102 Saliva Flashcards

1
Q

What is saliva produced by?

A

Specialised exocrine glands

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2
Q

How many litres of salvia are produced a day?

A

0.5 - 1.0 litre/day

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3
Q

How many proteins have been identified in human saliva?

A

437 proteins

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4
Q

What are the functions of saliva lubrication?

A

Saliva lubrication of musicians and water allows food to be swallowed without damaging tissues

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5
Q

What is the main mineral in enamel, bone and dental tissue?

A

Hydroxyapatite

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6
Q

What is the critical pH where enamel is going to start demineralising?

A

Critical pH (5.5)

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7
Q

What do carbonated drinks (fizzy) contain?

A

Fizzy drinks contain fermentable carbohydrates (sugars) and CO2.

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8
Q

What does a lowered pH do to enamel?

A

Lowered pH —> demineralisation of enamel

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9
Q

What is a lactoperoxidase?

A

Lactoperoxidase is an enzyme that generates hypothiocyanite anion.

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10
Q

What is Lactoferrin?

A

Lactoferrin is a secreted iron-binding protein.

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11
Q

What is the normal saliva flow rate?

A

0.5ml/min

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12
Q

What is the hypo salivation flow rate?

A

< 0.1ml/min

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13
Q

What is the clinical title for reduced salivary flow?

A

Xerostomia (hyposalivation)

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14
Q

What clinical problems may be caused by xerostomia?

A
  • Difficulty talking, eating and wearing dentures
  • Loss of taste
  • Pain - ulceration
  • High susceptibility to dental caries
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15
Q

What are the causes of salivary gland hypo function?

A
  • Medication-induced xerostomia
  • Radiation therapy to head and neck
  • Autoimmune diseases
  • Severe immunodeficiency
  • Menopause
  • Eating disorders (dehydration)
  • Type I diabetes
  • Depression
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16
Q

What is Sjögren’s syndrome?

A

Autoimmune exocrinopathy resulting in hyposalivation

17
Q

What % of ‘Sjögren’s syndrome’ patients were women?

A

90% of patients were women

18
Q

What are three measurable factors that influence caries susceptibility?

A
  • Salivary buffering capacity
  • Salivary flow rate
  • Salivary concentration of mutant streptococci
19
Q
A