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    Nerve Supply of Teeth

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    Jayakumar Patil
    This document discusses the trigeminal nerve and its branches that supply sensation to the teeth, oral cavity, and face. It begins by introducing the trigeminal nerve as the fifth cranial nerve with both sensory and motor components. It then describes the three main branches of the trigeminal nerve - the ophthalmic, maxillary, and mandibular nerves - and lists the areas each supplies. Finally, it discusses the nerve supply and innervation of the teeth and dental pulp in detail.

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    Nerve Supply of Teeth

    Uploaded by

    Jayakumar Patil
    10K views45 pages
    This document discusses the trigeminal nerve and its branches that supply sensation to the teeth, oral cavity, and face. It begins by introducing the trigeminal nerve as the fifth cranial nerve with both sensory and motor components. It then describes the three main branches of the trigeminal nerve - the ophthalmic, maxillary, and mandibular nerves - and lists the areas each supplies. Finally, it discusses the nerve supply and innervation of the teeth and dental pulp in detail.

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    This document discusses the trigeminal nerve and its branches that supply sensation to the teeth, oral cavity, and face. It begins by introducing the trigeminal nerve as the fifth cranial nerve with both sensory and motor components. It then describes the three main branches of the trigeminal nerve - the ophthalmic, maxillary, and mandibular nerves - and lists the areas each supplies. Finally, it discusses the nerve supply and innervation of the teeth and dental pulp in detail.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    10K views45 pages

    Nerve Supply of Teeth

    Uploaded by

    Jayakumar Patil
    This document discusses the trigeminal nerve and its branches that supply sensation to the teeth, oral cavity, and face. It begins by introducing the trigeminal nerve as the fifth cranial nerve with both sensory and motor components. It then describes the three main branches of the trigeminal nerve - the ophthalmic, maxillary, and mandibular nerves - and lists the areas each supplies. Finally, it discusses the nerve supply and innervation of the teeth and dental pulp in detail.

    Copyright:

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    You are on page 1of 45

    Dr.Jayakumar.

    Patil
    INTRODUCTION

    TRIGEMINAL NERVE
     ORIGIN
     BRANCHES &COURSE

    NERVE SUPPLY
     NERVE SUPPLY TO UPPER AND LOWER TEETH
     NEUROANATOMY OF PULP TISSUE
     CLINICAL IMPORTANCES OF NERVE SUPPLY.

    CONCLUSSION

    REFERENCES
    INTRODUCTION
    The management of pain in the practice of
    dentistry requires that the doctor and dental
    hygienist posses a thorough knowledge of nerve
    supply of teeth and associated structure.

    The right and left trigeminal nerve supply the


    teeth, bone and the soft tissues of oral cavity with
    overwhelming majority of their sensory innervations.
    TRIGEMINAL NERVE
    -FIFTH CRANIAL NERVE
    -MIXED NERVE
    SENSORY ROOT → SEMILUNAR

    GANGLION
    MOTOR ROOT → UPPER PONS

    -4 NUCLEUS
    MOTOR
    MESENCEPHALIC
    SUPERIOR SENSORY
    SPINAL
    TRIGEMINAL GANGLION

    Made up of
    PSUEDOUNIPOLAR NERVE CELL →
    T –SHAPED PROCESS

    CLINICAL ANATOMY
    •TRIGEMINAL NEURALGIA
    may be abolished by
    INJECTING ALCOHOL in to
    GANGLION
    BRANCHES
    AREA OF SUPPLY
    Face
    Greater part of the scalp
    Teeth
    Oral & nasal cavities
    Dura mater
    Cerebral blood vessels

    CLINICAL ANATOMY
    The sensory distribution
    of V nerve explains why
    Headache is uniformly
    common symptom
    OPHTHALMIC NERVE
    Superior & Smallest
    Branches through ---
    superior orbital fissure
    Supplies --- Eye ball
    lacrimal gland
    Conjunctiva
    Nasal mucosa
    Skin of nose
    Eyelid
    Part of scalp
    BRANCHES OF OPHTHALMIC NERVE
    Before entering SOF
    MAXILLARY NERVE
    Arises --- ganglion
    Runs forward lateral to ---
    cavernous sinus
    Leaves ---
    foramen rotundum
    MAXILLARY NERVE

    Enters ---
    Pterygopaltine fossa

    Continued---
    Infra orbital nerve

    Intimately related ---


    pt. ganglion
    BRANCHES OF MAXILLARY NERVE
    CRANIAL CAVITY --- MENINGIAL

    PT. FOSSA --- GANGLIONIC


    ZYGOMATIC
    POSTERIOR SUP. ALV.

    INFRAORBITAL CANAL--- MIDDLE SUP. ALV.


    ANTERIOR SUP. ALV.

    ON FACE --- PALPEBRAL


    NASAL
    SUPERIOR LABIAL
    BRANCHES OF
    MAXILLARY NERVE
    Post sup alv nerve leaves----max nerve in pt. fossa
    Enters---- posterior surface of max body
    Pierce---- infra temporal surface of maxilla
    Supply---- upper molars

    Infra orbital nerve----continuation


    obital fissure
    orbital canal
    orbital faramen
    Nasopalatine nerve
    Passes across roof of nasal cavity
    Moves downward to reach floor
    Enters ----incisal foramen

    Greater palatine nerve


    Passes ---- pterygopalatine canal
    Enters---- greater palatine foramen
    AREA OY SUPPLY

    Skin of lower eyelid


    middle portion
    of face
    side of nose
    upper lip

    Mucous membrane of nasopharynx


    maxillary sinus
    soft palate
    tonsil
    hard palate

    Maxillary teeth & periodontal tissue


    MANDIBULAR NERVE
    Largest division

    Motor & Sensory component

    Both emerge---foramen ovale


    BRANCHES OF MANDIBULAR NERVE
    MAIN TRUNK--- MENINGEAL
    NERVE TO MEDIAL PTERYGOID

    ANTERIOR TRUNK---BUCCAL N.
    MASSETRIC N.
    DEEP TEMPORAL N.
    N. TO LATERAL PYERYGOID

    POSTERIOR TRUNK---AURICULOTEMPORAL N.
    LINGUAL N.
    INFERIOR ALV. N.
    B M
    R A
    N
    A
    D
    N I
    C B
    H U
    E L
    S A
    R

    N
    E
    R
    V
    E
    BRANCHES OF MANDIBULAR NERVE
    INFERIOR ALVEOLAR NERVE

    Descends medial --- lateral pterygoid


    Enters --- mandibular canal
    Via --- mandibular foramen

    Branches ---mylohyoid branch


    mental nerve
    incisive nerve
    Area supplied--- all anteriors
    buccal gingiva
    of ant region
    lower lip
    LINGUAL NERVE
    Sensory ---- anterior 2/3 of tongue
    floor of the mouth
    mandibular lingual gingiva

    Joined --- chorda tympani


    AREA OY SUPPLY
    Skin of temporal region
    auricula
    ext aud meatus
    cheek
    lower lip
    chin region

    Mucous menbrane of
    cheek
    tongue
    mandibular teeth & periodontium
    bone of mandible
    TMJ
    parotid gland

     Motor supply
    PALATE

    Naso palatine N

    Greater palatine N
    IA Nerve

    Mental N

    Molar Br

    Incisive Br
    Most densely innervated in the body.

    Important signals for neurogenic inflammation, for stimulation


    of repair, and for assisting with everyday “house keeping”
    functions in the dentin-pulp border area.

    Powerfull role for dental innervation in pulpal


    biology and dental injury reactions.
    ► TYPES OF INNERVATIONS OF PULP
    Sensory,
    Sympathetic fibers
    Parasympathetic fibers

    ► SENSORY NERVE FIBERS


    Myelinated and Unmyelinated fibers.
    A/c diameter and conduction velocity

    ► SYMPATHETIC AND PARASYMPATHETIC FIBERS


    Sympathetic – Superior cervical ganglion.
    Both symp and parasymp fibers thought to involved in the
    dentin formation.
    Fiber Diameter Conduction velocity Function
    (μm) (speed of impulse
    m\sec)
    A-Alpha(α) 13 to 20 70 to 120 m/s Motor, proprioception

    A-Beta(β) 6 to 13 40 to 70 m/s Pressure and touch


    A-Gamma 3 to 6 15 to 30m/s Motor to muscle
    ( γ) spindles
    A-delta(δ) 1 to 5 6 to 30 m/s Pain, temperature,
    touch
    B-fiber <3 3 to15m/s Preganglionic autonomic

    C-fiber 0.4 to1 0.4 to 2m/s Pain


    Monitor painful sensations.

    Two types – mediate the pain


    A – fibers; Rapid and Sharp pain
    C – fibers ; Dull aching pain.

    A – delta fibers; myelinated most


    numerous.
    periphery of the pulp.

    C – fibers ; Non myelinated most


    numerous;
    found chiefly in the pulp core.
    Electric pulp test -- stimulates A fibers
    – Unreliable in Young teeth
    – Unreliable in Older patients

    Cold test – do not injure the pulp.

    Heat test – greater potential to produce pulp injury.


    INFILTRATIONS

    FIELD BLOCK

    NERVE BLOCK
    PSA NERVE BLOCK
    Greater Palatine Block

    Nasopalatine Block
    IA NERVE
    BLOCK

    Area anesthetized by an IA
    nerve
    1.GRAYS ANATOMY 38TH EDITION

    2. B.D . CHAURASIA’S HUMAN ANATOMY 4TH EDITION

    3. PATHWAYS OF PULP 8TH EDITION


    STEPHEN COHEN
    RICHARD C. BURNS

    4. SELTZER AND BENDER’S DENTAL PULP

    5.LOCAL ANEASTHESIA
    STANELY MALAMED
    THANK YOU…………

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