Oral Mucosa - Wright Flashcards

1
Q

Keratinized Oral epithelium:

location:

A

found in masticatory mucosa. (anterior portion of hard palate).

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2
Q

Keratinized oral epithelium:

surface from outer to inner

A

surface cells are keratinized (cornified)

stratum basale - cells cuboidal with central nuclei
stratum spinosum - cells look like ones in skin, lots of desmosomes, polyhedral.
stratum granulosum - cells begin to flatten, contain basophilic KERATOHYALIN GRANULES
stratum corneum: flattened cells called squames for this layer.

no nuclei in epithelium

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3
Q

orthokeratinization:

A

process by which cells in stratified squamous stratum corneum develop

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4
Q

Parakeratinized oral epithelium:

A

found in parts of gingiva and hard palate.

keratohyalin granules might be present, but stratum granulosum is less obvious than keratinized epithelium.

note: u shud never see parakeratinization in skin.

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5
Q

nonkeratinized oral epithelium:

location

A

majority of oral cavity.

found in lining mucosa. found inside of cheeks, inside of lips, on soft palate, under surface of tongue.

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6
Q

nonkeratinized oral epithelium:

difference:

A

no stratum granulosum. There is stratum intermedium instead.

no stratum corneum, there is stratum superficiale instead.

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7
Q

Difference between keratinized and nonkeratinized stratified squamous cells:

A

Keratinized: tonofilaments bundled together to form tonofibrils
Nonkeratinized: tonofilaments remained dispersed and un-bundled.

organelle: Membrane-coating (lamellate) granule appears in upper stratum spinosum.

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8
Q

keratinocyte:

A

primary cell type in t he stratified squamous epithelium

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9
Q

non-keratinocytes:

A

melanocytes
langerhans cells
merkel cells
inflammatory cells

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10
Q

layers of the lamina propria

A

papillary layer
reticular layer

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11
Q

Types of Oral mucosa:

Masticatory Mucosa

location

A

covers areas of oral cavity subjected to compressive / shear forces and abrasion during mastication

base of teeth, around teeth, attached gingiva, roof of mouth (palate).

found in hard palate and gingiva.

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12
Q

Types of Oral mucosa:

Masticatory Mucosa

facts

A

epithelium thick / orthokeratinized (sometimes parakeratinized)

numerous tall papillae of lamina propria increase surface area for attachment of epithelium.

collagen tightly anchored to underlying periosteum, forming mucoperiosteum

rigid, inflexible.

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13
Q

Types of Oral mucosa:

Lining mucosa:

location

A

underside of tongue, inside lips, cheeks, floor of mouth, alveolar processes up to gingiva, soft palate

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14
Q

Types of Oral mucosa:

Lining mucosa:

facts

A

epithelium thicker than masticatory mucosa, but nonkeratinized

more flexible, able to withstand stretching. can pull cheek and stuff

lamina propria thicker, less lamina propria, less papillae, typically thick submucosa

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15
Q

Types of Oral mucosa:

Specialized mucosa:

Location:

A

Covers dorsum (upper surface) of tongue

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16
Q

Types of Oral mucosa:

Specialized mucosa:

facts:

A

similar to masticatory mucosa, but with special features

anterior 2/3 of tongue = first arch. posterior 1/3 = 3rd arch. region separated V-shaped groove, sulcus terminalis

17
Q

special features of specialized mucosa:

types of lingual papillae:

A

types of lingual papillae:

fungiform papillae (mushroom-shaped)

filiform papillae: most numerous. thread-shaped.

foliate papillae: leaf-shaped

circumvallate papillae: surrounded by wall. each surrounded by deep circular groove into which von Ebner’s glands drain. just anterior to sulcus terminalis

18
Q

Mucosal junctions:

Mucocutaneous junction:

A

junction between skin / oral mucosa at LIPS

red/vermilion zone: has thin keratinized epithelium with high CT papillae bringing capillaries close to surface. Gives the red coloration

19
Q

Mucosal junctions:

Mucogingival junction:

A

junction between attached gingiva and alveolar mucosa.

free gingival groove: marking boundary between attached and free gingiva, corresponding to bottom of gingival sulcus, where teeth attaches to gingiva

20
Q

Mucosal junctions:

Dentogingival junction:

A

attachment of oral mucosa to the tooth

Sulcular epithelium: lines free gingiva

Junctional epithelium: where gingiva attaches to tooth
Reduced enamel epithelium derives into this

Attaches to teeth and underlying connective tissue by basal lamina
Lamin propria for sulcular epithlium is more mature than lamina propria than junctional epithelium
Col is where we floss (interdental gingiva)