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1- Oral mucosa 
 Keratinization. 
 Granular layer. 
 Basement membrane formation of immune complexes. 
 Lymphoid cells may deal with any organisms which pass the overlying 
barriers. 
2- Oral lymphoid tissues 
a- Extra-oral lymphoid tissue. 
b- Intra-oral lymphoid tissue 
1- Palatine tonsils. 
2- Salivary gland lymphoid tissue. 
3- Gingival lymphoid tissue (Plasma cells, lymphocytes, macrophage and 
polymorphs). 
4- Scattered submucosal lymphoid cells. 
3- Saliva ( IgA ) 
 Its mechanical washing activity. 
 It is rich in antimicrobial factors (lysozyme, peroxidase and lactoferrin). 
 It secretes IgA which prevent microbial adherence to host surface.
4- Gingival crevicular fluid 
Function: 
– Flushing effect. 
– Transport the blood components as leucocytes from blood to reach the 
oral cavity. 
5- Humoral and cellular components in GCF and Salivary gland 
secretion 
• Innate immunity is non-specific and does not require prior exposure to infectious 
agents. 
• First line of innate immunity: 
1. Physical barriers such as the epithelium. 
2. Phagocytic cells such as neutrophils. 
• The second line of innate immunity: 
- inflammation which localize infectious agents at sites of mucosal penetration. 
• Two mechanisms of complement activation: 
1. Classical Pathway: Initiated by antibodies. 
2. Alternative Pathway: Initiated by microbial polysaccharides. 
 Composed of 15 to 20 amino acid. 
 Produced by leukocytes. 
 It interacts with bacterial cell membrane forming pores leading to 
membrane disruption. 
DONE BY : 
GHADEER HASSAN

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Immunity in the mouth

  • 1. 1- Oral mucosa  Keratinization.  Granular layer.  Basement membrane formation of immune complexes.  Lymphoid cells may deal with any organisms which pass the overlying barriers. 2- Oral lymphoid tissues a- Extra-oral lymphoid tissue. b- Intra-oral lymphoid tissue 1- Palatine tonsils. 2- Salivary gland lymphoid tissue. 3- Gingival lymphoid tissue (Plasma cells, lymphocytes, macrophage and polymorphs). 4- Scattered submucosal lymphoid cells. 3- Saliva ( IgA )  Its mechanical washing activity.  It is rich in antimicrobial factors (lysozyme, peroxidase and lactoferrin).  It secretes IgA which prevent microbial adherence to host surface.
  • 2. 4- Gingival crevicular fluid Function: – Flushing effect. – Transport the blood components as leucocytes from blood to reach the oral cavity. 5- Humoral and cellular components in GCF and Salivary gland secretion • Innate immunity is non-specific and does not require prior exposure to infectious agents. • First line of innate immunity: 1. Physical barriers such as the epithelium. 2. Phagocytic cells such as neutrophils. • The second line of innate immunity: - inflammation which localize infectious agents at sites of mucosal penetration. • Two mechanisms of complement activation: 1. Classical Pathway: Initiated by antibodies. 2. Alternative Pathway: Initiated by microbial polysaccharides.  Composed of 15 to 20 amino acid.  Produced by leukocytes.  It interacts with bacterial cell membrane forming pores leading to membrane disruption. DONE BY : GHADEER HASSAN