Oral Epithelium Structure and Function

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Questions and Answers

What is the primary function of junctional epithelium?

  • Sensory perception
  • Adhesion to connective tissue (correct)
  • Mechanical stability
  • Nutrient absorption

Which component directly attaches the epithelial cells to the basal lamina?

  • Adherens junctions
  • Hemidesmosomes (correct)
  • Desmosomes
  • Tight junctions

What term describes the thin layer of extracellular matrix between epithelial cells and tooth surface?

  • Cementum
  • Gingival connective tissue
  • Basal lamina (correct)
  • Gingival crevicular fluid

What type of epithelial connections enhances the structural integrity among neighboring epithelial cells?

<p>Desmosomes (C)</p> Signup and view all the answers

Which layer connects epithelial cells to the gingival connective tissue?

<p>External basal lamina (C)</p> Signup and view all the answers

What is a characteristic of keratinized epithelium compared to non-keratinized epithelium?

<p>Provides a mechanical barrier (C)</p> Signup and view all the answers

What fluid is primarily found in the gingival sulcus and is involved in host defense?

<p>Gingival crevicular fluid (GCF) (A)</p> Signup and view all the answers

Which cell junction is responsible for the connection of epithelial cells to the tooth surface?

<p>Hemidesmosomes (D)</p> Signup and view all the answers

What is the primary characteristic of the junctional epithelium in terms of its structure?

<p>It is composed of non-keratinized stratified squamous epithelium. (A)</p> Signup and view all the answers

Which type of epithelium covers the outer surface of the free gingiva?

<p>Keratinized oral epithelium (B)</p> Signup and view all the answers

What is the role of the granular cell layer in the oral epithelium?

<p>It is involved in the protection of underlying tissues. (A)</p> Signup and view all the answers

Gingival crevicular fluid (GCF) is primarily derived from which structure?

<p>The junctional epithelium (B)</p> Signup and view all the answers

What distinguishes keratinized oral epithelium from non-keratinized epithelium in the gingiva?

<p>Non-keratinized epithelium is typically softer and more flexible. (B)</p> Signup and view all the answers

Which layer of the oral epithelium contains spine-like cells with large intercellular spaces?

<p>Prickle cell layer (B)</p> Signup and view all the answers

The sulcular epithelium is primarily characterized by what type of cellular structure?

<p>Non-keratinized, thin layers (A)</p> Signup and view all the answers

What is the function of the basel cell layer in the oral epithelium?

<p>It serves as the main proliferative layer. (A)</p> Signup and view all the answers

What is the primary function of the junctional epithelium in relation to teeth?

<p>To join the gingiva to the tooth surface (C)</p> Signup and view all the answers

Which characteristic differentiates non-keratinized epithelium from keratinized epithelium?

<p>Ability to resist abrasion (A)</p> Signup and view all the answers

What role does gingival crevicular fluid (GCF) play in oral health?

<p>Facilitates immune response and helps in tissue health (A)</p> Signup and view all the answers

How thick is the junctional epithelium at its coronal end?

<p>15-30 cells thick (B)</p> Signup and view all the answers

Which layer of epithelium faces the tooth surface but is not in direct contact with it?

<p>Sulcular epithelium (D)</p> Signup and view all the answers

What is a key feature of the sulcular epithelium in healthy conditions?

<p>A smooth interface with connective tissue (B)</p> Signup and view all the answers

What is the approximate length range of junctional epithelium?

<p>0.71 – 1.35 mm (B)</p> Signup and view all the answers

Which layer is characterized by having high cell turnover?

<p>Junctional epithelium (B)</p> Signup and view all the answers

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Study Notes

### Stratum Corneum

  • Characterized by flattened cells with increased intracellular keratin
  • Joins underlying connective tissue in a wavy pattern

Sulcular Epithelium

  • Faces the tooth surface without direct contact
  • Thin and non-keratinized
  • Lacks rete pegs
  • Semi-permeable, allowing fluid to flow from the gingival connective tissue into the sulcus
  • This fluid is known as gingival crevicular fluid (GCF)
  • In a healthy state, joins the connective tissue with a smooth interface, lacking epithelial ridges

Junc?onal Epithelium

  • Stratified squamous non-keratinized epithelium
  • Connects the gingiva to the tooth surface
  • Measures 0.71 – 1.35mm in length
  • Cell thickness varies:
    • 15-30 cells coronally
    • 4-5 cells thick at the apical zone
  • High cell turnover

Cell Layers of Oral Epithelium:

  • Basal cell layer: Cube-shaped cells
  • Prickle cell layer: Spine-like cells with large intercellular spaces, connected by desmosomes
  • Granular cell layer: Flattened cells with increased intracellular keratin
  • Superficial cell layer: Outermost layer, sheds regularly

Oral Epithelium

  • Covers the outer surface of the free and attached gingiva, from the gingival margin to the mucogingival junction
  • Visible to the naked eye
  • Composed of stratified squamous epithelium
  • Layers:
    • Basal cell layer (deepest): Cube-shaped cells
    • Prickle cell layer: Spine-like cells, connected by desmosomes
    • Granular cell layer: Flattened cells with increased intracellular keratin
    • Superficial cell layer (outermost): Shedding cells

Microscopic Anatomy of Junc?onal Epithelium

  • Closely packed epithelial cells interconnected by desmosomes
  • Internal Basal Lamina: Thin layer of extracellular matrix separating epithelial cells from the tooth surface
  • External Basal Lamina: Thin layer of extracellular matrix separating epithelial cells from the gingival connective tissue

Attachments of Junc?onal Epithelium

  • To tooth surface:
    • Hemidesmosomes (cell junctions)
    • Internal basal lamina
    • More hemidesmosomes are present coronally (8-10 per micron) than apically (2 per micron)
  • To connective tissue:
    • Hemidesmosomes
    • External basal lamina

Cell Junctions

  • Desmosome: Cell junction connecting two adjacent epithelial cells and their cytoskeletons
  • Hemidesmosome: Connects epithelial cells to the basal lamina

Functions of Junc?onal Epithelium

  • Attachment: Providing a seal between the tooth and the gingiva
  • Barrier: Protecting the underlying tissues from harmful substances
  • Host defense: Contributing to immune responses

Gingival Connective Tissue

  • Provides solidity to the gingiva
  • Lamina propria: Connects the gingiva to the cementum and alveolar bone
  • Also called the gingival connective tissue
  • Composed of cells, fibers, and ground substance

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