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What role does saliva play in the maturation of newly erupted teeth?
What role does saliva play in the maturation of newly erupted teeth?
How does the viscosity of saliva contribute to oral health?
How does the viscosity of saliva contribute to oral health?
What is one major effect of impaired saliva flow in patients?
What is one major effect of impaired saliva flow in patients?
What is the function of the salivary pellicle in oral health?
What is the function of the salivary pellicle in oral health?
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What is a key mineral found in saliva that aids in enamel remineralization?
What is a key mineral found in saliva that aids in enamel remineralization?
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What factor affects the quantity of saliva production?
What factor affects the quantity of saliva production?
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Which element in saliva helps control the pH and prevents demineralization?
Which element in saliva helps control the pH and prevents demineralization?
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During acid attacks, what role does saliva play in maintaining oral health?
During acid attacks, what role does saliva play in maintaining oral health?
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Which nerve carries taste information from the anterior two-thirds of the tongue to the brain?
Which nerve carries taste information from the anterior two-thirds of the tongue to the brain?
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What condition is characterized by reduced saliva production, often leading to dry mouth?
What condition is characterized by reduced saliva production, often leading to dry mouth?
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Which factor is NOT associated with an increase in saliva flow?
Which factor is NOT associated with an increase in saliva flow?
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Which nerve is responsible for carrying taste information from the posterior third of the tongue?
Which nerve is responsible for carrying taste information from the posterior third of the tongue?
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Which of the following conditions may lead to hypersalivation?
Which of the following conditions may lead to hypersalivation?
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What is the primary consistency of saliva produced by the submandibular gland?
What is the primary consistency of saliva produced by the submandibular gland?
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Which of the following components is NOT typically found in 'pure' saliva produced in the glands?
Which of the following components is NOT typically found in 'pure' saliva produced in the glands?
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Approximately how much saliva is produced by a person in a day?
Approximately how much saliva is produced by a person in a day?
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What factor can NOT impact salivary flow?
What factor can NOT impact salivary flow?
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What percentage of total saliva volume is contributed by the parotid gland?
What percentage of total saliva volume is contributed by the parotid gland?
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Which of the following correctly describes the role of saliva?
Which of the following correctly describes the role of saliva?
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Which minor salivary gland produces the least amount of saliva?
Which minor salivary gland produces the least amount of saliva?
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What is the term for saliva that includes various elements from the oral cavity, such as food debris?
What is the term for saliva that includes various elements from the oral cavity, such as food debris?
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Which of the following is a key function of saliva?
Which of the following is a key function of saliva?
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What role does crevicular fluid play in saliva production?
What role does crevicular fluid play in saliva production?
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What is the typical pH range of saliva?
What is the typical pH range of saliva?
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Which protein in saliva destroys harmful bacteria by lysing their cell walls?
Which protein in saliva destroys harmful bacteria by lysing their cell walls?
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What role do immunoglobulins play in saliva?
What role do immunoglobulins play in saliva?
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What is the primary function of lactoferrin in saliva?
What is the primary function of lactoferrin in saliva?
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Which type of protein contributes to the viscosity of saliva?
Which type of protein contributes to the viscosity of saliva?
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What by-product of cell metabolism can neutralize acids in saliva?
What by-product of cell metabolism can neutralize acids in saliva?
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What is a key characteristic of commensal bacterial cells found in saliva?
What is a key characteristic of commensal bacterial cells found in saliva?
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What mineral component is primarily found in saliva?
What mineral component is primarily found in saliva?
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Which enzyme in saliva begins the breakdown of cooked starches?
Which enzyme in saliva begins the breakdown of cooked starches?
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What type of protein contains less than 4% carbohydrate derivatives?
What type of protein contains less than 4% carbohydrate derivatives?
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What is the primary role of ions in saliva?
What is the primary role of ions in saliva?
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Which ion is specifically associated with remineralization and tooth decay resistance?
Which ion is specifically associated with remineralization and tooth decay resistance?
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How do glycoproteins in saliva contribute to oral health?
How do glycoproteins in saliva contribute to oral health?
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What effect do bicarbonate ions have in saliva during eating?
What effect do bicarbonate ions have in saliva during eating?
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What is one function of serous saliva?
What is one function of serous saliva?
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Which gas component is typically released in higher levels in salivary glands?
Which gas component is typically released in higher levels in salivary glands?
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What impact does xerostomia have on taste perception?
What impact does xerostomia have on taste perception?
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What is the role of chloride ions in saliva?
What is the role of chloride ions in saliva?
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What protective function does the salivary pellicle perform?
What protective function does the salivary pellicle perform?
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Which substance in saliva helps destroy or prevent the colonization of harmful bacteria?
Which substance in saliva helps destroy or prevent the colonization of harmful bacteria?
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Study Notes
Saliva's Role in Oral Health
- Saliva safeguards the oral cavity during caries formation through multiple mechanisms.
- It forms a protective layer, the salivary pellicle, composed of glycoproteins. This pellicle shields against acids but also encourages the adherence of harmful plaque bacteria.
- Saliva is supersaturated with inorganic ions, which act as buffers to regulate pH levels. This continuous buffering action counteracts the effects of demineralization and remineralization.
- Serous saliva aids in cleansing the oral cavity, reducing the availability of fermentable carbohydrates for bacteria to convert into acids.
Salivary Flow and Caries
- Salivary flow varies significantly throughout the day and night. During the day, our bodies produce between 1-1.5 liters of saliva, while at night, the production drops significantly to approximately 10 ml.
- This fluctuation can impact caries formation. Individuals who experience a decrease in salivary flow during sleep may be more susceptible to caries.
- Those who work shift work – with their sleep and eating habits altered – may experience a reduction in salivary flow, making them more prone to caries.
Components of Saliva
-
Organic Components:
-
Proteins:
- Mucin: Gives saliva its viscosity and stickiness.
- Enzymes:
- Lysozyme: Destroys harmful bacteria by lysing their cell walls.
- Lactoferrin: Prevents bacterial metabolism by binding to free iron.
- Lactoperoxidase: Inhibits bacterial metabolism.
- Amylase: Begins the breakdown of cooked starches.
- Ribonuclease: An enzyme involved in RNA breakdown.
- Phosphatase: Plays a role in calculus formation and remineralization of caries.
-
Immunoglobulins (Ig's):
- Contribute to bacterial disposal through agglutination.
- IgA, IgG and IgM contribute to bacterial agglutination.
-
Waste Products:
- Urea, Uric Acid, Ammonia: All are byproducts of cell metabolism and can influence pH levels.
-
Cells:
- Desquamated epithelial cells: Continuously shed as worn/dead cells are replaced.
- White blood cells: Found in the gingival crevice, especially during inflammation.
- Commensal bacterial cells: Exists in a symbiotic equilibrium with the host, preventing other harmful bacteria from taking hold.
-
Hormones:
- Estrogen and Progesterone are present in saliva.
-
Proteins:
-
Inorganic Components:
- Ions:
- Calcium phosphate ions: Major contributors to caries incidence and calculus formation.
- Sodium, Potassium, Magnesium, Chloride, Fluoride, Bicarbonate, Sulphate, Hydrogen: These ions play a vital role in buffering saliva and maintaining pH balance.
-
Gas Components:
- Oxygen, Nitrogen, Carbon Dioxide: Carbon Dioxide levels are higher in the salivary glands and its release may be linked to calculus formation.
- Ions:
Functions of Saliva
-
Protective:
- Glycoproteins lubricate and waterproof the oral cavity tissues.
- Aids in speech.
- Maintains a healthy mucosa.
- Forms the salivary pellicle which protects the enamel surface.
- Serous saliva cleanses the oral cavity.
-
Buffering:
- Ions help maintain pH, making the environment unsuitable for bacterial growth.
- Neutralizes acids and alkalis.
-
Digestive:
- Salivary amylase begins the digestion of cooked starches.
- Formation of the bolus.
-
Taste:
- Facilitates taste sensation by dissolving food particles.
-
Antimicrobial:
- Proteins and immunoglobulins contribute to the prevention and destruction of harmful bacteria.
-
Tooth Integrity:
- Saliva plays a role in remineralization, aided by the presence of fluoride.
Factors Influencing Salivary Flow
-
Increased Flow:
- Chewing food (mastication).
- Irritants.
- Gingival conditions.
- Hunger.
- Smell/sight of food.
- Teething in babies.
-
Reduced Flow:
- Drugs.
- Diabetes.
- Alcohol.
- Fear.
- Radiotherapy.
- Surgery.
Medical Conditions Affecting Salivary Flow
-
Hypersalivation: Excessive production of saliva.
- Neurological conditions: Parkinson's, Motor Neurone Disease, Cerebral Palsy.
-
Xerostomia: Dry mouth due to reduced or absent saliva production.
- Saliva gland disorders: Sjogren's Syndrome.
- Systemic conditions: Diabetes, HIV/AIDS.
- Treatments: Radiation/Chemotherapy.
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Description
Test your knowledge on the essential role of saliva in maintaining oral health. This quiz covers how saliva protects against caries, its composition, and the impact of salivary flow on dental health. Get ready to explore the fascinating functions of saliva in the oral cavity!