EX3; Salivary Glands 1 Flashcards
Reduced salivation can cause what
increased incidence of caries
What two conditions have particularly potent hypo salivation effects
head and neck radiotherapy Sjogren’s syndrome
This is the injection of an isotope of Technetium, which binds to Na-K-Cl membrane transport system of acinar cells of salivary and other glands; used in the case study of the boy with no saliva
salivary gland scintigraphy
True or False genetic abnormalities of major salivary glands are fairly common
False; they are rare
True or False genetic abnormalities of major salivary glands may involve a single or multiple glands
True
What may salivary gland agenesis be accompanied by
other developmental disorders of the ectoderm or 1st branchial arch abnormalities of the hair, nails, missing teeth, or deafness
What is the severity of of salivary gland genesis dependent upon
the number of glands affected type of abnormality; total lack of gland vs hypofunction
What is important to do regarding salivary gland agenesis
early diagnosis and immediate measures to prevent caries
These are highly glycosylated glycoproteins that are viscous and responsible for lubricating the mucosal surface and providing a protective barrier
mucins
What do mucins tranp and clear
bacteria and sugar
This is secreted in saliva and serves an important function in buffering acids in the mouth (neutralization of acids and pH maintenance)
bicarbonate
These are calcium-binding proteins present in saliva; allowing saliva to be super saturated and contribute to enamel maturation and remineralization
proline-rich proteins statherin
These molecules contribute to the direct antimicrobial function os saliva (anti-bacterial, anti-fungal, anti-viral, etc.)
lysozyme peroxidase defensins histatins IgA
Some evidence suggests that saliva secretes this to actively participate in tissue repair
growth factors epidermal growth factor nerve growth factor
This provides lubrication that is critical to chewing and swallowing
mucins
Saliva contains these two enzymes which being to break down starch and fats into free fatty acids and glycerol
amylase = starch lipase = fats
Taste molecules must first be dissolved in this so they can be transported to the taste buds
water
Salivary glands are considered which type of glands
exocrine
How do salivary glands discharge their secretion
via a duct to an epithelial surface
What are the three major salivary glands
parotid submandibular sublingual
What is the normal daytime salivary flow rate
0.3-04 ml/min
What is the normal daytime volume of saliva in the mouth
0.8-1.1ml; most of it is a thin film that covers the teeth
This major salivary gland secretes a mixed but mostly mucous secretion and 7-8% of the total volume
sublingual
This major salivary gland secretes a serous (watery) saliva with amylase and around 60% of the total volume
parotid
This major salivary gland secretes a mixed but most serous saliva and 25% of the total volume
submandibuar
What are the minor salivary glands
Von Ebner glands labial palatal buccal lingual
What do the Von Ebner glands secrete (serous)
lingual lipases
What do the labial, palatal, buccla, and lingual glands secrete (mucous)
mucins