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Superior Dental Plexus
The superior dental plexus is a nerve plexus that innervates the upper/maxillary teeth and as adjacent structures. It is formed by the anterior superior alveolar nerve (ASAN), middle superior alveolar nerve (MSAN), and the posterior superior alveolar nerve (PSAN). It issues dental branches and gingival branches. A cadaveric study found the plexus to be situated in the alveolar process of the maxilla. Anatomy The PSAN forms the posterior portion of the plexus and is distributed to the upper molar teeth and adjacent gingiva as well as the mucosa of the cheek. The MSAN forms the middle portion of the plexus and is distributed to the upper premolar teeth and the lateral wall of the maxillary sinus. The ASAN forms the anterior portion of the plexus and is distributed to the canine and incisor teeth as well as the anterior portion of the maxillary sinus. See also * Inferior dental plexus The inferior dental plexus is a nerve plexus formed by sensory branches of the inferior alv ...
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Maxillary Nerve
In neuroanatomy, the maxillary nerve (V) is one of the three branches or divisions of the trigeminal nerve, the fifth (CN V) cranial nerve. It comprises the principal functions of Sense, sensation from the maxilla, nasal cavity, Sinus (anatomy), sinuses, the palate and subsequently that of the mid-face, and is intermediate, both in position and size, between the ophthalmic nerve and the mandibular nerve.Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, page 180 Structure It begins at the middle of the trigeminal ganglion as a flattened plexiform band then it passes through the lateral wall of the cavernous sinus. It leaves the skull through the foramen rotundum, where it becomes more cylindrical in form, and firmer in texture. After leaving foramen rotundum it gives two branches to the pterygopalatine ganglion. It then crosses the pterygopalatine fossa, inclines lateralward on the back of the maxilla, and enters the orbit through the inferior orb ...
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Mandibular Nerve
In neuroanatomy, the mandibular nerve (V) is the largest of the three divisions of the trigeminal nerve, the fifth Cranial nerves, cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only Afferent nerve fiber, afferent fibers, the mandibular nerve contains both afferent and Efferent nerve fiber, efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication. Structure Course The large sensory root of mandibular nerve emerges from the lateral part of the trigeminal ganglion and exits the cranial cavity through the Foramen ovale (skull), foramen ovale. The motor root (Latin: ''radix motoria'' s. ''portio minor''), the small motor root of the trigeminal nerve, passes under the trigeminal ganglion and through the Foramen ovale (skull), foramen ovale to unite with the sensory root just out ...
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Submaxillary Ganglion
The submandibular ganglion (or submaxillary ganglion in older texts) is part of the human autonomic nervous system. It is one of four parasympathetic ganglia of the head and neck. (The others are the otic ganglion, pterygopalatine ganglion, and ciliary ganglion). Location and relations The submandibular ganglion is small and wikt:fusiform, fusiform in shape. It is situated above the deep portion of the submandibular gland, on the hyoglossus muscle, near the posterior border of the mylohyoid muscle. The ganglion 'hangs' by two nerve filaments from the lower border of the lingual nerve (itself a branch of the mandibular nerve, CN V3). It is suspended from the lingual nerve by two filaments, one anterior and one posterior. Through the posterior of these it receives a branch from the chorda tympani nerve which runs in the sheath of the lingual nerve. Fibers Like other parasympathetic ganglia of the head and neck, the submandibular ganglion is the site of synapse for parasympathetic f ...
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Nerve Plexus
A nerve plexus is a plexus (branching network) of intersecting nerves. A nerve plexus is composed of afferent and efferent fibers that arise from the merging of the anterior rami of spinal nerves and blood vessels. There are five spinal nerve plexuses, except in the thoracic region, as well as other forms of autonomic nervous system, autonomic plexuses, many of which are a part of the enteric nervous system. The nerves that arise from the plexuses have both sensory and motor functions. These functions include muscle contraction, the maintenance of body coordination and control, and the reaction to sensations such as heat, cold, pain, and pressure. There are several plexuses in the body, including: *Spinal plexuses **Cervical plexusserves the head, neck and shoulders **Brachial plexusserves the chest, shoulders, arms and hands **Lumbosacral plexus ***Lumbar plexusserves the back, abdomen, groin, thighs, knees, and calves ****Subsartorial plexusbelow the sartorius muscle of thigh *** ...
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Anterior Superior Alveolar Nerve
The anterior superior alveolar nerve (or anterior superior dental nerve) is a branch of the infraorbital nerve (itself a branch of the maxillary nerve (CN V2)). It passes through the canalis sinuosus to reach and innervate upper front teeth. Through its nasal branch, it also innervates parts of the nasal cavity. Anatomy Course and distribution It branches from the infraorbital nerve within the infraorbital canal at around the midpoint of this canal and enters the canalis sinuosus. It passes through towards the nose before passing inferior-ward and ramifying into branches which innervate the upper/maxillary incisor and canine teeth; it usually innervates all the anterior teeth. Nasal branch It issues a nasal branch which passes through a minute canal in the lateral wall of the inferior nasal meatus and innervates the mucous membrane of the floor and anterior portion of lateral wall (as far superiorly as the opening of the maxillary sinus) of the nasal cavity. It ultimately ...
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Middle Superior Alveolar Nerve
The middle superior alveolar nerve or middle superior dental nerve is a nerve that drops from the infraorbital portion of the maxillary nerve to supply the sinus mucosa, the roots of the maxillary premolars, and the mesiobuccal root of the first maxillary molar. It is not always present; in 72% of cases it is non existent with the anterior superior alveolar nerve innervating the premolars and the posterior superior alveolar nerve innervating the molars, including the mesiobuccal root of the first molar. See also * Alveolar nerve ( Dental nerve) :* Superior alveolar nerve ( Superior dental nerve) ::* Anterior superior alveolar nerve ( Anterior superior dental nerve) ::* Posterior superior alveolar nerve ( Posterior superior dental nerve) :* Inferior alveolar nerve The inferior alveolar nerve (IAN) (also the inferior dental nerve) is a sensory branch of the mandibular nerve (CN V3) (which is itself the third branch of the trigeminal nerve (CN V)). The nerve provides sen ...
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Posterior Superior Alveolar Nerve
The posterior superior alveolar nerves (also posterior superior dental nerves or posterior superior alveolar branches) are sensory branches of the maxillary nerve (CN V2). They arise within the pterygopalatine fossa as a single trunk. They run on or in the maxilla. They provide sensory innervation to the upper molar teeth and adjacent gum, and the maxillary sinus. Anatomy Origin The nerves arise from the trunk of the maxillary nerve (CN V2) within the pterygopalatine fossa just before it enters the infraorbital groove. The nerve arises as a single trunk which split into 2-3 nerves within the pterygopalatine fossa. Course The nerves exit the pterygopalatine fossa through the pterygomaxillary fissure. They pass within or upon the posterior wall of the maxilla. They descend on the tuberosity of the maxilla and give off several twigs to the gums and neighboring parts of the mucous membrane of the cheek. They then enter the alveolar canals on the infratemporal surface ...
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Alveolar Process
The alveolar process () is the portion of bone containing the tooth sockets on the jaw bones (in humans, the maxilla and the mandible). The alveolar process is covered by gums within the mouth, terminating roughly along the line of the mandibular canal. Partially comprising compact bone, it is penetrated by many small openings for blood vessels and connective fibres. The bone is of clinical, phonetic and forensic significance. Terminology The term ''alveolar'' () ('hollow') refers to the cavities of the tooth sockets, known as dental alveoli. The alveolar process is also called the ''alveolar bone'' or ''alveolar ridge''. In phonetics, the term refers more specifically to the ridges on the inside of the mouth which can be felt with the tongue, either on roof of the mouth between the upper teeth and the hard palate or on the bottom of the mouth behind the lower teeth. The curved portion of the process is referred to as the alveolar arch. The alveolar bone proper, also ca ...
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Inferior Dental Plexus
The inferior dental plexus is a nerve plexus formed by sensory branches of the inferior alveolar nerve The inferior alveolar nerve (IAN) (also the inferior dental nerve) is a sensory branch of the mandibular nerve (CN V3) (which is itself the third branch of the trigeminal nerve (CN V)). The nerve provides sensory innervation to the lower/mandibu .... The plexus issues dental branches and gingival branches; the small dental branches provide sensory innervation to the lower/mandibular teeth. Note that the lower premolar, canine and incisor teeth as well as their associated gingiva are innervated by the incisive branch of the inferior alveolar nerve (which may or may not form an incisive plexus). See also * Superior dental plexus References Mandibular nerve {{neuroanatomy-stub ...
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