Oral Mucosa III Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What is the Palate divided into?

A
  1. Hard Palate

2. Soft Palate

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2
Q

What are the characteristics of the Hard Palate?

A
  • Masticatory mucosa
  • Keratinised epithelium (sometime Parakeratinised)
  • Central region = NO SUBMUCOSA - the dense Lamina Propria binds directly to the underlying bone
  • Where Palate joins the alveolus, a submucosa is present and contains the main NEUROVASCULAR BUNDLE
  • Minor salivary glands posteriorly (lateral sides)
  • Adipose tissue anteriorly
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3
Q

What changes in tissue composition occur at the nasal surface of the hard palate?

A
  • Lined by a respiratory mucosa
  • Respiratory mucosa consists of ciliated columnar epithelial cells + lots of goblet cells
  • Beneath this there is a vascular submucosa containing minor salivary glands (mucous & serous)
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4
Q

What are the characteristics of the Soft Palate?

A
  • Non-keratinised lining mucosa
  • CT papillae are short and broad

Lamina Propria contains lots of elastic fibres and thin collagen fibre bundles

  • Broad submucosa with lots of salivary glands
  • Submucosa bound to underlying palatal muscles
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5
Q

What is it like at the junction between the hard and soft palate?

A
  • An abrupt shift in the epithelium
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6
Q

What are the characteristics of the Floor of the Mouth?

A
  • Lining mucosa
  • Little wear and tear but requires considerable mobility
  • Thin, non-keratinised epithelium with short papillae
  • Extensive submucosa at the floor of the mouth with a highly vascular lamina propria = ideal for drug delivery
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7
Q

What are the characteristics of the Tongue?

A
  • Ventral surface covered in Lining mucosa
  • Anterior 2/3 are divided from the posterior 1/3 by the SULCUS TERMINALIS
  • Anterior 2/3 of the tongue are covered with PAPILLAE
  • Posterior 1/3 has lots of lymphatic nodules
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8
Q

What are the 4 main types of papillae covering the DORSAL surface of the tongue?

A
  1. Filiform Papillae (most abundant)
  2. Fungiform Papillae (appears likes mushroom-oid papillae between Filiform)
  3. Folite Papillae
  4. Circumvallate Papilla
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9
Q

What’s Filiform Papillae?

A
  • Largely covers the anterior 2/3 of the dorsum of the tongue
  • Keratinised (Ortho or Para)
  • Forms hair-like tufts - areas between the tufts tend to be non-keratinised
  • Central core of Lamin Propria with secondary papillae branching from it
  • Mechanical function as they are HIGHLY ABRASIVE during mastication
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10
Q

What’s Fungiform Papillae?

A
  • Found as isolated, elevated mushroom-shaped papillae scattered between Filiform Papillae
  • Covered in thin epithelium. Keratinised OR non-keratinised
  • Vascular core of Lamina Propria
  • Taste buds found on the surface
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11
Q

What’s Foliate Papillae?

A
  • Present as 1 or 2 longitudinal clefts at the side of the posterior part of the tongue
  • Non-keratinised epithelium
  • Taste buds may be found within their epithelium
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12
Q

What’s Circumvallate Papillae?

A
  • Large and rounded
  • Surrounded by trench-like feature but don’t project beyond the surface of the tongue
  • Non-keratinised epithelium
  • Taste buds on the internal wall of the trenches
  • At the bottom of the trenches, small serous minor salivary glands empty
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13
Q

Taste Buds: What are they?

A
  • Specialised chemoreceptive organs responsible for taste
  • Located within the epithelium particularly around the walls of Circumvallate papillae
  • Also present on upper surface of Fungiform pap
  • Lateral walls of foliate pap
  • In the mucosa of the soft palate and in the epiglottis
  • A small pore opens from the surface into the bud
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14
Q

What are the 2 main types of cells?

A
  1. Taste cells

2. Supporting cells

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15
Q

What are the taste buds 4 distinct cell types?

A
  1. Type 1 = cells appear dark
  2. Type 2 = cells appear light
  3. Type 3 = cells appear light
  4. Type 4 = undifferentiated, lay basally and possess intermediate filaments
    - Type I and III form synapses with the intrageminal nerves
    - The taste bud is separated from the underlying CT by a basal lamina
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16
Q

What are the Lingual Tonsils?

A
  • Collection of lymphoid follicles on the posterior 1/3 of the tongue
  • Forms a component of the Waldeyer’s Ring (protects the opening of the Pharynx)
  • The follicles are deep crypts lined with epithelium and contain a mass of lymphoid material
  • Mucosa in this area contain mucous glands
17
Q

What are the components of Waldeyer’s Ring?

A
  • Lingual, Palatine, Tubal, Pharyngeal tonsils
18
Q

What Cytokeratins are expressed by the taste buds?

A
  • Simple Cytokeratins

- Most are positive for CK7, 8, 19