Podcast
Questions and Answers
What is the name of the duct associated with the submandibular gland?
What is the name of the duct associated with the submandibular gland?
Where are the sublingual glands located?
Where are the sublingual glands located?
What type of innervation does the parotid gland receive?
What type of innervation does the parotid gland receive?
Which salivary gland produces the most saliva (by percentage)?
Which salivary gland produces the most saliva (by percentage)?
Signup and view all the answers
Which of the following is NOT a function of the minor salivary glands?
Which of the following is NOT a function of the minor salivary glands?
Signup and view all the answers
What type of tissue surrounds the epithelium of a salivary gland?
What type of tissue surrounds the epithelium of a salivary gland?
Signup and view all the answers
What is the name of the functional unit of a salivary gland?
What is the name of the functional unit of a salivary gland?
Signup and view all the answers
What is the main function of the tubarial glands?
What is the main function of the tubarial glands?
Signup and view all the answers
What percentage of total saliva volume is produced by the Parotid glands?
What percentage of total saliva volume is produced by the Parotid glands?
Signup and view all the answers
Which of the following statements correctly describes the position of the Parotid glands?
Which of the following statements correctly describes the position of the Parotid glands?
Signup and view all the answers
What type of saliva does the Parotid gland exclusively produce?
What type of saliva does the Parotid gland exclusively produce?
Signup and view all the answers
Which duct is associated with the Parotid gland?
Which duct is associated with the Parotid gland?
Signup and view all the answers
What is the path of Stensen's duct through the cheek?
What is the path of Stensen's duct through the cheek?
Signup and view all the answers
Which of the following is NOT a characteristic of the Parotid gland?
Which of the following is NOT a characteristic of the Parotid gland?
Signup and view all the answers
Which of the following structures is NOT directly associated with the Parotid gland?
Which of the following structures is NOT directly associated with the Parotid gland?
Signup and view all the answers
What is the main function of the Parotid gland in saliva production?
What is the main function of the Parotid gland in saliva production?
Signup and view all the answers
What does the serous saliva help to achieve?
What does the serous saliva help to achieve?
Signup and view all the answers
What is the function of myoepithelial cells?
What is the function of myoepithelial cells?
Signup and view all the answers
What is the characteristic feature of mucous acini?
What is the characteristic feature of mucous acini?
Signup and view all the answers
Which type of duct comprises the majority of the duct system?
Which type of duct comprises the majority of the duct system?
Signup and view all the answers
What is the composition of acinar fluid?
What is the composition of acinar fluid?
Signup and view all the answers
What is a characteristic symptom of Sjögren’s syndrome?
What is a characteristic symptom of Sjögren’s syndrome?
Signup and view all the answers
Which condition is often associated with Sjögren's syndrome?
Which condition is often associated with Sjögren's syndrome?
Signup and view all the answers
What is the primary cause of nicotine stomatitis?
What is the primary cause of nicotine stomatitis?
Signup and view all the answers
What are the primary symptoms of mumps?
What are the primary symptoms of mumps?
Signup and view all the answers
Which of the following conditions is NOT a cause of sialosis?
Which of the following conditions is NOT a cause of sialosis?
Signup and view all the answers
Which of the following describe changes seen in the oral cavity due to Sjögren’s syndrome?
Which of the following describe changes seen in the oral cavity due to Sjögren’s syndrome?
Signup and view all the answers
What is a common feature of benign neoplasms like Warthin’s tumour?
What is a common feature of benign neoplasms like Warthin’s tumour?
Signup and view all the answers
What is a symptom associated with angular cheilitis?
What is a symptom associated with angular cheilitis?
Signup and view all the answers
What is a common cause of dry mouth related to emotional factors?
What is a common cause of dry mouth related to emotional factors?
Signup and view all the answers
Which gland is most likely associated with Warthin's tumor?
Which gland is most likely associated with Warthin's tumor?
Signup and view all the answers
Which of the following factors is least likely to cause dry mouth?
Which of the following factors is least likely to cause dry mouth?
Signup and view all the answers
What type of salivary gland tumor is classified as a benign neoplasm?
What type of salivary gland tumor is classified as a benign neoplasm?
Signup and view all the answers
Which of the following is a potential systemic contributor to dry mouth?
Which of the following is a potential systemic contributor to dry mouth?
Signup and view all the answers
Which type of carcinoma is an example of a malignant salivary gland tumor?
Which type of carcinoma is an example of a malignant salivary gland tumor?
Signup and view all the answers
What is one potential effect of smoking on salivary glands?
What is one potential effect of smoking on salivary glands?
Signup and view all the answers
What is the significance of including salivary glands in an extra-oral examination?
What is the significance of including salivary glands in an extra-oral examination?
Signup and view all the answers
What is the primary function of the secretory end piece?
What is the primary function of the secretory end piece?
Signup and view all the answers
What type of epithelium lines the excretory duct?
What type of epithelium lines the excretory duct?
Signup and view all the answers
Which of the following is NOT a cause of hyposalivation?
Which of the following is NOT a cause of hyposalivation?
Signup and view all the answers
What is the role of the external carotid artery in the salivary gland?
What is the role of the external carotid artery in the salivary gland?
Signup and view all the answers
What is the most common cause of obstruction in the salivary ducts?
What is the most common cause of obstruction in the salivary ducts?
Signup and view all the answers
Which of the following is a characteristic of a mucocele?
Which of the following is a characteristic of a mucocele?
Signup and view all the answers
Which of the following causes irreversible damage to the salivary glands?
Which of the following causes irreversible damage to the salivary glands?
Signup and view all the answers
Saliva is modified by what structure?
Saliva is modified by what structure?
Signup and view all the answers
Flashcards
Salivary Glands
Salivary Glands
Glands that produce saliva for oral functions.
Major Salivary Glands
Major Salivary Glands
Three bilateral pairs that produce 90% of saliva: Parotid, Submandibular, Sublingual.
Parotid Gland
Parotid Gland
Largest salivary gland, produces 25% of total saliva volume, 100% serous saliva.
Submandibular Gland
Submandibular Gland
Signup and view all the flashcards
Sublingual Gland
Sublingual Gland
Signup and view all the flashcards
Stensen's Duct
Stensen's Duct
Signup and view all the flashcards
Histological Structure
Histological Structure
Signup and view all the flashcards
Xerostomia
Xerostomia
Signup and view all the flashcards
Glossopharyngeal Nerve
Glossopharyngeal Nerve
Signup and view all the flashcards
Auriculotemporal Nerve
Auriculotemporal Nerve
Signup and view all the flashcards
Wharton’s Duct
Wharton’s Duct
Signup and view all the flashcards
Bartholin’s Duct
Bartholin’s Duct
Signup and view all the flashcards
Adenomere
Adenomere
Signup and view all the flashcards
Sjögren’s Syndrome
Sjögren’s Syndrome
Signup and view all the flashcards
Nicotine Stomatitis
Nicotine Stomatitis
Signup and view all the flashcards
Sialosis
Sialosis
Signup and view all the flashcards
Mumps
Mumps
Signup and view all the flashcards
Raynaud Phenomenon
Raynaud Phenomenon
Signup and view all the flashcards
Angular Chelitis
Angular Chelitis
Signup and view all the flashcards
Traumatic Erosions
Traumatic Erosions
Signup and view all the flashcards
Chapped Lips
Chapped Lips
Signup and view all the flashcards
Salivary Gland Carcinoma
Salivary Gland Carcinoma
Signup and view all the flashcards
Bilateral Warthin’s Tumour
Bilateral Warthin’s Tumour
Signup and view all the flashcards
Pleomorphic Adenoma
Pleomorphic Adenoma
Signup and view all the flashcards
Acinic Cell Carcinoma
Acinic Cell Carcinoma
Signup and view all the flashcards
Causes of Dry Mouth
Causes of Dry Mouth
Signup and view all the flashcards
Innervation of Salivary Glands
Innervation of Salivary Glands
Signup and view all the flashcards
Functional Disorders
Functional Disorders
Signup and view all the flashcards
Secretory Duct
Secretory Duct
Signup and view all the flashcards
Epithelial Cells
Epithelial Cells
Signup and view all the flashcards
Blood Supply of Salivary Glands
Blood Supply of Salivary Glands
Signup and view all the flashcards
Control of Salivation
Control of Salivation
Signup and view all the flashcards
Hyposalivation Causes
Hyposalivation Causes
Signup and view all the flashcards
Obstruction in Ducts
Obstruction in Ducts
Signup and view all the flashcards
Mucoceles
Mucoceles
Signup and view all the flashcards
Ranula
Ranula
Signup and view all the flashcards
Serous Acini
Serous Acini
Signup and view all the flashcards
Mucous Acini
Mucous Acini
Signup and view all the flashcards
Serous-mucous Acini
Serous-mucous Acini
Signup and view all the flashcards
Myoepithelial Cells
Myoepithelial Cells
Signup and view all the flashcards
Saliva Ducts
Saliva Ducts
Signup and view all the flashcards
Study Notes
Salivary Glands Overview
- Salivary glands are crucial for oral and dental sciences
- They play a role in patient management
- Related topics include: embryology, saliva & salivation, xerostomia, skull, regional anatomy, and extra-oral examination
Aim & Learning Outcomes
- The aim is to understand salivary gland positioning, histology, and function
- Learning outcomes include:
- Listing major salivary glands
- Describing each gland's positioning, associated ducts, saliva production, and innervation
- Describing the histological structure of a salivary gland
- Outlining disorders affecting salivary glands
- Salivary gland formation is covered in BMS embryology of the head, face, and oral cavity lectures
Types of Salivary Glands
- Three major bilateral pairs of salivary glands exist
- Parotid glands
- Submandibular glands
- Sublingual glands
- Numerous minor salivary glands also exist
- Major glands produce 90% of saliva
Parotid Glands
- Largest major salivary glands
- 100% serous saliva
- 25% of total saliva volume
- Positioned below the external auditory meatus, between the mastoid process and the posterior border of the ramus
- Parotid duct (Stensen's duct) is 5cm long, runs outside the masseter muscle parallel to, and 1cm below the zygomatic arch, piercing the buccinator muscle opening into the oral cavity via Stensen's papillae
- Innervated by the glossopharyngeal (autonomic), auriculotemporal (sensory), and facial nerves
Submandibular Glands
- Half the size of the parotid glands (walnut-shaped)
- 60-65% of total saliva volume
- Mixed saliva secretions
- Positioned between the body of the mandible and the mylohyoid muscle, in the submandibular fossa
- Wharton's duct (5cm long) opens under the anterior part of the tongue, lateral to the lingual fraenum at the sublingual caruncle
- Innervated by the chorda tympani and lingual branch of the inferior dental nerve
Sublingual Glands
- Smallest major salivary glands (almond-sized)
- 5-10% of total saliva volume
- 60% mucous saliva
- Positioned in the floor of the mouth, in the sublingual fossa
- Bartholin's duct (10-20 smaller Rivinus ducts) opens along the sublingual fold
- Same nerve innervation as the submandibular glands
Minor Salivary Glands
- Produce mixed saliva, predominantly mucous
- Produce lots of salivary proteins
- Account for >10% of total saliva volume
- Named based on their location, e.g., buccal or labial salivary glands
Salivary Gland Structure
- Epithelium lines the ducts producing saliva
- Connective tissue surrounds the epithelium (protecting and supporting the gland) which is divided into
- Capsule (surrounding the entire outer portion)
- Septum (dividing the inner portion into lobes and smaller lobules), carrying nerve and blood supply to cells
Adenomeres and Acini
- Adenomeres are the working parts of a salivary gland, surrounded by connective tissue
- Acini are secretory units (made of secretory cells)
- Acini are categorised as
- Serous acini (produce watery serous saliva), important for lubricating food, enzymatic digestion, removing epithelial debris, and diluting food
- Mucous acini (produce viscous mucous saliva), binding food into a bolus and protecting the oral cavity from abrasion and providing lubrication
- Serous-mucour acini (combining both serous and mucous acini)
Myoepithelial Cells
- Located within the acinus, these cells embrace acini secretory cells
- Contractions force saliva out of the lumen and into the ducts
Acinar Fluid
- Not quite saliva yet, consists of
- Water
- Inorganic ions
- Small molecules and products synthesised by cells, like mucoproteins and amylase
Ducts
- Three types of ducts
- Intercalated duct (lining of single layer of cuboidal epithelial cells)
- Striated duct (lining of single layer of columnar epithelial cells with basal striations, aids in saliva modification)
- Excratory duct (pseudostratified columnar epithelium with changes to stratified cuboidal and stratified squamous epithelium at opening), where saliva exits into the oral cavity
Blood Supply
- Supplied by the external carotid artery (facial and lingual artery branches) with vessels and nerves entering at the hilum
- Two capillary networks, for secretory end piece and ducts
Control of Salivation
- Salivary nuclei in the brain process senses like taste, smells, and thoughts, triggering neurotransmitter release for saliva production
Disorders of the Salivary Glands
- Hyposalivation (reduced saliva): caused by medications, radiotherapy, autoimmune diseases, diabetes, and salivary stones
- Obstruction: calcium deposits in ducts causing infection/inflammation or trauma causing saliva accumulation
- Irradiation: head and neck radiation can destroy secretory cells (atrophy) leading to xerostomia
- Degenerative disorders: Sjögren's syndrome (immunological disorder causing dry eyes, lachrymal apparatus changes)
- Oral signs include mild erythema, mucosal thinning, erythema, fissuring, coating/depapillations on the tongue, traumatic erosions/ulcers, angular chelitis, and chapped lips
- Inflammation/infection: Mumps (viral infection causing parotid gland swelling) & Nicotine Stomatitis (minor salivary gland inflammation)
- Sialosis: painless swelling of parotid glands, not caused by inflammation/infection, can be a sign of underlying medical conditions like liver cirrhosis, bulimia, diabetes, pregnancy, obesity, and kidney failure
- Neoplasms (tumors): benign (Warthin's tumor) and malignant (salivary gland carcinoma)
- Functional disorders: dry mouth caused by emotional disturbances, mouth breathing, smoking, or use of certain medications
Summary
- Many conditions impacting salivary glands necessitate their inclusion in extra-oral examinations.
Additional Resources
- Provides links to journal articles, online books, YouTube videos, and slide sharing sites with further information and visualizations on the subject of salivary glands.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge about the anatomy and physiology of salivary glands. This quiz covers their locations, functions, and types of secretion produced by major salivary glands, including the parotid, submandibular, and sublingual glands. Challenge yourself and see how well you understand these important structures!