Oral Anatomy 3 Flashcards

1
Q

Blood

A
  • A fluid connective tissue
  • The substance which form transport system of the body.
  • PH 7.4
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2
Q

Function of blood

A
  • Transport - Oxygen and carbon dioxide, Nutrients to the tissue, waste to excretory organ, hormones from endocrine glands to their target gland/ tissue.
  • Maintain body temperature
  • Forms the clotting mechanism
  • Help immunity - transporting antibodies to the area of infection.
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3
Q

Blood Volume

A
  • Average human being 5.6Litres blood
  • 8% of total body weight
  • 1 Litre in the arterial system
  • 1 litre in the capillary system
  • 3 litres in venous system
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4
Q

Blood composition

A
  • 55% Plasma
  • 45% Cells ( 41% Red blood cells , 4% white blood cells)
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5
Q

Plasma

A
  • Straw coloured fluid
  • 90-93% water
  • Rest - Plasma protein, Clotting factors, Mineral salts, Nutrients, waste products, Hormones, Antibodies, Gases
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6
Q

Plasma function

A
  • Salt and proteins imported in maintaining balance of water in tissues and in blood - in balance results in oedema
  • Caries nutrients from alimentary canal to body tissues
  • Carries waste eg. Uric acid to kidneys and CO2 to lungs for excretion
  • Carries antibodies e.g immunoglobulins involved in immune response
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7
Q

Blood cells

A
  • Erythrocytes- Red blood cells
  • Leucocytes - White blood cells
  • Thrombocytes - Platelets
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8
Q

1- Erythrocytes

A
  • Biconcave , circular
  • Non - Nucleated
  • Developed in 9days
  • life span 120. Days
  • 7 microns in diameter , 2 micron in diameter
  • Formed in red bone marrow
  • Contain Haemoglobin - involved in transportation of oxygen around body .
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9
Q

Leucocytes

A
  • Larger than erythrocytes
  • In fewer number
  • Nucleated
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10
Q

Types of Leucocytes

A
  • Granulocytes
  • Agranulocytes
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11
Q

1- Granulocytes

A

3 Types : Neutrophils, Eosiniphils, Basophils
- Granule in cytoplasm
- 75% of white cell count
- 1-2 day life span
- 12-15 microns in diameter
- Development 2 weeks

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12
Q

1a - Neutrophils

A
  • 70% white cells
  • 4-5 lobed nucleus in N or S shape
  • Phagocytose bacteria
  • Attracted to area of infection by chemotaxis
  • Lysosome granules degrade ingested material
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13
Q

1b- Eosinophils

A
  • 4% white cell count
  • Bi- lobed nucleus
  • Neutralise histamine released in allergic reactions
  • Histamine cause vasodilation and increase permeablity vessels
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14
Q

1c-Basophils

A
  • 1% white blood cells
  • Kidney shaped bi- lobed nucleus
  • Called mast cells when in tissue
  • Contain histamines and heparin granules
  • Promotes entry of blood into inflamed tissue - allows movement of antibodies and phagocytes.
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15
Q

2-A Granulocytes

A
  • No granules in cytoplasm
  • 25% white cell count
  • Life span 2-3 days
  • 2 types Lymphocytes and monocytes
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16
Q

2a- Lymphocytes

A
  • 23% white cell count
  • 8-12 microns in diameter
  • Large nucleus
  • Formed in bone marrow - Transported by blood to lymphoid tissue to be activated to respond to antigens.
  • Effector cells destroy specific antigens.
  • Memory cells remain in lymphoid tissues to pass on capabilities to subsequent generations (immunity )
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17
Q

2b- Agranulocytes - Monocytes

A
  • 2% of white cell count
  • Large monoculear cells
  • 18 microns in diameter
  • Circulated in blood stream for two days then migrate into tissues to become macrophages
  • Phagocytes bacteria , cellular debris , cancer cells and dead and dying cells .
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18
Q

2c- Thrombocytes

A
  • 2-4 microns in diameter
  • 8-11 day life span
  • Originates in red bone marrow
  • Non- Nucleated
  • Granules in cytoplasm
  • Involved in haemostasis and coagulation
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19
Q

Immunology

A
  • The defence system of body
  • Two lines of defence - Natural immunity and Acquired immunity
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20
Q

A- Natural immunity

A
  • First line of defence
  • Non specific
  • No memory
  • Acts in same way at each exposure
    E.g Skin, tears, cough reflex, Saliva, Stomach acid
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21
Q

B- Acquired immunity

A
  • Second line of defence
  • Highly specific
  • Has memory
  • Capable to defence in repeated exposure
  • Two system : Cell mediated and Humoral immune system
  • Work together in balance to mount an appropriate response to challenge.
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22
Q

Cell mediated immunity

A
  • T- lymphocytes by thymus glands
  • released into circulation.
  • Respond to specific antigen no matter what encounter
  • Antigen must be presented to the T- Lymphocyte by antigen presenting cell. Like Macrophage - Phagocytoses antigen and displays fragment of it own cell membrane.
  • When contact is made produce 3 cells
  • Memory cell- created to respond to future contact with same antigen
  • Cytotoxic cells- attach to target cell and produce toxin to destroy it
  • Helper cells - Work with B- lymphocytes to produce anitbodies can not be produced without simulation from T- cells
  • Produce cytokines - Support cytotoxis cells
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23
Q

Humoral Immunity

A

-B - lymphocytes processed in bone marrow
- Exist fixed in lymphoid tissues
- Produce proteins called Antibodies which bind to and destroy target specific antigens
- Antigen do not need to be presented
- Once antigen detected , Help comes T- Lymphocyte, B- Lymphocyte enlarges and divide into 2 : Plasma cells - secrets antibodies into blood . Memory cells- Cell remain in the body to respond in future encounter with same antigen
-

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24
Q

Antibodies

A
  • Bind to antigens- Label them for destruction by other cells
  • Neutralise bacterial toxins
  • Activate complement - system of protein aids immunity , increases chemotaxis/ phagocytosis.
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25
Q

Immunisation

A
  • Memory cells form basis of immunisation
  • Vaccine (antigen) given to induce small immune response
  • Body then recognise antigen and produce antibodies to fight it.
  • Booster given as antibody levels fall unless antigen encountered again.
  • Presence of memory cells rapidly induces greater secondary response
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26
Q

Oral cavity

A

-Saliva
- Mucosa
- Crevicular fluid

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27
Q

Oral Cavity Immune response

A
  • Salivary ImmnogolinA (IgA) presented attached to bacteria to oral mucosa
  • If antigen penetrates mucosa , Phagocytoses by macrophages in sub- mucosa, these stimulate T- helper cells to initiate immune response.
  • Neutrophils - Migrate from blood vessels into gingival crevice and on into mouth.
  • Increases in presence of Perio
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28
Q

Bones of the skull

Relationship of anatomical structure

A
  • The human body divided into 3 planes
  • 1- Sagittal / Median plane - body split vertically
    2- Transverse plane - Across body
    3- Coronal plane - Vertical plane at right angles to sagittal / median plane.
29
Q

Position of body structure

A
  • Anterior or ventral
  • Posterior or dorsal
  • Superior
  • Inferior
30
Q

Median plan - Medial and lateral

A
  • Lateral being further away from midline
31
Q

The Skull

A

It protects :
- The brain
- The organs of special sense
- The cranial part of the respiratory and digestive systems
- Provide attachment for many muscles of the head and neck.

  • Composed of 28 bones
  • Structure of the skull can be divided into 2 areas : Cranial skeleton and facial skeleton
32
Q

Cranium

A

Composed of 8 bones
1 frontal bone
2 Parietal bones
1 occipital bone
2 temporal bones
1 sphenoid
1 ethmoid

33
Q

1Frontal

A
  • Forms the forehead, roof of the nasal cavity and orbits
34
Q

2Parietal

A
  • Form sides and roof of the Cranium
35
Q

1 Occipital

A

Back of head

36
Q

2Temporal

A

Side of head

37
Q

Sphenoid

A
  • Forms middle portion of base of the cranium
38
Q

Ethmoid (eye)

A
  • Light bone at the base of skull, helps to form the orbits eye and nose
39
Q

Superior aspect of skull
- Convex covered with 3 sutures

A
  • Coronal - divides frontal from parietal
  • Sagittal- Centre of skull front to back
  • Lamboid - Divided parietal and occipital
40
Q

Anterior aspects of skull -

A
  • Forms the facial skeleton
  • Many bones are pieced together by sutures, except the mandible which is movable joint
41
Q

Anterior aspects of skull -

A
  • Maxilla (2)
  • Nasal (2)
  • Mandible (1)
  • Lacrimal (2)
  • Zygomatic (2)
    -Palatine (2)
  • Vomer
  • Inferior Turbinates (2) part of maxilla connect with ethmoid
42
Q

Feature of the Anterior Aspect

A
  • Supra- orbital Foramen
  • Infra- orbital foramen
  • Anterior Nasal spine
  • Orbit
  • opening in the orbit
43
Q

Supra - Orbital Foramen

A
  • Transmission of the ophthalmic division of the 5th cranial nerve
44
Q

Infra - Orbital Foramen

A
  • Transmission of the. Terminal branches of maxillary division of the 5th cranial nerve
45
Q

Anterior Nasal Spine

A
  • Anterior nasal spine of maxilla
46
Q

Orbit

A

4 walls
- Roof - Frontal and lesser wing of sphenoid
Floor - Maxilla
- Medial - Lacrimal and parts of maxilla , ethmoid and sphenoid
- Lateral - Zygomatic and greater wing of sphenoid

47
Q

Opening of orbit

A
  • Optic Foramen
  • Superior orbital fissure
  • Inferior orbital fissure
  • Naso Lacrimal duct
48
Q

Lateral Aspect of Skull

A
  • Ramus of mandible
  • External Auditory Meatus
  • Mastoid process
  • Styloid process
  • Glenoid fossa
  • Articular Eminence
  • Temporal Fossa
49
Q

Ramus of Mandible

A
  • Condyle for articulation in the glenoid fossa (front one )
  • Coronoid process for muscle attachment. ( back one)
50
Q

Mastoid Process

A
  • Air filled
51
Q

Styloid process

A
  • Attachment of stylo- Glossus and stylo- hyoid muscle
  • Attachment of stylo- hyoid and stylo- mandibular ligament
52
Q

Glenoid fossa

A
  • Articulate with condyle of mandible
53
Q

What protect dislocation of TMJ ?

A

Articular eminence - Anterior to Glenoid fossa

54
Q

Temporal Fossa

A
  • Origin for temporalis muscle
55
Q

Inferior Aspect of skull

A
  • Horizontal process of maxilla (paired)
  • Horizontal process of palatine Bone (paired )
  • Incisive Foramen
  • Greater palatine Foramen (paired )
56
Q

Horizontal process of maxilla

A
  • Anterior 2/3rd of hard palate
57
Q

Horizontal process of palatine Bone

A
  • Posterior 1/3rd of hard palate
58
Q

Incisive Foramen

A
  • Posterior to central incisors (terminal branches from the spheno- palatine ganglion.
59
Q

Greater Palatine Foramen (paired)

A
  • Palatally to upper first molar
  • Passage for branches of the spheno- palatine ganglion
60
Q

Middle part

A
  • Situated from the posterior border of the palate to the Foramen magnum contains
  • Medial Pterygoid plate
  • Lateral Pterygoid plate
  • Pterygoid Hamulus
  • Infra Temporal crest of the greater wing of the sphenoid Bone.
  • Carotid canal
  • Foramen Lacerum
  • Glenoid Fossa
  • Stylomastoid Foramen
61
Q

Infra temporal crest of the Geater wing of sphenoid Bone

A
  • Foramen ovale - Passage for mandibular division of 5th cranial nerve

-Foramen Spinosum - passage for middle meningeal artery and nervous spinosus

62
Q

Passage for Carotid artery ?

A
  • Carotid canal
63
Q

Passage for blood vessels

A
  • Foramen Lacerum
64
Q

Which part articulate mandibular condyle

A
  • Glenoid fossa
65
Q

Passage for 7th cranial nerve?

A

Stylomastoid Foramen

66
Q

Posterior part

A
  • Foramen Magnum (passage for medulla oblongata)
  • Occipital Condyle (paired) articulates with atlas vertebrae
    -Jagular Foramen ( passage of Jagular vein and the 9th, 10th and 11th cranial nerve)
  • Posterior condylar canal.
    -External occipital Protuberance- slightly roughened for muscle attachment.
67
Q

Feature of anterior cranial fossa

A

-Orbital plate of frontal bone (above the orbit)
-Cribriform plate of the Ethmoid Bone.
- Crista Galli.
- Lesser wing of the sphenoid Bone.

68
Q

Feature of the Mid Cranial Fossa

A
  • Optic Foramen - Passage of optic nerve
  • Hypophyseal Fossa (Sella turcica) - Optic chiasma and pituitary gland
  • Foramen Rotundun
  • Foramen Ovale
  • Foramen Spinosum
  • Foramen Lacerum
  • Petrous Portion of Temporal Bone
  • Internal Auditory meatus
69
Q

Feature of Posterior cranial Fossa

A
  • The largest and deepest fossa - Foraman magnum
  • Jagular Foramen (paired)
  • Hypoglossal canal ( 12 cranial nerves )