【正文】 FFICULT POINTS:1. The surface epithelium of different areas of the gingival(Resolving method: relating the histologic structure to the function of each gingival area)2. The five groups of principal fibers of periodontal ligament(Resolving method: listing the starting and ending point, the function of each group)3. The histologic structure of alveolar bone proper(Resolving method: explaining the different terms of alveolar bone proper)本次課應用的教材教具參考書：教材：高等醫(yī)藥院校教材《口腔組織病理學》第五版。教具：黑板、多媒體系統(tǒng)。參考書：1. Orban: Orban’s Oral Histology and Embryology 9th 19802. Avery JK: Oral Development and Histology 19873. 鄭麟蕃等，口腔醫(yī)學的科學基礎 人民衛(wèi)生出版社 1984 等4. Letty MossSalentijn: Dental and Oral Tissues 1980主要教學內容及時間分配：1st Class Hour1. IntroductionThe periodontium include three/four supporting structures and different structure has different function:1) The gingiva2) The periodontal ligament3) The alveolar process4) The cementum(introduced in Chapter 3rd)2. ObjectiveDescribe the histologic structures and function of periodontal tissues3. Gingiva1) Introduction The position, color, dividing line of gingiva2) Surface Anatomya) The free gingiva: boundaries amp。 gingival sulcusb) The attached gingiva: position amp。 stipplesc) Interdental papilla: position, shape amp。 the gingival col3) Histologic Structurea) The surface epitheliuml The mon featurel The unique feature of different areas: the sulcular epithelium, the col, and the junctional epithelium(the key point is the junctional epithelium, including the definition, the features of histological structure and aging changes)b) Lamina proprial The gingiva fibers: dentogingival, alveologingival, circular, dentoperiosteal, and transseptal(direction and function)l Cells of gingiva: fibroblasts, macrophages, lymphocytes and plasma cellsl Vascularity and Nerves: highly vascular, well innervated4. Periodontal Ligament1) Introduction: position, thickness, the collagen fiber bundles, highly cellular, rich nerve and blood supply2) Histological Structure: fibers, cells, and stromaa) Fibersl Principal fibers: the alveolar crest, the horizontal, the oblique fibers, the apical fibers, the interradicular(direction and function)2nd Class Hourl Sharpey`s fibers: the embedded portions of principal fibers (definition and function)l Space fibers: loose connective tissue between the principal fiber bundles(function)l Oxytalan fibers: fine, part of the support system of the principal fibers(potential function)b) Cells: fibroblasts, osteoblasts, cementoblasts, osteoclasts, epithelial rests, undifferentiated mesenchymal cells (shape and function) c) Cementicles(position and shape)d) The blood vessels, lymphatics and nerves3) Functions: supportive, sensory, nutritive and formative (responding tissue)5. Alveolar Bone1) Introduction: the positions, the definitions of alveolar bone, alveolar socket, alveolar crest and alveolar septa2) Histological Structurea) Alveolar bone proper: the position, the definitions of bundle bone, cribriform plate and lamina dura, longitudinal lamellae and Haversian systemb) Compact bone: the position, longitudinal lamellae and Haversian systemc) Spongy bone: the position, trabeculae and marrow tissues3) Biologya) The side of pressure: Howship’s lacunae and osteoclastsb) The side of tension: new bone and osteoblasts4) Aging Changes6. Summary 本 次 課 小 結 要 點Summary1. The periodontium includes three supporting structures of the teeth: the gingiva, the periodontal ligament, and the alveolar process2. The surface anatomy of gingiva1) The free gingiva:the ginival sulcus2) The attached gingiva: the stipples3) The interdental papilla: the col3. Histological structure of gingiva1) The surface epithelium: mon features of the gingiva epithelium, the unique features of the sulcular epithelium, the col and the junctional epithelium2) Lamina propria: the functions of each group of gingiva fibers4. The fibers of periodontal ligament: the principal fibers: the directions and functions of each group of gingiva fibers5. The functions of periodontal ligament: functions and responding tissues6. Histological structure of alveolar bone proper: the definitions of bundle bone, cribriform plate and lamina dura, the longitudinal lamellae and Harversian systems7. Biology of alveolar bone1) Highly plastic tissue2) The side of pressure3) The side of tension本 次 課 復 習 思 考 題1. Describe the structure and function of a hemidesmosome.2. Describe the characteristics of the junctional epithelium.3. What is the turnover time of the epithelial attachment? And describe how the epithelial attachment migrates with age.4. Name the function of the principal fibers of each group of the periodontal ligament.5. Describe the histologic structure of the alveolar bone proper.What can you see by microscope if bringing pressure to bear on the teeth? 下 次 課 預 習 要 點1. The histologic structure of oral mucosa.2. Three types of oral mucosa.3. The basic histologic structure of salivary glands.4. The unique features of each salivary gland.上海第二醫(yī)科大學教 案課程名稱 口腔組織病理學 第 4 次課 06年9月20日教師姓名張春葉職稱助教教研室口腔病理教學時數2授課題目第五章 口腔粘膜 第六章 涎腺教學對象04七年制授課地點口腔醫(yī)學院102教室教學方式理論課本次的重點、難點及對策：1 口腔粘膜的一般組織學結構 對策：逐層講解，抓住各層結構的特點，比較角化上皮和非角化上皮的異同2 咀嚼粘膜和被覆粘膜的組織結構特點 對策：結合兩者行使的功能與組織結構的關系，以表格的形式詳細講解其各層結構的特點3 四種舌乳頭的特點 對策：結合典型圖片，講述四種舌乳頭的發(fā)布、數量、形狀、大小、表面上皮、有無味蕾及臨床意義4 涎腺的一般組織學結構 對策：結合典型圖片，比較各腺泡及導管的形態(tài)、結構及功能的異同本次課應用的教材教具參考書：教材：高等醫(yī)藥院校教材《口腔組織病理學》第五版教具：多媒體、黑板、話筒參考書：1. Orban : Orban`s Oral Histology and Embryology 9th 19802. Avery JK: Oral Development and Histology 1987主要教學內容及時間分配：第五章 口腔粘膜一、概述(：1. 口腔粘膜的定義：覆蓋在口腔表面的一層襯覆組織2. 口腔粘膜的范圍：前－唇部皮膚 后－咽部粘膜3. 口腔粘膜的功能二、口腔粘膜的基本組織結構： 與皮膚組織結構相似；由上皮、固有層和粘膜下層構成1． 上