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47 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
through what surface do most substances enter the body?

what are it's 4 functions?
alimentary mucosa

1. secretion
2. absorption
3. barrier
4. immunologic protection
what substances does alimentary mucosa secrete?
digestive enzymes
HCl
mucin
antibodies
2 divisions of oral cavity and what each contains
Vestibule
- space between lips, cheeks, and teeth

Oral cavity proper
- behind teeth, bounded by hard and soft palates, tongue and floor of mouth, oropharynx entrance
What are the major salivary glands and their ducts?
1. Parotid Gland
- largest
- excretory duct: parotid (Stensen's duct) opens at parotid papilla opposite 2nd molar tooth

2. Submandibular gland
- submandibular duct (Wharton's) opens at sublingual caruncle on each side of lingual frenulum

3. Sublingual gland
- several excretory ducts, some enter submandibular duct
where are the minor salivary glands located?
submucosa of oral cavity
empty directly via short ducts
What is Waldeyer's ring?
tonsillar ring of immune protection
consists of 4 lymphatic nodules

1. palatine tonsils - entrance to oropharynx

2. tubal tonsils - lateral nasopharynx

3. pharyngeal tonsil (adenoid) - roof of nasopharynx

4. lingual tonsil - base of tongue
3 types of mucosa in oral cavity

- location?
1. masticatory - gingiva and hard palate

2. lining - lips, cheeks, alveolar mucosal surface, inferior tongue, soft palate

3. specialized
Masticatory Mucosa
stratified squamous epithlium
- keratinized (resembles skin but Lacks Stratum Lucidum)

- parakeratinized
--- superficial cells don't lose nuclei
---cytoplasm doesn't stain intensely with eosin

-- lamina propria--
thick layer of loose CT protects it from shearing and frictional stress

- at midline (palatine raphe) mucosa adheres to bone - reticular layer of lamina propria blends with periosteum - no submucosa
2 types

what's underneath?
submucosa of masticatory mucosa
underneath lamina propria

- fatty zone - anterior
- glandular zone - posterior, mucous glands continuous with soft palate

- thick collagen extends from mucosa to bone
Lining Mucosa
has fewer and shorter papillea - adjusts to muscle movement

- Nonkeratenized with exceptions
(may be parakeratinized in some places and keratinized on border of lip)

1. Stratum Basale - single layer of cells on basal lamina

2. Stratum Spinosum - several cell layers

3. Stratum Superficiale - most superficial (surface) layer

cells:
keratinocytes
Langerhan's cells
melanocytes
Merkel's cells

Lamina Propria:
- blood vessels
- nerves

Distinct Submucosa
- larger blood vessels
-nerves
- lymphatic vessels
- collagen
-elastic fibers
- binds mucosa to muscle
- contains minor salivary glands
- occasional sebaceaous glands (Fordyce spots)
Specialized Mucosa
contains papillae and taste buds

location: dorsal tongue surface
lingual muscles
extrinsic - one attachment outside
intrinsic - all within tongue

bundles run in 3 planes - arranged at right angles
adipose tissue found among muscle bundles
types
arrangement
sulcus terminalis
V-shaped depression
foramen cecum
remnant of site from which evagination of pharyngeal floor occurred to form thyroid gland
4 types of papillae
1. Filiform
2. Fungiform
3. Circumvallate
4. Foliate
Filiform papillae
- smallest
- most numerous
- covered with highly keratenized stratified squamous epithelium

- only mechanical role, do not contain taste buds

- anterior dorsal tongue surface
- tips point backward
Fungiform papillae
- taste buds
- stratified squamous epithelium

- dorsal surface of tongue
- scattered among filiform papillae, project above
- more numerous at tip
Circumvallate papillae
- stratified squamous epithelium
- has taste buds
- anterior to sulcus terminalis
- only 8-10 in humans
- lingual salivary glands empty their secretion into base of motes, flush material out
von Ebner's glands
lingual salivary glands with serous secretion
Foliate papillae
- lateral tongue: parallel rows of ridges separated by mucosal clefts
- small serous glands empty into celfts
3 cell types in taste buds
1. Neuroepithelial (sensory) cells

2. Supporting Cells

3. Basal cells
Neuroepithelial (sensory) cells
- most numerous
- extend from basal lamina to taste pore
- extend microvilli
- at apex connected by tight junctions
- at base form synapse with processes of sensory neurons of CN VII, IX, X
- 10 day turnover
Supporting Cells
- xtend from basal lamina to taste pore
- microvilli and tight junctions
- 10 day turnover

- DO NOT synapse with nerve cells
Basal cells
- small cells near basal lamina
- stem cells for neuroepithelial and supporting cells
locations of taste buds

types of taste detected
- papillae (except filiform)
- glossopalatine arch
- soft palate
- posterior epiglottis
- posterior wall of pharynx down to cricoid

sweet - tip
salty - posterolateral
bitter - back
acid - back (circumvallate)
umami
lingual tonsil
- epithelial crypts invaginate into lingual tonsil - invaded with lymphocytes

- between lymphatic nodules it
has characteristics of Lining Epithelium

- mucous salivary glands within and extend into muscles at base of tongue
Tongue Nerve Supply
motor: glossopharyngeal IX

vascular and glandular innvervation: sympathetic and parasympathetic nerves which innervate blood vessels and salivary glands

ANTERIOR 2/3
- general sensation: V3 (trigeminal - mandibular division)

- taste: chorda tympani VII

POSTERIOR 1/3
- general sensation: glossopharyngeal IX and vagus X

- taste: glossopharyngeal IX and vagus X
secretory glands
- surrounded by moderately dense CT
- septa divide gland into lobes and lobules
- septa contain blood vessels and excretory ducts
- lymphocytes and plasma cells populate the CT
what is an acinus
3 types of acini
blind sac of secretory cells

1. serous: protein secreting
- spherical

2. mucous acini: mucin secreting
- tubular

3. mixed acini: serous and mucous cells
- caps of serous cells called serous demilunes - artifacts of routine fixation formed by expansion of mucinogen
basic secretory unit of salivary gland
what it consists of
salivon
- acinus
- intercalated duct
- excretory duct
Serous Cells
- protein secreting
- pyramidal shape
- rER
- free ribosomes
- prominent Golgi
- numerous spherical secretory granules in apical cytoplasm
- near apex joined by junctional complexes
Mucous Cells
- mucin secreting
- cyclic activity

- mucous stored in mucinogen granules in apical cytoplasm (lost in prep, looks empty)
- apical junctional complex
Myoepithelial Cells
- contractile cells with numerous processes
- move secretory products toward excretory duct
- between basal plasma membrane of epithelium and basal lamina
- also at proximal portion of duct
- sometimes difficult to see in H&E, nucleous small near basement memebrane
Salivary Ducts - 3 segments
1. Intercalated Duct - from acinus, cuboidal epithelial cells
- cells have carbonic anhydrase activity

2. Striated Duct - striations are infoldings of basal plasma membrane of columnar cells

3. Excretory Duct - larger ducts that empty into oral cavity
ducts in serous glands
-well developed intercalated and striated ducts
- modify serous secretion by absorption of components and secretion of additional components
ducts in mucous glands
-poorly developed intercalated ducts
-no striated ducts
- secretion is not modified
Intercalated ducts
- cuboidal epithelial cells
- cells have carbonic anhydrase activity
- secrete bicarbonate
- absorb chloride
Striated Ducts
- cuboidal epithelium that becomes columnar
- striations = infoldings with mitochondria within, due to reabsorption of fluid and electrolytes
- centrally located nucleus
- reabsorb Na+ (more)
- secrete K+ and HCO3-
- secretion becomes hypotonic
- if secretion is fast less reabsorption and secretion so saliva is more isotonic to hypertonic
Excretory Ducts
- principal duct that connects to oral cavity
- simple cuboidal epithelium changes to psedustratified columar/ stratified cuboidal to stratified squamous near oral epithelium
- travel in interlobular and interlobar CT
Parotid Gland
- completely serous
- largest gland
- numerous, long, narrow intercalated ducts
- large and conspicuous striated ducts
- large amounts of adipose tissue
- CN VII passes through - can be damaged by mumps (viral infection of parotid)
Submandibular Gland
- mixed, mostly serous
- duct runs lateral to frenulum of tongue
- less extensive intercalated ducts
Sublingual Gland
- mixed, mostly mucus
- smallest glands; in floor of mouth
- multiple small sublingual ducts empty into submandibular duct and floor of mouth
- short or absent intercalated and striated ducts
- secretory units may be more tubular
Saliva
- combined secretion of all major and minor glands
- additional sources of saliva: gingival sulcus, tonsillar crypts, general transudation from epithelial lining
- 40x more produced than other digestive secretions (1,200mL per day)
- contains: water, proteins, glycoproteins, electrolytes
- higher K+ and bicarbonate and lower Na+ concentration
Functions of Saliva
1. moisten oral mucosa
2. moisten dry food for swallowing
3. medium for food materials that stimulate taste buds
4. buffer against bicarbonate ions in oral cavity
5. α-amylate digests carbs and continues to act in esophagus and stomach
6. muramidase = lysozyme controls bacterial flora - lyses muramic acid
7. Ca and P used for mineralizationa and repair of tooth enamel
acquired pellicle
protective coat over teeth formed by salivary proteins
- antibodies and other antbacterial agents
- without it -> many dental caries
salivary immunoglobulin A (IgA)
- made by plasma cells in CT surrounding acini of salivary glands
- dimeric and monomeric forms released into CT matrix
- salivary gland cells make a secretory glycoprotein which is inserted into plasma membrane and serves as receptor for dimeric IgA
secretory IgA complex
- formed when dimeric IgA binds to receptor
- internalized by receptor-mediated endocytosis
- carried through acinar cell to plasma membrane -> released into lumen as secretory IgA (sIgA)