Oral mucosa up to slide 13
Oral mucosa
Mucous membrane: moist lining of body cavities that communicate with the exterior
Oral mucosa: mucosa/ mucous membrane lining the oral cavity with many functions such as: protective, sensory, & secretory
Epithelium: AVASCULAR; basic tissue types that covers & lines the external & internal surfaces
ORAL Epithelium: avascular, superficial layer of oral mucosa (overlying the CT tissue proper OR lamina propria)
Basement Membrane: extracellular material consisting of a basal & reticular lamina produced by epithelium & CT
Thin acellular bm located between epithelium & CT
Connective Tissue CT: basic tissue type composed of cells & matrix as well as other component
Connects & supports other tissues
Oral mucosa CT PROPER: supportive layer of CT aka. Lamina propria, underlying epithelium
FUNCTIONS AS: mechanical support layer because of density/ arrangement of blood supply
Oral Mucosa:
Oral cavity: mirror that reflects the health of the individual
WHY? Can reveal signs of underlying health issues
← Stratified Squamous Epithelium overlying a CT PROPER OR lamina propria, with a possible deeper submucosa
Oral Mucosa Properties: The clinical appearance of tissue reflects the underlying histology for healthy/ normal or diseased patients
Basement membrane = “extracellular materials” 2 layers:
Basal lamina (superficial) produced by epithelium
Reticular lamina (deeper) produced by CT
thin, acellular structure between epithelium & CT (of oral mucosa & skin)
Continuously lines the oral cavity; connecting structures and linking the two
COMPOSED OF: stratified squamous epithelium overlying a CT PROPER, or lamina propria, with possibly a deeper submucosa
Changes indicative of disease are seen as alterations in the oral mucosa, revealing:
Systemic conditions such as:
Diabetes
Vitamin deficiency
Local effects of chronic tobacco/ alcohol use
Q:Oral Mucosa is composed of Stratified Squamous Epithelium OVERLYING Connective Tissue
FUNCTIONS: mucosa/ mucous membrane lining oral cavity
Protects us from mechanical forces
Act as barrier to: pathogens
sensory (taste & pressure)
absorption (Nitroglycerine)
secretion (salivary glands)
esthetics
**Keratinized = greater protection than NON-Keratinized
Stratified Squamous Epithelium = “EPIDERMIS”
an overlying CT PROPER (lamina propria) = “DERMIS”
CT makes up BULK of skin & oral mucosa
Regional differences occur
Q: Oral Mucosa is specifically made of Stratified Squamous Epithelium
Q: Although regional differences occur, Connective Tissue makes up the bulk of oral mucosa
Structure of Oral Mucosa: TWO Basic Tissue Types REVIEW:
Epithelium → ORAL EPITHELIUM - superficial layer of oral mucosa overlying the CT PROPER (lamina propria)
Stratified Squamous Epithelium
CT → CT PROPER = LAMINA PROPRIA - underlying supportive layer beneath epithelium
FUNCTIONS: mechanical support because of density & allow arrangement of blood supply
TYPES of Oral Mucosa (3) Main Types: found in oral cavity
Classification of oral mucosa is based on the General Histologic Features of the tissue
Lining: Soft palate
buccal & labial
Alveolar mucosa
Ventral surface of tongue
Floor of mouth
Masticatory: Hard palate
attached gingiva
Dorsal surface of tongue
Specialized mucosa: dorsal & lateral tongue
Lining Mucosa: Regions****
Alveolar Mucosa: part of oral mucosa immediately apical to the mucogingival junction
Buccal Mucosa: mucosa lining the inner cheeks
Labial Mucosa: mucosa lining inner portions of the lips
Floor of the Mouth: horizontal horseshoe shape area beneath the tongue.
Above mylohyoid muscle (makes up most of floor of mouth) and posteriorly toward the anterior tonsillar pillar
Ventral Surface of Tongue: undersurface of tongue
Closest to floor of mouth
Soft Palate: posterior ⅓ of palate = VELUM
Back of the roof of the mouth
General Clinical Appearance:
Softer surface texture & moist surface
Ability to stretch and be compressed, acting as cushion
General Histological Features: allows mucosa to serve in regions of the oral cavity where a movable base is needed such as during:
Speech
Mastication
swallowing
NONKERATINIZED EPITHELIUM with smooth interface, few rete ridges & CT Papillae with elastic fibers in lamina propria & submucosa overlying muscle