Anatomy

The Skull

The skull is the hard part of your head. It is a hollow, rigid structure made of bone, and is attached to the top of your spine. It protects your brain and eyes like a tortoise's shell protects its body.

The muscles you use for chewing, smiling, frowning, laughing and other facial expressions are attached to the skull.

The skull is divided into two parts: the "cranial" part or "cranium" (the top part which covers the brain) and the "facial" part (the bones at the front that shape the face).

Lower Jaw

The lower jaw has its own separate bone which is called 'the mandible', which is U-shaped and stretches from one ear, down to the chin area and then back up again to the other ear. It is joined to the upper part of the head around the ear region by two jaw joints (called 'tempero mandibular joints'). If your rest your fingers on the skin just in front of your ears, and then open and close your mouth, you can feel the jaw joints moving. The mandible has names for its different parts, as follows:

  • The body of the mandible is the middle section of the U-shape which supports the lower teeth.
  • The condyle is the rounded end of bone that fits into the movable joint between the mandible and the cranium (the part of the skull which encloses the brain). There is one on each side of the mandible.
  • The coronoid process is the name for a triangular projection from the mandible which joins one of the chewing muscles to the cranium. There is one on each side of the mandible.
  • The ascending ramus is the flatter, straighter part on the sides of the lower jaw which joins the body of the mandible to the coronoid processes and the condyles.

Upper Jaw

The maxilla is a name for the upper jaw, and it is made up of several bones stuck (or fused) together, and sits in front of and just below the cranium. It is attached to the cranium and forms the cheeks, the nose, and the roof of the mouth.

  • The maxillary antrum or sinus is the name for the air filled space that sits just under the cheekbone, and just above the roof of the mouth. There is one on each side of the face, either side of the nose.
  • The anterior nasal spine is a bit of bone which protrudes from the maxilla at the lower end of the nose.
  • The zygomatic process is a curved piece of bone which extends outwards from the maxilla and forms part of the cheekbone.
  • The palate is the roof of the mouth, it separates the nose and the mouth: the hard part is called the 'hard palate' and is towards the front of the mouth, and the softer part at the back near the throat is the soft palate.

Temperomandibular Joint

The temperomandibular joint (TMJ) is the movable joint between the mandible (lower jaw bone) and part of the cranium called the temporal bone. It is a complicated joint and the two hard bone surfaces are separated by a circular piece of softer cartilage which acts like a cushion.

The lower jaw moves up and down, sideways and forwards. This joint is in constant use during chewing, swallowing, talking, and laughing. Some of these movements involve rotation of the joint and some are sliding movements.

Foramina

A foramen is an opening or hole which lets nerves and blood vessels pass through bone. The plural of foramen is foramina.

  • The mental foramen is on the body of the mandible. Nerves and blood vessels which travel to the lower lip pass through this.
  • The mandibular or inferior dental foramen is on the ascending ramus. A nerve called the inferior dental nerve and blood vessels which go to the lower teeth pass through this.
  • The incisive foramen is at the front of the palate (the roof of the mouth). Nerves called incisive nerves and the blood vessels which supply the front of the palate pass through this.

Salivary Glands

These produce the clear liquid that is released into the mouth (saliva, or spit). There are three pairs of major salivary glands and many minor glands. Saliva lubricates the mouth and starts the breakdown of chewed food. It is made up of water, enzymes, mucin and protein.

  • The parotid is the largest salivary gland and is situated below the ear. The saliva is released through an opening called the parotid duct which enters the mouth on the inside of the cheek next to the upper molar teeth. There is one on each side.
  • The submandibular salivary gland is situated under the mandible (lower jaw bone) and releases saliva just underneath the front of the tongue, behind the front teeth. There is one on each side.
  • The sublingual salivary glands are situated under the tongue and release saliva from many small openings (ducts) under the tongue. This pair of salivary glands sit next to each other under the tongue.