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Nerve Supply Of Head And
Neck
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
www.indiandentalacademy.com
Contents
• Introduction
• Basics of nervous system
• Cutaneous supply of head and neck
• Trigeminal nerve
• Cervical plexus
• Motor supply to head and neck
• Facial nerve
• Ansa cervicalis
• Spinal accessory nerve
• Nerve supply of :
• Extra ocular muscles
• Nasal cavity
• Palate
• Tongue
• Pharynx
• Larynx
• Teeth
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Introduction
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Neuron
•Perikaryon
•Dendrites
•Axon
•Myelin sheath
•Synapse
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Neuron
•Perikaryon
•Dendrites
•Axon
•Myelin sheath
•Synapse
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Nerve structures
•Multipolar
•Bipolar
•Unipolar
Classes of nerve fibres
•Type A, B,C
•Myelinated & Unmyelinated
•Sensory & Motor
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Sensory receptors
•Free nerve endings
•epidermal
•dermal
•Meissner’s corpuscle
•Merkel disc endings
•Pacinian corpuscle
•Ruffini terminal
•Golgi tendon organ
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Nerve supply of head and neck
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CUTANEOUS SUPPLY OF HEAD AND
NECK
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Cutaneous supply of:
Head – Trigeminal nerve
Neck – Cervical plexus
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Trigeminal nerve
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Branches
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Trigeminal nuclei
•Mesencephalic nucleus
•Principal sensory nucleus
•Nucleus of spinal tract
•Motor nucleus
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Functional components
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Distribution
•Branches
•Relation with ganglions
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Ophthalmic nerve
•Branches
•Lacrimal
•Frontal
•Nasociliary
•Ciliary ganglion
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Ophthalmic Nerve
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M
a
x
i
l
l
a
r
y
N
e
r
v
ewww.indiandentalacademy.com
In the cranium Meningeal
In pterygopalatine
fossa
Ganglionic, zygomatic,
post. Sup. Alveolar
In the infraorbital
canal
Middle sup.Alv,
ant. Sup. Alv
On the face palpebral, nasal,
sup labial
Branches of maxillary nerve
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Pterygopalatine ganglion
- Orbital
- Palatine
- Nasal
- Pharyngeal
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Mandibular
Nervewww.indiandentalacademy.com
Main trunk
Ant. trunk
Post trunk
Nervus spinosus
n. To M. pterygoid
Buccal n.
n. to masseter
n. To L. pterygoid
Deep temporal N.
Auriculotemporal
Lingual
Inf. Alveolar
Branches of mandibualr nerve
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Inf dental nerve does not occupy a single canal,
but is plexiform in arrangement. It is also joined,
directly, or thru its plexiform branches, by rami
entering the bone as parts of neurovascular
bundles, derived from attached muscles such as
masseter. Such ‘accessory’ dental nerves ramify
particularly in a plane lateral to the molar teeth,
and their common occurrence accounts for the
incomplete abolition of pain by inf. dental nerve
block
- Carter and Keen 1971
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The nerves which supply the incisor teeth form
an elaborate plexus on the external aspect of the
mandible after emerging from the mental
foramen and before they re-enter the bone.
- Starkie and Stewart 1931
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Otic
Ganglion
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Submandibular
Ganglion
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Cervical Plexus
•Lesser occipital
•Greater auricular
•Transverse cervical
•Supra clavicular
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MOTOR SUPPLY OF HEAD AND
NECK
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Head:
Muscle of facial expression – VII nerve
Neck:
Ant triangle -- supra hyoid
-- infra hyoid – Ansa cervicalis
SCM & trapezius – Spinal accessory
Vertebral muscles – Dorsal rami of spinal n.
Suboccipital -- Dorsal rami of C1
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Facial nerve nuclei
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Functional components
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Within petrous temporal
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In facial canal
At stylomastoid
On the face
Gr petrosal
N. To stapedius
Chorda tympani
Post auricular
Post belly of digastric
Stylohyoid
Temporal
Zygomatic
Buccal
Marginal mandibualar
cervical
Branches of facial nerve
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Geniculate ganglion
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Facial Nerve
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Branches on
the face
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Various
types of
branching
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Relation
with
parotid
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Branches of
communication
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Ansa cervicalis
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The origin of the inferior root varies.
Porirear and Chernikov (1965)
Based on 160 dissections
Cervical ventral rami
2, 3 74%
2, 3, 4 14%
3 alone 4%
1, 2, 3 2%
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Accessory nerve
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References
• Gray’s anatomy; 36th edition; Williams and Warwick
• Anatomy and Physiology: The unity of form and
function; Kenneth S. Saladin
• Clinical neuroanatomy for medical students; 4th
edition; Richard S. Snell
• Chaurasia’s human anatomy; 4th edition
• Anatomy for surgeons volume 1: The head and neck;
3rd edition; Hollinshead
• Human anatomy; Prives, Lysenkov, Bushkovich
• Grants atlas of anatomy
• Text book of human neuroanatomy; 6th edition;
Inderbir Singh
www.indiandentalacademy.com
THANK YOU….
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Use of modified tooth forms in complete denture occlusion / dental implant...
 
Dental luting cements / oral surgery courses  
Dental   luting cements / oral surgery courses  Dental   luting cements / oral surgery courses  
Dental luting cements / oral surgery courses  
 
Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  
 
Dental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesDental casting investment materials/endodontic courses
Dental casting investment materials/endodontic courses
 
Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  
 
Dental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesDental ceramics/prosthodontic courses
Dental ceramics/prosthodontic courses
 
Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  
 
Dental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesDental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry courses
 
Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  
 

Nerve supply of head and neck