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FACE MUSCULAR SYSTEM Joanna JaskuĊa, DDS Orthodontic department ELEMENTS OF THE MASTICATORY ORGAN Teeth Periodontium Alveolar bone Maxilla and mandible Temporo-mandibular joint Neuromuscular system FUNCTIONS OF THE MASTICATORY ORGAN chewing speaking swallowing breathing creating personal image FACE MUSCULAR SYSTEM 1. 2. 3. 4. 5. Masticatory muscles Facial muscles Suprahyoid muscles Tongue muscles Palatal muscles FACIAL MUSCLES FACIAL MUSCLES Contrary to other skeletal muscles, the facial muscles attach to soft tissues (skin, mucose membrane). The facial muscles are like elastic sheets that are stretched in layers over the cranium, facial bones, the openings they form, and the cartilage, fat, and other tissues of the head. These are the muscles of facial expression, acting singly and in combination. FACIAL MUSCLES ORBICULARIS ORIS MUSCLE Orbicularis oris is the sphincter muscle around the mouth, forming much of the tissue of the lips. It has extensive connections to muscles that converge on the mouth. This muscle acts to shape and control the size of the mouth opening and is important for creating the lip positions and movements during speech. Several different strands can be distinguished that allow it to form the lips into versatile shapes. As an expressive muscle, four relatively distinct movements can be produced by orbicularis oris, a pressing together, a tightening and thinning, a rolling inwards between the teeth, and a thrusting outwards. It is sometimes known as the kissing muscle because it is used to pucker the lips. Orbicularis oris is innervated by the lower zygomatic, buccal, and mandibular branches of the facial nerve (VII) and is supplied with blood by the facial artery. FACIAL MUSCLES BUCCINATOR MUSCLE Buccinator originates in the maxilla and mandible in the area of the molar teeth and inserts into various muscles at the corner of the mouth. It acts to compress the cheeks tight to the teeth, and tighten and pull the lip corners inwards and somewhat laterally, often dimpling the cheeks. It forms a large part of the lateral wall of the mouth. Its functions include keeping food in the mouth where it can be masticated by the teeth. Because of its importance in expelling air through pursed lips, blowpipes, or wind instruments, it has been called the "trumpet muscle." Buccinator is innervated by the deep buccal branches of the facial nerve (VII) and is supplied with blood by the maxillary and facial arteries. MASTICATORY MUSCLES 1. 2. 3. 4. Masseter muscle Temporal muscle Medial pterygoid muscle Lateral pterygoid muscle MASTICATORY MUSCLES MASSETER MUSCLE Origin and insertion of the two heads Superficial The superficial portion, the larger, arises from the zygomatic process of the maxilla, and from the anterior two-thirds of the lower border of the zygomatic arch. Its fibers pass downward and backward, to be inserted into the angle and lower half of the lateral surface of the ramus of the mandible. Deep The deep portion is much smaller. It arises from the posterior third of the lower border and from the whole of the medial surface of the zygomatic arch Its fibers pass downward and forward, to be inserted into the upper half of the ramus of the mandible. Innervation The masseter is innervated by the mandibular division of the trigeminal nerve. Action It acts to raise the jaw and clench the teeth Masseter muscle MASTICATORY MUSCLES Temporal muscle Structure It arises from the temporal fossa and the deep part of temporal fascia. It passes medial to the zygomatic arch and inserts onto the coronoid process of the mandible. The temporalis muscle is covered by the temporal fascia temporal fascia, also known as the temporal aponeurosis. The muscle can be felt if one places their fingers on their temples (on the sides of their head, just behind the eyebrows), while clenching and unclenching their teeth. Innervation As with the other muscles of mastication, control of the temporalis muscle comes from the third (mandibular) branch of the trigeminal nerve. Specifically, the temporalis is innervated by the deep temporal nerves. Actions Contraction of the temporalis muscle elevates the mandible. The somewhat horizontal fibers of the posterior part of the muscle retract the mandible Temporal musscle MASTICATORY MUSCLES MEDIAL PTERYGOID MUSCLE Origin and insertion It consists of two heads. The bulk of the muscle arises as a deep head from the medial surface of the lateral pterygoid plate The smaller, superficial head originates from the maxillary tuberosity and the pyramidal process of the palatine bone. Its fibers pass downward, lateral, and posterior, and are inserted, by a strong tendinous lamina, into the lower and back part of the medial surface of the ramus and angle of the mandible, as high as the mandibular foramen. The insertion joins the masseter muscle to form a common tendinous sling which allows the medial pterygoid and masseter to be powerful elevators of the jaw. Innervation The medial pterygoid is innervated by the mandibular branch of the trigeminal nerve (V3). Actions It closes the jaw and help in mastication along with lateral pterygoid in side to side movement of jaw and protrusion. It elevates the jaw, and in some aspect pulls it forward. MEDIAL PTERYGOID MUSCLE MEDIAL PTERYGOID MUSCLE MASTICATORY MUSCLES LATERAL PTERYGOID MUSCLE Origin and insertion The upper/superior head originates on the infratemporal surface and infratemporal crest of the greater wing of the sphenoid bone, and the lower/inferior head on the lateral surface of the lateral pterygoid plate. Both heads insert onto the pterygoid fovea under the condyloid process of the mandible; the articular disc and fibrous capsule of the TMJ. Innervation The lateral pterygoid nerve - The mandibular branch of the fifth cranial nerve, the trigeminal nerve Function It acts to lower the mandible, open the jaw, and help the medial pterygoid in moving the jaw from side to side (mastication). Unlike the other three muscles of mastication, the lateral pterygoid is the only one that opens the jaw, or depresses the mandible. At the beginning of this action it is assisted by the digastric, mylohyoid and geniohyoid muscles. LATERAL PTERYGOID MUSCLE LATERAL PTERYGOID MUSCLE MASTICATORY MUSCLES MASTICATORY MUSCLES SUPRAHYOID MUSCLES The term suprahyoid refers to the region above (superior to) the hyoid bone in the neck. The suprahyoid muscles include Digastric Stylohyoid Geniohyoid mylohyoid. When the suprahyoid muscles contracts, they acts to elevate the hyoid bone. If the hyoid bone is being held in place (by the infrahyoid muscles), they tend to depress the mandible (open the mouth). SUPRAHYOID MUSCLES TONGUE MUSCLES 1. Internal muscles 2. External muscles Innervated by the hypoglossal nerve (n. XII) TONGUE MUSCLES INTERNAL MUSCLES Lingualis inferior Lingualis superior Lingualis transverse Lingualis vertical TONGUE MUSCLES EXTERNAL MUSCLES Styloglossus Hyoglossus Palatoglossus Pharyngoglossus Genioglossus TONGUE MUSCLES TONGUE MUSCLES The tongue is composed of muscle tissue with a coating of sensors (dorsal surface) for taste, heat, pain, and tactile information. Some tongue muscles are inside the tongue, make up most of the mass of the tongue, and shape and move the tongue. These muscles include the Lingualis inferior, superior, transverse, and vertical. Other tongue muscles begin outside the tongue with only terminal fibers inside it, and control its movement. These muscles include the Styloglossus, the Hyoglossus, Palatoglossus, Pharyngoglossus, and Genioglossus. PALATAL MUSCLES Levator veli palatini muscle Tensor veli palatini muscle Musculus uvulae Palatoglossus muscle Palatopharyngeus muscle Action The palatal muscles, by their contraction, pull the pharynx upward over the bolus of food and nearly come together, the uvula filling up the slight interval between them. By these means the bolus is prevented from passing into the nasal part of the pharynx. THANK YOU FOR YOUR ATTENTION ANY QUESTIONS????