SlideShare a Scribd company logo
1 of 71
- Dr.C.P. Arya
M.D.S. II
Contents
1.INTRODUCTION
2.FUNCTIONS
3.CLASSIFICATION
4.STRUCTURE
5.CHARACTERISTICS OF EPITHELIUM
6.ORAL EPITHELIUM
7.SUMMARY
8.BIBILIOGRAPHY
INTRODUCTION
TISSUES ARE GROUP OF CELLS OR AGGREGATES TO
PERFORM ONE OR MORE FUNCTIONS.
 EPITHELIUM (epi + thele + ium) is one of the four basic
types of animal tissue, along with
A-CONNECTIVE TISSUE
B-MUSCLE TISSUE
C-NEURAL TISSUE
 The term EPITHELIUM is applied to the layer of cells
covering the body surfaces.
 Epithelium is an avascular tissue comprised of cells that
line both the internal cavities and external surfaces.
DEFINITION
Epithelium is an avascular tissue composed of cells that
cover the exterior body surfaces and line internal closed
cavities (including the vascular system) and body tubes
that communicate with the exterior (the alimentary,
respiratory, and genitourinary tracts). Epithelium also
forms the secretory portion (parenchyma) of glands and
their ducts. In addition, specialized epithelial cells function
as receptors for the special senses (smell, taste, hearing,
and vision).
DEVELOPMENT
 EPITHELIUM IS DERIVED FROM THREE GERM
LAYERS
 ECTODERM
 MESODERM
 ENDODERM
 ALTHOUGH MOST OF THE EPITHELIA ARE
DERIVED FROM ECTODERM AND ENDODEREM
ECTODERM: Oral and nasal mucosa, cornea, epidermis
of the skin & glands of the skin & the mammary glands.
ENDODERM: The liver, the pancreas & the lining of the
respiratory and GIT.
MESODERM: Uriniferous tubules of the kidney, the lining
of the male and female reproductive systems,the endothelial
lining of the circulatory system and the mesothelium of the
body cavity.
FUNCTIONS OF EPITHELIUM
 Selective Barriers
 Protection
 Secretory function
 Sensory function
 Characteristic of Epithelia
 Predominantly Cellular
 The Basal surface of an epithelium is in contact with
Basal Lamina.
 Avascular
 Can regenerate when injured
CLASSIFICATION
1) SIMPLE:
• Squamous
• cuboidal
• columnar
2) PSEUDOSTRATIFIED
3) STRATIFIED
• Squamous non keratinized
• Squamous keratinized
• Cuboidal
• Columnar
• transitional
Epithelium can be grouped mainly into
Lining Epithelium
Glandular Epithelium
The lining epithelium is further classified into
A-Simple epithelium (unilaminar)
B-Stratified epithelium (multilaminar)
Type of epithelium
Simple squamous epithelium
SIMPLE SQUAMOUS EPITHELIUM
 Composed of flattened, irregularly shaped cells
forming a continuous surface which may be refered
to as pavemented epithelium.
 Term ‘squamous’ derives from the comparison of the
cells to the scales of a fish.
 Supported by an underlying delicate membrane.
 Involved in passive transport of either gases or fluids.
PRESENT IN:
 Lining- pulmonary alveoli, loop of Henle, parietal layer of
Bawman capsule, inner and middle ear, blood and lymphatic
vessels, pleural and peritoneal cavities.
FUNCTION:
 Limiting membrane
 Fluid transport
 Gaseous exchange
 Lubrication
 Reducing friction
 Lining membrane
SIMPLE CUBOIDAL EPITHELIUM
SIMPLE CUBOIDAL EPITHELIUM
 Single layer of cube like cells with large , spherical
central nuclei.
 Location- Kidney tubules , Ducts and secretory
portions of small glands , ovary surface , Intercalated
ducts of salivary glands.
 FUNCTIONS- Secretion and absorption.
SIMPLE COLUMNAR EPITHELIUM
• Cells are taller and appear columnar in sections at right
angles to the basement membrane.
• Nuclei are elongated and may be located towards the
base, the centre or occasionally the apex of the
cytoplasm, this is known as polarity.
PRESENT IN:
• Small intestine & colon
• Stomach lining and gastric glands
• Gall bladder
SIMPLE COLUMNAR EPITHELIUM
FUNCTION:
 Transportation
 Absorption
 Secretion
 Protection
SIMPLE COLUMNAR EPITHELIUM
 Single layer of tall cells with round nuclei.
 CILIATED – most of respiratory tract small bronchi ,
uterine tubes , and some regions 0f the uterus.
SIMPLE COLUMNAR
 NON CILIATED – digestive tract ( stomach to anal
canal ) , excretory ducts of some glands
PSEUDO STRATIFIED EPITHELIUM
PSEUDO STRATIFIED EPITHELIUM
 Simple columnar epithelium , nuclei at different levels in
a vertical section.
 Migrating lymphocytes and mast cells give this
appearance.
 Seen in ciliated lining of the respiratory tract and
sensory epithelium of the olfactory areas.
 Excretory ducts of salivary glands.
 Multi-laminar epithelium.
STRATIFIED SQUAMOUS
 Stratified squamous epithelium
 Basal cells are cuboidal or columnar
 Surface cells squamous
 Occur in sites exposed to constant damage
 Two types keratinized and non- keratinized
 Location : Non-keratinized forms the moist linings of
the esophagus , mouth, and vagina;
 Keratinized variety forms the epidermis
STRATIFIED SQUAMOUS
STRATIFIED CUBOIDAL
STRATIFIED CUBOIDAL EPITHELIUM
 Thin, stratified epithelium which usually consists of
only two or three layers of cuboidal or low columnar
cells.
 Not involved in significant absorptive or secretory
activity
PRESENT IN:
 Ducts of sweat glands
 Large ducts of exocrine glands
 Anorectal junction
FUNCTION:
 Absorption
 Secretion
STRATIFIED COLUMNAR
PRESENT IN:
 Conjunctiva of eye
 Some large excretory ducts
 Portions of male urethra
FUNCTION:
 Secretion
 Absorption
 Protection
STRATIFIED COLUMNAR
 Affords more strength than single layer
Transitional Epithelium
 Resembles both stratified squamous and stratified cuboidal ;
basal cells cuboidal or columnar surface cells dome shaped or
squamous like ,depending on degree of organ stretch.
 Stretches readily and permits distension of urinary organ by contained
urine
 Lines the ureters, urinary bladder and part of the urethra
 Transitional epithelium of ureter
Transitional Epithelium
 In the stretched state, it appears 2-3 cells thick (although
the actual number of layers remains constant) and the
intermediate and surface layers are extremely flattened.
PRESENT IN:
 Urethra
 Ureters
 Bladders
 Renal calyces
FUNCTION:
 Protection
 Distensible
Oral mucosa
 Mucous membrane : moist lining of the gastrointestinal
tract, nasal passages ,Other body cavities that
communicate with the exterior.
 In the oral cavity the lining is called as oral mucous
membrane or oral mucosa.
Functions of oral mucosa
 Protection: Barrier for mechanical trauma and
microbiological insults
 Sensation: Temperature (heat and cold) , touch ,pain,
taste buds, thirst; reflexes such as swallowing , etching,
gagging and salivating .
 Secretion : Salivary secretion
Development and structure of oral epithelium
 The epithelium of the oral cavity derived from the
embryonic ectoderm.
 Most of the mucosal surface is lined by a non-
keratinized stratified squamous epithelium.
 Except for Gingiva , hard palate and dorsal surface of
the tongue where the epithelium is keratinized.
FUNCTIONAL CHARACTERISTICS
 As the cells migrate from the basal layer to the
surface layer, differentiation produces a surface layer
that is either
 Non-keratinized
 Ortho Keratinized
 Para keratinized
Non-Keratinized Epithelium
 The surface cells retain their nuclei and cytoplasm does not
contain keratin filaments.
 Stratum spinosum and granulosum is absent.
 Lining mucosa of the oral cavity.
 Clinical considerations:
 Prosthetic devices thin the epithelium
 Linea alba
 Angina pectoris- Nitroglycerine tablets are placed
sublingually and absorbed quickly through the thin non-
keratinized epithelium and into large veins of the ventral
surface of the tongue.
Ortho Keratinized epithelium
 Stratum basale- tall columnar or cuboidal.
 Stratum corneum elliptical / spherical.
 In contact only by Desmosomes.
 Stratum granulosum- flat cells with keratohyaline
granules.
 Stratum spinosum- squamous cells with no nuclei.
 Masticatory mucosa-Ortho keratinized.
ULTRA STRUCTURE OF THE EPITHELIAL CELL
 Cells of the basal layer are least differentiated.
 They contain organelles and typical filamentous strands
called tonofilaments.
 Tonofilaments aggregate- tonofibrills.
 Chemically they are cytokeratins.
 Epithelial cells are named as keratinocyte
 Keratins
 Epithelial cells produce proteins- carbohydrate complex
which provide cohesion.
 Desmosomes.
 Hemi desmosomes.
APICAL CELL SPECIALISATION
Microvilli
 Finger like cytoplasmic processes.
 Number and shape correlates with absorptive capacity.
 Contain actin filament.
Cilia:
Stereocilia
GLANDULAR EPITHELIUM
Classification of Glands
ENDOCRINE GLANDS:-
 Hormones are secreted directly into blood.
 No ducts.
 Under the microscope , they look like any stratified
epithelial tissue with one big difference: THEY DO NOT
HAVE A FREE SURFACE AND SURROUNDED DIRECTLY BY
OTHER TISSUES.
EXOCRINE GLANDS
 Release their products onto the free surface of the skin or of
the open cavities of the body such as the digestive ,
respiratory or reproductive tracts.
 Their products are NOT released into the blood.
 THESE ARE OF TWO TYPES:
UNICELLULAR:
 They are scattered amongst other non-secretory epithelial
cells.
 They have NO ducts, but they secrete their products directly
on the free surface.
 The most common unicellular exocrine glands are the
Goblet cells(mucous secreting)
MULTICELLULAR
Serous and mucous glands of oral cavity.
 Simple: (one branched duct) Sweat glands.
 Compound: (branched ducts) Parotid gland.
Major salivary glands:
1)-Parotid –entirely serous
2)-Sublingual-mixed (predominantly mucous)
3)-Submandibular- mixed (predominantly serous)
Minor salivary glands:
 Palatal – purely mucous
 Lingual –
Anterior ( Glands of Blandin and Nuhn )
 Anteriorly- cheifly mucous
 Posteriorly-mixed
Posteriorly (Von Ebner’s glands )-serous
 Gloss palatine – purely mucous
 Labial & Buccal- mixed
SECRETORY CELLS
SEROUS CELLS
 Pyramidal cells with basal nuclei Microvilli on the
luminal surface.
 Spherical nuclei basally.
 Lateral surface have folds interdigitating with same
from adjacent cells.
 Joined together by cell junctions.
MUCOUS CELLS
 Tubular configuration with mucous cells surroundings
a central lumen.
 Demi Lune- serous cells associated with them at the
end of the tubule.
 Apical cytoplasm has accumulated mucous
Ducts – Intercalated ducts
 Lined by simple cuboidal epithelium.
 Centrally placed nuclei.
 Small cytoplasm , few ER and a small Golgi complex.
 Apically few secretory granules.
 Few short microvilli
 Unidentified in routine histology.
Striated duct cells
 Cells are columnar , centrally placed nucleus and
acidophilic cytoplasm.
 Striation appear in the basal cytoplasm, mitochondria
in cytoplasmic partition separated by highly folded cell
membrane.
Excretory ducts
 Pseudo stratified epithelium with columnar cells.
 Larger than striated ducts.
 Scattered Goblet cells seen.
Clinical importance
 Cystic fibrosis (CF) is a genetic disorder of certain
exocrine glands including the salivary glands, the sweat
glands, the pancreas and the mucous glands of the
respiratory tract.
 A person with CF has clogged bronchial tubes, frequent
episodes of pneumonia and ultimately lungs that can
not carry out gas exchange.
 CF –mutations in the gene that encodes the CF
transmembrane conductance regular
SPECIAL EPITHELIA
 Epithelium of sense organs:olfactory, gustatory and
vestibulocochlear epithelium.
 Myoepithelial cells/basket cells.
 Seminiferous epithelium
Structure of basal lamina
 Light microscope- basement membrane.
 Electron microscope-basal lamina.
 Basal lamina divided into:
 Lamina Lucida
 Lamina lucid
 Lamina dens
 Lamina reticularis
STRUCTURE OF BASEMENT MEMBRANE
 Type IV collagen
 Proteoglycan (heparin and chondroitin sulfate)
 Glycoprotein
 Fibronectin
CELL JUNCTIONS
Forms tight seals between cells such as the epithelial
cells that comprise the inner lining of the stomach,
intestine, and urinary bladder.
 They prevent the passage of substances between cells
ADHERENCES JUNCTIONS
Strongly fasten cells to each other or to the extracellular
matrix.
 They help epithelial surfaces resist separation.
 Cardiac muscle
Desmosomes (cell to cell)
 Desmoglein and Desmocollin interaction with adjacent
cells forms a dense middle line.
Hemi desmosomes(cell to matrix)
 Strongly anchor cells to an underlying basement
membrane.
Gap junctions
 Formed by minute, fluid filled tunnels that permit
passage of electrical signals or chemicals (i.e. ions and
small molecules) from one cell to a neighbouring cell,
located in some parts of the nervous system, in heart
muscle and in the gastrointestinal tract.
Gap junctions
SUMMARY
 Epithelial is an avascular tissue derived from all the
three germ layers.
 They line the external surface of the body , occur as
membranes and as glands.
 All epithelia lie upon a basal lamina.
 Cells are connected to each other by cell junctions.
 May possess cilia or microvilli.
 They are protective , secretory , absorptive , sensory
depending on the location
BIBILOGRAPHY
 Freshney, R.I. (2002). “Introduction “. In Freshney,
R .Ian; Freshney, Mary. Culture of epithelial
cells.ISBN 978-0-471-6.
 Orban’s Oral Histology and Embryology-10th
Edition
 Essential of Oral Histology and Embryology-
James K Avery, 2nd Edition
 Oral Histology Development, Structures &
Fundamental – Ten Cate’s, 7th Edition

 Histology Text and Atlas- Michael H Ross,Lynn J
Romrell, Gorden I Kaye, 3rd Edition
 Gray’s Anatomy- The Anatomical Basis of Clinical
Practice ,40th Edition Susan Standing
 Bloom & Fawcett’s Concise Histology- Don W
 Essentials of Anatomy and Physiology ,5th Edition,
Valerie Scalon ,PhD.
THANK YOU

More Related Content

What's hot (20)

Cementum
CementumCementum
Cementum
 
Oral cavity Histology
Oral cavity HistologyOral cavity Histology
Oral cavity Histology
 
Oral mucosa
Oral mucosa Oral mucosa
Oral mucosa
 
Periodontal Ligament
Periodontal LigamentPeriodontal Ligament
Periodontal Ligament
 
Glands histology
Glands histology Glands histology
Glands histology
 
Introduction to physiology lecture
Introduction to physiology lectureIntroduction to physiology lecture
Introduction to physiology lecture
 
Oral mucosa 1 dr: 3mmar
Oral mucosa 1 dr: 3mmarOral mucosa 1 dr: 3mmar
Oral mucosa 1 dr: 3mmar
 
maxillary sinus seminar
maxillary sinus seminarmaxillary sinus seminar
maxillary sinus seminar
 
Oral mucous membrane - Oral mucosa
Oral mucous membrane - Oral mucosaOral mucous membrane - Oral mucosa
Oral mucous membrane - Oral mucosa
 
Bone Histology
Bone HistologyBone Histology
Bone Histology
 
Histology of Connective Tissue.pptx
Histology of Connective Tissue.pptxHistology of Connective Tissue.pptx
Histology of Connective Tissue.pptx
 
Oral mucous membrane
Oral mucous membraneOral mucous membrane
Oral mucous membrane
 
Salivary glands ppt
Salivary glands pptSalivary glands ppt
Salivary glands ppt
 
Epithelial tissue
Epithelial tissueEpithelial tissue
Epithelial tissue
 
Muscular tissue
Muscular tissueMuscular tissue
Muscular tissue
 
Oral epithelium
Oral epitheliumOral epithelium
Oral epithelium
 
Introduction of tissue - Epithelial tissue
Introduction of tissue - Epithelial tissueIntroduction of tissue - Epithelial tissue
Introduction of tissue - Epithelial tissue
 
Spleen, thymus Organs of the Lymphatic System
Spleen, thymus Organs of the Lymphatic System Spleen, thymus Organs of the Lymphatic System
Spleen, thymus Organs of the Lymphatic System
 
Epithelium in General
Epithelium in General Epithelium in General
Epithelium in General
 
Dental Pulp
Dental Pulp Dental Pulp
Dental Pulp
 

Similar to Oral-Epithelium by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N.T.C.P.)

epithelium-150618092512-lva1-app6892.pptx
epithelium-150618092512-lva1-app6892.pptxepithelium-150618092512-lva1-app6892.pptx
epithelium-150618092512-lva1-app6892.pptxHassanKha1
 
Anatomy :O
Anatomy :OAnatomy :O
Anatomy :OSteven S
 
Epithelial Tissue
Epithelial TissueEpithelial Tissue
Epithelial TissueSHA881
 
General principles of tissue organization
General principles of tissue organizationGeneral principles of tissue organization
General principles of tissue organizationEneutron
 
B.Pharm-Ist sem-HAP-Chapter 3-tissue level of organization.pptx
B.Pharm-Ist sem-HAP-Chapter 3-tissue level of organization.pptxB.Pharm-Ist sem-HAP-Chapter 3-tissue level of organization.pptx
B.Pharm-Ist sem-HAP-Chapter 3-tissue level of organization.pptxSheetal Patil
 
Gas Exchange And Epithelium
Gas Exchange And EpitheliumGas Exchange And Epithelium
Gas Exchange And Epitheliumscuffruff
 
study of epithelium.pptx
study of epithelium.pptxstudy of epithelium.pptx
study of epithelium.pptxDinraj Kulkarni
 

Similar to Oral-Epithelium by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N.T.C.P.) (20)

epithelium-150618092512-lva1-app6892.pptx
epithelium-150618092512-lva1-app6892.pptxepithelium-150618092512-lva1-app6892.pptx
epithelium-150618092512-lva1-app6892.pptx
 
epithelial tissues .pdf
epithelial tissues .pdfepithelial tissues .pdf
epithelial tissues .pdf
 
Tissues
TissuesTissues
Tissues
 
epithelia Tissues.pptx
epithelia Tissues.pptxepithelia Tissues.pptx
epithelia Tissues.pptx
 
Basic Tissues 1.pptx
Basic Tissues 1.pptxBasic Tissues 1.pptx
Basic Tissues 1.pptx
 
Anatomy :O
Anatomy :OAnatomy :O
Anatomy :O
 
Epithelial Tissue
Epithelial TissueEpithelial Tissue
Epithelial Tissue
 
Types of tissues
Types of tissues   Types of tissues
Types of tissues
 
anatomy
anatomyanatomy
anatomy
 
TISSUE-GLANDS
 TISSUE-GLANDS TISSUE-GLANDS
TISSUE-GLANDS
 
Histology
HistologyHistology
Histology
 
General principles of tissue organization
General principles of tissue organizationGeneral principles of tissue organization
General principles of tissue organization
 
Tissues
TissuesTissues
Tissues
 
The Epithelial Tissue
The Epithelial TissueThe Epithelial Tissue
The Epithelial Tissue
 
B.Pharm-Ist sem-HAP-Chapter 3-tissue level of organization.pptx
B.Pharm-Ist sem-HAP-Chapter 3-tissue level of organization.pptxB.Pharm-Ist sem-HAP-Chapter 3-tissue level of organization.pptx
B.Pharm-Ist sem-HAP-Chapter 3-tissue level of organization.pptx
 
Tissues
TissuesTissues
Tissues
 
Gas Exchange And Epithelium
Gas Exchange And EpitheliumGas Exchange And Epithelium
Gas Exchange And Epithelium
 
Epithelial Tissue.pdf
Epithelial Tissue.pdfEpithelial Tissue.pdf
Epithelial Tissue.pdf
 
Epithelium , Dr naveen reddy
Epithelium , Dr naveen reddyEpithelium , Dr naveen reddy
Epithelium , Dr naveen reddy
 
study of epithelium.pptx
study of epithelium.pptxstudy of epithelium.pptx
study of epithelium.pptx
 

More from DR. C. P. ARYA

Benign salivary gland tumor BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; ...
Benign salivary gland tumor BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; ...Benign salivary gland tumor BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; ...
Benign salivary gland tumor BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; ...DR. C. P. ARYA
 
ORAL SUBMUCOUS FIBROSIS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N....
ORAL SUBMUCOUS FIBROSIS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N....ORAL SUBMUCOUS FIBROSIS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N....
ORAL SUBMUCOUS FIBROSIS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N....DR. C. P. ARYA
 
Laser treatment BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Laser treatment BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)Laser treatment BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Laser treatment BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)DR. C. P. ARYA
 
Microscope part 2 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Microscope part 2 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)Microscope part 2 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Microscope part 2 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)DR. C. P. ARYA
 
Microscope part 1 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Microscope  part 1 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)Microscope  part 1 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Microscope part 1 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)DR. C. P. ARYA
 
VITAMINS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
VITAMINS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)VITAMINS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
VITAMINS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)DR. C. P. ARYA
 
Nipah virus BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Nipah virus BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)Nipah virus BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Nipah virus BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)DR. C. P. ARYA
 
Histology of Salivary Glands BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.;...
Histology of Salivary Glands BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.;...Histology of Salivary Glands BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.;...
Histology of Salivary Glands BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.;...DR. C. P. ARYA
 
Facial nerve palsy BY DR. CHANDRA PRAKASH ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S....
Facial nerve palsy BY DR. CHANDRA PRAKASH ARYA  (B.Sc. B.D.S.; M.D.S.; P.M.S....Facial nerve palsy BY DR. CHANDRA PRAKASH ARYA  (B.Sc. B.D.S.; M.D.S.; P.M.S....
Facial nerve palsy BY DR. CHANDRA PRAKASH ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S....DR. C. P. ARYA
 
Circulatory system of head and neck BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.;...
Circulatory system of head and neck  BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.;...Circulatory system of head and neck  BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.;...
Circulatory system of head and neck BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.;...DR. C. P. ARYA
 
Saliva BY DR. C. P. ARYA (B.Sc. B.D.S, M.D.S , P.M.S, R.N.T;C.P.)
Saliva BY DR. C. P. ARYA (B.Sc. B.D.S, M.D.S , P.M.S, R.N.T;C.P.)Saliva BY DR. C. P. ARYA (B.Sc. B.D.S, M.D.S , P.M.S, R.N.T;C.P.)
Saliva BY DR. C. P. ARYA (B.Sc. B.D.S, M.D.S , P.M.S, R.N.T;C.P.)DR. C. P. ARYA
 
Muscles of mastication by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N....
Muscles of mastication by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N....Muscles of mastication by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N....
Muscles of mastication by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N....DR. C. P. ARYA
 
Lymphatic drainage of head and neck by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ...
Lymphatic drainage of head and neck by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ...Lymphatic drainage of head and neck by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ...
Lymphatic drainage of head and neck by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ...DR. C. P. ARYA
 
Salivary Glands by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N.T.C.P.)
Salivary Glands by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N.T.C.P.)Salivary Glands by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N.T.C.P.)
Salivary Glands by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N.T.C.P.)DR. C. P. ARYA
 

More from DR. C. P. ARYA (14)

Benign salivary gland tumor BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; ...
Benign salivary gland tumor BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; ...Benign salivary gland tumor BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; ...
Benign salivary gland tumor BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; ...
 
ORAL SUBMUCOUS FIBROSIS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N....
ORAL SUBMUCOUS FIBROSIS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N....ORAL SUBMUCOUS FIBROSIS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N....
ORAL SUBMUCOUS FIBROSIS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N....
 
Laser treatment BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Laser treatment BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)Laser treatment BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Laser treatment BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
 
Microscope part 2 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Microscope part 2 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)Microscope part 2 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Microscope part 2 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
 
Microscope part 1 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Microscope  part 1 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)Microscope  part 1 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Microscope part 1 BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
 
VITAMINS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
VITAMINS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)VITAMINS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
VITAMINS BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
 
Nipah virus BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Nipah virus BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)Nipah virus BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
Nipah virus BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.; R.N.T.C.P.)
 
Histology of Salivary Glands BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.;...
Histology of Salivary Glands BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.;...Histology of Salivary Glands BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.;...
Histology of Salivary Glands BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S.;...
 
Facial nerve palsy BY DR. CHANDRA PRAKASH ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S....
Facial nerve palsy BY DR. CHANDRA PRAKASH ARYA  (B.Sc. B.D.S.; M.D.S.; P.M.S....Facial nerve palsy BY DR. CHANDRA PRAKASH ARYA  (B.Sc. B.D.S.; M.D.S.; P.M.S....
Facial nerve palsy BY DR. CHANDRA PRAKASH ARYA (B.Sc. B.D.S.; M.D.S.; P.M.S....
 
Circulatory system of head and neck BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.;...
Circulatory system of head and neck  BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.;...Circulatory system of head and neck  BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.;...
Circulatory system of head and neck BY DR. C. P. ARYA (B.Sc. B.D.S.; M.D.S.;...
 
Saliva BY DR. C. P. ARYA (B.Sc. B.D.S, M.D.S , P.M.S, R.N.T;C.P.)
Saliva BY DR. C. P. ARYA (B.Sc. B.D.S, M.D.S , P.M.S, R.N.T;C.P.)Saliva BY DR. C. P. ARYA (B.Sc. B.D.S, M.D.S , P.M.S, R.N.T;C.P.)
Saliva BY DR. C. P. ARYA (B.Sc. B.D.S, M.D.S , P.M.S, R.N.T;C.P.)
 
Muscles of mastication by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N....
Muscles of mastication by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N....Muscles of mastication by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N....
Muscles of mastication by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N....
 
Lymphatic drainage of head and neck by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ...
Lymphatic drainage of head and neck by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ...Lymphatic drainage of head and neck by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ...
Lymphatic drainage of head and neck by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ...
 
Salivary Glands by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N.T.C.P.)
Salivary Glands by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N.T.C.P.)Salivary Glands by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N.T.C.P.)
Salivary Glands by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N.T.C.P.)
 

Recently uploaded

Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Miss joya
 
Russian Call Girls in Chennai Pallavi 9907093804 Independent Call Girls Servi...
Russian Call Girls in Chennai Pallavi 9907093804 Independent Call Girls Servi...Russian Call Girls in Chennai Pallavi 9907093804 Independent Call Girls Servi...
Russian Call Girls in Chennai Pallavi 9907093804 Independent Call Girls Servi...Nehru place Escorts
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...narwatsonia7
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...narwatsonia7
 
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...narwatsonia7
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliRewAs ALI
 
Call Girls Chennai Megha 9907093804 Independent Call Girls Service Chennai
Call Girls Chennai Megha 9907093804 Independent Call Girls Service ChennaiCall Girls Chennai Megha 9907093804 Independent Call Girls Service Chennai
Call Girls Chennai Megha 9907093804 Independent Call Girls Service ChennaiNehru place Escorts
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
 

Recently uploaded (20)

Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
 
Russian Call Girls in Chennai Pallavi 9907093804 Independent Call Girls Servi...
Russian Call Girls in Chennai Pallavi 9907093804 Independent Call Girls Servi...Russian Call Girls in Chennai Pallavi 9907093804 Independent Call Girls Servi...
Russian Call Girls in Chennai Pallavi 9907093804 Independent Call Girls Servi...
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
 
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...
 
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
 
Call Girls Chennai Megha 9907093804 Independent Call Girls Service Chennai
Call Girls Chennai Megha 9907093804 Independent Call Girls Service ChennaiCall Girls Chennai Megha 9907093804 Independent Call Girls Service Chennai
Call Girls Chennai Megha 9907093804 Independent Call Girls Service Chennai
 
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 

Oral-Epithelium by DR. C.P. ARYA ( B.Sc. ;B.D.S. ;M.D.S. ;P.M.S. ;R.N.T.C.P.)

  • 3. INTRODUCTION TISSUES ARE GROUP OF CELLS OR AGGREGATES TO PERFORM ONE OR MORE FUNCTIONS.  EPITHELIUM (epi + thele + ium) is one of the four basic types of animal tissue, along with A-CONNECTIVE TISSUE B-MUSCLE TISSUE C-NEURAL TISSUE
  • 4.  The term EPITHELIUM is applied to the layer of cells covering the body surfaces.  Epithelium is an avascular tissue comprised of cells that line both the internal cavities and external surfaces.
  • 5. DEFINITION Epithelium is an avascular tissue composed of cells that cover the exterior body surfaces and line internal closed cavities (including the vascular system) and body tubes that communicate with the exterior (the alimentary, respiratory, and genitourinary tracts). Epithelium also forms the secretory portion (parenchyma) of glands and their ducts. In addition, specialized epithelial cells function as receptors for the special senses (smell, taste, hearing, and vision).
  • 6. DEVELOPMENT  EPITHELIUM IS DERIVED FROM THREE GERM LAYERS  ECTODERM  MESODERM  ENDODERM  ALTHOUGH MOST OF THE EPITHELIA ARE DERIVED FROM ECTODERM AND ENDODEREM
  • 7.
  • 8. ECTODERM: Oral and nasal mucosa, cornea, epidermis of the skin & glands of the skin & the mammary glands. ENDODERM: The liver, the pancreas & the lining of the respiratory and GIT.
  • 9. MESODERM: Uriniferous tubules of the kidney, the lining of the male and female reproductive systems,the endothelial lining of the circulatory system and the mesothelium of the body cavity.
  • 10. FUNCTIONS OF EPITHELIUM  Selective Barriers  Protection  Secretory function  Sensory function  Characteristic of Epithelia
  • 11.  Predominantly Cellular  The Basal surface of an epithelium is in contact with Basal Lamina.  Avascular  Can regenerate when injured
  • 12. CLASSIFICATION 1) SIMPLE: • Squamous • cuboidal • columnar 2) PSEUDOSTRATIFIED 3) STRATIFIED • Squamous non keratinized • Squamous keratinized • Cuboidal • Columnar • transitional
  • 13.
  • 14. Epithelium can be grouped mainly into Lining Epithelium Glandular Epithelium The lining epithelium is further classified into A-Simple epithelium (unilaminar) B-Stratified epithelium (multilaminar)
  • 17. SIMPLE SQUAMOUS EPITHELIUM  Composed of flattened, irregularly shaped cells forming a continuous surface which may be refered to as pavemented epithelium.  Term ‘squamous’ derives from the comparison of the cells to the scales of a fish.  Supported by an underlying delicate membrane.  Involved in passive transport of either gases or fluids.
  • 18. PRESENT IN:  Lining- pulmonary alveoli, loop of Henle, parietal layer of Bawman capsule, inner and middle ear, blood and lymphatic vessels, pleural and peritoneal cavities. FUNCTION:  Limiting membrane  Fluid transport  Gaseous exchange  Lubrication  Reducing friction  Lining membrane
  • 19.
  • 22.  Single layer of cube like cells with large , spherical central nuclei.  Location- Kidney tubules , Ducts and secretory portions of small glands , ovary surface , Intercalated ducts of salivary glands.  FUNCTIONS- Secretion and absorption.
  • 23. SIMPLE COLUMNAR EPITHELIUM • Cells are taller and appear columnar in sections at right angles to the basement membrane. • Nuclei are elongated and may be located towards the base, the centre or occasionally the apex of the cytoplasm, this is known as polarity. PRESENT IN: • Small intestine & colon • Stomach lining and gastric glands • Gall bladder
  • 24. SIMPLE COLUMNAR EPITHELIUM FUNCTION:  Transportation  Absorption  Secretion  Protection
  • 25. SIMPLE COLUMNAR EPITHELIUM  Single layer of tall cells with round nuclei.  CILIATED – most of respiratory tract small bronchi , uterine tubes , and some regions 0f the uterus.
  • 27.  NON CILIATED – digestive tract ( stomach to anal canal ) , excretory ducts of some glands
  • 29. PSEUDO STRATIFIED EPITHELIUM  Simple columnar epithelium , nuclei at different levels in a vertical section.  Migrating lymphocytes and mast cells give this appearance.  Seen in ciliated lining of the respiratory tract and sensory epithelium of the olfactory areas.  Excretory ducts of salivary glands.  Multi-laminar epithelium.
  • 30. STRATIFIED SQUAMOUS  Stratified squamous epithelium  Basal cells are cuboidal or columnar  Surface cells squamous  Occur in sites exposed to constant damage  Two types keratinized and non- keratinized  Location : Non-keratinized forms the moist linings of the esophagus , mouth, and vagina;  Keratinized variety forms the epidermis
  • 32. STRATIFIED CUBOIDAL STRATIFIED CUBOIDAL EPITHELIUM  Thin, stratified epithelium which usually consists of only two or three layers of cuboidal or low columnar cells.  Not involved in significant absorptive or secretory activity PRESENT IN:  Ducts of sweat glands  Large ducts of exocrine glands  Anorectal junction
  • 34. STRATIFIED COLUMNAR PRESENT IN:  Conjunctiva of eye  Some large excretory ducts  Portions of male urethra FUNCTION:  Secretion  Absorption  Protection
  • 36.  Affords more strength than single layer
  • 37. Transitional Epithelium  Resembles both stratified squamous and stratified cuboidal ; basal cells cuboidal or columnar surface cells dome shaped or squamous like ,depending on degree of organ stretch.  Stretches readily and permits distension of urinary organ by contained urine  Lines the ureters, urinary bladder and part of the urethra  Transitional epithelium of ureter
  • 38. Transitional Epithelium  In the stretched state, it appears 2-3 cells thick (although the actual number of layers remains constant) and the intermediate and surface layers are extremely flattened. PRESENT IN:  Urethra  Ureters  Bladders  Renal calyces FUNCTION:  Protection  Distensible
  • 39. Oral mucosa  Mucous membrane : moist lining of the gastrointestinal tract, nasal passages ,Other body cavities that communicate with the exterior.  In the oral cavity the lining is called as oral mucous membrane or oral mucosa.
  • 40. Functions of oral mucosa  Protection: Barrier for mechanical trauma and microbiological insults  Sensation: Temperature (heat and cold) , touch ,pain, taste buds, thirst; reflexes such as swallowing , etching, gagging and salivating .  Secretion : Salivary secretion
  • 41. Development and structure of oral epithelium  The epithelium of the oral cavity derived from the embryonic ectoderm.  Most of the mucosal surface is lined by a non- keratinized stratified squamous epithelium.  Except for Gingiva , hard palate and dorsal surface of the tongue where the epithelium is keratinized.
  • 42. FUNCTIONAL CHARACTERISTICS  As the cells migrate from the basal layer to the surface layer, differentiation produces a surface layer that is either  Non-keratinized  Ortho Keratinized  Para keratinized
  • 43. Non-Keratinized Epithelium  The surface cells retain their nuclei and cytoplasm does not contain keratin filaments.  Stratum spinosum and granulosum is absent.  Lining mucosa of the oral cavity.  Clinical considerations:  Prosthetic devices thin the epithelium  Linea alba  Angina pectoris- Nitroglycerine tablets are placed sublingually and absorbed quickly through the thin non- keratinized epithelium and into large veins of the ventral surface of the tongue.
  • 44. Ortho Keratinized epithelium  Stratum basale- tall columnar or cuboidal.  Stratum corneum elliptical / spherical.  In contact only by Desmosomes.  Stratum granulosum- flat cells with keratohyaline granules.  Stratum spinosum- squamous cells with no nuclei.  Masticatory mucosa-Ortho keratinized.
  • 45. ULTRA STRUCTURE OF THE EPITHELIAL CELL  Cells of the basal layer are least differentiated.  They contain organelles and typical filamentous strands called tonofilaments.  Tonofilaments aggregate- tonofibrills.  Chemically they are cytokeratins.  Epithelial cells are named as keratinocyte  Keratins  Epithelial cells produce proteins- carbohydrate complex which provide cohesion.  Desmosomes.  Hemi desmosomes.
  • 46. APICAL CELL SPECIALISATION Microvilli  Finger like cytoplasmic processes.  Number and shape correlates with absorptive capacity.  Contain actin filament. Cilia: Stereocilia
  • 47. GLANDULAR EPITHELIUM Classification of Glands ENDOCRINE GLANDS:-  Hormones are secreted directly into blood.  No ducts.  Under the microscope , they look like any stratified epithelial tissue with one big difference: THEY DO NOT HAVE A FREE SURFACE AND SURROUNDED DIRECTLY BY OTHER TISSUES.
  • 48. EXOCRINE GLANDS  Release their products onto the free surface of the skin or of the open cavities of the body such as the digestive , respiratory or reproductive tracts.  Their products are NOT released into the blood.  THESE ARE OF TWO TYPES: UNICELLULAR:  They are scattered amongst other non-secretory epithelial cells.  They have NO ducts, but they secrete their products directly on the free surface.  The most common unicellular exocrine glands are the Goblet cells(mucous secreting)
  • 49. MULTICELLULAR Serous and mucous glands of oral cavity.  Simple: (one branched duct) Sweat glands.  Compound: (branched ducts) Parotid gland. Major salivary glands: 1)-Parotid –entirely serous 2)-Sublingual-mixed (predominantly mucous) 3)-Submandibular- mixed (predominantly serous)
  • 50. Minor salivary glands:  Palatal – purely mucous  Lingual – Anterior ( Glands of Blandin and Nuhn )  Anteriorly- cheifly mucous  Posteriorly-mixed Posteriorly (Von Ebner’s glands )-serous  Gloss palatine – purely mucous  Labial & Buccal- mixed
  • 51. SECRETORY CELLS SEROUS CELLS  Pyramidal cells with basal nuclei Microvilli on the luminal surface.  Spherical nuclei basally.  Lateral surface have folds interdigitating with same from adjacent cells.  Joined together by cell junctions.
  • 52. MUCOUS CELLS  Tubular configuration with mucous cells surroundings a central lumen.  Demi Lune- serous cells associated with them at the end of the tubule.  Apical cytoplasm has accumulated mucous
  • 53. Ducts – Intercalated ducts  Lined by simple cuboidal epithelium.  Centrally placed nuclei.  Small cytoplasm , few ER and a small Golgi complex.  Apically few secretory granules.  Few short microvilli  Unidentified in routine histology.
  • 54. Striated duct cells  Cells are columnar , centrally placed nucleus and acidophilic cytoplasm.  Striation appear in the basal cytoplasm, mitochondria in cytoplasmic partition separated by highly folded cell membrane.
  • 55. Excretory ducts  Pseudo stratified epithelium with columnar cells.  Larger than striated ducts.  Scattered Goblet cells seen.
  • 56. Clinical importance  Cystic fibrosis (CF) is a genetic disorder of certain exocrine glands including the salivary glands, the sweat glands, the pancreas and the mucous glands of the respiratory tract.  A person with CF has clogged bronchial tubes, frequent episodes of pneumonia and ultimately lungs that can not carry out gas exchange.  CF –mutations in the gene that encodes the CF transmembrane conductance regular
  • 57. SPECIAL EPITHELIA  Epithelium of sense organs:olfactory, gustatory and vestibulocochlear epithelium.  Myoepithelial cells/basket cells.  Seminiferous epithelium
  • 58. Structure of basal lamina  Light microscope- basement membrane.  Electron microscope-basal lamina.  Basal lamina divided into:  Lamina Lucida  Lamina lucid  Lamina dens  Lamina reticularis
  • 59. STRUCTURE OF BASEMENT MEMBRANE  Type IV collagen  Proteoglycan (heparin and chondroitin sulfate)  Glycoprotein  Fibronectin
  • 61. Forms tight seals between cells such as the epithelial cells that comprise the inner lining of the stomach, intestine, and urinary bladder.  They prevent the passage of substances between cells
  • 62. ADHERENCES JUNCTIONS Strongly fasten cells to each other or to the extracellular matrix.  They help epithelial surfaces resist separation.  Cardiac muscle
  • 63. Desmosomes (cell to cell)  Desmoglein and Desmocollin interaction with adjacent cells forms a dense middle line.
  • 64. Hemi desmosomes(cell to matrix)  Strongly anchor cells to an underlying basement membrane.
  • 65. Gap junctions  Formed by minute, fluid filled tunnels that permit passage of electrical signals or chemicals (i.e. ions and small molecules) from one cell to a neighbouring cell, located in some parts of the nervous system, in heart muscle and in the gastrointestinal tract.
  • 67. SUMMARY  Epithelial is an avascular tissue derived from all the three germ layers.  They line the external surface of the body , occur as membranes and as glands.  All epithelia lie upon a basal lamina.
  • 68.  Cells are connected to each other by cell junctions.  May possess cilia or microvilli.  They are protective , secretory , absorptive , sensory depending on the location
  • 69. BIBILOGRAPHY  Freshney, R.I. (2002). “Introduction “. In Freshney, R .Ian; Freshney, Mary. Culture of epithelial cells.ISBN 978-0-471-6.  Orban’s Oral Histology and Embryology-10th Edition  Essential of Oral Histology and Embryology- James K Avery, 2nd Edition  Oral Histology Development, Structures & Fundamental – Ten Cate’s, 7th Edition 
  • 70.  Histology Text and Atlas- Michael H Ross,Lynn J Romrell, Gorden I Kaye, 3rd Edition  Gray’s Anatomy- The Anatomical Basis of Clinical Practice ,40th Edition Susan Standing  Bloom & Fawcett’s Concise Histology- Don W  Essentials of Anatomy and Physiology ,5th Edition, Valerie Scalon ,PhD.