C L E ISSN 0015–5659 www.fm.viamedica.pl Topographical anatomy and morphometry of the temporal bone of the macaque J. Wysocki 1Clinic of Otolaryngology and Rehabilitation, II Medical Faculty, Warsaw Medical University, Poland, Kajetany, Nadarzyn, Poland 2Laboratory of Clinical Anatomy of the Head and Neck, Institute of Physiology and Pathology of Hearing, Poland, Kajetany, Nadarzyn, Poland [Received 7 July 2008; Accepted 10 October 2008] Based on the dissections of 24 bones of 12 macaques (Macaca mulatta), a systematic anatomical description was made and measurements of the cho- sen size parameters of the temporal bone as well as the skull were taken. Although there is a small mastoid process, the general arrangement of the macaque’s temporal bone structures is very close to that which is observed in humans. The main differences are a different model of pneumatisation and the presence of subarcuate fossa, which possesses considerable dimensions. The main air space in the middle ear is the mesotympanum, but there are also additional air cells: the epitympanic recess containing the head of malleus and body of incus, the mastoid cavity, and several air spaces on the floor of the tympanic cavity. The vicinity of the carotid canal is also very well pneuma- tised and the walls of the canal are very thin. The semicircular canals are relatively small, very regular in shape, and characterized by almost the same dimensions. The bony walls of the labyrinth are relatively thin. -
Factors Influencing the Articular Eminence of the Temporomandibular Joint (Review)
EXPERIMENTAL AND THERAPEUTIC MEDICINE 22: 1084, 2021 Factors influencing the articular eminence of the temporomandibular joint (Review) MARIA JUSTINA ROXANA VÎRLAN1, DIANA LORETA PĂUN2, ELENA NICOLETA BORDEA3, ANGELO PELLEGRINI3, ARSENIE DAN SPÎNU4, ROXANA VICTORIA IVAȘCU5, VICTOR NIMIGEAN5 and VANDA ROXANA NIMIGEAN1 1Discipline of Oral Rehabilitation, Faculty of Dental Medicine; 2Discipline of Endocrinology, Faculty of Medicine; 3Department of Specific Disciplines, Faculty of Midwifery and Nursing;4 Discipline of Urology, ‘Dr Carol Davila’ Central Military Emergency University Hospital, Faculty of Medicine; 5Discipline of Anatomy, Faculty of Dental Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania Received April 28, 2021; Accepted May 28, 2021 DOI: 10.3892/etm.2021.10518 Abstract. The temporomandibular joint (TMJ), the most 4. Factors influencing the inclination of the articular eminence complex and evolved joint in humans, presents two articular 5. Biological sex surfaces: the condyle of the mandible and the articular eminence 6. Age (AE) of the temporal bone. AE is the anterior root of the zygo‑ 7. Edentulism matic process of the temporal bone and has an anterior and 8. Conclusions a posterior slope, the latter being also known as the articular surface. AE is utterly important in the biomechanics of the TMJ, as the mandibular condyle slides along the posterior slope 1. Introduction of the AE while the mandible moves. The aim of this review was to assess significant factors influencing the inclination of The temporomandibular joint (TMJ), the most complex and the AE, especially modifications caused by aging, biological evolved joint in humans, is defined by the paired joints that sex or edentulism. -
Anatomy Respect in Implant Dentistry. Assortment, Location, Clinical Importance (Review Article)
ISSN: 2394-8418 DOI: https://doi.org/10.17352/jdps CLINICAL GROUP Received: 19 August, 2020 Review Article Accepted: 31 August, 2020 Published: 01 September, 2020 *Corresponding author: Dr. Rawaa Y Al-Rawee, BDS, Anatomy Respect in Implant M Sc OS, MOMS MFDS RCPS Glasgow, PhD, MaxFacs, Department of Oral and Maxillofacial Surgery, Al-Salam Dentistry. Assortment, Teaching Hospital, Mosul, Iraq, Tel: 009647726438648; E-mail: Location, Clinical Importance ORCID: https://orcid.org/0000-0003-2554-1121 Keywords: Anatomical structures; Dental implants; (Review Article) Basic implant protocol; Success criteria; Clinical anatomy Rawaa Y Al-Rawee1* and Mohammed Mikdad Abdalfattah2 https://www.peertechz.com 1Department of Oral and Maxillofacial Surgery, Al-Salam Teaching Hospital. Mosul, Iraq 2Post Graduate Student in School of Dentistry, University of Leeds. United Kingdom, Ministry of Health, Iraq Abstract Aims: In this article; we will reviews critically important basic structures routinely encountered in implant therapy. It can be a brief anatomical reference for beginners in the fi eld of dental implant surgeries. Highlighting the clinical importance of each anatomical structure can be benefi cial for fast informations refreshing. Also it can be used as clinical anatomical guide for implantologist and professionals in advanced surgical procedures. Background: Basic anatomy understanding prior to implant therapy; it's an important fi rst step in dental implant surgery protocol specifi cally with technology advances and the popularity of dental implantation as a primary choice for replacement loosed teeth. A thorough perception of anatomy provides the implant surgeon with the confi dence to deal with hard or soft tissues in efforts to restore the exact aim of implantation whether function or esthetics and end with improving health and quality of life.