Oral Mucosa I&II Flashcards

1
Q

what is the oral mucosa

A

soft tissue lining the oral cavity

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2
Q

what are the main components of oral mucosa

A

epithelium and ct

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3
Q

where does oral mucosa extend from and to

A

vermillion border to fauces (oropharyngeal isthmus)

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4
Q

what type of surfaces does oral mucosa line

A

wet surfaces of oral cavity

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5
Q

clinical features of oral mucosa

A
  • smooth in most areas
    -stippled gingiva (attached gingiva stippled due to its firm attachment to underlying bone)
    -papillated tongue (dorsum is papillated housing taste buds and providing texture
    -ridged hard palate
    -moist due to minor salivary glands
    -pink / red depending on blood supply and keratinization (ex the red has high blood supply and few collagen fibers and pink opp)
    -variable thickness
    -fixed( attached to bone ex. gingiva) and mobile (not attached to bone ex. soft palate)
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6
Q

what are the functions of oral mucosa

A

-protection
-sensation
- secretion
-immune

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7
Q

how does oral mucosa protect

A

acts as a barrier between underlying tissue and external environment protecting against mechanical forces, abrasion, heat, water loss and microorganisms

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8
Q

how does oral mucosa sense

A

contains nerve endings that detect temperature, touch , thirst and we have receptors helps with reflexes like swallowing, gagging, and salivation

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9
Q

how is the oral mucosa always moist

A

due to minor salivary glands which continuously release mucus and saliva
also we have sebaceous gland eg fordyce’s spots

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10
Q

how does oral mucosa fight infections

A

contains immune cells in epithelium and CT

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11
Q

what is a fordyce’s spots

A

pale yellow spots that are normal variation found in lip, buccal mucosa and tonsillar pillar

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12
Q

what are types of oral mucosa

A

-lining mucosa
-masticatory mucosa
-specialized mucosa

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13
Q

Lining Mucosa

A
  • flexible , nonkeratinized
  • areas where there is no mastication
    -in inner lip and cheek, ventral surface of tongue, soft palate
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14
Q

Masticatory Mucosa

A
  • tough, keratinized
  • in areas exposed to mechanical stress
  • in hard palate and gingiva
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15
Q

Specialized Mucosa

A

in dorsum of tongue and rest is lining mucosa

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16
Q

where is lining mucosa found

A

lining the oral cavity where flexibility and movement is required

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17
Q

what type of epithelium is lining mucosa

A

stratified squamous nonkeratinized

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18
Q

which mucosa has the epithelium thicker
A- lining
B- masticatory

A

A- lining mucosa

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19
Q

describe the epithelial CT junction of lining mucosa

A

connective tissue papillae are slender and extend only slightly into the epithelium because the rete pegs are not very deep so this creates a smoother interface compared to masticatory mucosa

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20
Q

what’s a lamina propria

A

connective tissue layer beneath the epithelium of the oral mucosa

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21
Q

in the lining mucosa the lamina propria has beneath it what

A

submucosa making the mucosa more flexible and movable (not tightly attached to bone)!!!!

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22
Q

in the masticatory mucosa the lamina propria has beneath it what

A

bone without a submucosa this makes the mucosa firm and immovable

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23
Q

lamina propria is thicker in
A-lining
B- masticatory

A

A- lining

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24
Q

where is masticatory mucosa found

A

regions of mouth where we have compressive and shear forces as we said like hard palate and gingiva

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25
Q

describe the epithelial CT junction of masticatory mucosa

A

highly folded with deep interdigitating rete pegs and connective tissue papillae. providing mechanical strength to resist friction and forces from chewing

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26
Q

what type of epithelium does the masticatory mucosa have

A

stratified squamous Para keratinized

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27
Q

describe the lamina propria in masticatory mucosa

A

thick but not as lining and it has large collagen bundles

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28
Q

why is the specialized mucosa named that

A

because it has taste buds

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29
Q

what kind of epithelium does the specialized mucosa have

A

stratified squamous parakeratinized

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30
Q

what structure is found in the specialized mucosa

A

lingual papillae which includes both sensory and mechanical functions

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31
Q

the epithelium of lining mucosa has 3 layers

A

1- stratum basal
2- stratum spinosum
3-startum superficial

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32
Q

stratum basal

A

-cuboidal cells
-nuclie oval
-sets on BM
-cells are attached to BM by hemidesmosmes

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33
Q

stratum spinosum

A

contains keratinocytes connected by desmosomes, giving it a spiny appearance

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34
Q

what are Tonofilaments, and what is their role in the Stratum Spinosum

A

Tonofilaments are keratin intermediate filaments inside keratinocytes.
They extend toward desmosomes, helping to connect cells.

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35
Q

how does spinosum appear under LM

A

desmosomes appear as β€œprickles” between cells, giving the layer its spiny look.

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36
Q

how does spinosum appear under TEM

A

prickles are tonofilaments extending from the cells and attaching to desmosomes.

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37
Q

why spiny appearance

A

desmosomes holding cells together after shrinking during slide preparation

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38
Q

stratum superficial

A

-Cells are squamous (flat) and alive, containing nuclei.

-May have small, flattened nuclei but lacks a keratinized surface layer.

-Example: Buccal mucosa (lining mucosa) is non-keratinized.

39
Q

list the epithelium layers of masticatory mucosa

A

1- startum basal (germinativum)
2- stratum spinosumI( prickle cell layer)
3- stratum granulosum
4-stratum superficial (parakeratinzed)

40
Q

orthokeratinized

A

surface cells have lost nuclie and found in skin

41
Q

parakeratinzed

A

cells retain dead nuclie and found in gingiva

42
Q

what are the two layers of lamina propria

A
  • papillary layer
  • reticular layer
43
Q

papillary layer

A

layer closet to epithelium and its between epithelial pegs (ridges) and it shows regional variation in mouth
loose arrangement of collagen fibers

44
Q

reticular layer

A

between papillary layer and submucosa
got bundles of collagen fibers

45
Q

submucosa

A

-its a fibrous CT
-some areas have loose submucosa others dense
-has minor salivary glands
-the collagen and elastic fibers attach it to the underlying bone or muscle

46
Q

what type of epithelium is found in skin

A

keratinized squamous epithelium

47
Q

what type of epithelium is found in the oral mucosa (lining of the lips)

A

nonkeratinized squamous epithelium

48
Q

what kind of salivary glands we have in lips

A

minor mucoserous salivary gland

49
Q

what does the skin of lip contain

A

sweat glands, sebaceous glands , hair follicles

50
Q

what does the vermillion zone and labial mucosa contain

A

orbicularis oris muscle

51
Q

which pharyngeal arches contribute to the development of the tongue

A

the tongue develops from arches 1, 3, and 4

Anterior 2/3 (body) β†’ from 1st arch
Posterior 1/3 (base) β†’ from 3rd and 4th arches

52
Q

what kind of mucosa covers tongue

A

βœ”οΈ Specialized mucosa (dorsal surface)
βœ”οΈ Lining mucosa (ventral surface)

53
Q

what divides the tongue into symmetrical halves

A

midline septum

54
Q

which part of the tongue is flexible and responsible for movement

A

βœ”οΈ Anterior 2/3 (body) β†’ moves for speech, mastication, and swallowing

βœ”οΈ Posterior 1/3 (base) β†’ anchored to the pharynx, less mobile

55
Q

which papillae contain taste buds

A

βœ”οΈ Fungiform
βœ”οΈ Foliate
βœ”οΈ Circumvallate
❌ Filiform papillae do NOT contain taste buds (they provide friction for food handling)

56
Q

tongue known as

A

flexible muscular structure

57
Q

what functions do the tongue’s movements help with

A

βœ”οΈ Suckling (infants)
βœ”οΈ Mastication (chewing)
βœ”οΈ Mixing food with saliva
βœ”οΈ Positioning food between teeth
βœ”οΈ Formation of food bolus
βœ”οΈ Swallowing (oral phase)
βœ”οΈ Cleansing oral vestibule & sulci
βœ”οΈ Speech articulation
βœ”οΈ Gagging / retching

58
Q

what divides the dorsal surface of the tongue into anterior 2/3 and posterior 1/3

A

sulcus terminalis β†’ a V-shaped groove

59
Q

what are the functions of lingual papillae

A

βœ”οΈ Mechanical function β†’ Helps in food manipulation
βœ”οΈ Sensory function β†’ Contains taste buds (except filiform)

60
Q

what structure is found in the posterior 1/3 of the tongue

A

lingual tonsil β†’ extensive nodules of lymphoid tissue

61
Q

which papillae have a mechanical function and do not contain taste buds

A

βœ”οΈ Filiform papillae
located in dorsum anteriorly
White in color
Most numerous
Flame-shaped
Keratinized epithelium
Create a tough, rough surface

62
Q

Which papillae are scattered anteriorly, smooth, and red

A

βœ”οΈ Fungiform papillae

Smooth and rounded
Contain taste buds in their thin, non-keratinized epithelium

63
Q

why do filiform papillae appear shorter than fungiform papillae in histological sections

A

Due to the plane of sectioning

64
Q

location of fungiform papilla

A

between filiform papilla
most numerous near tip of tongue

65
Q

why is fungiform papilla red

A

due to their highly vascular CT core

66
Q

where are foliate papillae located

A

lateral border of tongue post appearing as parallel ridges

67
Q

are foliate papillae well developed in humans

A

βœ”οΈ No, they are poorly developed in humans but in animals its well developed
βœ”οΈ Contain only a few taste buds

68
Q

what is found near foliate papillae

A

lymphoid tissue

69
Q

where are circumvallate papillae located

A

βœ”οΈ Located in a V-shape at the posterior tongue
βœ”οΈ 8-12 large, rounded structures
βœ”οΈ Surrounded by a circular sulcus/groove

70
Q

what type of epithelium is found on different parts of circumvallate papillae

A

βœ”οΈ Oral surface β†’ Keratinized
βœ”οΈ Lateral/vertical surface (inside sulcus) β†’ Non-keratinized (contains numerous taste buds)

71
Q

what is the function of minor serous salivary glands near circumvallate papillae

A

Von Ebner glands which open into sulcus β†’ Secrete serous fluid to wash away bitter taste

72
Q

what is the shape of taste bud

73
Q

where are taste buds found

A

βœ”οΈ Tongue
βœ”οΈ Soft palate
βœ”οΈ Other areas of the oral cavity & pharynx

74
Q

what type of cells make up taste buds

A

βœ”οΈ Taste cells (neuroepithelial cells)
βœ”οΈ Basal (stem) cells

75
Q

how many cells make up a taste bud

A

30-100 spindle-shaped cells in epithelium

76
Q

what structures connect taste bud cells

A

Junctional complexes

77
Q

what is a taste pore

A

apical tip of the taste bud that opens into the oral cavity

78
Q

what kind of receptors are the taste buds

A

specialized chemoreceptors

79
Q

what are the three types of cells in a taste bud

A

βœ”οΈ Sensory cells – Detect taste and send signals to nerves
βœ”οΈ Basal cells – Replace old taste bud cells
βœ”οΈ Supporting cells – Provide structural support

80
Q

how does taste sensation work

A

1️⃣ Food dissolves in saliva
2️⃣ Stimulates sensory cells in taste buds
3️⃣ Sensory cells release neurotransmitters
4️⃣ Signals travel via Cranial Nerves VII facial nerve, IX glosso , & X vagus to taste ganglia
5️⃣ Signals reach the brainstem β†’ thalamus β†’ cortex

81
Q

what are the five basic taste sensations

A

βœ”οΈ Sweet – Sugars & artificial sweeteners
βœ”οΈ Sour – Acids (H+ ions)
βœ”οΈ Salty – Sodium (Na+) & other salts
βœ”οΈ Bitter – Alkaloids (e.g., caffeine, quinine)
βœ”οΈ Umami – Glutamate (found in meat, cheese, MSG)

82
Q

what are the 3 types of gingival epithelium

A

free gingival epithelium , attached gingiva , crevicular epithelium (junctional epithelium)

83
Q

why is JE imp for gingival integrity

A

forms a seal between tooth and gingiva preventing bacterial invasion and maintaining tissues

84
Q

what makes JE unique

A

its non keratinized , squamous cells stratified but thin, and soft tissue attached to hard tissue by hemidesmosomes

85
Q

what is the role of hemidesmosomes

A

attach JE to basal lamina providing smooth junction between epithelium and lamina propria no invagination

86
Q

JE rests on

A

basement membrane

87
Q

can the junctional epithelium regenerate

A

yes, it can regenerate from adjacent oral epithelium when damaged

88
Q

why is the junctional epithelium (JE) interface straight

A

lacks rete pegs because it does not experience masticatory forces

89
Q

is the junctional epithelium involved in mastication

A

no, it is a delicate, non-keratinized epithelium attached to the tooth

90
Q

is attached gingiva involved in mastication

A

yes , Para keratinized , thick and convoluted for better attachments

91
Q

what makes the dentogingival junction a unique junction in the human body

A

only place where soft tissue (gingiva) attaches directly to a hard structure (tooth enamel/dentin/cementum)

92
Q

how does dentogingival junction protect oral environment from body internal environment

A

provides a seal

93
Q

why is the basal lamina in dentogingival junction atypical

A

because it attaches epithelium to hard tissue (tooth) using hemidesmosomes, making it easier to break