Oral Environemnt Flashcards
Secretions of the minor salivary glands
All are mucous except lingual minor glands that are BOTH. Not mixed but have both
Gingival crevicular fluid function
Located in sulcus, no function but probably inflammatory, little GCF on healthy Gingivae
Flow rate at rest vs stimulated
Rest 0.3 stimulated 3ml/min
Daily salivary flow
500-700ml
Stimulated vs unstimulated saliva composition . Which is most active, when?
Unstimulated: majority is submandibular, parotid doesn’t secrete when sleeping
Stimulated: majority is parotid, least active is sublingual
Factors affecting unstimulated salivary flow rate
Hydration
Previous stimulation
Circadian rhythms
Medications
Salivary gland disease
Composition of saliva
99.5% water (inorganic)
0.2% ions (organic if it contains carbon)
0.3% proteins (organic)
Almost zero carbs and lipids
How does conc of Na, bicarbonate, chloride and potassium change as flow rate increases
Sodium and chloride increases
Potassium same
Bicarbonate increases
Functions of oral fluids
Tastes,digestion,bolts formation
Buffering,remineralisation, lubrication
Antibacterial antifungal antiviral
Functions of fluoride, thiocyanate (SCN) in saliva
Fluoride promotes remineralisation, forms fluororapatire and also has antibacterial properties
SCN has antibacterial properties
List some buffers in saliva
Phosphate
Bicarbonate
Proteins like histatins
Bacterial AMMONIA (urea to ammonia when bacteria breaks down amino acids)
What type of receptors are found on salivary glands
Cholinergic stimulation of saliva
Acetylcholine binds to cholinergic receptor, release of calcium ions
Activation of sodium potassium pump (ATP)
Activation of chloride pump (no atp but facilitated diffusion using potassium )
What activates amylase
Chloride and calcium
Function of lactoperoxidase (sialoperoxidase)
It oxidises SCN to OSCN. SCN is thiocynate. Hypothiocynate has antimicrobial properties
Function of cystatin
Tooth remineralisation and protection
Antimicrobial
Inhibits cysteine proteases in bacteria
Function of cystatin
Promotes tooth remineralisation
Antimicrobial properties like inhibiting cysteine proteases in bacteria
Function of gustin (carbonic anhydrase VI)
Facilitate taste function by a activating taste buds
Contains zinc
Activates phosphodisestera 5 which is linked to erectile dysfunction