L42: Oral Environment 1 Flashcards

1
Q

What are the functions of oral fluids?

A

Protective:

  • Cleansing
  • Mucosal protection
  • Buffering
  • Remineralisation
  • Antimicrobial

Digestive:

  • Taste
  • Digestive enzymes
  • Lubrication of bolus
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2
Q

What is xerostomia and what is a patient with xerostamia prone to?

A
  • Dry mouth;

- Oral disease, in particular caries.

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3
Q

What type of gland are salivary glands?

A

Exocrine

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4
Q

What type of secretions to salivary glands produce?

A

Serous and/or mucous secretions

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5
Q

What are the three major (pairs) of salivary glands?

A
  • Parotid;
  • Submandibular;
  • Sublingual.
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6
Q

Where are minor salivary glands localised to?

A
  • Buccal (cheek);
  • Labial (lips);
  • Lingual (tongue);
  • Palatal (palates).
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7
Q

In the structure of a salivary gland, where does the gland open (and secrete) into the duct?

A

Acinus

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8
Q

In the structure of a salivary gland, where is saliva modified?

A

Striated duct

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9
Q

With H&E staining, how does a mucous acinus appear under the microscope?

A

White and bubbly appearance, due to the presence of proteins, with nuclei on the outskirts

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10
Q

With H&E staining, how does a serous acinus appear under the microscope?

A

Whole structure stains, pink

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11
Q

With H&E staining, how does a striated duct appear under the microscope?

A

White lumen, surrounded by pink cells with purple nuclei

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12
Q

What type of secretions do the parotid glands produce?

A

Serous

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13
Q

What type of secretions do the submandibular glands produce?

A

Mixed

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14
Q

What type of secretions do the sublingual glands produce?

A

Mucous

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15
Q

What type of secretions do minor salivary glands produce?

A

Mucous, lingual produce serous too

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16
Q

How does the production of gingival crevicular fluid change with gingivitis?

A

Increases, probably with inflammatory exudate

17
Q

What is the average daily flow of saliva?

A

620mL

18
Q

When is salivary flow rate the highest?

A

During eating

19
Q

When is salivary flow rate the lowest?

A

During sleep

20
Q

What is the most abundant buffer at high salivary flow rates?

A

Bicarbonate

21
Q

During sleep, what are the most active salivary glands?

A

Submandibular (no parotid secretions)

22
Q

During rest, what are the most active salivary glands?

A

Submandibular (sublingual least)

23
Q

During eating, what are the most active salivary glands?

A

Parotid (sublingual least)

24
Q

What are the major components of saliva?

A

Organic:

  • Water, 99.5%;
  • Ions, 0.2%

Inorganic:

  • Proteins (0.3%)
  • Carbohydrates (can be found in diabetics)
25
Q

What is the function of fluoride in saliva?

A
  • Antimicrobial;
  • Forms fluoroapatite;
  • Promotes remineralisation.
26
Q

What is the function of calcium and phosphates in saliva?

A

(Re)mineralisation

27
Q

What is the function of thiocyanate (SCN) in saliva?

A

Antibacterial

28
Q

What is the function of bicarbonate and phosphates in saliva?

A

Buffering

29
Q

What is the most abundant buffer at rest?

A

Phosphates

30
Q

Which lingual papillae contain the most number of tastebuds, per papillae?

A

Circumvallate