Oral Environment 1 - Oral Fluids Flashcards

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1
Q

What is included in the oral fluids

A

saliva, gingival crevicular fluid, oral bacteria, food debris, epithelial cells

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2
Q

what are the 2 main functions of oral fluids?

A

protection and digestion

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3
Q

what are the protective functions of oral fluids?

A

cleansing, mucosal protection, buffering, remineralisation and antimicrobial

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4
Q

what are the digestive functions of oral fluids

A

taste, digestive enzymes, lubricates bolus for chewing, swallowing

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5
Q

what can occur as a consequence of reduced salivary flow?

A

increased incidence of dental caries

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6
Q

what type of glands are salivary glands?

A

exocrine glands

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7
Q

what is the arrangement of salivary glands?

A

compound, tubulo-acinar arrangement

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8
Q

what do major salivary glands appear like?

A

anatomically distinct and identifiable glands

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9
Q

what do minor salivary glands appear as?

A

more diffuse collections of glandular tissue lying in the lamina propria

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10
Q

what are the major salivary glands?

A

parotid, submandibular and sublingual

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11
Q

what are the minor salivary glands and where are they?

A

buccal (in cheek), labial (in lip), lingual (in tongue) and palatal (in hard and soft palate)

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12
Q

what are the different parts of the salivary gland?

A

acinus, capsule, septa, lobe, secretory units, intercalated ducts and striated collecting ducts

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13
Q

what do serous acinus glands appear as histologically?

A

puffy pink circles with nuclei peripherally dotted

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14
Q

what do mixed acinus glands appear as histologically?

A

white puffy circles (mucous part) with pink (serous) around the outside and only a few nuclei

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15
Q

what do mucous acinus glands appear as histologically?

A

white cells with nuclei located peripherally

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16
Q

what do striated duct glands appear as histologically

A

smooth pink cells with nuclei located semi-peripherally

17
Q

what major salivary gland has serous secretions?

A

parotid

18
Q

what major salivary gland has mixed secretions?

A

submandibular

19
Q

what major salivary gland has mucous secretion?

A

sublingual

20
Q

which minor salivary glands have mucous secretions only?

A

buccal, labial and palatal

21
Q

what minor salivary gland has serous and mucous secretions?

A

lingual

22
Q

what is gingival crevicular fluid?

A

fluid from epithelium lining the gingival crevice (sulcus)

23
Q

when is there more gingival crevicular fluid present?

A

when there is inflammation in the gingivae e.g. gingivitis

24
Q

what salivary gland contributes the most to stimulated salivary flow?

A

parotid

25
Q

when is the submandibular gland most active?

A

when awake and at rest

26
Q

when is the sublingual gland most active

A

when asleep

27
Q

what gland contributes most to salivary flow when sleeping?

A

submandibular

28
Q

what are the factors affecting unstimulated salivary flow rate?

A

state of hydration, previous stimulation, circadian rhythms, circannual rhythms, medications and salivary gland disease

29
Q

what is the inorganic composition of saliva made of?

A

water (99.5%) and ions (0.2%)

30
Q

what is the organic composition of saliva made of?

A

mainly proteins (0.3%) and little carbohydrate or lipid

31
Q

what are the different ions in saliva?

A

fluoride, calcium and phosphate, thiocyanate, bicarbonate and phosphates

32
Q

what is the function of fluoride in saliva?

A

antibacterial, forms fluoroapatite, promotes remineralisation

33
Q

what is the function of calcium and phosphate in saliva?

A

remineralisation

34
Q

what is the function of thiocyanate in saliva?

A

antibacterial

35
Q

what is the function of bicarbonate and phosphates in saliva?

A

buffering

36
Q

when is bicarbonate as a buffer effective?

A

high flow rates

37
Q

when is phosphate effective as a buffer?

A

at rest

38
Q

when is proteins effective as a buffer?

A

when the pH is less than 5

39
Q

when is bacterial sodium hydroxide effective as a buffer?

A

it buffers plaque acid