Application of stereologic methods to stratified gingival epithelia

Stereologic point-counting procedures were applied to estimate quantitative tissue and cytoplasm parameters of the oral and the junctional epithelium of the human gingiva. Three gingival biopsies of female children, obtained and processed under standardized conditions, served (1) to determine the minimal sample size of cytoplasmic area required for estimating representative volumetric parameters in different strata of both epithelia, and (2) to compare average volume and surface density data derived from standardized samples in epithelial cross sections cut at two planes orientated perpendicular to each other. Sampling of electron micrographs, performed at two levels of magnifications according to a systematic stratified random sampling procedure consisted of recording field strips parallel to the epithelial or tooth surface within each of the various strata. The optimal sample size required varied for different organelles and epithelial strata. Minimal sample size of cytoplasmic area per biopsy were 300-440 mu m(2) for basal, and 450 mu m(2) for stratum spinosum cells of oral epithelium, and 130-185 mu m(2) for basal cells of the junctional epithelium. Average morphometric parameters for gross tissue components (cells, nuclei, cytoplasm, intercellular space) which resulted from analysing 4900 mu m(2) tissue area in each of the epithelia in each biopsy, were almost identical when determined in two different section planes. Volume and surface density data of cytoplasmic organelles (mitochondria, rough and smooth endoplasmic reticulum, cytoplasmic filaments) resulting from a sample of 280 mu m(2) cytoplasmic area per stratum and biopsy, revealed differences of varying magnitude, when determined in the two section planes. These differences were markedly smaller than those between comparable strata of both epithelia. Discussion of sampling procedures concluded that the type of sampling used for the present study is suitable for comparative morphometric studies.