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Histology of Lip & Tongue
Dr. Muhammad Ali Rabbani
Asst. Professor Anatomy
MBBS (NMC, Multan)
FCPS (Anatomy)
CHPE (Certificate in Health Professional Education)
DHPE (Diploma in Health Professional Education)
MBA (Masters of Business Administration)
MPH (Masters of Public Health)
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Learning Objectives
By the end of this lecture students should
ā€¢ Describe the histological features of lip, with emphasis on transition
in structure from cutaneous to vermillion to mucosal zone.
ā€¢ Explain the histological features of dorsal and ventral surfaces of
tongue, with particular focus on tongue papillae, their shape,
location, keratinization, number and presence or absence of taste
buds.
05/02/2024 Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 2
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Oral Cavity
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ā€¢ The oral cavity consists of the mouth and its structures, which include
the tongue, teeth and their supporting structures (periodontium)
ā€¢ Oral cavity is divided into
ā€¢ Vestibule
ā€¢ The space between the lips, cheeks, and teeth
ā€¢ Oral Cavity Proper
ā€¢ It lies behind the teeth
ā€¢ the hard and soft palates superiorly
ā€¢ the tongue and the ļ¬‚oor of the mouth inferiorly
ā€¢ the entrance to the oropharynx posteriorly
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Mucosa
The oral cavity is lined by the oral mucosa that consists of
ā€¢ Masticatory mucosa
ā€¢ Lining mucosa
ā€¢ Specialized mucosa
Epithelium is stratified squamous which may be keratinized, partially
keratinized or non-keratinized depending on location
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Masticatory Mucosa
ā€¢ Found on the gingiva (gums) and the hard palate
ā€¢ Epithelium may be
ā€¢ Keratinized
ā€¢ Resembles skin, lacks stratum lucidum
ā€¢ Para-keratinized
ā€¢ similar to keratinized epithelium except that the superļ¬cial cells do not lose their nuclei
ā€¢ Lamina Propria
ā€¢ Consists of thick papillary layer of loose connective tissue
ā€¢ In midline of hard palate and gingiva lamina propria blends with periosteum
(no submucosa)
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Lining Mucosa
ā€¢ Found on the lips, cheeks, alveolar mucosal surface, ļ¬‚oor of the
mouth, inferior surfaces of the tongue, and soft palate
ā€¢ Epithelium of the lining mucosa is mostly nonkeratinized
ā€¢ although in some places, it may be parakeratinized
ā€¢ Vermillion border of lip is keratinized
ā€¢ Lamina propria throws shallow papillae into epithelium
ā€¢ A distinct submucosa underlies the lining mucosa
ā€¢ except on the inferior surface of the tongue
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Specialized Mucosa
ā€¢ Restricted to the dorsal surface of the tongue
ā€¢ Specialized mucosa is associated with the sensation of taste
ā€¢ It contains papillae and taste buds responsible for generating the
chemical sensation of taste
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Lips
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Lips
ā€¢ There is well-developed core of striated muscle
ā€¢ makes these structures highly mobile
ā€¢ Both lips have three different covered surfaces
ā€¢ Internal Mucosal Surface
ā€¢ Vermillion Zone
ā€¢ Outer Surface
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ā€¢ Internal Mucosal Surface
ā€¢ lining mucosa with a thick, nonkeratinized
epithelium
ā€¢ many minor labial salivary glands.
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ā€¢ Vermillion Zone
ā€¢ is transitional between the oral mucosa and skin
ā€¢ very thin keratinized stratified squamous epithelium
ā€¢ lacks salivary or sweat glands
ā€¢ very rich in both sensory innervation and capillaries
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ā€¢ Outer Surface
ā€¢ thin skin, consisting of epidermal and
dermal layers, sweat glands, and many hair
follicles with sebaceous glands
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Tongue
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Tongue
ā€¢ The tongue is a mass of striated muscle covered by mucosa
ā€¢ Manipulates ingested material during mastication and swallowing
ā€¢ Muscle fibers are oriented in all directions (found only in this tissue),
allowing a high level of mobility
ā€¢ Muscles are both extrinsic and intrinsic
ā€¢ Connective tissue between the small fascicles of muscle is penetrated
by the lamina propria, which makes the mucous membrane strongly
adherent to the muscular core
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ā€¢ The lower surface of the tongue is smooth, with
typical lining mucosa
ā€¢ The dorsal surface is irregular
ā€¢ A V-shaped groove called the sulcus terminalis
divides this surface into
ā€¢ Anterior two-thirds ā€“ having hundreds of small
protruding papillae of various types
ā€¢ Posterior one-third ā€“ having massed lingual tonsils
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Lingual Papillae
ā€¢ The lingual papillae are elevations
of the mucous membrane that
assume various forms and
functions
ā€¢ There are four types
ā€¢ Filiform papillae
ā€¢ Fungiform papillae
ā€¢ Foliate papillae
ā€¢ Vallate (or Circumvallate) papillae
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Filiform Papillae
ā€¢ Most numerous
ā€¢ Smallest among all
ā€¢ Elongated conical shape
ā€¢ Heavily keratinized, which gives their
surface a gray or whitish appearance
ā€¢ Provides rough surface that facilitates
movement of food during chewing
ā€¢ Does not contain taste buds
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Fungiform Papillae
ā€¢ Less numerous than filiform
ā€¢ Interspersed among the filiform papillae
ā€¢ More numerous near the tip
ā€¢ Mushroom-shaped
ā€¢ Lightly keratinized
ā€¢ Well-vascularized and innervated cores
of lamina propria
ā€¢ Taste buds present on the dorsal surface
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Foliate Papillae
ā€¢ Consist of several parallel ridges on each side
of the tongue, anterior to the sulcus terminalis
ā€¢ Rudimentary in humans,
especially older individuals
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Vallate Papillae
ā€¢ Largest papillae, with diameters of 1-3 mm
ā€¢ Eight to twelve vallate papillae are normally
aligned just in front of the terminal sulcus
ā€¢ Ducts of several small, serous salivary (von Ebner)
glands empty into the groove surrounding each
vallate papilla
ā€¢ Secretions from these contain a lipase
Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 22
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Taste Buds
ā€¢ Ovoid structures within the stratified epithelium on the tongueā€™s surface
ā€¢ Sample the general chemical composition of ingested
ā€¢ These are present on
ā€¢ Vallate papillae (250 per papilla on lateral surface)
ā€¢ Fungiform papilla
ā€¢ Foliate papillae
ā€¢ NOT on the keratinized filiform papillae
ā€¢ Also widely scattered elsewhere on the
ā€¢ dorsal and lateral surfaces of the tongue
ā€¢ glossopalatine arch
ā€¢ the soft palate
ā€¢ the posterior surface of the epiglottis
ā€¢ the posterior wall of the pharynx down to the level of the cricoid cartilage
Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 23
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Taste Buds ā€“ Structure
ā€¢ A taste bud has 50-100 cells. These include
ā€¢ Gustatory (taste) cells
ā€¢ More than half
ā€¢ Synapse with sensory axons (of CN VII, IX & X)
ā€¢ 7-10 day life span
ā€¢ Supportive cells
ā€¢ Basal Stem cells
ā€¢ Give rise to other cell types
ā€¢ 10 day life span
ā€¢ The base rests on the basal lamina that is entered by sensory axons
ā€¢ At apex there is 2-Ī¼m-wide taste pore, through which microvilli project
Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 24
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Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 25
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Taste Buds ā€“ Categories of Tastants
ā€¢ Taste buds detect at least five broad categories of tastants
ā€¢ salty - sodium ions
ā€¢ sour - hydrogen ions from acids
ā€¢ sweet - sugars and related compounds
ā€¢ bitter - alkaloids and certain toxins
ā€¢ umami - amino acids such as glutamate and aspartate
ā€¢ Salt and sour tastes are produced by ion channels and the other three
taste categories are mediated by G-proteinā€“coupled receptors
Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 26
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Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 27
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ā€¢ Some areas of the tongue are more
responsive to certain tastes than other
ā€¢ However, studies with thermal stimulation
of the tongue have shown that the classic
taste maps as described above represent
an oversimpliļ¬ed view of the distribution
of taste receptors
ā€¢ Sensitivity to all tastes is distributed across
the entire tongue, but some areas are
indeed more responsive to certain tastes
than others
Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 28
05/02/2024
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Histology of Lip and Tongue - Medicose Academics

  • 1. info@medicoseacademics.com 0310-7990649 Histology of Lip & Tongue Dr. Muhammad Ali Rabbani Asst. Professor Anatomy MBBS (NMC, Multan) FCPS (Anatomy) CHPE (Certificate in Health Professional Education) DHPE (Diploma in Health Professional Education) MBA (Masters of Business Administration) MPH (Masters of Public Health)
  • 2. info@medicoseacademics.com 0310-7990649 Learning Objectives By the end of this lecture students should ā€¢ Describe the histological features of lip, with emphasis on transition in structure from cutaneous to vermillion to mucosal zone. ā€¢ Explain the histological features of dorsal and ventral surfaces of tongue, with particular focus on tongue papillae, their shape, location, keratinization, number and presence or absence of taste buds. 05/02/2024 Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 2
  • 3. info@medicoseacademics.com 0310-7990649 Oral Cavity Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 3 05/02/2024
  • 4. info@medicoseacademics.com 0310-7990649 ā€¢ The oral cavity consists of the mouth and its structures, which include the tongue, teeth and their supporting structures (periodontium) ā€¢ Oral cavity is divided into ā€¢ Vestibule ā€¢ The space between the lips, cheeks, and teeth ā€¢ Oral Cavity Proper ā€¢ It lies behind the teeth ā€¢ the hard and soft palates superiorly ā€¢ the tongue and the ļ¬‚oor of the mouth inferiorly ā€¢ the entrance to the oropharynx posteriorly Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 4 05/02/2024
  • 5. info@medicoseacademics.com 0310-7990649 Mucosa The oral cavity is lined by the oral mucosa that consists of ā€¢ Masticatory mucosa ā€¢ Lining mucosa ā€¢ Specialized mucosa Epithelium is stratified squamous which may be keratinized, partially keratinized or non-keratinized depending on location Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 5 05/02/2024
  • 6. info@medicoseacademics.com 0310-7990649 Masticatory Mucosa ā€¢ Found on the gingiva (gums) and the hard palate ā€¢ Epithelium may be ā€¢ Keratinized ā€¢ Resembles skin, lacks stratum lucidum ā€¢ Para-keratinized ā€¢ similar to keratinized epithelium except that the superļ¬cial cells do not lose their nuclei ā€¢ Lamina Propria ā€¢ Consists of thick papillary layer of loose connective tissue ā€¢ In midline of hard palate and gingiva lamina propria blends with periosteum (no submucosa) Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 6 05/02/2024
  • 7. info@medicoseacademics.com 0310-7990649 Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 7 05/02/2024
  • 8. info@medicoseacademics.com 0310-7990649 Lining Mucosa ā€¢ Found on the lips, cheeks, alveolar mucosal surface, ļ¬‚oor of the mouth, inferior surfaces of the tongue, and soft palate ā€¢ Epithelium of the lining mucosa is mostly nonkeratinized ā€¢ although in some places, it may be parakeratinized ā€¢ Vermillion border of lip is keratinized ā€¢ Lamina propria throws shallow papillae into epithelium ā€¢ A distinct submucosa underlies the lining mucosa ā€¢ except on the inferior surface of the tongue Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 8 05/02/2024
  • 9. info@medicoseacademics.com 0310-7990649 Specialized Mucosa ā€¢ Restricted to the dorsal surface of the tongue ā€¢ Specialized mucosa is associated with the sensation of taste ā€¢ It contains papillae and taste buds responsible for generating the chemical sensation of taste Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 9 05/02/2024
  • 10. info@medicoseacademics.com 0310-7990649 Lips Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 10 05/02/2024
  • 11. info@medicoseacademics.com 0310-7990649 Lips ā€¢ There is well-developed core of striated muscle ā€¢ makes these structures highly mobile ā€¢ Both lips have three different covered surfaces ā€¢ Internal Mucosal Surface ā€¢ Vermillion Zone ā€¢ Outer Surface Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 11 05/02/2024
  • 12. info@medicoseacademics.com 0310-7990649 ā€¢ Internal Mucosal Surface ā€¢ lining mucosa with a thick, nonkeratinized epithelium ā€¢ many minor labial salivary glands. Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 12 05/02/2024
  • 13. info@medicoseacademics.com 0310-7990649 ā€¢ Vermillion Zone ā€¢ is transitional between the oral mucosa and skin ā€¢ very thin keratinized stratified squamous epithelium ā€¢ lacks salivary or sweat glands ā€¢ very rich in both sensory innervation and capillaries Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 13 05/02/2024
  • 14. info@medicoseacademics.com 0310-7990649 ā€¢ Outer Surface ā€¢ thin skin, consisting of epidermal and dermal layers, sweat glands, and many hair follicles with sebaceous glands Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 14 05/02/2024
  • 15. info@medicoseacademics.com 0310-7990649 Tongue Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 15 05/02/2024
  • 16. info@medicoseacademics.com 0310-7990649 Tongue ā€¢ The tongue is a mass of striated muscle covered by mucosa ā€¢ Manipulates ingested material during mastication and swallowing ā€¢ Muscle fibers are oriented in all directions (found only in this tissue), allowing a high level of mobility ā€¢ Muscles are both extrinsic and intrinsic ā€¢ Connective tissue between the small fascicles of muscle is penetrated by the lamina propria, which makes the mucous membrane strongly adherent to the muscular core Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 16 05/02/2024
  • 17. info@medicoseacademics.com 0310-7990649 ā€¢ The lower surface of the tongue is smooth, with typical lining mucosa ā€¢ The dorsal surface is irregular ā€¢ A V-shaped groove called the sulcus terminalis divides this surface into ā€¢ Anterior two-thirds ā€“ having hundreds of small protruding papillae of various types ā€¢ Posterior one-third ā€“ having massed lingual tonsils Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 17 05/02/2024
  • 18. info@medicoseacademics.com 0310-7990649 Lingual Papillae ā€¢ The lingual papillae are elevations of the mucous membrane that assume various forms and functions ā€¢ There are four types ā€¢ Filiform papillae ā€¢ Fungiform papillae ā€¢ Foliate papillae ā€¢ Vallate (or Circumvallate) papillae Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 18 05/02/2024
  • 19. info@medicoseacademics.com 0310-7990649 Filiform Papillae ā€¢ Most numerous ā€¢ Smallest among all ā€¢ Elongated conical shape ā€¢ Heavily keratinized, which gives their surface a gray or whitish appearance ā€¢ Provides rough surface that facilitates movement of food during chewing ā€¢ Does not contain taste buds Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 19 05/02/2024
  • 20. info@medicoseacademics.com 0310-7990649 Fungiform Papillae ā€¢ Less numerous than filiform ā€¢ Interspersed among the filiform papillae ā€¢ More numerous near the tip ā€¢ Mushroom-shaped ā€¢ Lightly keratinized ā€¢ Well-vascularized and innervated cores of lamina propria ā€¢ Taste buds present on the dorsal surface Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 20 05/02/2024
  • 21. info@medicoseacademics.com 0310-7990649 Foliate Papillae ā€¢ Consist of several parallel ridges on each side of the tongue, anterior to the sulcus terminalis ā€¢ Rudimentary in humans, especially older individuals Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 21 05/02/2024
  • 22. info@medicoseacademics.com 0310-7990649 Vallate Papillae ā€¢ Largest papillae, with diameters of 1-3 mm ā€¢ Eight to twelve vallate papillae are normally aligned just in front of the terminal sulcus ā€¢ Ducts of several small, serous salivary (von Ebner) glands empty into the groove surrounding each vallate papilla ā€¢ Secretions from these contain a lipase Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 22 05/02/2024
  • 23. info@medicoseacademics.com 0310-7990649 Taste Buds ā€¢ Ovoid structures within the stratified epithelium on the tongueā€™s surface ā€¢ Sample the general chemical composition of ingested ā€¢ These are present on ā€¢ Vallate papillae (250 per papilla on lateral surface) ā€¢ Fungiform papilla ā€¢ Foliate papillae ā€¢ NOT on the keratinized filiform papillae ā€¢ Also widely scattered elsewhere on the ā€¢ dorsal and lateral surfaces of the tongue ā€¢ glossopalatine arch ā€¢ the soft palate ā€¢ the posterior surface of the epiglottis ā€¢ the posterior wall of the pharynx down to the level of the cricoid cartilage Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 23 05/02/2024
  • 24. info@medicoseacademics.com 0310-7990649 Taste Buds ā€“ Structure ā€¢ A taste bud has 50-100 cells. These include ā€¢ Gustatory (taste) cells ā€¢ More than half ā€¢ Synapse with sensory axons (of CN VII, IX & X) ā€¢ 7-10 day life span ā€¢ Supportive cells ā€¢ Basal Stem cells ā€¢ Give rise to other cell types ā€¢ 10 day life span ā€¢ The base rests on the basal lamina that is entered by sensory axons ā€¢ At apex there is 2-Ī¼m-wide taste pore, through which microvilli project Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 24 05/02/2024
  • 25. info@medicoseacademics.com 0310-7990649 Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 25 05/02/2024
  • 26. info@medicoseacademics.com 0310-7990649 Taste Buds ā€“ Categories of Tastants ā€¢ Taste buds detect at least five broad categories of tastants ā€¢ salty - sodium ions ā€¢ sour - hydrogen ions from acids ā€¢ sweet - sugars and related compounds ā€¢ bitter - alkaloids and certain toxins ā€¢ umami - amino acids such as glutamate and aspartate ā€¢ Salt and sour tastes are produced by ion channels and the other three taste categories are mediated by G-proteinā€“coupled receptors Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 26 05/02/2024
  • 27. info@medicoseacademics.com 0310-7990649 Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 27 05/02/2024
  • 28. info@medicoseacademics.com 0310-7990649 ā€¢ Some areas of the tongue are more responsive to certain tastes than other ā€¢ However, studies with thermal stimulation of the tongue have shown that the classic taste maps as described above represent an oversimpliļ¬ed view of the distribution of taste receptors ā€¢ Sensitivity to all tastes is distributed across the entire tongue, but some areas are indeed more responsive to certain tastes than others Dr Muhammad Ali Rabbani - Asst. Prof. Anatomy 28 05/02/2024