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Here we have the red line, this is called the Central Groove. Anterior to the central groove, this is called Pre-central Gyrus and posterior to the groove is called Post-central Gyrus. Now, the area of the mouth on the somatosensory cortex is located at the lower part of the post-central Gyrus. This is the area responsible for the sensation inside your mouth. What about the pre-cental gyrus? It is important for the motor function of your mouth.
Here, we have something really funny, they drew a human being, but this human being looks very disproportionate. For example, see the faceits very huge the hand is very big the leg is very small the trunk very small Why did they sketch of human being which is very disproportionate? Because they want to reflex the important of the different area of your body on somatosensory cortex.
Postcentralgyrus - somatosensory
Based on pictures: coronal section of precentralgyrus.The drawing reflect the important of different area of the body in somatosecsory. The eye is small, so the size of the eye in post-central gyrus is small. Logically which is more important, hand or foot? Of course hand because its very important in touch. Thats why the size of the hand is much bigger than the foot. The hand is not proportional because the size of the thumb is big but the size for others finger are smaller. Why? Because the thumb is very important in sensation.
Notice that the foot is much bigger than the leg. (this is not important)
The most important for us is the area of FACE, face is located at the lower part of postcentral gyrus and notice that the biggest proportion is for the lips. The lower part of the face is more important than the upper part of the face. The TONGUE also occupied the huge area, why? Because your tongue is very important in perceiving sensation. then the UPPER LIP AND LOWER LIP, because the lips contain too many nerves, so that why youll see the huge amount of information from your upper and lower lips, and thats why the occupy a big area in the brain.
Q: the lowest area in the postcentralgyrus is related to? Ans: the face Q: the biggest area of the face that response to sensory inervation? Ans: upper & lower lips/tongue
Postcentralgyrus 1. Face- big a. located at the lower part of postcentralgyrus. 2. Lips-big a. contain many nerves to receive huge amount of information. 3. Mouth a. is located at lower part of postcentralgyrus. 4. Tongue-big a. Tongueis important in perceiving many sensation. 5. Eye-small 6. The hand(bigger in drawing) VS The foot(smaller in drawing) a. hand is more important in touch. b. size of the thumb bigger.
Precentralgyrus a. Face-big b. Mouth-big i. Movement of muscle related to mandible is very detail/delicate. c. Tongue ii. Is always located at the lower part of the motor & somatosensory. d. Hand(big) VS Leg(small) iii. Hand is very important for many actions Neck-small
Temperature sensation
Ranking of sensitivity 1. 2. 3. Palate(most sensitive) Lips Tongue(less sensitive)
Oral mucosa is very sensitive to hot & cold This high sensitivity is a protective mechanism o brain should be able to response to something harm(extreme cold/hot) to avoid harming ourselves. o Ex: we able to avoid burn ourselves when drink hot water by stopping drink that hot water. Receptors - that responsible for temperature sensation o Bare nerve endings - have no capsule at the end of the nerve o Respond to temps > threshold (hot) & < threshold (cold) Usually threshold for cold is higher but the threshold for hot is lower. So, with slightly hot, we will be able to say that it is hot. But vice versa to cold. The threshold for hot is low. o Receptors threshold for skin or lip is the temp of skin (25C). o Intraoral receptors have higher thresholds. We can withstand higher temperature inside the mouth compared to the skin. Fibers are A & C fibers o (sensory groups III & IV) but they are different to the pain nerve(nociceptor) o It is slow transmitting o In brain - no separate pathway to cortex for temp & pain sensation Inside brain, we have common pathway for pain & temperature. (Gate Control theory) Repetitive temperature over a long time will inhibit transmission of pain. Ex: if we repeat temp sensation in one area over a long period of time, this will inhibit transmission of pain at another area. (Gate Control theory) o In Spinal cord separate pathway exists, but when the nerve proceed to center, it will have common pathway. o Impulses reach thalamus through trigeminothalamic tract (trigeminal laminscus)*not to remember Max. tolerable temp in mouth = 70 80C o More than this limit will burn the mouth. o Lips cannot detect temperature but pain instead due to tissue damage.
o Lips are very sensitive to temperature. Tongue less sensitive than lips o Tongue can withstand the hot temperature on tongue but lips cannot. Palate may blister at lower temps st o Palate is extremely sensitive. When we drink hot water, palate is the 1 to burn.(remember the sequence ranking for sensitivity) Hot stimuli on tongue lead to tissue damage which lead to stimulation of cold & warmth receptors o This is not reported elsewhere in the body. o Tongue can withstand high temperature. Even after tissue damage at the tongue, we still feel temperature. o Usually(at other part of body) if we have tissue damage, we will feel pain. But, at tongue particularly, even after tissue damage, instead of feeling pain, we still feel temperature. When the temperature is extremely high, then it will stimulate the nociceptor. Pain is the only sensation detected in teeth o Evidence that heat may be discriminated The sensation that detected by the teeth is ONLY PAIN.
Pressure sensation
Teeth are sensitive to pressure applied axially or laterally o The pressure will stimulate the receptors in periodontal ligament o Most sensitive- apex of the tooth. Receptors o End-organs of the Ruffini type (just know that they are only mechanoreceptor) A class of slowly adapting mechanoreceptor thought to exist only in the glabrous dermis and subcutaneous tissue of humans. o Nerve fibers are A o Response vary according to position with PDL o Usually the most sensitive is at the apex of the tooth. because when we make axial movement, the one that respond first are the apical fibers. Mean, the periondontal ligament responses are not at the same rate. Teeth respond as if they have axis of rotation between middle & apical 1/3s of root o If apply : axial movement-tooth move axial slightly axially. o If apply : lateral movement-the tooth will rotate. We have to imagine that the fulcrum of rotation located between apical 1/3 of the root and middle 1/3 of the root. o Receptors near axis of rotation adapt rapidly o Receptors furthest away adapt slowly
Proprioception
proprioception is the ability to feel the position of the different body part in relation to each other. Impulses(information of position of the muscle) from o Muscles of the tongue o Muscles of mastication o Temporomandibular joint To tell the brain about the position of mandible. Muscles containing muscle spindles o Tongue muscles o Mandibular elevators-temporalis,masseter, med.ptrygoid. Cell bodies of fibers are located in specialized nucleus: o mesencephalic nucleus of trigeminal nerve- responsible for proprioception. o motor nucleus of trigeminal nerve- responsible for motor function associated with trigeminal nerve. Trigeminal nerve inside the midbrain has many nuclei. The one that responsible for sensory are called nucleus of trigeminal nerve.
Taste
Special sensation Considered as chemoreception (because we respond to chemical that are found in the food) perceived directly in the cortex o We detect chemical in the food. o It is parasympathetic. o Travel with branches of trigeminal nerve. Receptors are only in the head region (cannot taste outside head), we can taste through: o Dorsum of the tongue o Soft palate o Epiglottis Have taste buds that respond to different chemical o Pharyngeal wall o Esophagus Significant of taste o Taste is the main stimulant to saliva flow. When we taste something, our saliva is secreted. o Governs the use of oral hygiene aids like toothpaste. Manufacturer put mint in the toothpaste so that it is accepted by users. o Governs food choice sweet cariogenic o When we have good taste, we eat more and become fatter. : ) o Tongue can withstand high temperature. Even after tissue damage at the tongue, we still feel temperature. This is specific for tongue only. o Not reported elsewhere in the body. At other part, pain is detected by nociceptor as pain. Pain is the only sensation detected in teeth o Evidence that heat may be discriminated
Taste buds
Taste buds are specialized cells located in different areas inside the mouth. They are the area that perceive the chemicals present in that taste material and send impulses to the brain. Each bud is a group of taste receptors.
the doctor was explaining the figure on the TASTE BUDS slide: this is taste pore where material of the food acts here and then it triggers these cells and these cells function in carrying the impulse of taste to the brain
Develop early in fetal life o Ex: taste buds on the circumvallate papillae form by 14 weeks in utero Taste buds have different type of cells: type I, II, III, IV
Circumvallate o Location: They are situated on the dorsum of the tongue anterior of the sulcus terminalis o Number of buds 250 300 buds on each of 10 12 papillae Decrease with age old people tend to have decreased of taste sensitivity o Von Ebners glands - specialized minor salivary gland associated with circumvallate papillae : to wash out the previous taste and to make the area ready for new taste. Wikipedia: circumvallate papillae are situated on the dorsum of the tongue immediately in front of the foramen cecum and sulcus terminalis, forming a row on either side; the two rows run backward and medially, and meet in the midline.
2. Posterior 1/3 from 3rd branchial arch Important note: 2nd branchial arch only provides taste buds to the tongue. So, the taste buds of the anterior 2/3 of tongue are supplied by facial nerve via chorda tympani.
We said that when we increase in age, the numbers of the taste buds on the circumvallate papillae decrease. But still we find that these old people do not suffer decrease in bitter taste. So, they are not related to the decrease in number of the taste buds on the circumvallate papillae. They found that these people they cover their palate the palate with their dentures. Because of that the taste sensation decreases.
By: IKMAL, SYADI, FUAD, SUHAIDI, IZHAM