MindMap Gallery 5. Oral mucosa
This is a mind map about the five oral mucosa, which mainly includes: basic tissue structure and overview. The content is detailed, organized and easy to understand, and is an indispensable learning assistant for you.
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Five oral mucosa
Overview
The skin provides dry coating to the body surface, while the mucosa provides wet lining tissue to the surface of the cavity (connected to the outside world). The oral mucosa refers to the oral surface covering the surface, connected to the lip skin with lip red in front and then to the pharyngeal mucosa.
Basic organizational structure
Epithelial
(I) Keratinocytes
1. Base layer
Light microscope: The deepest layer of the epithelium, a layer of cubic or dwarf columnar cells; the nucleus is round, dark stained, and relatively few cytoplasm. Electron microscope: Hemidesmosomes are formed at the connection with connective tissue and are attached to the substrate.
2. Spinus layer
Light Mirror (1) Polygonal cells located on the upper layer of the basal layer and have the most layers in the epithelium. (2) The nucleus is round, located in the center, with 1-2 nuclei (3) Intercellular bridge, gingival and hard palate epithelium are obvious
Electron microscopy: intercellular bridge, that is, intercellular desmosome connection
Proteins that make up desmosomes: (1) Desmosomal calcium-dependent mucin (transmembrane protein) -------Desmosomal core protein, desmosomal protein (2) Proteins that adhere to foul-attached in the membrane (conjunctive protein)------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Destroyed---Pemphigus vulgaris.
3. Grain layer
Light microscope: 2~3 layers of cells form the cytoplasm and contain basophilic transparent keratin particles, which are darkly stained and the nucleus is concentrated. If the surface is positive and angular, this layer is obvious; if the surface is not complete, this layer may not be obvious.
Function: The main component of transparent keratin particles is filament agglomeration, which is a protein formed in the spinous cell layer, which is conducive to the storage of calcium in the cell.
4. Kratic layer
Light microscope: Located at the top of the epithelium, the cells are flat and the size is large
Orthokeratology: The organelles and nucleus disappear, the cytoplasm is filled with keratin, and the intercellular bridge disappears; red-stained cords.
Incomplete nuclei containing concentrated undisappeared
Keratinated scaly epithelium
The cell membrane disappears, replaced by the so-called keratinized envelope formed by crosslinked proteins and lipids. It is the main component of the epithelial barrier. And crosslinked with intracellular keratin. The keratinized envelope has high resistance to solubility and strong flexibility, which can well protect epithelial cells in the deep epithelial layer.
Nonkeratinized scaly epithelium
(1) Base layer (2) Spikeline (3) Intermediate layer (4) Surface
(II) Non-keratinocytes
Common features: The cytoplasm is not colored under sections, so it is called transparent cells.
1. Melanocytes
Located on the base layer Embryos migrate from neural crest cells at week 11
Light microscope: cytoplasm is transparent, nucleus is round or oval;
Special staining: The cytoplasm has dendritic protrusions that penetrate deep into the basal cells.
Clinical: Melanin deposition is common in gingivals, hard palate, cheeks and tongue, and is also a good site for melanin lesions.
2. Langerhans cell
Mainly located in the spinous layer, a small number are located in the basal layer, also in the shape of dendritic, from hematopoietic tissue
Light microscope: cytoplasmic transparency, nuclear deep staining
Function: related to mucosal immunity, local lymph nodes can be accessed through the lamina propria lymphatic vessels
3. Merkel cell
From the neural crest, located in the basal layer, is more common in the chewing mucosal epithelium A stress or tactile sensory cell
Light Mirror: Light dyeing
Electron microscope: generally no dendritic protrusions;
The electron-density membrane is covered with vesicles and contains neurotransmitters. This vesicle is common in the cytoplasm adjacent to the synaptic-like connection formed with nerve endings, which releases neurotransmitters and triggers impulses.
(III) The border of epithelium and connective tissue
The epithelium is closely bound to the connective tissue of the propria: epithelial ridge papillary protrusion epithelial peg: epithelial ridge intersected with the lamina propria in conventional sections
Electron microscope
Halfbridge
Basement membrane: membrane structure between the epithelium and the layer propria. Three parts----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Deep part of fiber
Halfbridge
Features: Electron-tight attachment fog can be seen on the inner side of the cell membrane of basal cells, and thin keratin filaments are inserted into the attachment fog.
composition: Focal-attached protein----BP230 and reticulin Transmembrane protein---------BP180 and integrin a6, *4
1. Transparent board lamina lucida It is about 45nm thick, close to the epithelial basal cells, and is a plate-like structure with low electron density. High electron density in regions corresponding to basal cell hemidesmosomes
2. Patch lamina densa It is about 50nm thick and is located on the deep side of the transparent plate, and is a granular or filamentous substance. High electron density. Substrate: transparent plate, sealed plate; from epithelial basal cells.
3. Screen board lamina reticularis Close to the propria, the electron density is lower than that of the dense plate Thicker transparent and dense plates, made of anchor fibers
Lamina propria
Consisting of dense connective tissue The nipple that extends into the epithelium is called the nipple layer, and the rest is called the mesh layer. The collagen fibers of the nipple layer are thinner, sparsely arranged, and the chewing mucosal nipple is longer; The reticular layer is more developed in the coated mucosa. Blood vessels and nerve fibers enter the papillary layer through the reticular layer to form capillary networks and nerve endings. The deep surface of the propria can have a submucosal layer or directly adhere to the periosteum. The basic cellular component is fibroblasts, which has the function of synthesizing and renewing fibers and matrix. The extracellular interstitial is mainly collagen fibers, type I 90%, type III 8%. Layer propria has a regulatory effect on the differentiation of epithelial cells
Submucosal layer
Loosen connective tissue, containing small salivary glands, larger blood vessels, lymphatic vessels, nerves and fat Provide nutrition and support for the propria Mainly distributed in the coated mucosa
Five oral mucosa
Classification and structural characteristics of oral mucosa
1. Chewing mucosa: gums, hard palate mucosa
2. Coated mucosa: lip, cheek, tongue abdomen, mouth bottom. Soft palate, oral vestibule, alveolar mucosa, etc.
3. Special mucosa: tongue mucosa
1. Chewing mucous membrane
1. Withstand pressure and friction while chewing
2. Epithelial keratosis, orthocorticization, incomplete angularization
3. The intercellular bridge between the spinous layer is obvious
4. The propria is thick, the nipple layers are numerous and long, and forms good mechanical attachment to the epithelial ridge.
5. The layer of propria is directly attached to the periosteum, or attached to it by the submucosal layer.-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
1. Gingival mucosa
Palatal mucosa Hard palate (front 2/3) Soft palate (bottom 1/3)
Hard palate mucosa light pink keratinous layer thicker, mainly positive keratinization
According to the presence or absence of submucosal layers, it is divided into: gingival area and intermediate area; fat area and gland area The glands in the glands are connected with the glands of the soft palate, making them pure mucous glands.
Incisor papilla (palatine nipple): the center of the anterior; the oral part of the degenerated nasal palatine canal below
Palate fold: Mucosal fold on the anterior side of the hard palate
Epithelial beads: The epithelial residual of teeth development.
2. Soft palate belongs to the coated mucosa, the submucosal layer contains palatal glands
2. Coated mucous film
1.Smooth surface, pink, and angular
2. The layer of propria contains thin fibers, has a flat interface with connective tissue, and the nipple is short and thick.
3. Loose submucosal layer
4. Resilient and has a certain degree of activity
1. Lip
Lip mucosa, skin, and lip red The lip mucosa is a thicker layered scaly epithelium. After the intermediate layer, the layer propria is dense connective tissue Short and irregular nipples The submucosal layer contains small salivary glands and fat, which is deeply attached to the orbicularis muscle Lip red epithelium is keratinized and has high transparency The nipple with the layer propria are long and narrow, with many capillary loops The lip is red and has no small salivary glands or mucus glands, so it is prone to dryness and cracking Kerotic skin on the lips, skin appendages in the dermis and subcutaneous skin
2. Cheek mucosa
The connective tissue of the lamina propria is denser, the submucosal layer is thicker, and there are more small salivary glands that become buccal glands. The buccal mucosa adheres to the buccal muscle through the submucosal layer, which has a certain tension and does not appear wrinkles when chewing. Fordyce spot: clusters of small, light yellow particles of miliaceous particles are sometimes seen in the occlusal line area behind the corner of the mouth, which are ectopic sebaceous glands.
3. Mouth membrane of the bottom of the mouth and tongue abdomen
The mucosa at the bottom of the mouth is thinner and loosely adheres to deep tissues. The nipple of the lamina propria are short, and the submucosal layer contains adipose tissue. There are sublingual glands in the sublingual folds. The mucosa of the tongue and abdomen is smooth and thin, and the connective tissue is numerous and short. The submucosal layer is not obvious, and the mucosa is closely connected to the connective tissue around the lingual muscle bundle.
4. Soft palate mucosa
Continued with the hard palate mucosa and darker color Polyvascular lamina propria Elastic fiber separation between the propria and the submucosal layer Submucosal layer contains mucus glands
3. Special mucosa
Speciality: Tongue nipple, taste buds Functionally, it is a chewing mucosa, but it has a certain degree of extension and belongs to the coated mucosa. The dorsal mucosa of the tongue is a complex scaly epithelium with no submucosa. Tongue muscle fibers are distributed in the lamina propria, making the mucosa of the dorsal tongue less likely to slide
1.Filiform papilla
Features: The most number, the most tip of the tongue Shape: The tip is mostly tilted backward, and the end has brush-like protrusions. Histological characteristics: The superficial layer of the epithelium often has keratinization and is constantly peeling off. If the keratinization is slowed down, it is mixed with food residues, saliva, bacteria, etc., and attaches to the surface of the nipple to form tongue coating.
2. Fungiform papilla
Small number, dispersed between filaments Located at the tip and lateral edge of the tongue Red color, round head, thin neck, protrusions, thin epithelium, no keratinization, rich lamina propria
3. Contour Nipples Vallate Papilla
Largest volume, smallest number, Distribution: Arranged in a row along the front of the boundary groove, with each nipple surrounded by deep grooves (contour grooves). The surface is keratinized, and the side wall of the nipple is keratinized without keratinization.
4.Foliate papilla
Distribution: posterior part of the lingual edge
Number, shape: In humans, they have degenerated into about 5-8 parallel folds
Taste bud distribution:
The side walls of contoured nipple, epithelium at bacterial nipple, soft palate, epiglottis, etc.
Bacterial nipple: sweet, salty Leaf-shaped nipple: acid Contour nipple, soft palate, epiglottis: bitter.
1. Function of oral mucosa
Resist mechanical irritation and limit invasion of harmful substances Organizational structure and function adapt Sensory function: pain, touch, temperature and taste Related to the secretion of saliva and the permeability of certain drugs
2. Changes in age
Epithelial atrophy and thinning, nails mutated short The filamentous nipples decrease, and the leaf-like nipples can increase; such as vitamin B, the changes are more obvious. The total amount of connective tissue decreased, fibroblasts contracted, glass-like change, and increased elastic fibers Vascular changes: vascular nevus on the cheeks, varicose veins in the tongue and abdomen Feeling degraded The small salivary glands are significantly atrophy Elderly patients, postmenopausal women