Posterior superior alveolar nerve

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Posterior superior alveolar nerve
Gray778.png
Distribution of the maxillary and mandibular nerves, and the submaxillary ganglion. (Posterior sup. alveolar labeled at center.)
Posterior Superior Nasal Nerve.png
A sketch of the posterior super nasal nerve
Details
Innervates maxillary sinus, molars, dental alveolus
Identifiers
Latin rami alveolares superiores posteriores nervi maxillaris
TA98 A14.2.01.050
TA2 6235
FMA 75545
Anatomical terms of neuroanatomy

The posterior superior alveolar nerves (also posterior superior dental nerves or posterior superior alveolar branches[ citation needed ]) 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.

Contents

Anatomy

Origin

The nerves arise from the trunk of[ citation needed ] the maxillary nerve (CN V2) within the pterygopalatine fossa [1] :496 just before it enters the infraorbital groove.[ citation needed ]

The nerve arises as a single trunk which split into 2-3 nerves within the pterygopalatine fossa. [1] :496

Course

The nerves exit the pterygopalatine fossa through the pterygomaxillary fissure. They pass within or upon the posterior wall of the maxilla. [1] :496

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.[ citation needed ]

They then enter the alveolar canals on the infratemporal surface of the maxilla, and, passing from behind forward in the substance of the bone, communicate with the middle superior alveolar nerve, and give off branches to the lining membrane of the maxillary sinus and gingival and dental branches to each molar tooth from a superior dental plexus; these branches enter the apical foramina at the roots of the teeth.[ citation needed ]

Distribution

The nerves provide sensory innervation to the upper/maxillary molar teeth and the associated gingiva of the vestibule, and the maxillary sinus. [1] :496

Teeth

The nerve innervates the second and third maxillary/upper molar teeth, and two of the three roots of the maxillary/upper first molar tooth (all but the mesiobuccal root).[ citation needed ]

Clinical significance

When giving a posterior superior alveolar nerve block, it will anesthetize the mesialbuccal root of the maxillary/upper first molar tooth approximately 72% of the time.[ citation needed ]

See also

Additional images

Related Research Articles

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<span class="mw-page-title-main">Mandibular nerve</span> Branch of the trigeminal nerve responsible for the lower face and jaw

In neuroanatomy, the mandibular nerve (V3) is the largest of the three divisions of the trigeminal nerve, the fifth cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only afferent fibers, the mandibular nerve contains both afferent and 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.

<span class="mw-page-title-main">Buccinator muscle</span> Muscle

The buccinator is a thin quadrilateral muscle occupying the interval between the maxilla and the mandible at the side of the face. It forms the anterior part of the cheek or the lateral wall of the oral cavity.

<span class="mw-page-title-main">Inferior alveolar nerve</span> Branch of the mandibular 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/mandibular teeth and their corresponding gingiva as well as a small area of the face (via its mental nerve).

<span class="mw-page-title-main">Pterygopalatine ganglion</span> Parasympathetic ganglion in the pterygopalatine fossa

The pterygopalatine ganglion is a parasympathetic ganglion in the pterygopalatine fossa. It is one of four parasympathetic ganglia of the head and neck,.

<span class="mw-page-title-main">Maxillary sinus</span> Largest of the paranasal sinuses, and drains into the middle meatus of the nose

The pyramid-shaped maxillary sinus is the largest of the paranasal sinuses, located in the maxilla. It drains into the middle meatus of the nose through the semilunar hiatus. It is located to the side of the nasal cavity, and below the orbit.

<span class="mw-page-title-main">Greater petrosal nerve</span> Nerve in the skull

The greater petrosal nerve is a nerve of the head mainly containing pre-ganglionic parasympathetic fibres which ultimately synapse in the pterygopalatine ganglion. It branches from the facial nerve and is derived from the parasympathetic part of the nervus intermedius component of CN VII, with its cell bodies located in the superior salivary nucleus. In the connective tissue substance of the foramen lacerum, the greater petrosal nerve unites with the (sympathetic) deep petrosal nerve to form the nerve of the pterygoid canal which proceeds to the pterygopalatine ganglion.

<span class="mw-page-title-main">Maxillary nerve</span> Branch of the trigeminal nerve responsible for the mid-face

In neuroanatomy, the maxillary nerve (V2) is one of the three branches or divisions of the trigeminal nerve, the fifth (CN V) cranial nerve. It comprises the principal functions of sensation from the maxilla, nasal cavity, 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.

<span class="mw-page-title-main">Ophthalmic nerve</span> Sensory nerve of the face

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<span class="mw-page-title-main">Pterygopalatine fossa</span> Fossa in the skull

In human anatomy, the pterygopalatine fossa is a fossa in the skull. A human skull contains two pterygopalatine fossae—one on the left side, and another on the right side. Each fossa is a cone-shaped paired depression deep to the infratemporal fossa and posterior to the maxilla on each side of the skull, located between the pterygoid process and the maxillary tuberosity close to the apex of the orbit. It is the indented area medial to the pterygomaxillary fissure leading into the sphenopalatine foramen. It communicates with the nasal and oral cavities, infratemporal fossa, orbit, pharynx, and middle cranial fossa through eight foramina.

<span class="mw-page-title-main">Lingual nerve</span> Human nerve relaying sense to the tongue

The lingual nerve carries sensory innervation from the anterior two-thirds of the tongue. It contains fibres from both the mandibular division of the trigeminal nerve (CN V3) and from the facial nerve (CN VII). The fibres from the trigeminal nerve are for touch, pain and temperature (general sensation), and the ones from the facial nerve are for taste (special sensation).

<span class="mw-page-title-main">Nasopalatine nerve</span> Nerve of the head

The nasopalatine nerve (also long sphenopalatine nerve) is a nerve of the head. It is a sensory branch of the maxillary nerve (CN V2) that passes through the pterygopalatine ganglion (without synapsing) and then through the sphenopalatine foramen to enter the nasal cavity, and finally out of the nasal cavity through the incisive canal and then the incisive fossa to enter the hard palate. It provides sensory innervation to the posteroinferior part of the nasal septum, and gingiva just posterior to the upper incisor teeth.

<span class="mw-page-title-main">Zygomaticotemporal nerve</span> Small nerve of the face

The zygomaticotemporal nerve (zygomaticotemporal branch, temporal branch) is a cutaneous (sensory) nerve of the head. It is a branch of the zygomatic nerve (itself a branch of the maxillary nerve (CN V2)). It arises in the orbit and exits the orbit through the zygomaticotemporal foramen in the zygomatic bone to enter the temporal fossa. It is distributed to the skin of the side of the forehead. It also contains a parasympathetic secretomotor component for the lacrimal gland which it confers to the lacrimal nerve (which then delivers it to the gland).

<span class="mw-page-title-main">Infraorbital artery</span>

The infraorbital artery is a small artery in the head that arises from the maxillary artery and passes through the inferior orbital fissure to enter the orbit, then passes forward along the floor of the orbit, finally exiting the orbit through the infraorbital foramen to reach the face.

<span class="mw-page-title-main">Posterior superior alveolar artery</span>

The posterior superior alveolar artery is a branch of the maxillary artery. It is one of two or three superior alveolar arteries. It provides arterial suply to the molar and premolar teeth, maxillary sinus and adjacent bone, and the gingiva.

<span class="mw-page-title-main">Infratemporal fossa</span> Cavity that is part of the skull

The infratemporal fossa is an irregularly shaped cavity that is a part of the skull. It is situated below and medial to the zygomatic arch. It is not fully enclosed by bone in all directions. It contains superficial muscles, including the lower part of the temporalis muscle, the lateral pterygoid muscle, and the medial pterygoid muscle. It also contains important blood vessels such as the middle meningeal artery, the pterygoid plexus, and the retromandibular vein, and nerves such as the mandibular nerve (CN V3) and its branches.

<span class="mw-page-title-main">Anterior superior alveolar nerve</span>

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.

<span class="mw-page-title-main">Infraorbital nerve</span> Branch of the maxillary nerve supplying the face

The infraorbital nerve is a branch of the maxillary nerve. It arises in the pterygopalatine fossa. It passes through the inferior orbital fissure to enter the orbit. It travels through the orbit, then enters and traverses the infraorbital canal, exiting the canal at the infraorbital foramen to reach the face. It provides sensory innervation to the skin and mucous membranes around the middle of the face.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

<span class="mw-page-title-main">Superior dental plexus</span>

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.

References

  1. 1 2 3 4 Sinnatamby, Chummy S. (2011). Last's Anatomy (12th ed.). ISBN   978-0-7295-3752-0.

PD-icon.svgThis article incorporates text in the public domain from page 890 of the 20th edition of Gray's Anatomy (1918)