Oral functions - speech Flashcards
What are the 3 stages of swallowing called?
- buccal phase (voluntary)
- pharyngeal stage (involuntary)
- esophageal stage (involuntary)
What are the two purposes of swallowing
Process by which the accumulated food bolus is transported through the lower pharynx and oesophagus to the stomach (feeding function)
Prevents ingested material from entering the lower airway (protective function)
Why is swallowing potentially dangerous
the ‘foodway’ crosses the ‘airway’
How are liquids swallowed
- Liquids are gathered on the tongue, anterior to the pillars of the fauces
- the mouth is separated from the pharynx by a POSTERIOR ORAL SEAL
- The liquid ‘bolus’ is then propelled through the oro- and hypo-pharynx, and then into the oesophagus
How are ‘solid’ bolus’s swallowed
- Chewed food material accumulates on the pharyngeal part of tongue and vallecula (oro-pharynx).
THERE IS NO TRUE POSTERIOR ORAL SEAL
- The ‘bolus’ is then propelled from the tongue through the hypo-pharynx, and then into the oesophagus
Where are liquids swallowed from
the mouth proper
Where are solids swallowed from
the oro-pharynx
When swallowing liquids do you have an oral seal
yes
When swallowing solids do you have an oral seal
no
What is similar between liquids and solids with how they are swallowed
both are moved rapidly through the hypophyarynx past the laryngeal inlet
The forward movement of the tongue during the occlusal and initial opening phases creates
a contact between the tongue and the hard palate.
The contact zone moves
progressively backwards, squeezing the processed food through the fauces.
What is this mechanism called?
the squeeze-back mechanism
Describe the squeeze back mechanism
The forward movement of the tongue during the occlusal and initial opening phases creates
a contact between the tongue and the hard palate.
The contact zone moves
progressively backwards, squeezing the processed food through the fauces.
What events happen during swallowing
- propulsion of food
- prevention of ‘reflux’
- protecting the airway
What causes the duration of masticatory sequence to vary
food consistency
How strong are swallowing forces
very strong - strong enough to move a bolus ‘uphill’ as well as ‘downhill’
What actions during swallowing act to prevent reflux
- elevation of soft palate
- tongue (sides) contacts pillars of fauces
- tongue (dorsum) contacts posterior pharyngeal wall
- Upper oesophageal sphincter (reflux from oesophagus into pharynx)
- Lower oesophageal sphincter (reflux from stomach into oesophagus)
How can stomach acid erode teeth?
By:
- reflux
- vomiting
- regurgitation
- rumination
How often is stomach acid responsible for palatal surface erosion
in 2/3 of cases
What is a common characteristic of palatal erosion
cupping
Name types of tooth surface loss
- erosion
- attrition
- abrasion
- abfraction
define attrition
tooth wear occlusally caused by contact between occluding teeth (bruxism/parafunction)