Oral Physiology Flashcards

1
Q

List all salivary glands

A
  • Parotid gland: serous
  • Submandibular: mixed
  • Sublingual: mixed
  • Von Ebner’s Glands: serous
  • Other minor salivary glands: mucous
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2
Q

List components of saliva

A
  • Water (most important component)
  • Electrolytes (e.g. Bicarbonate and fluoride)
  • Proteins:
    1) Mucin, glycoproteins
    2) Immunoglobulin (IgA)
    3) Enzymes
    4) Phosphoproteins
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3
Q

Describe the components of a saliva secretory unit

A
  • Salivon -> basic unit of salivary gland
  • Acinus -> berry-shaped cluster of cells; initial site of secretory process
  • Intercalated duct -> Initial part of duct; contains secretory granules
  • Striated duct -> Modifies secretory product
  • Excretory duct -> Modify the saliva composition
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4
Q

Describe formation of saliva in primary secretion:

A

Isotonic saliva secreted by acinus and intercalated ducts.

  • Ions pumped into acinus cells: NaK-ATPase, NaKCl symporter
  • Channels on apical surface diffuse ions out
  • Sodium passively passes between cells
  • Water follows sodium.
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5
Q

Describe formation of saliva in secondary secretion

A

Hypotonic saliva after modifications from striated and excretory ducts.

  • Na and Cl absorbed from lumen
  • K and HCO3 secreted into lumen
  • Water impermeability
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6
Q

Describe high flow rate and low flow rate

A
  • High flow rate = Saliva is 70% the composition of plasma

- Low flow rate = very hypotonic; high potassium

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7
Q

Describe control of saliva

A
  • Dual innervation: parasympathetic and sympathetic control: Act simultaneously
  • Hormones affect composition
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8
Q

List saliva stimulation factors

A
  • Taste, temperature, smell
  • Physical stimulation
  • Mastication and chewing
  • Nausea
  • Stimulated flow: rate = 1.0 - 2.0 mL/min; source = mostly submandibular -> mostly mucous
  • Unstimulated flow: rate = 0.3-0.5 mL/min; source = mostly parotid -> mostly serous
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9
Q

Describe innervation/nervous control of saliva

A

Parasympathetic:

  • Primary instigator
  • CN9 - Otic ganglion to parotid
  • CN7 - Submandibular ganglion to submandibular and sublingual glands
  • ACh to muscarinic receptor
  • Watery saliva

Sympathetic

  • superior cervical ganglion of sympathetic trunk to external carotid, lingual and facial arteries
  • Noradrenaline to adrenergic receptors
  • Short increase in salivary secretion
  • Viscous saliva
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10
Q

Describe saliva inhibition factors

A
  • Medication
  • Autoimmune (e.g. Sjogren’s syndrome)
  • Infection or obstruction of gland
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11
Q

Describe the different types of cells in taste bud:

A
  • Type 1: Irregular nucleus, dark granule; salt tasting
  • Type 2: Big round nucleus; salt tasting
  • Type 3: Intermediate cells
  • Type 4: Basal cells
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12
Q

Describe taste modalities

A

G-protein coupled receptors:

  • Umami
  • Sweet
  • Bitter

Channels:

  • sodium
  • Sour/carbonate
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13
Q

Describe taste sensing:

A

Taste buds innervated by:

  • CN7 - Facial nerve
  • CN9 - Glossopharyngeal nerve
  • CN10 - Vagus nerve

Senses from taste buds go through: medulla -> pons -> cortex.
“Flavour” is the perception of taste.
Flavour is mostly smell.

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14
Q

Describe spicy

A
  • Not a real taste

- Sensed by CN5 - Trigeminal nerve

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15
Q

Describe smell organ:

A

Olfactory epithelium:

  • Nerves from olfactory bulb travel through cribriform plate and olfactory epithelium
  • Olfactory glands produce mucus on surface.
  • Mucous:
    1) Protects olfactory nerve cilia
    2) Media for dissolving chemicals for sensing.
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16
Q

Describe disorders in taste and smell:

A
  • “-guesia” = taste disorder
  • “-osmia” = smell disorder
  • “Hypo-“ = reduced
  • “A-“ = inability
  • “Dys-“ abnormal
17
Q

Describe function of mastication:

A
  • Break down food
  • Stimulate saliva
  • Taste and smell
  • Aid digestion
18
Q

Describe teeth type:

A
  • Incisors -> biting and stripping
  • Canines -> Piercing and seizing
  • Premolars/molars -> Grinding
19
Q

Describe TMJ movement:

A

Two movements:

  • Hinge
  • Translation/sliding

Actions:

  • Depression -> Lateral pterygoid, mylohyoid and digastric
  • Elevation -> Temporalis, masseter, and medial pterygoid
  • Retrusion -> posterior fibres of temporalis
  • Protrusion -> medial and lateral pterygoids
  • Lateral excursion -> unilateral movement of pterygoid or temporalis
20
Q

Describe chewing cycle:

A
  1. Opening stroke
    - Depression of mandible -> lateral pterygoid
    - Swing to working side
    - Tongue positions food
  2. Closing stroke
    - Elevation of mandible -> Medial pterygoids
    - Swing to working side
    - Food between teeth
  3. Power stroke
    - Clench teeth: masseter and medial pterygoid; posterior temporalis on balancing side
    - Swing medially to balancing side
    - Grind food between occlusal surface
    - Most variable step between individuals
21
Q

Describe Swallowing phase

A
  1. Oral phase:
    - Only voluntary phase
    - Bolus squeezed against hard palate
    - Styloglossus and palatoglossus
  2. Oropharynx phase:
    - Automatic
    - Nasopharynx and larynx close
  3. Oesophagus phase
    - Automatic
    - Peristalsis