Salivary Glands and Oral Tissues Flashcards

1
Q

What are the 3 types of oral mucosa?

A

Lining mucosa
Masticatory mucosa
Specialised mucosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does the oral mucosa generally consist of?

A

Stratified squamous epithelium
Lamina propria of dense connective tissue
Submucosa of loose connective tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does masticatory mucosa cover and what is the epithelium like?

A

Covers hard palate and gingiva (gums around teeth)

Epithelium is keratinised or parakeratinised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does lining mucosa cover and what is the epithelium like?

A

Found on inside of lips, lining buccal surfaces, soft palate, floor of mouth and inferior surface of tongue
Epithelium is not keratinised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What other oral areas are keratinised?

A

Dorsum of tongue

Vermillion border of lips

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the muscle in the tongue?

A

Extrinsic skeletal muscles inserting into tongue

Intrinsic skeletal muscle bundles in longitudinal, transverse and vertical planes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 4 types of tongue papillae and their structures?

A

Filiform - conical shape, no taste buds
Fungiform - blunt, taste buds
Foliate - slit like on margin of tongue, taste buds
Circumvallate - large dome shaped, taste buds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Functions of saliva

A
Protection
Buffering
Tooth integrity
Antimicrobial activity
Digestion
Taste
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the 3 main pairs of salivary glands?

A

Parotid
Submandibular
Sublingual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where are minor glands typically located?

A

In the submucosa with short ducts opening directly onto mucosal surface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Structure of parotid glands

A

Largest salivary glands
Pyramidal shape with apex below angle of mandible, posterior edge near external auditory meatus
External carotid artery, retromandibular vein and facial nerve all embedded in gland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Where does the parotid duct emerge and where does it go?

A

Emerges from anterior border
Passes over masseter and pierces buccinator
Empties into oral cavity on a papilla opposite upper second molar tooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the parasympathetic innervation of the parotid gland?

A

Preganglionic: glossopharyngeal > lesser petrosal nerve > otic ganglion
Postganglionic: otic ganglion > auriculotemporal nerve > parotid gland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Structure of submandibular gland

A

Superficial part visible below inferior border of mandible
Wraps around posterior border of mylohyoird muslce where there is a deeper portion
Facial artery grooves the superficial part

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where does the submandibular duct emerge and where does it go?

A

Emerges from deep part of gland and passes forward to terminate on the sublingual caruncle near base of lingual frenum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the parasympathetic innervation of the submandibular gland?

A

Preganglionic: facial nerve > chorda tympani > lingual nerve > submandibular ganglion
Postganglionic: submandibular ganglion > submandibular gland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Structure of the sublingual gland

A

Almond shaped
Sits in sublingual fossa of inner aspect of mandible
Bounded above by oral mucosa, below by mylohyoid and medially by genioglossus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Where does the sublingual duct emerge and where does it go?

A

Highly variable
Typically anterior part drains via a single duct that joins the submandibular duct
Posterior part drains via several small ducts that end on sublingual fold

19
Q

What is the parasympathetic innervation of the sublingual gland?

A

(same as submandibular)
Preganglionic: facial nerve > chorda tympani > lingual nerve > submandibular ganglion
Postganglionic: submandibular ganglion > sublingual gland

20
Q

Properties of the stroma of salivary glands

A

Covered by a tough connective tissue capsule with septa that pass inwar to divide the gland into lobes and then lobules
Blood vessels, nerves and major ducts travel in these septa

21
Q

Properties of the parenchyma of salivary glands

A

Compound tubulo-acinar glands
Secretory elements consist of serous acini, mucous acini and mixed acini
Merocrine secretion

22
Q

What is merocrine secretion?

A

Occurs by exocytosis
The membranes surrounding secretory vesicle fuse with cell membrane and discharge their contents to the extracellular space

23
Q

What are the two types of duct morphology?

A

Simple - duct is unbranched

Compound - has a branching duct system

24
Q

What is a tubuloacinar gland?

A

Secretory tubules or tubules ending in acini

Salivary glands are tubuloacinar glands

25
Q

What do serous cells secrete?

A

Thin watery secretion that contains proteins and ions

26
Q

What do mucous cells secrete?

A

Mucin - consists of a protein core that is highly decorated with sugar residues and results in a viscous, sticky secretion

27
Q

Structure of cells of the serous acini

A

Typically wedge shaped
Prominent nucleus in basal part of cell
Extensive rough endoplasmic reticulum
Granular appearance due to large numbers of apical secretory vesicles

28
Q

Structure of cells of the mucous acini

A

Tend to be found in the tubular element of tubulo-acinar gland
Large numbers of prominent secretory granules packing the cytoplasm
Large granules compress the nucleus towards basal part of cell

29
Q

What is a serous demilune?

A

Cells of mixed acini appearing as a crescent shaped collection of cells at the end of the secretory unit

30
Q

Properties of myoepithelial cells

A

Speciailised epithelial cells for contraction

Form a network around groups of secretory cells and when they contract help to expel secretions from the gland

31
Q

Where do acinus empty?

A

Intercalated duct

32
Q

What makes an intercalated duct?

A

Cuboidal cells

33
Q

Where do intercalated ducts empty?

A

Striated duct

34
Q

What makes up a striated duct?

A

Columnar cells with a central nucleus and prominent striations

35
Q

What are the striations in a striated duct?

A

Infoldings of the cell membrane accompanied by lines of mitochondria to power the molecular pumps within the membranes

36
Q

What do molecular pumps do?

A

Pump Na+ ions out of saliva (Cl- ions follow) against concentration gradient hence need for lots of mitochondria and surface area
Also pump K+ and HCO3- into saliva
= hypotonic saliva

37
Q

Where do striated ducts empty?

A

Excretory ducts within connective tissue between lobules

38
Q

What lines excretory ducts?

A

Pseudostratified columnar epithelium with tall columnar cells and small basal cells
As excretory ducts merge, they become larger and near opening of oral cavity the lining becomes stratified squamous epithelium (similar to oral mucosa)

39
Q

Amounts of each cell type in different glands

A

Parotid gland - all serous cells
Submandibular gland - mostly serous, some mucous
Sublingual gland - mostly mucous, some serous

40
Q

What different types of minor glands are there and where are they found?

A

Lingual glands - dorsal surface of tongue
Minor sublingual glands - lower surface of tongue
Labial glands - inner surface of lips
Palatine glands - submucosa of soft and posterior hard palate
Buccal glands - submucosa of cheek lining

41
Q

Where are von Ebner’s glands?

A

Associated with circumvalate and foliate papillae and open into the base of the cleft surrounding the papillae

42
Q

Are minor glands serous or mucous?

A

Mostly mucous apart from von Ebners glands which are entirely serous

43
Q

Function of von Ebner’s glands

A

Serous secretion helps dissolve food molecules to aid taste

Also keeps cleft flushed to allow for next taste