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52 Cards in this Set

  • Front
  • Back
Functions of the oral cavity
protection against abrasion

protection against bacteria

sensory

digestive

speech

secretion

respiration
Ring of Waldeyer
palatine + lingual + pharyngeal tonsils encircling the posterior part of the oral cavity

helps to protect against bacteria via the immune response
Nitroglycerin
can be very quickly absorbed thru the extremely thin mucosa in the floor of the mouth
oral mucosa
darker in color than the skin
bright red = diseased
salmon pink = healthy

moist surface
forms a gel-like clot (not a dry scab as in integument)

doesn’t have appendages like sweat glands but has salivary glands

smoother surface than the skin
linea alba
white keratinized line along the buccal mucosa
rugae
transverse mucosal ridges on the hard palate
stippling
indication of healthy gingiva
Fordyce Granules
benign condition

ectodermal precursor was deposited in certain areas to later become sebaceous glands - but they should not exist in the oral cavity

embryological accident

Looks like pale yellow spots
types of mucosa of the oral cavity
Masticatory

Lining/Reflecting Mucosa

Special
Masticatory Mucosa
keratinized, immoveable, firm

subjected to a lot of abrasion
lining / reflecting mucosa
un-keratinized, moveable, soft
Special Mucosa
Consists of papillae on the dorsum of the tongue
endogenous pigmentation
color produced by melanin & hemoglobin
exogenous pigmentation
Color produced by external factors such as amalgam tattoo and Burton's line
amalgam tattoo
“staining” caused by leakage of the metal components out of amalgam restoration
Burton’s Line
Dark line staining of gingiva caused by metal toxicity to lead or mercury
What occurs to Epithelium as you age
Gets thinner
Whats occurs to Rete pegs as you age
Get shorter

Therefore Epithelium and CT are not as firmly attached to each other
What occurs to filiform papilla as you age
They decrease

Due to less Vit B
What occurs to Langerhan cells as you age
They decrease

Therefore less immune response
What occurs to Fordyce Granules as you age?
They increase
What occurs to varicosities as you age?
Develop Caviar tongue to to varicose veins in lingual
What occurs to pulp as you age?
Pulp has less cells and more collagen fibers
What occurs to minor salivary glands as you age?
They atrophy

Leads to xerostomia and increased incidence of root caries
Lamina Propria
typical CT w/ collagen, reticular, elastic fibers

NEVER has glands except for Von Ebner minor salivary glands
Where are Von Ebner salivary glands
Located in Lamina Propria of Oral Mucosa
What is the only gland found in the Lamina Propria
Von Ebner minor salivary glands
Oral Epithelium
Stratified squamous

Keratinization based on location

Has rete peds

Same strata as skin
Where can you find Langerhan cells?
Found in Stratum Spinosum of Oral Epithelium
Merkel Cells
Sensory receptors in the Stratum Basale of Oral Epithelium
Oral Submucosa
Thin areolar CT

Glands

Adipose tissue
Supporting wall of Oral Cavity
Cementum, bone or muscle
Supporting wall of gingiva
Mucoperiosteum and cementum
Supporting wall of hard palate
Periosteum
Supporting wall of soft palate
Skeletal muscle
Supporting wall of floor of mouth
Loose attachment

Allows mobility of tongue
What type of epithelium can be found on gingiva
Thick, keratinized with numerous, long rete pegs
What type of epithelium can be found on hard palate
Thick, keratinized with numerous, long rete pegs
Where does gingiva have glands
It has no glands in both lamina propria and submucosa
Where does hard palate have glands
Only in submucosa
Which portion of the oral cavity has the thinnest epithelium
Floor of oral cavity
Where are the glands located for the vermillion border of the lips
There are no glands in both lamina propria and submucosa
What areas of the oral cavity have absolutely no glands?
Gingiva and vermillion border of the lips
Filiform Papillae
cone-shaped

most numerous

fully keratinized w/ NO taste buds

help propel food backwards

Projects above the tongue surface
Fungiform Papillae
dome-shaped

scattered

partially keratinized

Taste buds for sweet / salty

projects above the tongue surface
Circumvallate Papillae
largest

10-12 located along the V-shaped Sulcus Terminalis

recessed into surface of the tongue

debris can accumulate in trench

have Von Ebner’s Glands (minor salivary glands) to release secretions into the crypts to wash away debris

partially keratinized

taste buds for sour
Foliate Papillae
not really prominent in humans

taste buds for sour
aspirin burn
long topical exposure causes necrosis & sloughing of the mucosa
dental fluorosis
white to brown spots on enamel surface depending on severity
tetracycline
stains hard tissues like bone & teeth
black hairy tongue
hypertophy of the filiform papillae

Caused by foods, nicotine, antibiotics
Enamel Erosion
Caused by chewable aspirin and Vit-C