Oral Mucosa Flashcards

1
Q

What are the functions of oral mucosa?

A
  • Protection (mechanical, against infection, immunity)
  • Sensation
  • Secretion
  • Absorption
  • (Thermoregulation)
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2
Q

What are the 3 types of oral mucosa?

A

Lining, masticatory, gustatory

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3
Q

Where is masticatory mucosa found?

A

The hard palate and gingiva

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4
Q

Where is lining mucosa found?

A

Ventral surface of tongue, labial surface, buccal surface, soft palate

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5
Q

Where is gustatory mucosa found?

A

Tongue dorsum

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6
Q

Describe the features of masticatory mucosa

A
  • Subjected to friction, compression
  • (Para)keratinised
  • Thick lamina propria (mucoperiosteum)
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7
Q

Describe the features of lining mucosa

A
  • Mobile and distensible
  • Non-keratinised
  • Loose lamina propria and wide submucosa
  • More rapid turnover than masticatory mucosa
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8
Q

Which type of mucosa is has more rapid turnover: masticatory or lining?

A

Lining mucosa

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9
Q

Describe the features of gustatory mucosa

A
  • Similar to masticatory mucosa
  • Keratinised
  • Present only on dorsum of tongue
  • Characterised by papillae, some bearing taste buds
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10
Q

What are the layers present in epithelium?

A
  • Basal layer/stratum germinativum (mitotic cells here)
  • Stratum spinosum (prickle cell layer - contains desmosomes)
  • Statum granulosum (granular layer
  • Stratum corneum (cornified layer - contains keratin)
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11
Q

Describe the sturcture of mucosa

A

Epithelium
Lamina propria
Submucosa
Bone

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12
Q

Describe the following types of epithelium:

A
  • Non-keratinsed: no stratum corneum
  • Parakeratinised: cornified surface. Still find some nuclei in this area
  • Keratinised: Intermediate layer and superficial layer instead of granular layer and keratinised layer
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13
Q

Why can lining mucosa heal faster than masticatory and gustatory mucosa?

A

Because lining mucosa is non-keratinised. Non-keratinised tissue can heal quicker as keratinisation slows the process

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14
Q

Which mucosal layer is absent in masticatory mucosa?

A

Submucosa - this makes the tissue very tight

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15
Q

Describe the submucosa layer in lining mucosa

A

Flexible/loose lamina propria

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16
Q

Where is the mucogingival junction?

A

Between alveolar mucosa and gingiva

17
Q

What percentage of epithelial cells do non-keratinocytes account for?

18
Q

What are melanocytes and where are they located?

A

Pigment producing cells located in the stratum germinativum i.e. the basal layer

19
Q

Where would you find Merkel cells?

A

In the stratum germinativum - basal layer

20
Q

What are 3 examples of non-keratinocytes?

A

Melcanocytes, Merkel cells and Langerhans cells

21
Q

What are Langerhans cells and where are they located?

A

Dendritic cells (DCs), found above the stratum germinativum; function as antigen presenting cells

22
Q

What are Merkel cells?

A

Mechanoreceptors

23
Q

Why is the tongue rough?

A

Due to projections called papillae

24
Q

What are taste buds?

A

Chemoreceptors: recognise specific chemicals

25
What are the 3 types of papillae?
1. Fungiform papillae 2. Vallate papillae 3. Filiform papillae
26
Where are vallate papillae located?
At the back of the tongue | Form a 5-7 arrangement
27
Where are the taste buds located?
Around the vallate papillae
28
Describe keratinization of papillae
Fully keratinised
29
What is the inner portion of the lip?
Labial mucosa
30
What is the vermillion border?
Demarcation between the lip and adjacent skin. Keratinised tissue
31
What is geographical tongue also known as?
Benign migratory glossitis or glossitis migrans
32
What are the features of geographical tongue?
- Irregular smooth patches on tongue dorsum - No filliform papillae present in these regions - Red or white margins - Pattern changes over time ('migrans') - Asymptomatic - Similar to psoriasis, histologically
33
What causes glossitis migrans (i.e. geographical tongue)?
Loss of filiform papillae
34
What are the responses in glossitis migrans associated with?
Certain types of food - change in diet may help symptoms