1C-Salivation Flashcards

1
Q

Are salivary glands essential to life?

A

Nope

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2
Q

What are the 4 salivary glands?

A

Parotid, Submandibular, Sublingual, and Buccal(lots of mini ones)

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3
Q

How much saliva is secreted by the salivary glands per day?

A

800-1500ml!!!

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4
Q

What is the rare condition in patients who cannot produce saliva? What are the 4 consequences?

A

XeroStomia..1.Dental Caries 2.Dry mouth 3.Infection 4.Inflammation of the buccal mucosa

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5
Q

What are the 7 causes of xerostomia?

A

1.Drugs 2.Sjogren’s Syndrome 3.HIV/AIDS 4.Diabetes 5. Parkinsons 6.Injury 7.Radiation

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6
Q

What is the most common receptor that mediates salivary function?

A

M3 (muscarinic receptor-Ach)

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7
Q

What is the most common infection as a result of xerostomia?

A

Candidiasis

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8
Q

Who is most affected by Sjogren’s Syndrome?

A

Post menopausal women

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9
Q

What are the three parts of a basic unit of a salivary gland?

A

1.An Acinus 2.An intercalated duct 3.A striated duct

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10
Q

What are the elongated or star-shaped non-secreting cells with long branching processes that contract to eject saliva in the mouth?

A

Myo-epi-thelial cells

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11
Q

QUICK: ACINUS TYPE, and % of SALIVA for the Parotid gland

A

SEROUS, 25% of saliva

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12
Q

QUICK: ACINUS TYPE, and % of SALIVA for the Submandibular gland

A

MIXED, 71% of saliva

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13
Q

QUICK: ACINUS TYPE, and % of SALIVA for the Sublingual gland

A

Mucous, 3-4% of saliva

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14
Q

QUICK: ACINUS TYPE, and % of SALIVA for the Minor (Buccal) glands

A

Mucous, Trace % of saliva

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15
Q

What duct drains the parotid gland? Where can I find it?

A

Stensen’s Duct…by the upper 2nd molar

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16
Q

What duct drains the submandibular gland? Where can I find it?

A

Wharton’s Duct…Base of the underside of tongue

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17
Q

What duct(s) drain(s) the sublingual gland? Where can I find them?

A

Ducts of Riv-in-us..along the sublingual fold on the floor of the mouth

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18
Q

What is the composition of saliva? What is the pH?

A

99.5% WATER and 0.5% Electrolytes & Protein…pH=6.0-7.4

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19
Q

What are the three most important salivary proteins?

A

Salivary Alpha-Amylase, Lingual Lipase, Mucins

20
Q

Where does salivary alpha-amylase begin digestion? What does it digest?

A

It digests Carbs in the MOUTH

21
Q

On what and where does lingual lipase do its thing?

A

Lipids in the STOMACH!

22
Q

What do Mucins mix with to make mucus?

23
Q

What type of bond does salivary alpha-amylase NOT cleave?

A

Salivary alpha-amylase does NOT cleave TERMINAL alpha-1,4 linkages NOR alpha-1,6 linkages.

24
Q

What inactivates salivary alpha-amylase?

A

Gastric Acid

25
What are the three antibacterial agents in saliva?
Lysozymes, Lactoferrin, Immunoglobulin A (IgA)
26
Which saliva component attacks bacterial cell walls?
A Lysozyme
27
Which saliva component chelates iron and therefore prevents multiplication of organisms that require iron for growth?
LactoFerrin
28
Which salivary component is active against certain viruses and bacteria?
IgA
29
About how many species of bacteria can be found in the mouth?!
close to 700 different species!!
30
What are the three things normal flora do to hook a brother up?
1.Take up space 2.Antagonize other bacteria 3.Stimulate an immune response (AMI-antibody-mediated immune response)
31
What does saliva contain to help neutralize bacterial acid production?
BiCarb! HCO3
32
What does saliva contain to help remineralization of enamel? What supplement can enhance the saliva in this endeavor?
Calcium and Phosphorous...Fluoride aids in remineralization
33
How long does it take after eating an drinking for bacterial to lower the oral pH? What does it lower it to??
It takes 5-10 minutes!!! It can lower it to 5.5 pH!!
34
What type of control is salivation under?
Neural Control
35
The continuous, spontaneous secretion of saliva, even in the absence of apparent stimuli, is due to constant low-level stimulation by the __________ nerve endings that terminate in the salivary glands.
parasympathetic
36
An unconditioned salivary reflex occurs when chemoreceptors and pressure receptors within the oral cavity respond to the presence of _______.
food!
37
On activation, chemo and pressure receptors initiate impulses in ______ nerve fibers that carry the information to the salivary center of the _______.
afferent....medulla
38
The salivary center sends impulses via the _______ _______ nerves to the salivary glands to promote increased salivation.
extrinsic autonomic
39
What are the two CNs that control parasympathetic signals for salivation?
VII and IX
40
__________ stimulation, which exerts the dominant role in salivary secretion, produces a prompt and abundant flow of watery saliva that is rich in enzymes.
Parasympathetic
41
_______ and other cholinergic blocking agents reduce salivary secretion.
Atropine
42
________ stimulation produces a much smaller volume of thick saliva that is rich in mucus.
Sympathetic
43
What type of receptors control parasympathetic pathways for salivation?
Muscarinic
44
What type of receptors control sympathetic pathways for salivation?
Beta-2
45
What nerves control sympathetic stimulation of salivary glands?
T1-T3
46
Salivary secretion is easily _________, as shown in Pavlov's original experiments.
conditioned