Mukosa Oral 2

Mukosa oral (aspek anatomis)

A. Bibir
 Filtrum
 Commisure
 Vermilion
 Vermilion border
Mukosa oral (aspek anatomis)
B. Maxillary labial
vestibulum
 Mukosa labial
 Gingiva
 Interdental papil
 (stippling)
 Frunulum
C. Mandibular labial
vestibulum
 Frenulum
 Gingiva
 sekresi glandula
saliva minor
 Mucogingival
junction (transisi
keratin tipis ke tebal)
Mukosa oral (aspek anatomis)
D. Left maxillary buccal
vestibule

 Mukosa bukal
 Ductus stenson
 Linea alba buccalis
 Fordice granule
Mukosa oral (aspek anatomis)
E. Posterior oral
cavity
 Trigonum
retromolar
 Raphe
pterigomandibular
 Musc. buccinator
Mukosa oral (aspek anatomis)
F. Palatum

 Papila insisve
 Rugae & raphe
 Palatum keras
 Palatum lunak
 Tuberositas
maxilaris
Mukosa oral (aspek anatomis)
F. Posterior/orofaring
 Fossa tonsilar
 Uvula
 Anterior pillar
 Posterior pillar
Mukosa oral (aspek anatomis)
 Tonsila palatina
 Debris
 Crypt
 Pillar posterior
Mukosa oral (aspek anatomis)
G. Dasar Mulut
 Frenulum
 Caruncula
sublingualis
 Muara Duct.
submandibularis
 Gland. Sublingualis
 Plica fimbriata
H. Lidah
4 jenis papila:
1. Circumvalata
2. Foliata
3. Fungiformis
4. Filiformis
Blood supply of Oral Mucosa
Mucosa oral sangat kaya blood vessel.
Diturunkan dari arteri yang berjalan
pararel dalam submucosa/ lapisan
retikulum (mukoperiosteum).
Berada di lap. Retikular  lap papilary 
stra. Basalis.
Blood vessels arrangement oral mucosa>
kutan color mucosa
blood flow >>> di ggv
Blood supply of Oral Mucosa
 Oral Lymphoid tissue
 Peran thd infeksi dan cancer
 Weldeyer ring  kumpulan jar limfe
 Tdd tonsil palatina, lingualis, dan adenoid
(pharingeal)
 Superficial cervical lymph nodes terletak
disepanjang v. jugularis external & anterior,
superficial thd musc. SCM muscle  drainase dr
skin of the scalp, face, neck, and ear.
 Submental nodes drainase dr chin, inner
aspect of the lower lip, lower incisor teeth and
gingiva, and tip of tongue.
 Submental nodes drain  submandibular nodes
 Oral Lymphoid tissue
 Submandibular nodes  drainase dr skin of the
anterior face, anterior nasal cavity, anterior two-
thirds of the tongue, and majority of dentition,
gingiva, and hard palate.
 deep cervical chain of lymph nodes tltak di
spanjang carotid sheath disekitar V. jugularis interna.
Sgt penting ok pusat drainase seluruh lnn regio
kepala leher.
 jugulodigastric node (dibelakang sudut
mandibula) drainase dr oropharynx, dasar mulut ,
soft palate, and tonsils.
 Ipsilateral & contralateral node
Oral Lymphoid tissue
 Pemeriksaan LNN
• Bimanual Palpation
• Dari hulu ke hilir
• Didapat: teraba/tidak, mobile/immobile,
nyeri/tidak, konsistensi kenyal/padat, suhu
normal/meningkat, jumlah single/multiple,
ukuran diameter
 Salivary gland
sublingual gland  smallest
• Letak di musc. Mylohyoid,anterolateral dasar mulut,
dibawah mukosa.
• Sekresi saliva  mucinous (↑viscositas)
 submandibular gland  larger
• extention  over post-or border musc. Mylohyoid (dasar
mulut).
• Sekresi saliva  seromucinous
 Parotid gland  largest
• Sekresi  serous
 Submucosal minor salivary gland
• Seluruh oral cavity kecuali gingiva dan palatum durum
• Sekresi  proporsi sangat kecil, mucinous