Test 4 Flashcards

1
Q

Define gland

A

An organ producing a specific product or secretion

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2
Q

Define secretion

A

Biological expulsion of material

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3
Q

Define duct

A

Small passageway or canal for fluids that empty into the oral cavity

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4
Q

Define acini

A

Bulbous grapelike or tubular secretion located at the terminal part of the gland connected to the duct system

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5
Q

Define lumen

A

The central opening where the saliva is deposited after being produced by secretory cells

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6
Q

Define saliva

A

Produced by salivary glands and contains minerals. It is controlled by the autonomic system

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7
Q

What are the 3 major glands

A
  1. Parotid - 25% resting volume, serous cells, thin and water
  2. Submandibular - 60-65% resting volume, serous cells (thinner) and mucous cells (thicker)
  3. Sublingual - 10% resting volume, serous cells (some) and mucous cells (more), viscous
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8
Q

Where are the 3 major glands located

A

Parotid - cheek
Submandinular - under mandible
Sublingual - floor of mouth

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9
Q

What are the 5 minor glands

A
  1. Labial
  2. Buccal
  3. Palatine
  4. Glossopalatine
  5. Lingual
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10
Q

What is the function of major glands

A

To break down food, carbohydrates, and starches

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11
Q

What are the functions of minor glands

A

Keep the oral mucosa hydrated and lubricated

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12
Q

What does the PH buffer do

A

Help control oral bacteria

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13
Q

What are the main purposes of saliva

A

It lubricates and cleans the oral mucosa, protects from dryness, carcinogens, antibacterial activity in biofilm formation, and helps to digest food

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14
Q

What are salivary glands composed of

A

Epithelium and connective tissue.
Epithelium lines ducts and produce saliva (called secretory cells)
Connective tissue protects and supports the gland

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15
Q

What does the connective tissue divide into

A

Capsule - surrounds the outer part of the entire gland and septa
Septum - helps divide the inner part of the gland into the lager and smaller lobes

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16
Q

What are secretory cells classified as

A

Mucous or serous cells

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17
Q

What are mucous cells

A

Cells that help saliva lubricate and produce glycoproteins

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18
Q

What are serous cells

A

They produce proteins and an enzyme called amylase that forms from starches and sugars

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19
Q

Can there be a mixture of mucous cells and serous cells

A

Yes a mixture can exist but usually one type predominates. It will be called either seromucous or mucoserous

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20
Q

What is secretion of saliva triggered by

A

Taste, smell, and chewing

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21
Q

What controlls saliva secretion

A

Autonomic nervous system

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22
Q

What surrounds the acini

A

Connective tissue - permits contracting and expanding to aid in saliva secretion

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23
Q

Explain the duct system of salivary glands

A
  • Secretory cells are found in a group (acini)
  • Each acini is located at the end of the gland connected to the duct system.
  • There are many acini within each lobule of the gland
  • a lumen is the central opening where the saliva is deposited
  • serous secretions are from serous acini with a lumen ghat is rounded nucleus and smaller lumen
  • mucous secretions are from mucous acini and the lumen is flatter nucleus and wider lumen
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24
Q

What type of secretion do the major glands have

A

Parotid - serous acini
Submandibulae - mostly mucous acini with serous demilunes
Sublingual - mostly serous and mucous acini

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25
Q

Describe the flow of saliva

A
  • moves out of each lumen into the connecting ducts
  • epithelial cells contract and the acini is squeezed
  • forces the saliva out of the lumen into the connecting duct
  • the duct system is not a pipeline passageway of saliva
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26
Q

Describe the ducts of the major glands

A

Parotid - opening opposite the maxillary second molar
Submandibular - runs along the floor of the mouth and exits the small elevated openings called sublingual caruncle
Sublingual - Y shaped and exits with the sublingual caruncle ducts and several small ducts along the sublingual fold

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27
Q

How would you describe ducts

A

The 13 little circles in a V shape on your tongue

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28
Q

Review: location, secretion, resting volume, pain, function of parotid gland

A
  • surface of masseter muscle behind the famous
  • serous secretion
  • 25% resting volume
  • people with mumps will have pain when eating
  • cleaning and disolving
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29
Q

Review: location, size, secretion, resting volume, function of submandibular gland

A
  • wrapped around the mylohyoid muscle
  • walnut sized
  • mixed secretion
  • 60-65% resting volume
  • lubrication and digestion
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30
Q

Review: location, shape, size, resting volume, secretion, function of sublingual gland

A
  • next to mandibular canines
  • almond shaped
  • smallest of the three
  • 10% resting volume
  • mucous secretion - more viscous than submandibular gland
  • lubrication
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31
Q

Over view of minor saliva glands

A
  • small cluster throughout the mouth
  • short duct systems
  • keeps the linning mucosa moist
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32
Q

Where is the labial gland located and what type of secretion does it have

A

Located on the inner surface of the upper and lower lips
Mixed mostly mucous

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33
Q

Location and secretion of buccal gland

A

Located on the inner cheek
Mostly mixed glands

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34
Q

Location and secretion of Palatine gland

A

Located in the soft palate, posterior and lateral parts of the hard palate
Pure mucous
Keeps the anterior part of the hard palate moist

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35
Q

Location and secretion of glossopalatine gland

A

Located from the posterior lateral parts of the palate down into the anterior fold of tissue in front of the Palatine tonsil
Pure mucous

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36
Q

Location and secretion of lingual gland

A

There’s 3 lingual glands
Anterior - near tip of tongue, mixed mostly mucous
Lingual - lingual gland of Von Ebner, pure serous, washes off the taste bud
Posterior - around the lingual tonsils and posterior 1/3, pure mucous

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37
Q

At what age does calcification begin

A

4 month fetal life

38
Q

When do teeth begin to develop

A

6 month fetal life

39
Q

Is premature teeth a thing

A

Commonly no teeth are visible at birth but can have premature teeth meaning they are not a part of primary dentition

40
Q

Which forms first crowns or roots

A

Crowns for first the roots (can be disrupted by illnesses)

41
Q

Eruption schedule (general)

A

Girls erupt before boys
Mandibular central incisors erupt first
Teeth erupt in pairs

42
Q

What helps align the teeth

A

Facial muscles will align the teeth

43
Q

How long does it take for primary dentition to be completed

44
Q

What is a canine eminence

A

When canines erupt they bring supporting bone which creates the canine eminence on the labial surface ag the corner of the mouth

45
Q

When do secondary teeth begin to form

A

6 months of age

46
Q

What do teeth look like at 5 months in utero

A

Incisor cusps are forming

47
Q

What do teeth look like at 7 months in utero

A

Mandibular cusps are almost fully formed and cusps of other teeth are forming

48
Q

What do teeth look like at birth

A

Both maxillary and mandibular incisor crowns are fully formed other crowns are still forming

49
Q

What do teeth look like at 6 months

A

Mandibular incisors are starting to erupt and roots are forming aswell as secondary crowns are bringing to form

50
Q

What do teeth look like at 9 months

A

Both maxillary and mandibular incisors are erupting with roots still forming and secondary molars and incisors are forming

51
Q

What do teeth look like at 1 year

A

Incisors are eruoted and mandibular first molar is erupting, roots are still forming and secondary molars, incisors, and premolar crowns are forming

52
Q

What do teeth look like at 18 months

A

Incisors are fully erupted and their roots have fully developed, rest of teeth are erupting, roots are still forming and crowns of incisors, canines, and molars are still forming

53
Q

What do teeth look like at 2 years

A

Primary incisors and canines are fully erupted while molar roots are still forming, premolar crowns are beginning to form

54
Q

What do teeth look like at 3 years

A

Full primary dentition is erupted and roots are done forming, first molar roots are bringing to form and second premolar, second molar, and third molar crowns are beginning to form

55
Q

What do teeth look like at 4 years

A

Same as 3 years old except maxillary incisors roots are beginning to form and teeth are beginning to make room for secondary teeth

56
Q

What do teeth look like at 5 years

A

Primary incisor roots are beginning to shrink to get ready to loose the teeth

57
Q

What do teeth look like at 6 years

A

Secondary first molar has erupted, incisor roots basically gone

58
Q

What do teeth look like at 7 years

A

Secondary central incisors have erupted, roots of canines, and primary molars have begun to shrink

59
Q

What do teeth look like at 8 years

A

Secondary lateral incisors have erupted, secondary central incisors have fully erupted, roots on secondary teeth have all begun formation

60
Q

What do teeth look like at 9 years

A

Basically the same as 8 years but secondary third molar crowns have begun to form

61
Q

What do teeth look like at 10 years

A

Only primary teeth left are the second molars and maxillary canine

62
Q

What is the eruption sequence for permanent teeth in the maxillary arch

A
  1. First molar
  2. Central incisor
  3. Lateral incisor
  4. First premolae
  5. Second premolar
  6. Canine
  7. Second molar
  8. Third molar
63
Q

What is the eruption sequence for secondary teeth in the mandibular arch

A
  1. First molar
  2. Central incisor
  3. Lateral incisor
  4. Canine
  5. First premolar
  6. Second premolar
  7. Second molar
  8. Third molar
64
Q

What does premature tooth loss cause

A

Primary teeth drift mesially

65
Q

What do teeth look like at 11 years

A

No more primary teeth. Central and later incisors aswell as first molars are fully erupted, first and second premolars aswell as canines begin to erupt, third molar crowns still forming

66
Q

What do teeth look like at 12 years

A

Every tooth is fully erupted except for the second and third molars, third molars crown still forming, second molar still erupting

67
Q

What do teeth look like at 15 years

A

Every tooth fully erupted except for third molars, third molars roots forming

68
Q

What do teeth look like at 21 years

A

Every tooth fully erupted

69
Q

What do teeth look like at 35 years

A

Exact same as 21 years

70
Q

What does flush terminal plane mean

A

Measial surface of posterior teeth are directly in line with each other

71
Q

What does distal step mean

A

The mandibular teeth shift backwards

72
Q

What does mesial step mean

A

The mandibular teeth shift mesially

73
Q

What is a primate space

A

Spaces between your teeth in the primary dentition

74
Q

What is a leeway space

A

Extra space that the deciduous canines and molars occupy to help save room for their permanent successors

75
Q

What is diastema

A

Spacing developed based on the growth rate of the mandible

76
Q

How do you tell maxillary incisors from mandibular incisors

A

Maxillary crown is:
- wider mesiodistally than faciolingually (mans is opposite)
- Convex on labial and concave on lingual
- root has a triangular cross section (mand has oval)
- incisal edge is worn more on the lingual than the labial (slight slant to the lingual side)

77
Q

How do you tell the difference between central incisors and lateral incisors

A

Central:
- greater crown to root ratio (lateral is opposite)
- mesioincisal angle is sharp (90 degrees) (lateral is more rounded)
- well developed cingulum (lateral has a small cingulum

78
Q

How do you tell the difference between maxillary canines and mandibular canines

A

Maxillary:
- Lingual surface has well developed marginal ridges, cingulum, and fossa (mand is almost smooth)
- larger and bulkier crown
- cusp tip directly midcenter over root

79
Q

How do you tell the difference between right and left canines

A

Distal surface is rounded

80
Q

How do you tell the difference between maxillary and mandibular premolars

A

Maxillary:
- two major cusps (buccal and lingual) similar size (mand has a prominent facial cusp and 1 or 2 smaller lingual cusps)
- distinctly wider faciolingually than mesiodistally (mand is nearly equal faciolingually and mesiodistally

81
Q

How do you tell the difference between left and right first premolars

A

Right:
- cervical line on mesial surface curves more occlusally than on the distal surface

82
Q

How do you tell the difference between first and second premolars in the maxillary arch

A

First:
- facial cusp slightly longer than lingual (seconds facial and lingual cusps are nearly the same height)
- often has 2 roots (seconds usually single rooted but often bifurcated)
- well developed central groove (seconds have a short central groove)
- mesial surface has a depression (seconds have no depression on medial or distal crown surfaces)

83
Q

How do you tell the difference between first and second premolars in the mandibular arch

A

First:
- occlusal surface tilted strongly toward lingual side (second tilted less)
- oval outline from occlusal view with a strong transverse Ridge and no central pit (seconds have a pentagonal outline from occlusal view with a central pit and without a transverse Ridge

84
Q

How do you tell the difference between maxillary and mandibular molars

A

Maxillary:
- crowns wider faciolingually than mesiodistally (mans opposite)
- three roots (2 facial 1 lingual) (mans has 2 roots, 1 mesial 1 distal and the mesial root is longer, wider, and longer)

85
Q

How do you tell the difference between right and left first molars in the maxillary arch

A

Right:
- mesiolongual cusp is always much larger than distolingual cusp

86
Q

How do you tell the difference between right and left second molars in the maxillary arch

A

Right:
- mesiolingual cusp is always much larger than distolingual cusp

87
Q

How do you tell the difference between right and left third molars in the maxillary arch

A

Right:
- distofacial cusp much shorter than other molars
- roots curved distally

88
Q

How do you tell the difference between right and left first molars in the mandibular arch

A

Right:
- distal cusp is smallest facial cusp

89
Q

How do you tell the difference between right and left second molars in the mandibular arch

A

Right:
- buccal height of contour in cervical third; lingual height of contour in middle third

90
Q

How do you tell the difference between right and left third molars in the mandibular arch

A

Right:
- crown tapers distally
- wider faciolingually on medial than on distal

91
Q

How do you tell the difference between the first, second, and third molars in the maxillary arch

A

First:
- strong oblique ridge (second has a smaller oblique Ridge) (third doesn’t have an oblique Ridge)
- three roots widely separated (seconds roots are closer together) (thirds roots are very close together and much shorter)
- often has a 5th cusp (seconds don’t have a 5th cusp and distolingual cusp is smaller than first but larger than third) (thirds distolingual cusp is smaller/missing and no cusp of carabelli)

92
Q

How do you tell the difference between first, second, and third molars in the mandibular arch

A

First:
- three facial cusps and 2 facial grooves (seconds 2 facial cusps and 1 facial groove)
- bifurcated roots spread out and verticals (seconds bifurcated and close) (thirds short often fused and curved distally)