Oralna mukoza
-
Upload
vesna-danilovic -
Category
Education
-
view
519 -
download
6
Transcript of Oralna mukoza
![Page 1: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/1.jpg)
ORALNA MUKOZAProf. dr Vesna Danilović
STOMATOLOŠKI FAKULTET UNIVERZITET U BEOGRADU
![Page 2: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/2.jpg)
Pod pojmom mukoza ili sluznica podrazumeva se vlažni pokrivač, koji zastire untrašni deo digestivnog sistema, respiratornih puteva i svih drugih sistema organa koji imaju komunikaciju sa spoljašnjom sredinom.
![Page 3: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/3.jpg)
zaštitna uloga (u odnosu na mehaničke sile, mikroorganizme, toksine)
senzorna uloga (mehanoreceptori za dodir I pritisak, termičke nadražaje, bol I ukus)
sekretorna funkcija (male I velike pljuvačne žlezde koje luče salivu koja oblaže mukozu)
refleksi gutanja, žvakanja I salivacije započinju aktivacijom receptora u oralnoj mukozi
apsorpcija (nitrati, nitroglicerin)
![Page 4: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/4.jpg)
Oralna mukoza
-oralna mukoza – epitel I vezivno tkivo
-epitel - plocasto slojeviti (ekvivalent epidermisu)-vezivno tkivo - lamina propria (ekvivalent dermisu)
1.gornji papilarni sloj–2. donji retikularni sloj
Ispod lamine proprije submucosa
![Page 5: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/5.jpg)
![Page 6: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/6.jpg)
Oralni epitel
1. keratinociti2. Langerhansove celije3. Merkelove celije
4. melanociti
![Page 7: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/7.jpg)
7
A: EpitelB: Lamina propriaC: Mele pljuvačne žlezde
A: Startum basaleB: Startum spinosumC: Startum superficiale
![Page 8: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/8.jpg)
Klasifikacija oralne mukoze
Na osnovu funkcionalnih karakteristika
Zastorna 60% Mastikatorna 25% Specijalizovana
(gustativna) 15%
Na osnovu strukture epitela
Keratinizovana-ortokeratinizovana-parakeratinizovana
Nekeratinizovana
![Page 9: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/9.jpg)
9
Mastikatorna mukoza - gingiva
![Page 10: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/10.jpg)
Gingiva je istovremeno deo oralne mukoze I parodoncijuma. Pokriva alveolarni nastavak I okružuje vratove zuba
![Page 11: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/11.jpg)
Gingiva 1. Slobodna 2. Pripojna 3. Interdentalna
![Page 12: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/12.jpg)
Pripojna gingiva
Mastikatorna mukoza
Čvrsto priljubljene za alveolarni nastavak.
Širina: od 1,8 mm do 4,5 mm. Veća je u predelu prednjih zuba I u donjoj nego u gornjoj vilici.
![Page 13: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/13.jpg)
Pripojna gingiva je svetlo ružičaste boje, zrnaste strukture
![Page 14: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/14.jpg)
Slobodna gingiva okružuje vrat zuba u obiku kragne širine 1,5 do 2 mm
![Page 15: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/15.jpg)
Gingiva
![Page 16: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/16.jpg)
Interdentalna gingiva je mesto gde se dešavaju inicijalne promene kod gingivitisa.
![Page 17: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/17.jpg)
Interdentalna gingiva
![Page 18: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/18.jpg)
Epitel gingive Oralni Sulkusni Pripojni
![Page 19: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/19.jpg)
Gingivalni sulkus
![Page 20: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/20.jpg)
![Page 21: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/21.jpg)
![Page 22: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/22.jpg)
![Page 23: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/23.jpg)
![Page 24: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/24.jpg)
![Page 25: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/25.jpg)
![Page 26: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/26.jpg)
![Page 27: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/27.jpg)
Lamina propria gingive
Dentogingivalna grupa
Alveogingivalna grupa
Cirkularna grupa Dentoperiostalna
grupa Transeptalna
vlakna
![Page 28: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/28.jpg)
Transeptalna vlakna se pružaju od cementa jednog, preko alveolarnog grebena i završavaju se sa insecijom u cementu susednog zuba
![Page 29: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/29.jpg)
Transeptalna vlakna
![Page 30: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/30.jpg)
Inflamacija (zapaljenje)
![Page 31: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/31.jpg)
inflamacija
![Page 32: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/32.jpg)
inflamacija
![Page 33: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/33.jpg)
Razvoj gingive
![Page 34: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/34.jpg)
34
tvrdo nepce
![Page 35: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/35.jpg)
Tvrdo I meko nepce
![Page 36: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/36.jpg)
Tvrdo nepce
![Page 37: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/37.jpg)
Tvrdo nepce
![Page 38: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/38.jpg)
Tvrdo nepce – nosna strana
![Page 39: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/39.jpg)
Tvrdo nepce – nosna strana
![Page 40: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/40.jpg)
Tvrdo nepce – zona adiposa
![Page 41: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/41.jpg)
Epitel mastikatorne mukoze
![Page 42: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/42.jpg)
Meko nepce
![Page 43: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/43.jpg)
Meko nepce
![Page 44: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/44.jpg)
Gl. palatinae
![Page 45: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/45.jpg)
![Page 46: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/46.jpg)
![Page 47: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/47.jpg)
![Page 48: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/48.jpg)
Tvrdo i meko nepce
![Page 49: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/49.jpg)
49
Zastorna mukoza
![Page 50: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/50.jpg)
Alveolarna mukoza
![Page 51: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/51.jpg)
Meko nepce
![Page 52: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/52.jpg)
Labijalna mukoza
![Page 53: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/53.jpg)
Pod usta
Ventralna strana jezika
![Page 54: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/54.jpg)
![Page 55: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/55.jpg)
0ralna strana gingive
gingiva
![Page 56: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/56.jpg)
Alveolarna mukoza (B)-gingiva (A)
![Page 57: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/57.jpg)
57
Specijalizovana mukoza
![Page 58: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/58.jpg)
Papillae filiformes
![Page 59: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/59.jpg)
Papilla fungiformis
![Page 60: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/60.jpg)
Papilla fungiformis
![Page 61: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/61.jpg)
Papilla circumvallata
![Page 62: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/62.jpg)
Papilla circumvallata
![Page 63: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/63.jpg)
Gustativni korpuskul
![Page 64: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/64.jpg)
Gustativni korpuskul
![Page 65: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/65.jpg)
Gustativni korpuskul
![Page 66: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/66.jpg)
Zadnja trecina jezika
![Page 67: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/67.jpg)
Usna - vermillion
![Page 68: Oralna mukoza](https://reader033.fdocuments.net/reader033/viewer/2022061410/587d26821a28ab1c2f8b69bf/html5/thumbnails/68.jpg)
Usna – labium oris