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Oral Cavity
Morrow 3/21/11 lecture 1.5 hrs
117
Histology
Undergraduate 4
03/21/2011

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Term
superiorly: hard/soft palate
inferiorly: tongue and floor of mouth
anterior/lateral: teeth(dental arcade)
posterior: oropharynx/nasopharynx
Definition
what are the boundaries of the oral cavity?
Term
ingestion, fragmentation, moistening of food

also
sppeech, facial expression, sensory perception, respiration
Definition
what are the functions of the oral cavity?
Term
vestibule
Definition
area enclosed between lips and teeth
Term
mastication
Definition
includes cutting, chewing, and grinding of food by oclussal surfaces of teeth
Term
lips, tongue, and salivary glands
helps make a bolus
Definition
mastication is assisted by what? what does this make?
Term
swallowing
Definition
what is deglutition?
Term
vermillion border (lips)
Definition
transitional zone between external haired skin and internal oral mucosa
Term
yes
Definition
are the lips keratinized?
Term
highly vascularized dermis and thin overlying keratinized epidermis
Definition
what causes the color of lips?
Term
no, need moistening via chapstick
Definition
do lips have sweat glands and sebaceous glands?
Term
lips are highly innervated (big humunculus in the sensory part of the brain)

we recognize the highly innervated areas such as the face (perhaps racoons ID each other by their hands?)
Definition
why are lips so sensitive and what does this have to do with recognition?
Term
1) lining mucosae
2) masticatory mucosae
3) specialized mucosae
Definition
what are the 3 types of oral mucosa?
Term
lining mucosa
Definition
NON-KERATINIZED mucosa found on inner cheeks, floor of the mouth inferior surface of tongue & soft palate
Term
masticatory mucosa
Definition
keratinized or parakeratinized(cells of stratum cornea do not lose nuclei) mucosa found in areas of high abrasion
Term
gingiva, gums, hard palate
Definition
where is masticatory mucosa found?
Term
speciailized mucosa
Definition
keratinized mucosa restricted to the dorsal surface of the tongue
Term
skeletal
Definition
what kind of muscle is found in the tongue?
Term
tongue
Definition
organ specialized for manipulation of food, speech, and sensation of taste
Term
5, 7, 9, 10, 12

vitamin k: 2, 7, 9, 10
Definition
which cranial nerve innervate the tongue?

random bonus q: what are the vitamin K dependent clotting factors?
Term
7, 9(post. to sulcus), 10(+ motor)
Definition
which cranial nerves do taste?
Term
CN 5
Definition
what nerve provides general sensation to the tongue anterior to the sulcus terminalis
Term
CN 9
Definition
what nerve provides general sensation to the tongue posterior to the sulcus terminalis
Term
CN 10, CN 12
Definition
what nerves provide motor innervation to the tongue?
Term
frenulum
Definition
thin band of connective tissue anchoring the tongue to the floor of the mouth, keeps tongue from covering the airway supposedly
Term
ectoderm
Definition
what is the ANTERIOR 2/3 of the tongue derived from embryologically?
Term
pharynx mesoderm
Definition
what is the POSTERIOR 1/3 of the tongue derived from embryologically?
Term
sulcus terminalis
Definition
what separates the parts of the tongue that come from separate embryological sources?
Term
stratified squamous epithelium, the anterior 2/3 is keratinized (the ectoderm portion)
Definition
what "thelia" covers the tongue and what is special about the anterior 2/3?
Term
filiform, fungiform, foliate, circumvallate
Definition
list the 4 types of lingual papilla
Term
filiforom papillae
Definition
most numerous papilla on the tongue
Term
filiform papillae
Definition
papillae that is keratinized, and formed of short bristles(spikes) distributed in parallel rows

LACKS TASTE BUDS!!
Term
fungiform papillae
Definition
papillae scattered amongst filiform papillae that have taste buds on their dorsal surface
Term
foliate papillae (NOT flower shaped)
Definition
transverse furrows/ridges on the caudal-lateral portion of the tongue

-rudimentary in humans

-contain taste buds in children that degenerate with age
Term
the taste buds of the folliate papillae degenerate with age
Definition
why does a person's taste change in puberty?
Term
circumvallate papillae
Definition
row or 8-12 LARGE dome-shaped papillae located immediately anterior to the sulcus terminalis
Term
circumvallate papillae
Definition
this lingual papillae has a large number of tastebuds on its lateral surface around its base, and is associated with salivary glands (von Ebner's glands)
Term
von Ebner's glands (salivary glands)
Definition
accessory salivary glands scattered throughout tongue musculature (within the lamina propria and between muscular layers)
Term
lingual tonsil
Definition
on the posterior, caudal, 1/3 of the tongue there is a mass of lymphoid tissue underlying the mucosa, what is it?
Term
Waldeyer's ring
Definition
ring of tonsils around the nasopharynx that functions to protect the respiratory and digestive tract
Term
uvula
Definition
extension of the posterior free margin of the soft palate that has a skeletal muscle core
Term
lining mucosa with antibodies and numbers of submucosal (palatine) glands
Definition
what covers the uvula?
Term
prevents food from entering the nasal cavity during swallowing
Definition
what is the supposed function of the uvula?
Term
distributed throughout the submucosa of the oral cavity
Definition
where are salivary glands found?
Term
parotid, submandibular, sublingual
Definition
what are the 3 main pairs of salivary glands?
Term
parotid
Definition
largest salivary gland
Term
on cheeks, serous secretions
Definition
where is the parotid gland found? what kind of product does it secrete?
Term
below the tongue, mostly mucus secretions
Definition
where is the sublingual gland found? what kind of product does it secrete?
Term
Stenson's duct, located in the vestibule opposite upper 2nd molar
Definition
where is the parotid duct, and what is another name for it?
Term
located inferior and medial to ramus of mandible, mixed secretions
Definition
where is the submandibular gland found? what kind of product does it secrete?
Term
lingual, labial, buccal, molar, & palatine glands
Definition
name the numerous accessory glands scattered throughout the oral mucosa
Term
Wharton's duct, ,opens at sublingual caruncle (a bump under the tongue)
Definition
where does the submandibular duct open? what is another name for it?
Term
compound (branched) tubuloacinar glands
Definition
describe the shape of salivary glands
Term
acinus
Definition
what is the name of a secretory unit of a salivary gland?
Term
myoepithelial cells
Definition
what surrounds acini of salivary glands to help cause contraction and aid the secretion of saliva into the ducts?
Term
serous, mucous, mixed
Definition
what are the 3 types of acini?
Term
demilunes
Definition
serous acini of mixed glands are often in the form of _____
Term
simple cuboidal epithelium
Definition
what are intercalated ducts line with?
Term
simple cuboidal to columnar epithelium
Definition
what are striated ducts lined with?
Term
they have basal striations due to folding of the plasma membrane
Definition
why are striated ducts striated?
Term
resorb sodium
secrete potassium into saliva
secrete lysozyme IgA
Definition
what is the function of striated ducts?
Term
stratified cuboidal or pseudostratified columnar epithelium
Definition
what are excretory ducts lined with?
Term
sympathetic stimulation
Definition
what inhibits aqueous secretion and promotes thick, viscous saliva rich in protein?
Term
parasympathetic stimulation
Definition
what leads to copious watery saliva?
Term
water, glycoproteins(mucus), & proteins
Definition
what are the 3 (general) things saliva contains?
Term
amylase-converts starch to sugar
lysozyme-antibacterial
Definition
what enzymes does saliva contain, and what do they do?
Term
IgA and inorganic ions
Definition
what antibodies are in saliva?
Term
Ca, P, Cl, K+ HCO3-, low in sodium
Definition
what ions are found in saliva
Term
600-1500 mL
Definition
what is the average saliva production in humans per day?
Term
1)moistening (or oral mucosa and dry food)
2) provides carrier medium for sense of taste
3) buffering (high bicarb content)
4) digestion of carbs via amylase
5) immunologic fxn (secte IgA)
6) control of bacterial flora
Definition
list the (6) functions of saliva
Term
acquired pellicle (saliva proteins?)
Definition
what substance covers teeth with antibodies to prevent tooth decay?
Term
root and crown
Definition
what are the gross divisions of a tooth?
Term
tooth root
Definition
portion of the tooth embedded in bone
Term
alveolar ridge
Definition
the tooth root is embedded in a part of the jaw called the ____
Term
alveolus
Definition
another name for tooth socket
Term
crown
Definition
portion of tooth that projects into oral cavity
Term
enamel
Definition
hard, translucent, protective, HIGHLY mineralized, substance covering teeth
Term
96-98% hydroxyapetite (hardest substance in body), <1% organic
Definition
what is enamel made of?
Term
ameloblasts
Definition
what secretes enamel?
Term
ectoderm
Definition
what is the embryonic origin of enamel?
Term
Tome's process
Definition
apical secretory end of an ameloblast that forms a single large process
Term
highly calcified enamel rods or prisms
Definition
this results because enamel mineralization is non-uniform
Term
interprismatic material
Definition
this less mineralized material separates enamel rods
Term
dentino-enamel junction
Definition
enamel rods extend from ameloblasts at enamel surface to ____ ____ ___
Term
dentine
Definition
the bulk of a tooth is composed of less mineralized ____
Term
mesoderm
Definition
embryological origin of dentine
Term
secreted from odontoblasts as non-mineralized pre-dentine
Definition
where does dentine come from, and what is it called when it is first secreted?
Term
dentine is similar to bone, but more mineralized (70% hydroxyapetite crystals)

dentine also contains type 1 collagen and GAG's
Definition
compare dentine to bone
Term
pulp cavity
Definition
dentine is arranged into dentine tubules that radiate from the ___ ___
Term
dentine tubules
Definition
contain long, rod-like cytoplasmic processes of odontoblasts
Term
pulp cavity
Definition
central cavity of the tooth containing support structures such as sensory nerves and blood vessels
Term
myelinated nerves, this makes it very sensitive
Definition
what innervates dentine?
Term
mesoderm, resembles primitive mesenchyme
Definition
what is the embryological origin of dental pulp? what does it resemble?
Term
1)stellate fibroblasts
2)reticular fibers
3)collagen
4)ground substance
Definition
what are the contents of dental pulp (cells/fibers)?
Term
HIGHLY vascular: supplied by capillaries from arterioles running with peridontal ligament
Definition
describe the blood supply to dental pulp
Term
6th week of fetal development
Definition
when does human tooth development begin?
Term
6-30 months after birth
Definition
when does tooth eruption occur?
Term
20,
2 incisors
1 canine
2 premolar/quadrant

(on each side top and bottom (4 x 5)
Definition
how many deciduous(primary) teeth do humans have? list them
Term
permanent dentition replaces deciduous teeth

2 incisors
1 canine
2 premolar/quadrant
Definition
what replaces deciduous teeth between age 6-12? list the teeth that develop
Term
tetracycline becomes incorporated into the enamel
Definition
what causes teeth to yellow if given to a patient during the development of their permanent dentition? what part of the tooth is the yellow discoloration incorporated into?
Term
no precursors, they just pop out at age 6, 12, and 18-21 years of age
Definition
do the 3 distal molars have precursors? when do they erupt?
Term
32
Definition
what is the total number of teeth humans are capable of possessing?
Term
I 2/2, C 1/1, P 2/2, M 3/3
(upper jaw/lower jaw)
Definition
what is the human dental formula?
Term
incisors/canines: 1 root each
premolars: usually 2 roots
molars: usually 2-4 roots
Definition
how many roots does each of the following have?

incisors? canines? premolars? molars?
Term
I- cutting/biting
C- puncturing/holding
P- shearing/grinding
M- grinding
Definition
what is the function(motion) of incisors? canines? premolars? molars?
Term
super-hypsodont

incisors are hypsodont
Definition
dentition characterized by high-crowned teeth and enamel which extends past the gum line (open rooted and continuously growing)

which human teeth are this type of dentition?
Term
bunodont

premolars and molars
Definition
dentition characterized by low crowned teeth

which teeth does this refer to in humans (omnivores)?
Term
lateral & anterior-posterior motion

important for chewing and grinding
Definition
what are the directions of motion for the temporomandibular joint? why is this important?
Term
cusps
includes:
protocone, metacone, paracone
Definition
what are the raised points on the occlusal surfaces of molars and premolars? what does this include?
Term
talonoid
Definition
what is the flattened posterior surface of lower molars known as?
Term
mortar and pestle
Definition
what are the cusps and talonoid like?
Term
orthodontia, this works because of pressure on the tooth and the action of osteoclasts/blasts in the alveolus that causes resorbtion/deposition of bone
Definition
how is abnormal tooth eruption &/or misalignment corrected (how does it work?)
Term
dental caries
Definition
results when weak acids in food and drink erode calcified enamel-this is augmented by bacterial action
Term
they can extend into the dentine or pulp cavity producing abcesses or death of the tooth which leads to necessity of a root canal
Definition
how far can dental caries extend? what is the cause for a root canal?
Term
periodontal disease
Definition
caused by accumulation of calcified food and bacterial debris in gingival sulcus leading to a widening of gingival sulcus, possible inflammation, and destruction of peridontal ligament
Term
gingivitis
Definition
inflammation of gums
Term
periodontitis
Definition
inflammation of periodontal ligament
Term
chewable vitamin c tablets
Definition
what will cause your teeth to fall out if you are Morrow, and don't listen to your dentist?
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