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Buccal Nerve
The buccal nerve (long buccal nerve) is a nerve in the face. It is a branch of the mandibular nerve (which is itself a branch of the trigeminal nerve) and transmits sensory information from skin over the buccal membrane (in general, the cheek) and from the second and third molar teeth. Not to be confused with the buccal branch of the facial nerve which transmits motor information to the buccinator muscle. Structure The buccal nerve courses between the two heads of the lateral pterygoid muscle, underneath the tendon of the temporalis muscle. It then runs under the masseter muscle, anterior to the ramus of the mandible. It connects with the buccal branches of the facial nerve on the surface of the buccinator muscle. It gives off many significant branches. Relations The facial nerve (CN VII) also has buccal branches, which carry motor innervation to the buccinator muscle, a muscle of facial expression. This follows from the trigeminal (V3) supplying all muscles of mastication and ...
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Trigeminal Nerve
In neuroanatomy, the trigeminal nerve ( lit. ''triplet'' nerve), also known as the fifth cranial nerve, cranial nerve V, or simply CN V, is a cranial nerve responsible for sensation in the face and motor functions such as biting and chewing; it is the most complex of the cranial nerves. Its name ("trigeminal", ) derives from each of the two nerves (one on each side of the pons) having three major branches: the ophthalmic nerve (V), the maxillary nerve (V), and the mandibular nerve (V). The ophthalmic and maxillary nerves are purely sensory, whereas the mandibular nerve supplies motor as well as sensory (or "cutaneous") functions. Adding to the complexity of this nerve is that autonomic nerve fibers as well as special sensory fibers (taste) are contained within it. The motor division of the trigeminal nerve derives from the basal plate of the embryonic pons, and the sensory division originates in the cranial neural crest. Sensory information from the face and body is proc ...
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Tendon
A tendon or sinew is a tough, high-tensile-strength band of dense fibrous connective tissue that connects muscle to bone. It is able to transmit the mechanical forces of muscle contraction to the skeletal system without sacrificing its ability to withstand significant amounts of tension. Tendons are similar to ligaments; both are made of collagen. Ligaments connect one bone to another, while tendons connect muscle to bone. Structure Histologically, tendons consist of dense regular connective tissue. The main cellular component of tendons are specialized fibroblasts called tendon cells (tenocytes). Tenocytes synthesize the extracellular matrix of tendons, abundant in densely packed collagen fibers. The collagen fibers are parallel to each other and organized into tendon fascicles. Individual fascicles are bound by the endotendineum, which is a delicate loose connective tissue containing thin collagen fibrils and elastic fibres. Groups of fascicles are bounded by the epitenon, ...
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Surgical Incision
In surgery, a surgical incision is a cut made through the skin and soft tissue to facilitate an Surgery, operation or medical procedure, procedure. Often, multiple incisions are possible for an operation. In general, a surgical incision is made as small and unobtrusive as possible to facilitate safe and timely operating conditions. Anatomy Surgical incisions are planned based on the expected extent of exposure needed for the specific operation planned. Within each region of the body, several incisions are common. Head and neck * Wilde's incision – This post-aural incision is used for a variant mastoiditis drainage, and was named after Sir William Wilde, an Otolaryngology, ENT surgeon in Dublin who first described it at the end of the nineteenth century. His son, Oscar Wilde#Death, Oscar Wilde's, death was stated by his doctors to be due to meningitis stemming from an ear infection. He had recently had an operation, believed by some to be a mastoidectomy. Chest * Median sterno ...
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Inferior Alveolar Nerve Anaesthesia
Inferior alveolar nerve block (abbreviated to IANB, and also termed inferior alveolar nerve anesthesia or inferior dental block) is a nerve block technique which induces anesthesia (numbness) in the areas of the mouth and face innervated by one of the inferior alveolar nerves which are paired on the left and right side. These areas are the skin and mucous membranes of the lower lip, the skin of the chin, the lower teeth and the labial gingiva of the anterior teeth, all unilaterally to the midline of the side on which the block is administered. However, depending on technique, the long buccal nerve may not be anesthetized by an IANB and therefore an area of buccal gingiva adjacent to the lower posterior teeth will retain normal sensation unless that nerve is anesthetized separately, via a (long) buccal nerve block. The inferior alveolar nerve is a branch of the mandibular nerve, the third division of the trigeminal nerve. This procedure attempts to anaesthetise the inferior alveola ...
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Dental Dam
A dental dam or rubber dam is a thin, square sheet, usually latex or nitrile, used in dentistry to isolate the operative site (one or more teeth) from the rest of the mouth. Sometimes termed "Kofferdam" (from German), it was designed in the United States in 1864 by . It is used mainly in endodontic, fixed prosthodontic (crowns, bridges) and general restorative treatments. Its purpose is both to prevent saliva interfering with the dental work (e.g. contamination of oral micro-organisms during root canal therapy, or to keep filling materials such as composite dry during placement and curing), and to prevent instruments and materials from being inhaled, swallowed or damaging the mouth. In dentistry, use of a rubber dam is sometimes referred to as ''isolation'' or ''moisture control''. Dental dams are also used for safer oral sex. Dentistry Background The technique used to apply the dental dam is selected according to the tooth requiring treatment. Several techniques can be ...
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Muscle Of Facial Expression
The facial muscles are a group of striated skeletal muscles supplied by the facial nerve (cranial nerve VII) that, among other things, control facial expression. These muscles are also called mimetic muscles. They are only found in mammals, although they derive from neural crest cells found in all vertebrates. They are the only muscles that attach to the dermis. Structure The facial muscles are just under the skin ( subcutaneous) muscles that control facial expression. They generally originate from the surface of the skull bone (rarely the fascia), and insert on the skin of the face. When they contract, the skin moves. These muscles also cause wrinkles at right angles to the muscles’ action line. Nerve supply The facial muscles are supplied by the facial nerve (cranial nerve VII), with each nerve serving one side of the face. In contrast, the nearby masticatory muscles are supplied by the mandibular nerve, a branch of the trigeminal nerve (cranial nerve V). List of muscle ...
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Buccinator
The buccinator () is a thin quadrilateral muscle occupying the interval between the maxilla and the mandible at the side of the face. It forms the anterior part of the cheek or the lateral wall of the oral cavity.Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, page 91 Structure It arises from the outer surfaces of the alveolar processes of the maxilla and mandible, corresponding to the three pairs of molar teeth and in the mandible, it is attached upon the buccinator crest posterior to the third molar; and behind, from the anterior border of the pterygomandibular raphe which separates it from the constrictor pharyngis superior. The fibers converge toward the angle of the mouth, where the central fibers intersect each other, those from below being continuous with the upper segment of the orbicularis oris, and those from above with the lower segment; the upper and lower fibers are continued forward into the corresponding lip without decussation. ...
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Buccal Branches
The buccal branches of the facial nerve (infraorbital branches), are of larger size than the rest of the branches, pass horizontally forward to be distributed below the orbit and around the mouth. Branches The ''superficial branches'' run beneath the skin and above the superficial muscles of the face, which they supply: some are distributed to the procerus, joining at the medial angle of the orbit with the infratrochlear and nasociliary branches of the ophthalmic. The ''deep branches'' pass beneath the zygomaticus and the quadratus labii superioris, supplying them and forming an infraorbital plexus with the infraorbital branch of the maxillary nerve. These branches also supply the small muscles of the nose. The ''lower deep branches'' supply the buccinator and orbicularis oris, and join with filaments of the buccinator branch of the mandibular nerve. Muscles of facial expression The facial nerve innervates the muscles of facial expression. The buccal branch supplies these mu ...
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Buccal Branch Of The Facial Nerve
The buccal branches of the facial nerve (infraorbital branches), are of larger size than the rest of the branches, pass horizontally forward to be distributed below the orbit and around the mouth. Branches The ''superficial branches'' run beneath the skin and above the superficial muscles of the face, which they supply: some are distributed to the procerus, joining at the medial angle of the orbit with the infratrochlear and nasociliary branches of the ophthalmic. The ''deep branches'' pass beneath the zygomaticus and the quadratus labii superioris, supplying them and forming an infraorbital plexus with the infraorbital branch of the maxillary nerve. These branches also supply the small muscles of the nose. The ''lower deep branches'' supply the buccinator and orbicularis oris, and join with filaments of the buccinator branch of the mandibular nerve. Muscles of facial expression The facial nerve innervates the muscles of facial expression. The buccal branch supplies these mu ...
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Masseter Muscle
In human anatomy, the masseter is one of the muscles of mastication. Found only in mammals, it is particularly powerful in herbivores to facilitate chewing of plant matter. The most obvious muscle of mastication is the masseter muscle, since it is the most superficial and one of the strongest. Structure The masseter is a thick, somewhat quadrilateral muscle, consisting of three heads, superficial, deep and coronoid. The fibers of superficial and deep heads are continuous at their insertion. Superficial head The superficial head, the larger, arises by a thick, tendinous aponeurosis from the temporal process of the zygomatic bone, and from the anterior two-thirds of the inferior border of the zygomatic arch. Its fibers pass inferior and posterior, to be inserted into the angle of the mandible and inferior half of the lateral surface of the ramus of the mandible. Deep head The deep head is much smaller, and more muscular in texture. It arises from the posterior third of the lower ...
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Temporalis Muscle
In anatomy, the temporalis muscle, also known as the temporal muscle, is one of the muscles of mastication (chewing). It is a broad, fan-shaped convergent muscle on each side of the head that fills the temporal fossa, superior to the zygomatic arch so it covers much of the temporal bone.Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, page 98''Temporal'' refers to the head's temples. Structure In humans, the temporalis muscle arises from the temporal fossa and the deep part of temporal fascia. This is a very broad area of attachment. It passes medial to the zygomatic arch. It forms a tendon which inserts onto the coronoid process of the mandible, with its insertion extending into the retromolar fossa posterior to the most distal mandibular molar.Human Anatomy, Jacobs, Elsevier, 2008, page 194 In other mammals, the muscle usually spans the dorsal part of the skull all the way up to the medial line. There, it may be attached to a sagittal cre ...
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Buccinator Muscle
The buccinator () is a thin quadrilateral muscle occupying the interval between the maxilla and the mandible at the side of the face. It forms the anterior part of the cheek or the lateral wall of the oral cavity.Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, page 91 Structure It arises from the outer surfaces of the alveolar processes of the maxilla and mandible, corresponding to the three pairs of molar teeth and in the mandible, it is attached upon the buccinator crest posterior to the third molar; and behind, from the anterior border of the pterygomandibular raphe which separates it from the constrictor pharyngis superior. The fibers converge toward the angle of the mouth, where the central fibers intersect each other, those from below being continuous with the upper segment of the orbicularis oris, and those from above with the lower segment; the upper and lower fibers are continued forward into the corresponding lip without decussation ...
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