口腔解剖、組織與生理王文岑.pptVIP

ORAL MUCOSA 學習目標 口腔黏膜的分類、定義與功能 口腔黏膜的細胞組成及顯微構造 學習資源及主要圖片引用: 1. Nanci A: Ten Cate’s Oral Histology, Development, structure, and function 6th ed. p.329-75 2. Orban BJ :Orban’s oral histology and embryology,9th ed. p.261-334 3. Avery JK: Essentials of Oral Histology and Embryology: A clinical approach. 2nd ed. p.164-83 MUCOUS MEMBRANE Definition: -Moist lining of the intestinal tract, nasal passages and other body cavities that communicate with the exterior 各部位的口腔黏膜 上下唇－ 唇紅緣 vermillion border 唇黏膜 labial mucosa 唇繫帶 labial frenum 前庭區 vestibule 頰－ 頰黏膜 buccal mucosa 頰繫帶 buccal frenum 咬合線 occlusal line 腮腺開口 orifice of Stenson’s duct 舌－ 口底－ 舌背 唾液腺開口 dorsal surface 舌腹 ventral surfrace 舌繫帶 lingual frenum 舌側緣 tongue border 牙齦－ 齒間牙齦 interdental papilla 固著牙齦 attached gingiva 黏膜牙齦 mucogingiva 前庭區 顎部－ 硬顎 hard palate 軟顎 soft paalte 懸雍垂 uvula　 FUNCTIONS OF ORAL MUCOSA Protection Sensation Secretion Thermal regulation STRUCTURE OF ORAL MUCOSA Epithelium……………… ..epidermis Lamina propria……… ..dermis Submucosa…………… ..subcutaneous * Epithelial ridges, rete pegs EPITHELIUM …stratified squamous cell Keratinized Nonkeratinized basal basal prickle prickle granular intermediate keratinized superficial Basal cell layer Cuboid or columnar shape Containing bundles of tonofibrils and cell organs Synthesize DNA, protein Most cell divisions Prickle cell layer (spinous cell layer) Irregularly polyhedral shape Conspicuous tonofibril bundles Membrane-coating granules in upper part Intercellular bridge- Desmosome Most active in protein synthesis Granular cell layer Flatter wider Keratohyaline granules Tonofibrils Membrane-coating granules Synthesis protein Keratin layer Flattened dehydrated Lost all organelles Cell filled with packed fibrillar material Interme