A&P of Speech Final

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36 Terms

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Skeletal Structure

Maxilla (upper jaw and most of the hard palate)

Mandible (lower jaw)

Frontal bone

Zygomatic bone

Sphenoid bone

Temporal bone

Parietal bone

Styloid process

<p>Maxilla (upper jaw and most of the hard palate)</p><p>Mandible (lower jaw)</p><p>Frontal bone </p><p>Zygomatic bone</p><p><strong>Sphenoid bone</strong></p><p>Temporal bone</p><p>Parietal bone</p><p><strong>Styloid process</strong></p>
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Skeletal Structure of Maxilla

alveolar process

nasal notch

facial surface

body of maxilla

permanent teeth

palatine process of maxilla

horizontal process of palatine bone

<p><strong>alveolar process</strong></p><p>nasal notch</p><p>facial surface</p><p>body of maxilla</p><p>permanent teeth</p><p>palatine process of maxilla</p><p>horizontal process of palatine bone</p>
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Skeletal Structure of Mandible

alveolar process

ramus

  • coronoid process

  • condylar process

body

teeth

<p>alveolar process</p><p>ramus</p><ul><li><p>coronoid process</p></li><li><p>condylar process</p></li></ul><p>body</p><p>teeth</p>
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Teeth Types

Incisors: front 2 (on each side)

Canines: 3rd tooth (on each side)

Premolars: 4 & 5th teeth

Molars: back 3 teeth

***ICPM

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First teeth are developed around…?

4-6 months

teeth are important for speech

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Molars

Developed later compared to many other teeth

  • 1st usually at age 6

  • 2nd age 12

  • 3rd (wisdom teeth) age 18

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What forms the Temporomandibular Joints (TMJ)?

The mandible articulating (attaching) with the left and right temporal bones

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Each TMJ is a condyloid joint

egg-shaped condylar head fits into an elliptical cavity in the temporal bone

articular surfaces of the condyle and temporal bone are covered with fibrocartilage (prevents wear and tear)

<p> egg-shaped condylar head fits into an elliptical cavity in the temporal bone</p><p><u>articular surfaces </u>of the condyle and temporal bone are <u>covered with fibrocartilage</u>&nbsp;(prevents wear and tear)</p>
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3 Temporomandibular Ligaments

Temporomandibular ligament

Sphenomandibular ligament

Stylomandibular ligament

<p>Temporomandibular ligament</p><p>Sphenomandibular ligament</p><p>Stylomandibular ligament</p>
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Temporomandibular ligament

limits downward and backward displacement of the condyle

<p><span style="background-color: transparent;"><span>limits </span><u><span>downward and backward</span></u><span> displacement of the </span><strong><span>condyle</span></strong></span></p>
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Sphenomandibular ligament

limits downward and backward displacement of the mandible

<p><span style="background-color: transparent;"><span>limits </span><u><span>downward and backward</span></u><span> displacement of the </span><strong><span>mandible</span></strong></span></p>
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Stylomandibular ligament

limits downward and forward displacement of the mandible

<p><span style="background-color: transparent;"><span>limits </span><u><span>downward and forward</span></u><span> displacement of the </span><strong><span>mandible</span></strong></span></p>
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Occlusion

relationship btwn maxillary and mandibular teeth when they come together for chewing or when at rest/bones are attached and tightly closed

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Movements of the mandible

Lowers and raises

Forward and back

Side to side

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pharyngeal-oral apparatus cavities (2)

oral cavity

buccal cavity

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Oral Cavity

Bounded by:

  • Front and sides: lips, teeth, and alveolar processes of the maxilla and mandible.

  • Top: hard palate and velum (soft palate).

  • Bottom: floor of the mouth, mostly made up of tongue

  • Back: anterior faucial pillars (palatoglossal arches) — the tissue just behind the most posterior molars.

oral vestibule is the front entry to the oral cavity

tongue = most prominent feature

<p>Bounded by:</p><ul><li><p><u>Front and sides</u>: lips, teeth, and alveolar processes of the maxilla and mandible.</p></li><li><p><u>Top</u>: hard palate and velum (soft palate).</p></li><li><p><u>Bottom</u>: floor of the mouth, mostly made up of tongue</p></li><li><p><u>Back</u>: anterior faucial pillars (palatoglossal arches) — the tissue just behind the most posterior molars.</p></li></ul><p> <strong>oral vestibule </strong>is the <strong>front entry</strong> to the oral cavity</p><p> <u>tongue</u>&nbsp;= most prominent feature </p>
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5 primary functional/anatomical subdivisions of Tongue

  • Tip: located nearest the front teeth when the tongue is at rest

  • Blade: surface region that lies behind the tip and below the alveolar ridge of the maxilla and the anterior hard palate

  • Dorsum: lies behind the blade and below the posterior hard palate and velum.

  • Root: faces the back of the pharynx and front of the epiglottis.

  • Body: central mass underlying the 4 other regions

<ul><li><p><span style="background-color: transparent;"><strong><span>Tip</span></strong><span>: located nearest the front teeth when the tongue is at rest</span></span></p></li><li><p><span style="background-color: transparent;"><strong>Blade</strong>:<span> surface region that lies behind the tip and below the alveolar ridge of the maxilla and the anterior hard palate</span></span></p></li><li><p><span style="background-color: transparent;"><strong>Dorsum</strong><span>: lies behind the blade and below the posterior hard palate and velum.</span></span></p></li><li><p><span style="background-color: transparent;"><strong>Root</strong>:<span> faces the back of the pharynx and front of the epiglottis.</span></span></p></li><li><p><span style="background-color: transparent;"><strong>Body</strong><span>: central mass underlying the 4 other regions</span></span></p></li></ul><p></p>
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Buccal Cavity

on the sides of the oral cavity, btwn teeth and cheeks

Newborns have cheek pads that:

  • Limit buccal space

  • Help direct liquids down the middle of the oral cavity for safer swallowing

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As cheek pads are lost in early childhood:

The buccal space enlarges.

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Increased buccal space and neuromuscular development allows for:

More precise articulation.

Mastication (chewing) of more complex food textures

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post-swallow aspiration risk

Food can collect in the buccal spaces

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Oral Membranes

Inside of the mouth (except tongue, hard palate, and gums): lined with shiny squamous epithelium

Masticatory mucosa: covers the gums and hard palate

surface of the tongue: covered with specialized mucosa

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Inside of the mouth (except tongue, hard palate, and gums) is lined with shiny squamous epithelium that:

  • Produces surface liquid to keep the mouth moist

  • Provides comfort and allows for smooth, rapid movement during speech

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Masticatory mucosa covers the gums and hard palate:

Has collagen subflooring that makes the epithelium firmly attached to bone.

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The surface of the tongue is covered with specialized mucosa that contains:

  • Taste buds.

  • Sensory nerve endings for temp and pressure detection.

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Muscles of the Mandible (7)

Masseter

Temporalis

Internal (Medial) Pterygoid

External (Lateral) Pterygoid

Digastric

Mylohyoid

Geniohyoid

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Masseter

ELEVATES (closes) and RETRACTS Mandible

muscle covering the outer surface of the mandibular ramus

Has two layers

  • outer (larger)

  • inner (smaller)

<p><u>ELEVATES (closes) and RETRACTS</u><strong><u> Mandible</u></strong></p><p>muscle covering the outer surface of the mandibular ramus</p><p>Has two layers</p><ul><li><p>outer (larger)</p></li><li><p>inner (smaller)</p></li></ul><p></p>
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Temporalis

ELEVATES (closes) and RETRACTS Mandible

muscle that covers much of the side of the cranium (temporal bone)

<p><u>ELEVATES (closes) and RETRACTS </u><strong><u>Mandible</u></strong></p><p>muscle that covers much of the side of the cranium (temporal bone)</p>
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Internal Pterygoid

ELEVATES (closes) mandible

  • one-sided contraction = jaw moves toward opposite side (helps w/ chewing)

parallel to the masseter

together, they form a muscular sling that surrounds the angle of the mandible, strapping the ramus of the mandible to the skull

<p><u>ELEVATES (closes) </u><strong><u>mandible</u></strong></p><ul><li><p><em>one-sided contraction = jaw moves toward opposite side (helps w/ chewing)</em></p></li></ul><p>parallel to the masseter</p><p>together, they form a muscular sling that surrounds the angle of the mandible, strapping the ramus of the mandible to the skull</p>
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External Pterygoid

Slides condyle DOWN and FORWARD (helps open jaw and protrude it)

  • one sided contraction = chin area moves toward opposite side (helps w/ chewing)

smaller muscle of the mandible

<p><u>Slides </u><strong><u>condyle</u></strong><u> DOWN and FORWARD </u>(helps open jaw and protrude it)</p><ul><li><p><em>one sided contraction = chin area moves toward opposite side (helps w/ chewing)</em></p></li></ul><p>smaller muscle of the mandible</p>
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Digastric

LOWERS Mandible (opens mouth) and ELEVATES hyoid bone and larynx

Not directly attached to hyoid bone

similar to Mylohyoid and Geniohyoid

<p><u>LOWERS&nbsp;</u><strong><u>Mandible</u></strong><u> (opens mouth) and ELEVATES&nbsp;</u><strong><u>hyoid bone</u></strong><u> and </u><strong><u>larynx</u></strong></p><p>Not directly attached to hyoid bone</p><p>similar to Mylohyoid and Geniohyoid</p>
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Mylohyoid

LOWERS mandible (opens mouth) and ELEVATES hyoid bone and larynx

Connected to lower structure of mandible

similar to Digastric and Geniohyoid

<p><u>LOWERS </u><strong><u>mandible</u></strong><u> (opens mouth) and ELEVATES </u><strong><u>hyoid bone</u></strong><u> and</u><strong><u> larynx</u></strong></p><p><span style="background-color: transparent;"><span>Connected to lower structure of mandible</span></span></p><p><span style="background-color: transparent;"><span>similar to Digastric and Geniohyoid</span></span></p>
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Geniohyoid

LOWERS mandible (opens mouth) and ELEVATES hyoid bone and larynx

Connected to lower structure of mandible

similar to Digastric and Mylohyoid

<p><u>LOWERS </u><strong><u>mandible</u></strong><u> (opens mouth) and ELEVATES </u><strong><u>hyoid bone</u></strong><u> and</u><strong><u> larynx</u></strong></p><p><span style="background-color: transparent;"><span>Connected to lower structure of mandible</span></span></p><p><span style="background-color: transparent;"><span>similar to Digastric and Mylohyoid</span></span></p>
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<p>Muscles of the Mandible</p>

Muscles of the Mandible

complete

<p>complete</p>
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Movements of the Mandibular Muscles

Elevation and depression

Protrusion and retraction

Lateral movement

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Muscles of the Tongue