inorganic components of saliva Flashcards

1
Q

typical salivary pH

A

6-7.4

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2
Q

why is pH important in mouth?

A

-mantaining ionic product for hydroxyapatite
-isoelectric point for salivary protein precipitation on tooth surfaces
-optimal pH for salivary enzymes

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3
Q

Explain Stephan’s curve

A

-pH decreases to 4.5 due to fermentation of carbohydrates by plaque microorgs generating acids
-hydroxyapatite dissolves below 5.5, some demineralisation occurs
-pH restored to neutrality due to salivary buffering, new mineral precipitated
-for remineralisation, pH must be above critical pH (5.5), takes 20-40mins to happen

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4
Q

what does data on wax chewing graph show

A

-if pH below 5.5, hydroxyapatite dissolves, the longer it stays below this value the more tooth mineral will be lost
-greater amount of sucrose given, the lower the plaque pH
-stimulating saliva increases buffering capacity

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5
Q

rate of ph with flow rate

A

higher flow rates increases salivary buffering (increases pH)

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6
Q

effect of flow rate on pH of saliva

A

Higher the flow rate higher the pH
-more buffering/alkaline species
-this is due to bicarbonate ions competent (most important buffer)

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7
Q

What are bicarbonate ions

A

important buffer at high flow rates

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8
Q

how are bicarbonate ions produced?

A

-by striated epithelium of secretory ducts and parotid glands

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9
Q

How does conc of bicarbonate vary?

A

-bicarbonate content of saliva increases with metabolic activity of salivary glands

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10
Q

range of bicarb

A

1mM-60mM

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11
Q

how much bicarb in mechanically stimulated saliva

A

15mM

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12
Q

Effect of flow rate on bicarbonate conc in saliva

A

Increased salivary flow results in increased bicarb concs

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13
Q

What is pka of bicarbonate

A

At pH 6.1 equal conc of carbonic acids and bicarbonate ions
-as pH falls, forward reaction will be favoured

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14
Q

bicarbonate formula

A

HCO3-

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15
Q

where is bicarbonate produced

A

Bicarbonate derived partly from plasma and partly from metabolic activity of salivary glands
-Carbonic acid conc in plasma is stable at 1.3milimolar and is equiliburm with alveolar carbon dioxide conc in lungs
-conc in gland increases with increased salivary flow due to increased metabolic activity
H2O + CO2–H2CO3–HCO3- + H+

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16
Q

What are sodium and potassium ions used for

A

-counter ions to preserve electrical neutrality
-sodium counter ion for bicarbonate
-potassium counter ion for phosphate

17
Q

conc range of sodium

18
Q

conc range of potassium

19
Q

effect of increase in flow rate on Na and K ions

A

increases Na+, K+ stays same

20
Q

what is role of Mg ions in saliva?

A

role unclear
possible: cellular degradation, early carious attack

21
Q

conc range of Mg

22
Q

effect of increase in flow rate on Mg ion

23
Q

what is Ca++ secreted by

A

major salivary glands

24
Q

what does Ca bind with

A

complexes with calcium-binding salivary proteins

25
role of Ca ions
-mantainance of ionic product for hydroxyapatite
26
conc range for Ca
1-2 mM
27
effect of flow rate increase on Ca +
stays same
28
effect of flow rate on protein in saliva
-some proteins bind to calcium -increases protein
29
What are phosphate ions role
-acts as buffer esp in unstimulated saliva -important in mantanaince of ionic product for hydroxyapatite
30
conc range of phosphate ions
2-13mM
31
effect of increase flow rate on phosphate ions
decrease, increased flow rate produces more alkaline pH due to increased bicarbonate
32
Diff phosphate species
-changes the proportions of diff ionic phosphate species. H2PO4- decreases and HPO42- and PO43- increase--these less protonated phosphate ions important to solubility of tooth mineral
33
What can increasing Ca and phosphate ions do
-increasing ca and phosphate ions in saliva will encourage reprecipitation of mineral BUT too much ca and po4 will lead precipitation of minerals at other sites leading to tartar
34
What is saturated/supersaturated
-when sufficient ions of salt, solution is saturated -above threshold is supersaturated -saliva is supersaturated with hydroxyapatites at neutral pH
35
Conc of fluoride ion in saliva
0.001-0.005mM
36
where is fluoride ions found
porous enamel, including caries (higher conc in plaque)
37
what is role of fluoride
replaces OH in HAP lattice structure, increasing its stability -facilitates HAP precipitation and promotes remineralisation
38
read 3 slides on HAP
one note