New name for connective tissue; it has the same layers, but now they have new names, and a few more details
lamina propria
Loose connective tissue with "papilla" - finger like projections into the overlying epithelium which increase the surface area
Papillary layer
capillary system that runs between the two layers and sends more capillaries up into each papilla
Capillary plexus
dense connective tissue layer of the lamina propria
dense layer
may or may not be present deep to the dense layer. It can be adipose tissue (most common), saliva glands, or muscle
submucosa
the layer that the connective tissue of the oral mucosa connects directly to if the submucosa is not present
mucoperiosteum covering the bone
Order of tissue of the oral mucosa from superficial to deep layers:
epithelium
basement membrane
lamina propria:
papillary layer
capillary plexus
dense layer
submucosa or mucoperiosteum if submucosa is not present
3 classifications of oral mucosa:
lining mucosa
masticatory mucosa
specialized mucosa
softer surface texture, moist and able to stretch, compress
lining mucosa
rubbery surface texture and resilient (not stretchy)
masticatory mucosa
lingual papillae
specialized mucosa
found in the lining mucosa, most common type of epithelium in the oral cavity, and consists of new layers
nonkeratinized stratified squamous epithelium
What are the layers from deep to superficial of the nonkeratinized stratified squamous epithelium?
basal layer
intermediate layer
superficial layer
Deepest layer of the nonkeratinized stratified squamous epithelium. A single layer of cells that sit above the basement membrane and have two functions, which are: produce the lamina lucida of the basement membrane; and produce new epithelial cells by mitosis - no more mitosis occurs once you leave this layer
Basal layer
Middle layer of nonkeratinized stratified squamous epithelium. Cells have migrated superficially from the basal layer; this layer makes up the bulk of the epithelium
intermediate layer
top layer of nonkeratinized stratified squamous epithelium. Cells have continued to migrate and they've gotten flatter as they move up. Now they are squames. They die and are shed from the tissue
superficial layer
What are the layers of the orthokeratinized stratified squamous epithelium from deep to superficial?
Basal layer
prickle layer
granular layer
keratin layer
epithelium found in the masticatory mucosa. It is the least common in the oral cavity.
orthokeratinized stratified squamous epithelium
deepest layer of the orthokeratinized stratified squamous epithelium. a single layer of cells lying above the basement membrane, it produces that lamina lucida of the basement membrane, and produces new epithelial cells by mitosis, there is no more mitosis once you leave this layer
basal layer
similar to the intermediate layer. When you dry it out (to look under a microscope), the cells shrink, but maintain their desmosomes. This layer makes up the bulk of the orthokeratinized stratified squamous epithelium
prickle layer
similar to the intermediate layer. In these cells, we see the keratohyaline granules that will eventually keratinize the cell in orthokeratinized stratified squamous epithelium
granular layer
similar to the superior layer. They've migrated to the top, flattened out, and filled with keratin, so they have NO NUCLEI. The keratin cells die and are shed from the tissue. most superficial layer in the orthokeratinized stratified squamous epithelium.
keratin layer
found in the masticatory mucosa. More common than orthokeratinized tissue. This is exactly the same as orthokeratinized stratified squamous epithelium, except the keratin cells HAVE NUCLEI. They are on their way to loose the nucleus, but they are shed before they do.
Parakeratinized stratified squamous epithelium
Name 3 different types of epithelium of the oral mucosa
nonkeratinized stratified squamous epithelium
orthokeratinized stratified squamous epithelium
parakeratinized stratified squamous epithelium
The tall narrow papilla pulling on the epithelium. Means gums are very healthy. It looks kind of like an orange peal
stippling
the scalloped division between the attached gingiva and the alveolar mucosa
mucogingival junction
very normal pigmentation. Just like the melanin that gives your skin color, it can give color to the oral mucosa. More common in patients with darker skin (more melanin)