Oral Mucosa Flashcards

1
Q

What is the oral mucosa

A

Mucous membrane that lines the oral cavity

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2
Q

Functions of the oral mucosa

A

Protection - barrier from infection, abrasion and protects underlying tissues.

Sensation - sensory receptors and reflexes.

Secretion - saliva from minor saliva ducts to reduce trauma.

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3
Q

Types of oral mucosa

A

Lining mucosa
Masticatory mucosa
Specialised mucosa

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4
Q

What structures are covered by the lining oral mucosa

A

Buccal/labial mucosa
Floor of mouth
Ventral surface of tongue
Alveolar mucosa
Soft palate

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5
Q

Clinical appearance of lining oral mucosa

A

Softer surface texture
Moist surface
Ability to be stretched and compressed

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6
Q

What do sebum deposits from misplaced sebaceous glands cause?

A

Fordyce spots

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7
Q

Where are fordyce spots found?

A

Sub mucosa

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8
Q

What type of epithelium is the lining oral mucosa

A

Non keratinised stratified squamous

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9
Q

What’s the structure/histology of lining oral mucosa

A
  • Non keratinised stratified squamous
  • Fewer and less pronounced rete ridges and papillae
  • More elastic fibres for speech and swallowing
  • Large submucosa layer for compression of underlying tissues.
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10
Q

What happens to infection in the lining mucosa?

A

Spreads rapidly

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11
Q

What structures are covered by the masticatory oral mucosa?

A

Attached gingivae
Hard palate
Dorsum of tongue

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12
Q

Clinical appearance of masticatory oral mucosa

A

Rubbery surface texture
Firm and resiliance
No movement

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13
Q

What type of epithelium is the masticatory oral mucosa

A

Ortho/para keratinised stratified squamous

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14
Q

Where would you find ortho keratinised stratified squamous epithelium

A

Hard palate
Attached gingiva

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15
Q

Where would you find para keratinised stratified squamous epithelium

A

Dorsum of tongue
Parts of attached gingiva

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16
Q

What does a thin or non existent submucosa provide function too

A

Aids with hard surfaces in the mouth for eating and speaking such as the hard palate

17
Q

Histology/structure of keratinised oral epithelium

A

More rete ridges and bone underlying - gives a firmer base and structure

18
Q

Structures associated with specialised oral mucosa

A

Lingual papillae

19
Q

Where are lingual papillae located

A

Dorsal and lingual surfaces of tongue

20
Q

Which type of epithelium is specialised oral mucosa

A

Ortho/para keratinised stratified squamous

21
Q

Cell turnover time for hard palate

22
Q

How many times faster does non keratinised oral mucosa turn over than keratinised mucosa

A

1.5 times faster

23
Q

What might cause non keratinised epithelium to transform into keratinising type

A

Frictional or chemical trauma

24
Q

What would non keratinised epithelium become if suffers from frictional or chemical trauma

A

Hyperkeratinised - Orthokeratinised epithelium with keratin and granular layer.

25
What term is referred to the vertical white lines on buccal mucosa
Linea alba
26
How is oral pigmentation formed
Melanocytes sit in the basal layer and store melamine. This is injected to newly formed epithelial cells. As tissue ages, these cells will migrate to the surface causing pigmentation.
27
Examples of how other colour changes may occur in the mouth:
Drug induced - chemo, tetracycline Infection - kaposi sarcoma Iatrogenic - amalgam tattoo Self inflicted tattoos