6- mucosa ii

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ORAL MUCOSA ORAL MUCOSA Basal cell layer Prickle cell layer Granular cell layer Cornified cell layer basal intermediate superficial Lamina propria Lamina propria Stratified squamous epithelium Keratinized Non - keratinized : ortho ortho-keratin. para para-keratin. Papillary layer Reticular layer glands or fat cells May or may not be present Oral Oral epithelium epithelium Submucosa Submucosa Basement membrane

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Page 1: 6- MUCOSA II

ORAL MUCOSAORAL MUCOSA

Basal cell layer

Prickle cell layer

Granular cell layer

Cornified cell layer

basal

intermediate

superficial

Lamina propriaLamina propria

Stratified squamous epithelium

Keratinized Non-keratinized:

•orthoortho-keratin.•parapara-keratin.

Papillarylayer

Reticular layer

glands or

fat cells

May or

may not be

present

Oral Oral epitheliumepithelium

SubmucosSubmucosaa

Basement

membrane

Page 2: 6- MUCOSA II

KeratinizedKeratinizedEpitheliumEpithelium

NonNon--keratinizekeratinize

ddepitheliumepithelium

Page 3: 6- MUCOSA II

Types of Types of KeratinizationKeratinization

Orthokeratinized st. sq. epith.

Parakeratinized st. sq. epith

Page 4: 6- MUCOSA II

ORAL MUCOSAORAL MUCOSA

MASTICATORY

LINING

SPECIALIZED

GINGIVA, HARD PALATE DORSUM OF TONGUE

LIPS , CHEEKS, VENTRAL SURFACE

OF TONGUESOFT PALATE

ALVEOLAR MUCOSA, FLOOR OF MOUTHVESTIBULAR FORNIX

LOOSELY ATTACHED FIRMLY ATTACHED

Page 5: 6- MUCOSA II

GINGIVA

HARD PALATE Macro-anatomy : shape, regions… Micro-anatomy:

Histological Structure

Epithelium: Lamina propria:type epithelial ridges

papillary layer reticular layer

Submucosa: present or absent associated structures

glandsb.v.nervesadipose tissue

Masticatory Masticatory MucosaMucosa

Page 6: 6- MUCOSA II

Gingiva – Macro-Anatomy

Free gingiva

attached gingiva

Gingival stipplingFree

gingival groove

palepink

interdenta

l“col”

region

Gingival

sulcus

Interdental fold

Page 7: 6- MUCOSA II

Pigmentation

Normal stippling

Page 8: 6- MUCOSA II

Extrinsic pigmentation: Amalgum tattoo

Page 9: 6- MUCOSA II

Gingival margin

Free gingiva

attached gingiva

Gingivalsulcus

Gingival stippling

Free gingival groove

Dentin

Space ofenamelSulcular epithelium

Junctional epithelium

cementum

dentinogingiva

l fibers

Gingiva – Micro-Anatomy

Page 10: 6- MUCOSA II

Histology of the Gingiva

keratenized stratified squamous epithelium

Lamina propria

Epithelial ridges

C.T papilla

long

NumerousSlenderIrregular

No submucosa

Page 11: 6- MUCOSA II

Gingival Gingival LigamentLigament

B: Dento-gingival group

D: Alveolo-gingival group

A: Circular group

C: Dento-periosteal group

Page 12: 6- MUCOSA II
Page 13: 6- MUCOSA II

Hard Palate Macro-anatomy

incisive

papillamedian

palatine raphe

soft palate

uvula

palatine gingiva

palatine rugae

antero-lateral (fatty) zone

postero-lateral

(glandular) zone

Page 14: 6- MUCOSA II

Hard Palate Macro-anatomy

Page 15: 6- MUCOSA II

Histology of the Hard Palate

SubmucosaGlandular zone

Epithelial ridges are long,irregular and numerous Mucosa

Fatty zone

Page 16: 6- MUCOSA II

Hard Palate Micro-anatomy

Page 17: 6- MUCOSA II

ORAL MUCOSAORAL MUCOSA

MASTICATORY

LINING

SPECIALIZED

GINGIVA, HARD PALATE DORSUM OF TONGUE

LIPS , CHEEKS, VENTRAL SURFACE

OF TONGUESOFT PALATE

ALVEOLAR MUCOSA, FLOOR OF MOUTHVESTIBULAR FORNIX

LOOSELY ATTACHED FIRMLY ATTACHED

Page 18: 6- MUCOSA II

LINING MUCOSA

LIPS , CHEEKS, VENTRAL SURFACE

OF TONGUESOFT PALATE

ALVEOLAR MUCOSA, VESTIBULAR FORNIXFLOOR OF MOUTH

LOOSELY ATTACHEDFIRMLY ATTACHED

Page 19: 6- MUCOSA II

The LipThe Lip

Skin Skin SideSide

Vermilion Vermilion zonezone

Mucous Membrane Mucous Membrane sideside

Page 20: 6- MUCOSA II

The LipThe Lip

Skin SideSkin Side

VermilioVermilion zonen zone

Mucous Mucous Membrane Membrane

sideside

Sebaceous glands

salivary glands

epidermis( stratum lucidum)

eleidinSeat & sebaseous

glands

thick nonkeratinized st. sq. epitheliumdense collagen f.

minor salivary glands

Thin epith, thin keratin layer,high C.T. papillae, many b.v.

(occasional Fordyce spots)

Page 21: 6- MUCOSA II

Skin Skin SideSide

epidermis( stratum lucidum)

eleidinSeat & sebaseous

glands

Sweat glands

A- Hair follicles

B- Sebaceous glannds

C- Sweat glands

Page 22: 6- MUCOSA II

The LipThe Lip

Skin SideSkin Side

epidermis

(stratum lucidum)

Eleidin

•Hair follicles

•Sweat glands

• Sebaseous glands

Hair papilla

Hair root

Page 23: 6- MUCOSA II

Vermilion zone

(red zone)Thin epith, thin keratin layer,high C.T. papillae, many b.v.

Page 24: 6- MUCOSA II

Mucous Membrane SideMucous Membrane Sideof the Lipof the Lip

thick nonkeratinized st. sq. epitheliumdense collagen f.

minor salivary glands(labial glands)

Sebaceous glands

(occasional Fordyce spots)

Page 25: 6- MUCOSA II

Alveolar mucosa

Floor of the mouth

Vestibular fornix

Loosely Attached “Movable”mucosa

loosely attached to periosteum

loosly attached to underlying structures

allows mobility of the tongue

allows mobility of lips and cheeks

Page 26: 6- MUCOSA II

Alveolar mucosa

mucogingival junction

Epithelium: st. sq. nonker. epith ,.few or no epith. ridges

lamina propria:

Loose C.T, collagen & elastic fibersSubmucosa: thick elastic fibers

& mixed salivary glands

Floor of the mouth Very tin epith.lamina propria

highly vascularizes

Vestibular fornix

Loosely Attached“Movable”mucosa

Page 27: 6- MUCOSA II

Firmly Attached Immovable Firmly Attached Immovable mucosamucosa Lip & cheek

mucosaInferior surfaceof the tongue

Soft palate

Oral side

Nasal side:pseudustratified

ciliated epith .

Page 28: 6- MUCOSA II

ventral surface of the tongue

Firmly attached to underlying muscles

Thin non.kert. st.sq. epith.Sew-teeth appearance of epith ridges

Page 29: 6- MUCOSA II

Tongue Dorsal SurfaceTongue Dorsal Surface

Specialized Specialized MucosaMucosa

Page 30: 6- MUCOSA II

Tongue PapillaeTongue Papillae

Page 31: 6- MUCOSA II

Filiform papillae

Page 32: 6- MUCOSA II

Fungiform papillae

Page 33: 6- MUCOSA II

Circumvallate papillae

“SEM”

von Ebner salivary glnds

Page 34: 6- MUCOSA II
Page 35: 6- MUCOSA II

Von Ebner

salivary gland

Circumvallate papillae

trough

Page 36: 6- MUCOSA II

Von Ebner

salivary gland

Page 37: 6- MUCOSA II

Foliate papillae

Page 38: 6- MUCOSA II

Taste Bud

SEM

H & E stain

Page 39: 6- MUCOSA II

Taste Bud

Page 40: 6- MUCOSA II

3 -Neuroepithelial cell

1 -Outer supporting cell

Taste pore

2-Inner supporting cell

Page 41: 6- MUCOSA II
Page 42: 6- MUCOSA II

Taste distribution

Page 43: 6- MUCOSA II

Posterior Third of TonguePosterior Third of Tonguelymphatic part

Page 44: 6- MUCOSA II

Lingual tonsilLingual tonsil

Weber salivary gland (Pure mucous gland

Page 45: 6- MUCOSA II

Lingual cryptLymphatic nodules(follicles)

Weber salivary glands

Page 46: 6- MUCOSA II