Lingual Tip Research Articles

Locating the Mandibular Lingula Using Cone-Beam Computed Tomography: A Literature Review.

This study aimed to review the literature on adult mandibular lingula (ML) locations and related distances determined using cone-beam computed tomography (CBCT). A search was conducted for studies on CBCT using the following databases: PubMed, Web of Science, and Embase. The search results were limited to studies published between 1970 and 2021. The inclusion criteria were the investigation of ML location, CBCT, and participants aged ≥18 years. Eligible studies were examined for the distances from the lingual tip to the anterior ramus border, posterior ramus border, sigmoid notch, inferior ramus border, and occlusal plane. Eight studies on CBCT qualified for inclusion in the study. The mean distances from the ML to the anterior ramus border were 15.57 to 20 mm. In most of these, the ML was located above the occlusal plane. No significant differences were observed in the location and related distances for the ML among patients of different sexes, ethnicities, or skeletal patterns.

Structural and functional adaptation of the lingual papillae of the Egyptian fruit bat (Rousettus aegyptiacus): specific adaptive feeding strategies.

The current investigation was aimed to clarify the correlations between the feeding strategy and lingual structure of the Egyptian fruit bat captured from the Egyptian east desert. The current work was performed on 12 adult Egyptian fruit bats that were observed grossly and with the help of the stereo, light, and scanning electron microscope. There were three types of the lingual papillae: one mechanical (filiform) and two gustatory (fungiform and circumvallate). There were seven subtypes of filiform papillae recognised on the seven lingual regions. There were few fungiform papillae distributed among the filiform papillae on the lingual tip and two lateral parts of apex and body while fungiform papillae were completely absent in the median part. There were three circumvallate papillae. The central bulb of circumvallate papillae was surrounded by one layer of two segmented circular pad. The lingual tip had cornflower-like and diamond-shaped filiform papillae. Histochemical results revealed that the lingual glands showed a stronger Alcian Blue (AB)-positive reaction and gave dark blue colour, while the reaction for the periodic acid-Schiff (PAS)-stain was negative. Also, the glands exhibited a blue colour as an indication of positive AB reactivity with combined AB-PAS staining.

Lingual papillary system of the Egyptian mouse-tailed bat (Rhinopoma hardwickii): New insights to its feeding strategies using scanning electron microscope, and immunohistochemical analysis of keratin.

The current investigation described the ultrastructural and histological features of the lingual papillary system in 14 adult Rhinopoma hardwickii using scanning electron and light microscopy, and immunohistochemical staining of keratin. Three types of lingual papillae were recognized; one filiform mechanical and two gustatory (fungiform and circumvallate) of three directions: posterior, posteromedian, and median. Five filiform papillae subtypes were observed in four regions. The lingual tip had numerous giant filiform papillae. The lingual root was divided into two regions, an anterior papillary and a posterior non-papillary region that had only three circumvallate papillae in a triangular pattern. Histologically, the papillae exhibited detached thick keratin that spread over the dorsal epithelial surface. The dorsal surface of the root had stratified keratinized circumvallate papillae. Concerning the pan-cytokeratin (CK) antibody staining, moderate CK expression was observed in the superficial corneal layer of the apical lingual mucosa. While the superficial corneal cell layer in both body and root exhibited increasing of CK antibody. Morphometrically, there was a significantly increased, region-specific number of triangular, pointed filiform papillae, which were relatively increased in length and width. However, the round conical blunt filiform papillae and fungiform papillae were sparse. We concluded that our results showed distinguished adaptations in the lingual structure and its different papillae established on the nutritional and energetic demand of this bat species. This lingual adaptation is summarized in number, position, taste buds, direction, ultrastructural features, and histological that concerned with its ability in eating during the night flight. RESEARCH HIGHLIGHTS: Three types of lingual papillae; one mechanical (filiform) and two gustatory (fungiform and circumvallate) in which there were three circumvallate papillae on the posterior part of the lingual root in a triangular arrangement with an irregular surface, but the filiform papillae had five subtypes arranged in four regions. The lingual root was divided into two regions, an anterior papillary region and a posterior non-papillary region that only had three circumvallate papillae. Concerning staining with a pan-cytokeratin (CK) antibody, moderate CK expression was observed in the superficial corneal layer of the lingual mucosa of the tongue apex while the superficial corneal cell layer of the body and root exhibited increased expression of the CK antibody compared to the lingual apex.

Age-related ultrastructural features of the tongue of the rock pigeon Columba livia dakhlae in different three age stages (young, mature, and adult) captured from Egypt.

This study represents the first attempt to describe the ultra-structural and histological features of different three age-stages (young, mature, and adult) of rock pigeon Columba livia dakhlae captured from Egypt. The elongated tongue with round lingual apex carried a lingual nail rostrally on lingual tip. The current work gave a first record of numerous descriptions as in young and mature, small lingual nail formed from aggregation of lingual scales, but in adult, the nail formed from lingual membrane without any lingual scales. The current work gave full descriptive methods of shape, directions, and distribution of filiform-like papillae with lingual scales among three age-stages on dorsal surface and lateral border of apex and body. The taste buds present only on the tongue of mature and adult pigeon. The only one transverse row in young took the wide V-shape but, wide U-shape in mature and adult. The papillae on the papillary crest took triangular spoonful-like shape in young and mature, but in adult take the shape of blunt tubercles. The current work was the first record of the presence of the openings of lingual glands on concave dorsal lingual surface of giant papillae and papillae of papillary crest in adult stage. The lingual membrane was thin one membrane in young and three to four layers in mature but, in adult it is well-developed and formed from 10-11 layers. The supportive entoglossum cartilaginous was extended rostrally till the apical part.

Surface ultrastructural descriptions of the oropharyngeal cavity of Anas querquedula.

The current work considers the first anatomical description of oropharyngeal cavity of Garganey, which was performed on eight heads with the help of scanning electron microscopy (SEM). The round apex of elongated tongue has anterior spatula-like named lingual nail. SEM of dorsal surface of lingual nail carry microtubercles and micropores on its rostral part, while its caudal part carry numerous microridges and micropores, while lateral apical surface only without lingual nail carrying filiform papillae, but its ventral surface carry exfoliated scales-like projections. Lateral lingual tip carries numerous laterally directed hairs-like structures. Rostral part of body carry region of small conical papillae in between them small hairs-like papillae on its lateral surface. Middle part of body carry lingual comb on its dorsal surface, while its lateral surfaces carry region of small conical papillae in between them hairs-like papillae in addition to filiform papillae, and large conical with small filiform papillae begin to appear laterally to the heads of lingual comb. Lateral surface of lingual prominence carry region of large conical and small filiform papillae on its rostral part, while its caudal part occupied by laterally situated spinated border from the root. Lingual root has two triangular smooth middle and spinated lateral and caudal. Laryngeal entrance divided into papillary and nonpapillary regions. Roof of oropharyngeal cavity divided into lamellar and papillary regions. Choanal cleft divided into rostral narrow ¼ and wide caudal ¾ parts. In conclusion, feeding process depend on the filter feeding mechanism that performed by the help of lateral situated papillae with lingual prominence.

Morphological Studies of the Tongue of the Egyptian Water Buffalo (Bubalus bubalis) and Their Lingual Papillae Adaptation for Its Feeding Habits.

This work was conducted to describe the morphological characters of the tongue of Egyptian water buffalo (Bubalus bubalis). The lingual root and the dorsal middle region of apex and body in addition to the dorsal and ventral surface of lingual tip were devoided from any fungiform papillae. The lingual tip contains conical papillae only. The ventral surface of lingual apex was divided into two portions by the U-shaped fungiform line into papillary and non-papillary region. Histological investigation on the lingual surface epithelium and lamina propria submucosa reflects differences in these layers in different parts of the tongue. By SEM, there are two subtypes of filiform papillae: caudally directed papillae on dorsal surface and rostrally directed papillae on the lateral region of ventral surface of lingual apex. There are two subtypes of conical papillae: small slightly rostrally directed papillae on dorsal and ventral surface of lingual tip and large posteromedially directed papillae on dorsal surface of lingual root. The rounded circumvallate papillae consisted of round bulb surrounded by deep circular groove, which surrounded by circular pad. Higher magnification of filiform papillae indicates the presence of microcrests separated by microgrooves, and these microgrooves consisted of microrodes. The fungiform surface having micropores on the tip of elevated tubercle for taste buds pores. All these observed structures (microcrests, microgrooves, microrodes, tubercles, microridges) in a higher magnification allow animals to transport food particles through the oral cavity and help in the defensive behaviour. There are strong correlations between the tongue anatomical characteristics and its functions.

Morphological features of the tongue and laryngeal entrance in two predatory birds with similar feeding preferences: common kestrel (Falco tinnunculus) and Hume's tawny owl (Strix butleri).

The aim of this investigation was to describe the morphological characters of the tongue of two predatory birds with similar feeding preferences, i.e. the common kestrel and Hume's tawny owl. Descriptive information on the lingual morphology of these two birds, particularly Hume's tawny owl, is incomplete. We found that the lingual apex of the owl has an oval, concave, shovel-like form with a bifid lingual tip, while that of the kestrel has the shape of a horny tip-like spoon with a central process in addition to there being several filiform-like papillae on the dorsal surface of the apex and body. In the owl, the dorsal surface of the apex and body is subdivided into four U-shaped regions: lingual tip, two lateral regions and a median region. The two lateral regions are characterized by the presence of papillae and several openings of lingual glands, while the median region carries filiform-like papillae. In both birds, the papillary crest is located between the body and root. In the kestrel, there is an additional row of papillae rostral to crest, while in the owl there is a rostral lateral extension of papillae on the lateral lingual surface so the distribution pattern has a W-shape. In the kestrel, the posterior part of lingual body has several openings of glands, while the root lacks glands completely, although it has many taste buds. In the owl, the lingual root is folded and has a large number of gland openings. In the kestrel caudally to the glottis, there are two paramedian transverse rows of pharyngeal papillae with a pair of median huge papillae, while in the owl, there is only one transverse row of papillae. The dorsal and ventral lingual surfaces of both birds are lined with non-keratinized stratified squamous epithelium.

Preliminary study on the tongue-based forensic identification

By means of the present study we intend to analyse lingual morphological aspects and demonstrate their importance and reliability as main criteria with force of evidence in using forensic dentistry to identify a person. To that end, we conducted the examination of 270 female and male adults between 21 and 40 years old, whose tongues were photographed front and side view. The purpose of the direct examination of the tongue was to emphasize morphological features: shape, type, characteristics of the longitudinal medial septum and the related grooves, as well as the lingual apex type, all of these being preserved using the alginate moulding, which helped taking the impression of the dorsal surface through direct application (from the level of the oral commissures up to the lingual tip) and that of the lateral lingual edges up to the lingual apex level. Thus, we demonstrated that the lingual impression, next to its photographic image, may constitute secure methods for forensic dentistry identification, showing that the inspection of the tongue is a real proof of life and genetic independence, in the sense that there are no two tongues with shape and texture, since lingual morphological aspects are difficult to copy and display stability over time.

Derivation of a finite-element model of lingual deformation during swallowing from the mechanics of mesoscale myofiber tracts obtained by MRI.

To demonstrate the relationship between lingual myoarchitecture and mechanics during swallowing, we performed a finite-element (FE) simulation of lingual deformation employing mesh aligned with the vector coordinates of myofiber tracts obtained by diffusion tensor imaging with tractography in humans. Material properties of individual elements were depicted in terms of Hill's three-component phenomenological model, assuming that the FE mesh was composed of anisotropic muscle and isotropic connective tissue. Moreover, the mechanical model accounted for elastic constraints by passive and active elements from the superior and inferior directions and the effect of out-of-plane muscles and connective tissue. Passive bolus effects were negligible. Myofiber tract activation was simulated over 500 ms in 1-ms steps following lingual tip association with the hard palate and incorporated specifically the accommodative and propulsive phases of the swallow. Examining the displacement field, active and passive muscle stress, elemental stretch, and strain rate relative to changes of global shape, we demonstrate that lingual reconfiguration during these swallow phases is characterized by (in sequence) the following: 1) lingual tip elevation and shortening in the anterior-posterior direction; 2) inferior displacement related to hyoglossus contraction at its inferior-most position; and 3) dominant clockwise rotation related to regional contraction of the genioglossus and contraction of the hyoglossus following anterior displacement. These simulations demonstrate that lingual deformation during the indicated phases of swallowing requires temporally patterned activation of intrinsic and extrinsic muscles and delineate a method to ascertain the mechanics of normal and pathological swallowing.

DNA Vaccine against Hamster Oral Papillomavirus-associated Oral Cancer

Previously we developed a carcinogenesis model involving the combination of 9,10-dimethyl-1,2-benzanthracene (DMBA) application with physical wounding of hamster lingual mucosa. The presence of a novel hamster oral papillomavirus (HOPV) was demonstrated and its genome sequenced. In the present study, this HOPV hamster model was used to test whether vaccination with the L1 gene could prevent the development of oral carcinoma. DNA plasmids encoding the L1 gene or the vector alone were injected intramuscularly into 20 vaccinated and 20 control hamsters, respectively. The lingual tips of the hamsters were painted with DMBA for 8 weeks. A portion of the lingual tips was excised, and the tips were then painted daily with DMBA until the animals were killed 13 days later. All control hamsters developed lingual carcinoma, whereas 12 of the L1-vaccinated hamsters showed no lesions. These results suggest that immunization with L1 DNA vaccines may prevent the development of papillomavirus-associated oral cancer.

Presence of a novel hamster oral papillomavirus in dysplastic lesions of hamster lingual mucosa induced by application of dimethylbenzanthracene and excisional wounding: molecular cloning and complete nucleotide sequence.

A combination of 9,10-dimethyl-1,2-benzanthracene (DMBA) application and excisional wounding on the lingual tips of Syrian Golden hamsters (Mesocricetus auratus) induces dysplastic and malignant mucosal lesions. Papillomavirus genus-specific antigen and viral particles, measuring 55 nm in diameter, were demonstrated in the nuclei of squamous cells of dysplastic lesions showing koilocytotic change. In this study, we cloned a circular genome at a single Kpnl site from one of these dysplastic lesions. The genomic sequence of this clone, consisting of 7647 bp, was shown to be that of a novel papillomavirus with a conserved genomic organization. We named the new virus hamster oral papillomavirus (HOPV). All dysplastic lesions induced by this combination of DMBA application and excisional wounding contained viral DNA. Although Southern blot hybridization analysis could not detect the HOPV genome, PCR analysis demonstrated the latent HOPV genome in the tongue and skin of an untreated hamster. These results suggest that latently present HOPV genome is reactivated by the DMBA/wounding procedures. Lingual HOPV infection may be an important model for gaining insight into the interactions between papillomavirus infection, chemical carcinogens and physical irritations in carcinogenesis or malignant transformation.

Mechanisms of tongue protraction and narial closure in the marine toad Bufo marinus.

Electromyography, kinematic analysis, muscle stimulation and denervation techniques were used to investigate the muscular mechanisms of narial closure during breathing and of tongue protraction during prey capture in the marine toad Bufo marinus. Toads were video-taped during breathing and feeding under a variety of conditions: before surgery, after unilateral or bilateral denervation of the M. submentalis, and after unilateral or bilateral denervation of the Mm. genioglossus basalis and medialis. Deeply anesthetized toads were video-taped during stimulation of several cranial muscles, and electromyograms were recorded from the M. submentalis during feeding before and after its denervation. Bufo marinus differs from many other anurans in having a relatively long tongue that experiences large accelerations (> 31 g) during protraction. Tongue protraction occurs in two phases: an early phase during which the lingual tip moves upward and forward relative to the mandibular tip as the tongue shortens, and a later phase during which the lingual tip moves downward and forward relative to the mandibular tip as the tongue elongates under its own momentum. Relative to an external reference, the lingual tip follows a straight trajectory from mouth to prey, which depends critically upon precise coordination of tongue and jaw movements. The M. submentalis is necessary for normal tongue protraction during feeding. In contrast, the Mm. genioglossus basalis and medialis are necessary for forward movement of the tongue pad over the symphysis. In B. marinus, a simple anatomical change (elongation of the tongue) has functional consequences (inertial elongation) that profoundly affect the mechanisms of neuromuscular control. Though seldom studied, it seems likely that morphological evolution has had a profound influence on mechanisms of motor control in animals generally.

Management of mandibular fractures using biphasic pins and mandibular splints

Often the otolaryngologist is asked to manage the patient with facial trauma. Mandibular fractures make up 20 to 39% of all facial trauma cases, and thus necessitate a diversified and complete set of management tools. We have selected two seldom discussed modes of therapy for the complicated jaw fracture to present in this paper: 1. external fixation of Joe-Morrison Hall biphasic pins, and 2. mandibular dental appliances--splints. The advantage of the biphasic pin apparatus is that the fracture can be repaired and stabilized at a point remote from the infected fracture site. The high risk patients, endentulous patient, and patients with fractures from gunshot wounds all prove to be more easily managed by using the external appliances. The splint technique eliminates medial or lingual tip rotation and resultant postoperative malocclusion. Endentulous patients, pediatric patients, and those with multiple facial trauma also benefit from this procedure.