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Salivary Glands
Oral cavity
proper
Oral
vestibule
Salivary glands are merocrine exocrine glands that
produce and secrete saliva in the oral cavity.
•Classifications
•Of Salivary Glands
1- Labial Gs.
2- Buccal Gs.
3- Parotid Gs.
1- Palatine Gs.
Hard palate
Soft palate
Uvula
2- Mouth floor
Gs.
Sublingual G.
Submandibular G.
Glossopalatine G.
3- Gs. of
tongue
Blandin-Nuhn G.
von Ebner G.
Weber G.
I- According to location
A- Glands of oral
vestibule
B- Glands of oral cavity
proper
II- According To Size
A- Major S G B- Minor S G
1- Parotid ☻Labial & buccal Gs.
2- Submandibular ☻Palatine Gs.
3- Major sublingual ☻Minor sublingual.
☻Lingual Gs.
☻Glossopalatine G.
III- According To The Nature Of
Secretion
A- Pure serous B- Pure mucous C- Mixed
Parotid G. (adult) Palatine Gs Labial and buccal Gs
von Ebner Gs Glossopalatine Gs Submandibular Gs
Weber Gs Major sublingual
Minor sublingual Blandin-Nuhn Gs
Parotid ( Infant and old age)
Mucous Ring
Mucous ring is the minor
pure mucous glands that
are all localized forming a
ring in the posterior
portion of the oral cavity to
facilitate the process of
food swallowing after its
mastication.
mucous
mixed
CT stroma
capsulesepta
lobe
lobule
Parenchymal element
CT. element
Structure of Salivary Gland
Secretory end pieceIntercalated duct
Striated duct
Excretory duct
Parenchymal element
Myoepithelial cell
septa
Structure of Salivary Gland
I- Parenchymal Tissue II- Connective Tissue
(Epithelial part)
1- Secretory terminal portions 1- Capsule
Acini ( Serous, mucous or mixed) 2- C.T. septa
3- Stroma
2- Duct system
☻Intercalated (neck) duct
☻Striated (secretory) duct
☻Excretory duct
☻Main duct
3-Non-secretory cells
A- Myoepithelial cells
B-Oncocytes
Epithelial Structures Of Salivary Gland
•1- Secretory Terminal
Portion
Serous Acinus Mucous Acinus
Serous aciniA-
*Spherical or rounded
small acini
*Narrow lumen
*cells are pyramidal
The cytoplasm is basophilic
due to its high content of
RNA. The apical
cytoplasm is filled with
eosinophilic secretory
zymogen granules
*Spherical nucleus in
Basal 1/3
1-Secretory terminal portions
•At the apical ends of the adjoining cells, the
lumen is sealed off by junctional complex,
•The function of junctional complex:
•1-Holds the cells together.
•2-Prevents leakage of the luminal content
into the intercellular spaces.
•-
•Intercellular canaliculi (fingerlike branches of the
lumen) extend between adjacent cells .They
increase the area of the secretory surface..
Ultra structure of serous cells:
1-Large open-face nucleus basally
2-Apical cytoplasm contains
zymogen secretory granules
3-basal cytoplasm full of
organelles.
4-Cytoplasmic organelles:
a-Mitochondria, b-Golgi saccules
c-Lysosomes, d- free ribosomes, e-RER
5-Intercellular canaliculi sealed by junctional
complexes
1
a
b
2
e
5
•The serous secretion has a high percentage of water and proteins and
a low amount of carbohydrates.
•The basal cytoplasm contains abundant rough endoplasmic reticulum
(RER) packed basally and laterally to the nucleus.
•♦ The Golgi apparatus consists of several stacks of 4 to 6 in number.
•♦ The mitochondria contains the enzymes of citric acid cycle, (power
house).
•♦ Free ribosomes (concerned with synthesis of non-secretory cellular
protein).
•♦ Lysosomes (contain hydrolytic enzymes).
•To destroy foreign materials taken by the cells or portions of the cell as
degenerated organelles.
•♦Few peroxisomes. They participate in the lipid metabolism.
•♦ Bundles of tonofilaments
Mitochondria RER
Free ribosomes Golgi apparatus
Ultra structure:
B- Mucous acini
*Tubular long acini
*Larger lumen
*Low pyramidal or
flattened cell
The cytoplasm is small and
acidophilic with
less amount of RNA. The apical
cytoplasm is filled with mucous
secretory mucigen granules.
(With H&E the apical part of the cell
appears empty because these
granules are dissolved.
*Flattened or angular
nucleus present basally
Ultra structure:
1- Nucleus basally compressed
2- Cytoplasm:
A-Vaculated lightly stained
B- the cells appear empty Except:
A thin rim of cytoplasm forming
network
3- Cytoplasmic organelles:
a-mitochondria,
b-Prominent Golgi saccules
C- few RER,
d- few microvilli
4- Very few intercellular
canaliculi
1
Aa
b
RER
Vaculated cytoplasm
•The mucous secretion has a less percentage of
water and proteins and a larger amounts of
carbohydrates.
•The organelles are mainly limited to a thin band of
cytoplasm at the basal and lateral regions of the cell.
•♦ The Golgi apparatus is extensive, consisting of
10 to 12 flattened saccules.
•The large size of the Golgi apparatus reflects its role in
addition of the large amount of carbohydrate to the
mucous secretory products.
•♦The secretory granules are larger and more irregular
in shape than the serous cells.
•The mucous droplets are electron lucent.
Serous
Mucous
Serous Acinus Mucous Acinus
- The serous cell is pyramidal in
shape having a broad base resting on
a basement membrane and a narrow
apex bordering a narrow lumen.
- The mucous cell is low
pyramidal in shape and larger than the
serous cell. It has a broader apex
bordering a wide lumen.
L
L
Small rounded acini, narrow lumen Larger oval acini, wide lumen
•The cytoplasm is strongly basophilic
due to its high content of RNA. The
apical cytoplasm is filled with
eosinophilic secretory granules
known as zymogen granules.
- The nucleus is spherical in shape
and located in the basal portion of
the cell.
- The cytoplasm is acidophilic with
less amount of RNA. The apical cytoplasm is
filled with mucous secretory droplets of high
carbohydrate content (mucigen granules).
With H&E the apical part of the cell appears
empty because these granules are dissolved.
- The nucleus is oval or flattened and
located toward its base surrounded with
a thin rim of cytoplasm.
1-the secretory proteins are synthesized by the
ribosomes on the RER, and migrate to the Golgi
apparatus Convex face( cis face).
2-carbohydrate addition and other modifications are
completed in the golgi apparatus in the concave surface(
trans face).
3-The proteinaceous secretory material is concentrated
in condensing vacuoles and stored in secretory granules
and discharged by exocytosis.
Protein synthesis
By serous cell
Protein synthesis
Exocytosis
MEANS THAT THE
SECRETORY
GRANULES
MEMBRANE IS
RECYCLED AND
THE CONTENT
EXPELLED INTO
THE LUMEN
Exocytosis:
1-The formation of mucous droplets occurs in the
same manner as was seen in the serous cells
except that this droplet has large amount of
carbohydrates due to the large size of golgi
appratus found in the mucous cell.
2-When a single droplet is discharged, its limiting
membrane fuses with the apical plasma
membrane, resulting in a single membrane
separating the droplet from the lumen.
3-This membrane may: a-fragment, or b-the
droplet may be discharged with the membrane
intact, surrounding it.
The secretion of mucous droplets
Let’s compare between the ways of mature
vesicles discharge in serous and in mucous
acini.The following figures will explain it all
What happens in a
serous cell.
What happens in a mucous
cell.
Membrane
Intact
membrane
Fragmented
with the
discharge
C-Mixed Acini
Demilune of von Ebner
(crescent of Gianuzzi)
•In mixed glands, the proportion of serous
and mucous cells vary from predominantly
serous, as in human submandibular gland,
to predominantly mucous, as in the human
major sublingual gland.
•1-Separate serous and mucous units may
exist.
•Or 2-The secretory units may be composed
of both cell types where the mucous cells
form a typical tubular portion capped at the
blind end by cap of serous cells ,known as
crescent of Giannuzzi or demilunes of von
Ebner.
•The serous secretion of the demilune cells
reaches easily the lumen through the
intercellular canaliculi.
1
2
3
1 Serous
acinus
2 Mucous
acinus
3 Mixed acini
3- Non secretory cells:
a-Myoepithelial (basket
cells)
1- Spindle shaped
2-Related to secretory
ends &intercalated duct.
3- Has 4-8 processes.
4- Attached to the
underlying cell by desmosomes.
5- Many microfilament
6- Cell organelles are perinuclear
7- Has a contractile function.
1
2
3
4
5
6
7
8
4 5
6
•It is a contractile cell located around the terminal
secretory units (more in mucous than serous acini
because the heavy mucous secretion needs more
squeezing to be expelled into the lumen) and the
intercalated duct between the basal lamina and the
basal cell membrane .
•They are stellate or spider like, with a small body filled
with flattened nucleus, and numerous long branching
processes that embrace the secretory and the duct
cells.
•By electron microscope
•Two types of filaments:
•1-Fine actin filaments (5nm thick) , oriented
longitudinally in the cell process and appear
aggregating forming dark bodies.
•2-Thicker Myosin filaments, (10 nm thick) are also
present.
•Desmosomal attachment are present between the
myoepithelial cells and the basal plasma membrane.
Function:
•1-Contraction of their process help to expel
saliva from the acini and intercalated ducts.
•2-Provides support for the parenchyma
during active secretion.
3- Duct system
The Intralobular And Interlobular Ducts
Secretory end pieceIntercalated duct
Striated duct
Excretory duct
Parenchymal element
Myoepithelial cell
septa
1-Intralobular (within lobules)
a- Intercalated.
1- Small diameter.
2-Lined by simple cuboidal
epithelium
3-Central nucleus.
4- Little cytoplasm.
5- Basal RER.
6- Apical golgi complex
7- Few secretory granules
8- Numerous in watery
secreted gland ( parotid)
3
5
6
7
Intercalated duct
Functions of intercalated
ducts:1-The cells of the proximal ‫القريبة‬ ‫أو‬ ‫الدانية‬part of the duct have
secretory function.
2-They convey the secretion from the terminal secretory units
to the striated ducts.
3-Lactoferrin (a protein having an antibacterial function) has
been localized in the cells of the intercalated duct.
4-They can reabsorb protein from the lumen.
5-They may proliferate and undergo differentiation to replace
damaged or dying cells in the end pieces and striated ducts.
2-Striated duct
-lined by a single layer of
tall columnar epithelial
cells, have large
,spherical and centrally
placed nucleus and
abundant pale staining
eosinophilic cytoplasm.
-The cytoplasm at the
basal part of the cell
shows basal striation.
Striated duct in mixed gland
Striated duct in mixed gland
1-Intralobular (within lobules)
b-Striated:
1- Lined by a single layer of
columnar cells.
2- Central nucleus.
3-Esinophillic cytoplasm.
4- Prominent Basal striations due to
: a- membrane enfolding
b-numerous elongated
mitochondria
5- a-Cell organelles, b-junctional
complex & desmosomes are
present
2
a
b
4
5 a
5 b
Functions of the striated ducts:
1-They convey secretion from intercalated to
excretory duct.
2-They modify the saliva passing through them. ‫تغيرأو‬
‫تضيف‬
3-They actively reabsorb sodium and chloride ions
and secrete potassium and bicarbonate in the
primary secretion, thus the secretion is changed from
isotonic ‫اا‬‫ا‬‫متع‬ or hypertonic ‫اار‬‫ا‬‫مف‬ to a hypotonic
secretion, with low sodium and chloride and high
potassium & bicarbonate concentrations for
buffering ‫ز‬ ‫ع‬ .
Functions of the striated ducts:(cont.)
4-Lysosomes which have an antibacterial effect are localize
5-Striated ducts contain the enzyme kallikrein which
affect the water and electrolyte balance‫.التوازن‬
6-Iodine(is an essential component of various thyroid
hormone) concentration ‫تركياا‬ takes place in the
striated ducts.
7-They add Amylase enzyme(digestive)from the
serum to the saliva.
8-Cells of striated ducts have nerve and epidermal
growth factors.
3-Excretory duct and main duct
1-They are larger than
striated ducts
2- Interlobar ducts are lined
by pseudostratified
columnar epithelium with
goblet cells.
3- Main duct is lined by
stratified squamous
epithelium.
4-As the ducts increase in
size, the number of
mitochondria and
enfolding of the basal
membranes decrease.
1 2
3
Goblet cell
3-Excretory Duct
Functions of excretory ducts:
1-They convey the salivary secretion towards
the oral cavity.
2-They have the ability to reabsorb sodium
and secrete potassium and bicarbonate.
3-The ductal reabsorption of sodium and
chlorides exceeds the secretion of potassium
and bicarbonate leading to hypotonic saliva.
•Function:
• 4-Adding a mucoid
compound to saliva
(secreted by goblet
cells).
Excretory duct
Excretory duct
Excretory duct in serous gland
•-Lined with stratified squamous epithelium.
(the lining of the oral cavity)
•-Parotid duct is called Stensen duct
•-Submandibular : Wharton duct
•-Major sublingual :Bartholin duct
•-Minor sublingual : Rivinus ducts
4-Main Duct
1
DUCT
MAIN EXCRE.DUCT EXCRETORY DUCT STRIATED DUCT INTERCALATED
Modification of
primary
secretion.
Passive conduit
Sec. Granules.
Minor contribution
in secretion
Isotonic or Slightly hypertonic than
plasma.
Na+, cl- Conc. = Plasma.
K+ Conc
Na+ andPlasma .
1 – Contain Kallikrein enzyme
synthesis of glycoproteins.
2 – Presence of vesicles and lysosomes
pinocytotic activity.
3 – Basal infolding + conc. Mitochondria +
Basal portion of cells contain Na+ & K+
activated adinosine triphosphatase
(transport enzyme)
water and electrolyte transport .
Reabsorbed
from primary
secretion .
Secreted
in primary
secretion.
Secreted.Reabsorbed
Note: At increased flow rates Na+ and CL- conc.
increase, while K+ decreases., as the secretion is
in contact with the ductal epithelium for a short
time.
FUNCTIONS OF SALVARY GLAND DUCTS
Ac
inu
s
B-Oncocyte
☻Large pale-staining eosinophilic cell, loaded with
mitochondria
Found replacing the duct cells mainly in mucous glands.
☻They probably represent an age change
The Connective Tissue
Forming the Capsule , Septa and Stroma
capsule
Septa Lobe
Lobule
The Structure of the Connective Tissue
Cells Intercellular substance
■Blood vessels
■Nerves
■Lymph vessels
Fibers Ground substance
☻Collagen
& reticuline
☻ Elastic fibers
(wall of B.V.)
☻Glycosaminoglycans
☻Glycoproteins.
1-Fibroblasts
- Macrophages
- Mast cells
-Plasma cells
2-Fat cells
3-Defensive cells
•The connective tissue forms the capsule of
the gland ,septa dividing the gland into
lobes and lobules and stroma that invest all
the parenchymal portion of the gland.
•The blood vessels and nerves follow the
course of the excretory duct then the
striated ducts then the course of
intercalated ducts and form a plexus under
the striated ducts and the terminal portions.
Nerve Supply
☻The salivary glands secretion is controlled
by autonomic nervous system.
sympathetic
(adrenergic)
parasympathetic
(cholinergic)
♣ viscous saliva
less in quantity
♣ watery saliva
♥ vasoconstrictor
☻Some small mucous glands have spontaneous secretion
independently of neural control.
☻Hormones exert varying levels of control over salivary
function .
♥ vasodilator
Major Salivary Glands
Parotid
Sublingual
Submandibular
Parotid Gland
-The largest gland.
# Location:
-The superficial portion of
the gland is present in
front of the external ear.
-Its deeper portion lies
behind the ramus of the
mandible, filling the
retromandibular fossa.
-A small amount of parotid tissue
occasionally accompanies the
excretory duct forming an accessory
few mms small gland.
••♥ The gland is enveloped by a well-
formed connective tissue capsule sending
septa dividing the gland into lobes and
lobules.
•*Type of secretion:
•-The parotid gland of adult is a pure serous,
••-In infant and old ages, few mucous
secretory units may be found( mixed ).
•-
•The duct system:
••-The intercalated ducts are long and
branching.
•-The striated ducts are numerous and well
developed.
••
•-The main excretory duct (Stensen’s duct)
crosses the masseter muscle , penetrate the
buccinator muscle and open at small papilla
on the buccal mucosa opposite the maxillary
second molar.
Serous
The blood supply The nerve supply
♥ External carotid artery ♣ The parasympathetic nerve
(glossopharyngial) from the
otic ganglion and the
auriculotemporal nerve.
♣ The sympathetic nerve from
the superior cervical ganglion.
Submandibular And Sublingual Glands
Submandibular G.
Sublingual G.
Mylohyoid
muscle
☻large but smaller
than the parotid
Submandibular Salivary Gland
# Location:
- Present in the
submandibular
triangle, medial to the
mandible. It lies behind
and below the free
border of the
mylohyoid muscle with
small extension lying
above the posterior
border of the muscle.
Submandibular Salivary Gland
*Type of secretion:
Mixed predominant
serous
♥ The gland is enveloped by a well-
formed connective tissue capsule
sending septa dividing the gland
into lobes and lobules.
-The duct system:
•The intercalated ducts are shorter
than those of the parotid gland.
•The striated ducts are long.
•The main excretory duct
(Wharton’s duct) crosses over the
mylohyoid muscle and opens at
the caruncula sublingualis ( a
small papilla at the side of lingual
frenum).
The blood supply The nerve supply
♥ The facial and lingual
arteries .
♣ The parasympathetic nerve
( facial and lingual ns) from
the submandibular ganglion.
♣ The sympathetic nerve from
the superior cervical ganglion.
# Location:
- Lie on the superior
surface of the
mylohyoid muscle and
are separated from the
oral cavity by a thin
layer of mucosa.
Sublingual Salivary Gland
☻It is the smallest of the major salivary
glands. Composed of one major gland
and several minor glands.
Sublingual Salivary Gland
--The capsule: Is poorly
defined, but the connective tissue septa
are prominent.
-•-The major gland is
mixed predominant mucous.
•The minor glands are pure
mucous.
-The duct system:
•#The major gland: The
intercalated and striated ducts are
short.
-The main excretory duct is Bartholin’s
duct opens with or near to the
submandibular duct at the sublingual
papilla.
•#The minor salivary gland
main excretory ducts (8-12 in number)
called Rivinus ducts open
independently along the sublingual fold.
*Type of secretion:
Mixed predominant
mucous
The blood supply The nerve supply
♥ Sublingual and
submental arteries.
♣ The parasympathetic nerve
( facial and lingual ns) from
the submandibular ganglion.
♣ The sympathetic nerve from
the superior cervical ganglion.
Parotid G. Submandibular G. Sublingual G.
Minor Salivary Glands
☻The minor salivary glands are located beneath the
mucosal surface throughout the oral cavity.
☻The intercalated ducts are poorly developed and the
striated ducts are usually absent.
☻The glands open directly into the oral cavity by short
excretory ducts.
☻They lack a distinct capsule, instead the parenchymal
elements mix with the connective tissue of the submucosa
or the muscle fibers of the cheek ,lip or tongue.
MAJOR FEATURES OF SALIVARY GLANDS
Nerve
Sebaceous
Glands
Lymphoid
TissueFatGlandsDuctFeatureGland
Facial
Nerve
YesYesYesSerous
Stensen's
duct
Largest
major
salivary
gland
Parotid
NoneNoneNoneYes
Mucou-
Serous
Wharton's
duct
Second
largest
major
salivary
gland
Sub-
mandibular
gland
NoneNoneNoneYes
Mucou-
Serous
Bartholin's
duct,
Rivinus
ducts
Smallest
of major
salivary
glands
Sub-
lingual
gland
NoNoneNoneYes
(Tongue)
Mucous
except
for those
in
tongue
Small
Scattered
throughout
the tongue,
palate and
lip
Small
salivary
glands
Labial Glands Buccal Glands
♣ They are mixed glands.
•Consisted of mucous tubules with serous
demilunes.
•The buccal glands which lie near to
Stenson’s duct are called molar glands.
Glossopalatine Glands
♥ They are pure mucous glands.
♥ Located at the isthmus region
in the glossopalatine fold.
♥ It extends from the posterior
extension of the sublingual gland
to the glands of the soft palate
( forming the mucous ring).
Palatine Glands
♣ They are pure mucous glands.
♣ Located in the submucosa of
the posterolateral region of the
hard palate (number = 250)
♣ The submucosa of soft
palate (number = 100).
♣ The uvula (number = 12).
Lingual Glands
von Ebner Glands serous
Weber Glands mucous
Blandin Nuhn Glands
a) The anterior lingual glands.
b) The posterior lingual glands.
1-the von Ebner Gland (Pure Serous).
☻The glands are located between the muscle fibers of the
posterior part of the tongue, below the circumvallate and
foliate papillae.
☻The functions of the von Ebner salivary
glands.
1- Wash the trough of the papillae and
dissolve food particles , hence their taste
buds become ready to receive new taste
stimuli.
2- Protective function: This is provided by
antibacterial enzymes such as
peroxidase and lysozyme.
3- Digestive function, by the digestive
enzymes as amylase and lipase (lingual
lipase). The lingual lipase plays a
significant role in lipid digestion in
infants, when the pancreatic lipase is
low.
2- Weber Glands (Pure Mucous).
☻Located at the base of the tongue in association to
the lingual tonsils.
☻The ducts of the glands open on the dorsal surface of
the tongue through the lingual crypts of the lingual
tonsils.
♥ Located near the tip of the tongue.
♥ The anterior regions of the gland are
mucous, while the posterior portions
are mixed.
♥ The ducts open on the ventral surface of
the tongue near the lingual frenum.
3-Blandin Nuhn Glands
Functions of Salivary glands
1- The most important function is saliva production&
secretion.
2- Play a major role in iodine metabolism‫الغذائى‬ ‫التمثيل‬ , since
the cells of the striated ducts are engaged in iodine
concentration.
3- The parotid gland secrete a hormone called parotin
which:
a.Promotes growth of mesnchymal tissues.
b.Lowers serum calcium level.
c.Stimulates calcifications&leucocytes production in bone
marrow.
4- They secrete lots of enzymes &protein substances
as:peroxidase, lysosome, thiocyanate, sialin &amylase.
5-Salivary gland of certain animals active in produce
epidermal &nerve growth factor helping in wound healing.
6-The plasma cells in the stroma of the salivary glands form
salivary Immunogloblin IgA which has a role in the mucosal
immune mechanism of the oral cavity
SALIVA
Saliva Composition
☻The glandular saliva is collected from the ducts.
While the whole saliva is obtained from the oral cavity.
☻Pure glandular saliva consists of water (99%), the
remaining 1 % is made up by:
1- Inorganic ions: the major inorganic ions are Na+, K+, Cl-, and HCO3-.
The minor amounts of ions are Ca++, Mg++, HPO- -, I-, SCN- and F-.
2- Organic substances mainly represented by secretory proteins. Include
enzymes such as amylase, ribonuclease, lysozyme, peroxidase,
kallikrein, esterase and acid phosphatase. Carbohydrate, glycoprotein
and antibacterial substances.
Other organic molecules as amino-acids, urea, uric acid, various lipids
and corticosteroids.
3- Serum constituents such as albumin, blood clotting factors,
microglobulin and immunoglobulins.
* The whole saliva consists of :
1- Desquamated oral epithelial cells.
2- Leukocytes.
3- Microorganisms and their
products.
4- Fluid from the gingival sulcus.
5- Food remnants.
* The total volume of saliva secreted daily by humans is
approximately 750 ml.
☻60% is produced by the submandibular glands.
☻30% by the parotid. ☻ 3-5% from sublingual.
☻ 5-7% from the minor salivary glands.
The pH of whole saliva varies from 6.7 to about 7.4 ( the
primary buffering system of saliva is formed by HCO3-).
+ the previous components
Functions Of Saliva
1- Protective functions
1- Saliva prevents dryness of the oral tissues, and provide lubrication
for the movement of tissue against each other and protection of the
mucosa from chemical and thermal stimuli.
2- Anticariogenic function by the cleansing action of saliva and the
presence of high molecular weight glycoproteins which aggregate
microorganisms and reduce the number of bacteria in the oral cavity.
3- The buffering capacity of saliva helps to reduce the effect of
bacterial acids produced in plaque on the dissolution of tooth
minerals. And deprives the bacteria from optimal environmental
conditions (acidic pH ).
4- Certain proteins bind strongly to hydroxyapatite of the tooth
surface forming the acquired enamel pellicle. The resulting
localized super saturation of calcium and phosphate reduce the
dissolution and promotes remineralization of enamel.
5- Antibacterial factors produced by serous cells of major and minor
salivary glands.
a-Salivary peroxidase and thiocyanate , In the presence of hydrogen
peroxide (produced by oral microorganisms), establish a
bactericidal system in saliva.
b- Lysozyme, is an enzyme which hydrolyzes the polysaccharides
of bacterial walls, resulting in cell lysis.
c- Lactoferrin, an iron binding protein, may inhibit bacterial growth
by limiting the availability of iron needed by the certain bacteria.
d- By the antibodies (immunoglobulin): IgA (salivary or secretory
Ig A)
e- Histidine-rich salivary proteins have growth inhibitory and
antimicrobial activity against certain oral bacteria and fungi.
2- Taste function
a- Saliva is required to dissolve substances to be tasted and carry
them to the taste buds.
b- It also contains a protein called gusten, which is necessary for
growth and maturation of taste bud.
3-Digestive function
a- The amylase act on carbohydrate to produce glucose and maltose.
b- Lingual lipase (produced by von Ebner S.G) initiates the digestion
of dietary lipids.
4- Tissue repair
a- The saliva contains epidermal growth factor
b- Saliva also reduces the bleeding time and the blood clot formed in the
mouth ( blood+ saliva) is less solid than normal.
Age Changes In The Salivary Glands
1- The terminal portions:
-The number of secretory ends decreases by age , serous acini may be
replaced by mucous or fatty cells.
-Atrophy of a part or the whole terminal portions of a lobule and their
replacement either by fibrous or fatty tissue.
-The secretory cells decrease in height and width (the lumen becomes wider).
-The nuclei of cells show pyknosis and their cytoplasm is faintly stained with the
appearance of fatty inclusions.
Young age
Old age
Fatty degenerative change.
2- The duct system
☻ Most of intercalated ducts may disappear due to the
transformation of the cells into secretory cells, which are mostly
mucous.
☻The striations of some striated ducts may disappear.
☻The epithelial lining of the excretory ducts may undergo metaplasia.
(the epithelium changes to flattened cells).
☻Some ducts with large lumen show stagnated mucous secretion.
3- The connective tissue of the salivary glands
☻ The capsule of the parotid and submandibular salivary glands
becomes thicker and shows fatty inclusions and a large number of
chronic inflammatory cells.
Salivary glands dina+sahar audio 2

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Salivary glands dina+sahar audio 2

  • 1.
  • 2.
  • 3. Salivary Glands Oral cavity proper Oral vestibule Salivary glands are merocrine exocrine glands that produce and secrete saliva in the oral cavity.
  • 5. 1- Labial Gs. 2- Buccal Gs. 3- Parotid Gs. 1- Palatine Gs. Hard palate Soft palate Uvula 2- Mouth floor Gs. Sublingual G. Submandibular G. Glossopalatine G. 3- Gs. of tongue Blandin-Nuhn G. von Ebner G. Weber G. I- According to location A- Glands of oral vestibule B- Glands of oral cavity proper
  • 6. II- According To Size A- Major S G B- Minor S G 1- Parotid ☻Labial & buccal Gs. 2- Submandibular ☻Palatine Gs. 3- Major sublingual ☻Minor sublingual. ☻Lingual Gs. ☻Glossopalatine G.
  • 7. III- According To The Nature Of Secretion A- Pure serous B- Pure mucous C- Mixed Parotid G. (adult) Palatine Gs Labial and buccal Gs von Ebner Gs Glossopalatine Gs Submandibular Gs Weber Gs Major sublingual Minor sublingual Blandin-Nuhn Gs Parotid ( Infant and old age) Mucous Ring
  • 8. Mucous ring is the minor pure mucous glands that are all localized forming a ring in the posterior portion of the oral cavity to facilitate the process of food swallowing after its mastication.
  • 10. Secretory end pieceIntercalated duct Striated duct Excretory duct Parenchymal element Myoepithelial cell septa
  • 11. Structure of Salivary Gland I- Parenchymal Tissue II- Connective Tissue (Epithelial part) 1- Secretory terminal portions 1- Capsule Acini ( Serous, mucous or mixed) 2- C.T. septa 3- Stroma 2- Duct system ☻Intercalated (neck) duct ☻Striated (secretory) duct ☻Excretory duct ☻Main duct 3-Non-secretory cells A- Myoepithelial cells B-Oncocytes
  • 12. Epithelial Structures Of Salivary Gland
  • 15. Serous aciniA- *Spherical or rounded small acini *Narrow lumen *cells are pyramidal The cytoplasm is basophilic due to its high content of RNA. The apical cytoplasm is filled with eosinophilic secretory zymogen granules *Spherical nucleus in Basal 1/3 1-Secretory terminal portions
  • 16. •At the apical ends of the adjoining cells, the lumen is sealed off by junctional complex, •The function of junctional complex: •1-Holds the cells together. •2-Prevents leakage of the luminal content into the intercellular spaces. •- •Intercellular canaliculi (fingerlike branches of the lumen) extend between adjacent cells .They increase the area of the secretory surface..
  • 17. Ultra structure of serous cells: 1-Large open-face nucleus basally 2-Apical cytoplasm contains zymogen secretory granules 3-basal cytoplasm full of organelles. 4-Cytoplasmic organelles: a-Mitochondria, b-Golgi saccules c-Lysosomes, d- free ribosomes, e-RER 5-Intercellular canaliculi sealed by junctional complexes 1 a b 2 e 5
  • 18. •The serous secretion has a high percentage of water and proteins and a low amount of carbohydrates. •The basal cytoplasm contains abundant rough endoplasmic reticulum (RER) packed basally and laterally to the nucleus. •♦ The Golgi apparatus consists of several stacks of 4 to 6 in number. •♦ The mitochondria contains the enzymes of citric acid cycle, (power house). •♦ Free ribosomes (concerned with synthesis of non-secretory cellular protein). •♦ Lysosomes (contain hydrolytic enzymes). •To destroy foreign materials taken by the cells or portions of the cell as degenerated organelles. •♦Few peroxisomes. They participate in the lipid metabolism. •♦ Bundles of tonofilaments
  • 19. Mitochondria RER Free ribosomes Golgi apparatus Ultra structure:
  • 20. B- Mucous acini *Tubular long acini *Larger lumen *Low pyramidal or flattened cell The cytoplasm is small and acidophilic with less amount of RNA. The apical cytoplasm is filled with mucous secretory mucigen granules. (With H&E the apical part of the cell appears empty because these granules are dissolved. *Flattened or angular nucleus present basally
  • 21. Ultra structure: 1- Nucleus basally compressed 2- Cytoplasm: A-Vaculated lightly stained B- the cells appear empty Except: A thin rim of cytoplasm forming network 3- Cytoplasmic organelles: a-mitochondria, b-Prominent Golgi saccules C- few RER, d- few microvilli 4- Very few intercellular canaliculi 1 Aa b RER Vaculated cytoplasm
  • 22. •The mucous secretion has a less percentage of water and proteins and a larger amounts of carbohydrates. •The organelles are mainly limited to a thin band of cytoplasm at the basal and lateral regions of the cell. •♦ The Golgi apparatus is extensive, consisting of 10 to 12 flattened saccules. •The large size of the Golgi apparatus reflects its role in addition of the large amount of carbohydrate to the mucous secretory products. •♦The secretory granules are larger and more irregular in shape than the serous cells. •The mucous droplets are electron lucent.
  • 24. Serous Acinus Mucous Acinus - The serous cell is pyramidal in shape having a broad base resting on a basement membrane and a narrow apex bordering a narrow lumen. - The mucous cell is low pyramidal in shape and larger than the serous cell. It has a broader apex bordering a wide lumen. L L Small rounded acini, narrow lumen Larger oval acini, wide lumen •The cytoplasm is strongly basophilic due to its high content of RNA. The apical cytoplasm is filled with eosinophilic secretory granules known as zymogen granules. - The nucleus is spherical in shape and located in the basal portion of the cell. - The cytoplasm is acidophilic with less amount of RNA. The apical cytoplasm is filled with mucous secretory droplets of high carbohydrate content (mucigen granules). With H&E the apical part of the cell appears empty because these granules are dissolved. - The nucleus is oval or flattened and located toward its base surrounded with a thin rim of cytoplasm.
  • 25. 1-the secretory proteins are synthesized by the ribosomes on the RER, and migrate to the Golgi apparatus Convex face( cis face). 2-carbohydrate addition and other modifications are completed in the golgi apparatus in the concave surface( trans face). 3-The proteinaceous secretory material is concentrated in condensing vacuoles and stored in secretory granules and discharged by exocytosis. Protein synthesis By serous cell
  • 27. MEANS THAT THE SECRETORY GRANULES MEMBRANE IS RECYCLED AND THE CONTENT EXPELLED INTO THE LUMEN Exocytosis:
  • 28. 1-The formation of mucous droplets occurs in the same manner as was seen in the serous cells except that this droplet has large amount of carbohydrates due to the large size of golgi appratus found in the mucous cell. 2-When a single droplet is discharged, its limiting membrane fuses with the apical plasma membrane, resulting in a single membrane separating the droplet from the lumen. 3-This membrane may: a-fragment, or b-the droplet may be discharged with the membrane intact, surrounding it. The secretion of mucous droplets
  • 29. Let’s compare between the ways of mature vesicles discharge in serous and in mucous acini.The following figures will explain it all What happens in a serous cell. What happens in a mucous cell. Membrane Intact membrane Fragmented with the discharge
  • 30. C-Mixed Acini Demilune of von Ebner (crescent of Gianuzzi)
  • 31. •In mixed glands, the proportion of serous and mucous cells vary from predominantly serous, as in human submandibular gland, to predominantly mucous, as in the human major sublingual gland. •1-Separate serous and mucous units may exist. •Or 2-The secretory units may be composed of both cell types where the mucous cells form a typical tubular portion capped at the blind end by cap of serous cells ,known as crescent of Giannuzzi or demilunes of von Ebner. •The serous secretion of the demilune cells reaches easily the lumen through the intercellular canaliculi.
  • 33. 3- Non secretory cells: a-Myoepithelial (basket cells) 1- Spindle shaped 2-Related to secretory ends &intercalated duct. 3- Has 4-8 processes. 4- Attached to the underlying cell by desmosomes. 5- Many microfilament 6- Cell organelles are perinuclear 7- Has a contractile function. 1 2 3 4 5 6 7 8 4 5 6
  • 34. •It is a contractile cell located around the terminal secretory units (more in mucous than serous acini because the heavy mucous secretion needs more squeezing to be expelled into the lumen) and the intercalated duct between the basal lamina and the basal cell membrane . •They are stellate or spider like, with a small body filled with flattened nucleus, and numerous long branching processes that embrace the secretory and the duct cells. •By electron microscope •Two types of filaments: •1-Fine actin filaments (5nm thick) , oriented longitudinally in the cell process and appear aggregating forming dark bodies. •2-Thicker Myosin filaments, (10 nm thick) are also present. •Desmosomal attachment are present between the myoepithelial cells and the basal plasma membrane.
  • 35. Function: •1-Contraction of their process help to expel saliva from the acini and intercalated ducts. •2-Provides support for the parenchyma during active secretion.
  • 37. The Intralobular And Interlobular Ducts
  • 38.
  • 39. Secretory end pieceIntercalated duct Striated duct Excretory duct Parenchymal element Myoepithelial cell septa
  • 40. 1-Intralobular (within lobules) a- Intercalated. 1- Small diameter. 2-Lined by simple cuboidal epithelium 3-Central nucleus. 4- Little cytoplasm. 5- Basal RER. 6- Apical golgi complex 7- Few secretory granules 8- Numerous in watery secreted gland ( parotid) 3 5 6 7
  • 42. Functions of intercalated ducts:1-The cells of the proximal ‫القريبة‬ ‫أو‬ ‫الدانية‬part of the duct have secretory function. 2-They convey the secretion from the terminal secretory units to the striated ducts. 3-Lactoferrin (a protein having an antibacterial function) has been localized in the cells of the intercalated duct. 4-They can reabsorb protein from the lumen. 5-They may proliferate and undergo differentiation to replace damaged or dying cells in the end pieces and striated ducts.
  • 43.
  • 44. 2-Striated duct -lined by a single layer of tall columnar epithelial cells, have large ,spherical and centrally placed nucleus and abundant pale staining eosinophilic cytoplasm. -The cytoplasm at the basal part of the cell shows basal striation.
  • 45. Striated duct in mixed gland
  • 46. Striated duct in mixed gland
  • 47.
  • 48. 1-Intralobular (within lobules) b-Striated: 1- Lined by a single layer of columnar cells. 2- Central nucleus. 3-Esinophillic cytoplasm. 4- Prominent Basal striations due to : a- membrane enfolding b-numerous elongated mitochondria 5- a-Cell organelles, b-junctional complex & desmosomes are present 2 a b 4 5 a 5 b
  • 49. Functions of the striated ducts: 1-They convey secretion from intercalated to excretory duct. 2-They modify the saliva passing through them. ‫تغيرأو‬ ‫تضيف‬ 3-They actively reabsorb sodium and chloride ions and secrete potassium and bicarbonate in the primary secretion, thus the secretion is changed from isotonic ‫اا‬‫ا‬‫متع‬ or hypertonic ‫اار‬‫ا‬‫مف‬ to a hypotonic secretion, with low sodium and chloride and high potassium & bicarbonate concentrations for buffering ‫ز‬ ‫ع‬ .
  • 50.
  • 51. Functions of the striated ducts:(cont.) 4-Lysosomes which have an antibacterial effect are localize 5-Striated ducts contain the enzyme kallikrein which affect the water and electrolyte balance‫.التوازن‬ 6-Iodine(is an essential component of various thyroid hormone) concentration ‫تركياا‬ takes place in the striated ducts. 7-They add Amylase enzyme(digestive)from the serum to the saliva. 8-Cells of striated ducts have nerve and epidermal growth factors.
  • 52. 3-Excretory duct and main duct 1-They are larger than striated ducts 2- Interlobar ducts are lined by pseudostratified columnar epithelium with goblet cells. 3- Main duct is lined by stratified squamous epithelium. 4-As the ducts increase in size, the number of mitochondria and enfolding of the basal membranes decrease. 1 2 3 Goblet cell
  • 54. Functions of excretory ducts: 1-They convey the salivary secretion towards the oral cavity. 2-They have the ability to reabsorb sodium and secrete potassium and bicarbonate. 3-The ductal reabsorption of sodium and chlorides exceeds the secretion of potassium and bicarbonate leading to hypotonic saliva.
  • 55. •Function: • 4-Adding a mucoid compound to saliva (secreted by goblet cells).
  • 58. Excretory duct in serous gland
  • 59. •-Lined with stratified squamous epithelium. (the lining of the oral cavity) •-Parotid duct is called Stensen duct •-Submandibular : Wharton duct •-Major sublingual :Bartholin duct •-Minor sublingual : Rivinus ducts 4-Main Duct
  • 60. 1 DUCT MAIN EXCRE.DUCT EXCRETORY DUCT STRIATED DUCT INTERCALATED Modification of primary secretion. Passive conduit Sec. Granules. Minor contribution in secretion Isotonic or Slightly hypertonic than plasma. Na+, cl- Conc. = Plasma. K+ Conc Na+ andPlasma . 1 – Contain Kallikrein enzyme synthesis of glycoproteins. 2 – Presence of vesicles and lysosomes pinocytotic activity. 3 – Basal infolding + conc. Mitochondria + Basal portion of cells contain Na+ & K+ activated adinosine triphosphatase (transport enzyme) water and electrolyte transport . Reabsorbed from primary secretion . Secreted in primary secretion. Secreted.Reabsorbed Note: At increased flow rates Na+ and CL- conc. increase, while K+ decreases., as the secretion is in contact with the ductal epithelium for a short time. FUNCTIONS OF SALVARY GLAND DUCTS Ac inu s
  • 61. B-Oncocyte ☻Large pale-staining eosinophilic cell, loaded with mitochondria Found replacing the duct cells mainly in mucous glands. ☻They probably represent an age change
  • 62. The Connective Tissue Forming the Capsule , Septa and Stroma capsule Septa Lobe Lobule
  • 63. The Structure of the Connective Tissue Cells Intercellular substance ■Blood vessels ■Nerves ■Lymph vessels Fibers Ground substance ☻Collagen & reticuline ☻ Elastic fibers (wall of B.V.) ☻Glycosaminoglycans ☻Glycoproteins. 1-Fibroblasts - Macrophages - Mast cells -Plasma cells 2-Fat cells 3-Defensive cells
  • 64. •The connective tissue forms the capsule of the gland ,septa dividing the gland into lobes and lobules and stroma that invest all the parenchymal portion of the gland. •The blood vessels and nerves follow the course of the excretory duct then the striated ducts then the course of intercalated ducts and form a plexus under the striated ducts and the terminal portions.
  • 65. Nerve Supply ☻The salivary glands secretion is controlled by autonomic nervous system. sympathetic (adrenergic) parasympathetic (cholinergic) ♣ viscous saliva less in quantity ♣ watery saliva ♥ vasoconstrictor ☻Some small mucous glands have spontaneous secretion independently of neural control. ☻Hormones exert varying levels of control over salivary function . ♥ vasodilator
  • 67. Parotid Gland -The largest gland. # Location: -The superficial portion of the gland is present in front of the external ear. -Its deeper portion lies behind the ramus of the mandible, filling the retromandibular fossa. -A small amount of parotid tissue occasionally accompanies the excretory duct forming an accessory few mms small gland.
  • 68. ••♥ The gland is enveloped by a well- formed connective tissue capsule sending septa dividing the gland into lobes and lobules. •*Type of secretion: •-The parotid gland of adult is a pure serous, ••-In infant and old ages, few mucous secretory units may be found( mixed ). •- •The duct system: ••-The intercalated ducts are long and branching. •-The striated ducts are numerous and well developed. •• •-The main excretory duct (Stensen’s duct) crosses the masseter muscle , penetrate the buccinator muscle and open at small papilla on the buccal mucosa opposite the maxillary second molar. Serous
  • 69. The blood supply The nerve supply ♥ External carotid artery ♣ The parasympathetic nerve (glossopharyngial) from the otic ganglion and the auriculotemporal nerve. ♣ The sympathetic nerve from the superior cervical ganglion.
  • 70. Submandibular And Sublingual Glands Submandibular G. Sublingual G. Mylohyoid muscle
  • 71. ☻large but smaller than the parotid Submandibular Salivary Gland # Location: - Present in the submandibular triangle, medial to the mandible. It lies behind and below the free border of the mylohyoid muscle with small extension lying above the posterior border of the muscle.
  • 72. Submandibular Salivary Gland *Type of secretion: Mixed predominant serous ♥ The gland is enveloped by a well- formed connective tissue capsule sending septa dividing the gland into lobes and lobules. -The duct system: •The intercalated ducts are shorter than those of the parotid gland. •The striated ducts are long. •The main excretory duct (Wharton’s duct) crosses over the mylohyoid muscle and opens at the caruncula sublingualis ( a small papilla at the side of lingual frenum).
  • 73. The blood supply The nerve supply ♥ The facial and lingual arteries . ♣ The parasympathetic nerve ( facial and lingual ns) from the submandibular ganglion. ♣ The sympathetic nerve from the superior cervical ganglion.
  • 74. # Location: - Lie on the superior surface of the mylohyoid muscle and are separated from the oral cavity by a thin layer of mucosa. Sublingual Salivary Gland ☻It is the smallest of the major salivary glands. Composed of one major gland and several minor glands.
  • 75. Sublingual Salivary Gland --The capsule: Is poorly defined, but the connective tissue septa are prominent. -•-The major gland is mixed predominant mucous. •The minor glands are pure mucous. -The duct system: •#The major gland: The intercalated and striated ducts are short. -The main excretory duct is Bartholin’s duct opens with or near to the submandibular duct at the sublingual papilla. •#The minor salivary gland main excretory ducts (8-12 in number) called Rivinus ducts open independently along the sublingual fold. *Type of secretion: Mixed predominant mucous
  • 76. The blood supply The nerve supply ♥ Sublingual and submental arteries. ♣ The parasympathetic nerve ( facial and lingual ns) from the submandibular ganglion. ♣ The sympathetic nerve from the superior cervical ganglion.
  • 77. Parotid G. Submandibular G. Sublingual G.
  • 78. Minor Salivary Glands ☻The minor salivary glands are located beneath the mucosal surface throughout the oral cavity. ☻The intercalated ducts are poorly developed and the striated ducts are usually absent. ☻The glands open directly into the oral cavity by short excretory ducts. ☻They lack a distinct capsule, instead the parenchymal elements mix with the connective tissue of the submucosa or the muscle fibers of the cheek ,lip or tongue.
  • 79. MAJOR FEATURES OF SALIVARY GLANDS Nerve Sebaceous Glands Lymphoid TissueFatGlandsDuctFeatureGland Facial Nerve YesYesYesSerous Stensen's duct Largest major salivary gland Parotid NoneNoneNoneYes Mucou- Serous Wharton's duct Second largest major salivary gland Sub- mandibular gland NoneNoneNoneYes Mucou- Serous Bartholin's duct, Rivinus ducts Smallest of major salivary glands Sub- lingual gland NoNoneNoneYes (Tongue) Mucous except for those in tongue Small Scattered throughout the tongue, palate and lip Small salivary glands
  • 80. Labial Glands Buccal Glands ♣ They are mixed glands. •Consisted of mucous tubules with serous demilunes. •The buccal glands which lie near to Stenson’s duct are called molar glands.
  • 81. Glossopalatine Glands ♥ They are pure mucous glands. ♥ Located at the isthmus region in the glossopalatine fold. ♥ It extends from the posterior extension of the sublingual gland to the glands of the soft palate ( forming the mucous ring).
  • 82. Palatine Glands ♣ They are pure mucous glands. ♣ Located in the submucosa of the posterolateral region of the hard palate (number = 250) ♣ The submucosa of soft palate (number = 100). ♣ The uvula (number = 12).
  • 83. Lingual Glands von Ebner Glands serous Weber Glands mucous Blandin Nuhn Glands a) The anterior lingual glands. b) The posterior lingual glands.
  • 84. 1-the von Ebner Gland (Pure Serous). ☻The glands are located between the muscle fibers of the posterior part of the tongue, below the circumvallate and foliate papillae. ☻The functions of the von Ebner salivary glands. 1- Wash the trough of the papillae and dissolve food particles , hence their taste buds become ready to receive new taste stimuli. 2- Protective function: This is provided by antibacterial enzymes such as peroxidase and lysozyme. 3- Digestive function, by the digestive enzymes as amylase and lipase (lingual lipase). The lingual lipase plays a significant role in lipid digestion in infants, when the pancreatic lipase is low.
  • 85. 2- Weber Glands (Pure Mucous). ☻Located at the base of the tongue in association to the lingual tonsils. ☻The ducts of the glands open on the dorsal surface of the tongue through the lingual crypts of the lingual tonsils.
  • 86. ♥ Located near the tip of the tongue. ♥ The anterior regions of the gland are mucous, while the posterior portions are mixed. ♥ The ducts open on the ventral surface of the tongue near the lingual frenum. 3-Blandin Nuhn Glands
  • 87. Functions of Salivary glands 1- The most important function is saliva production& secretion. 2- Play a major role in iodine metabolism‫الغذائى‬ ‫التمثيل‬ , since the cells of the striated ducts are engaged in iodine concentration. 3- The parotid gland secrete a hormone called parotin which: a.Promotes growth of mesnchymal tissues. b.Lowers serum calcium level. c.Stimulates calcifications&leucocytes production in bone marrow.
  • 88. 4- They secrete lots of enzymes &protein substances as:peroxidase, lysosome, thiocyanate, sialin &amylase. 5-Salivary gland of certain animals active in produce epidermal &nerve growth factor helping in wound healing. 6-The plasma cells in the stroma of the salivary glands form salivary Immunogloblin IgA which has a role in the mucosal immune mechanism of the oral cavity
  • 90. Saliva Composition ☻The glandular saliva is collected from the ducts. While the whole saliva is obtained from the oral cavity. ☻Pure glandular saliva consists of water (99%), the remaining 1 % is made up by: 1- Inorganic ions: the major inorganic ions are Na+, K+, Cl-, and HCO3-. The minor amounts of ions are Ca++, Mg++, HPO- -, I-, SCN- and F-. 2- Organic substances mainly represented by secretory proteins. Include enzymes such as amylase, ribonuclease, lysozyme, peroxidase, kallikrein, esterase and acid phosphatase. Carbohydrate, glycoprotein and antibacterial substances. Other organic molecules as amino-acids, urea, uric acid, various lipids and corticosteroids. 3- Serum constituents such as albumin, blood clotting factors, microglobulin and immunoglobulins.
  • 91. * The whole saliva consists of : 1- Desquamated oral epithelial cells. 2- Leukocytes. 3- Microorganisms and their products. 4- Fluid from the gingival sulcus. 5- Food remnants. * The total volume of saliva secreted daily by humans is approximately 750 ml. ☻60% is produced by the submandibular glands. ☻30% by the parotid. ☻ 3-5% from sublingual. ☻ 5-7% from the minor salivary glands. The pH of whole saliva varies from 6.7 to about 7.4 ( the primary buffering system of saliva is formed by HCO3-). + the previous components
  • 92. Functions Of Saliva 1- Protective functions 1- Saliva prevents dryness of the oral tissues, and provide lubrication for the movement of tissue against each other and protection of the mucosa from chemical and thermal stimuli. 2- Anticariogenic function by the cleansing action of saliva and the presence of high molecular weight glycoproteins which aggregate microorganisms and reduce the number of bacteria in the oral cavity. 3- The buffering capacity of saliva helps to reduce the effect of bacterial acids produced in plaque on the dissolution of tooth minerals. And deprives the bacteria from optimal environmental conditions (acidic pH ).
  • 93. 4- Certain proteins bind strongly to hydroxyapatite of the tooth surface forming the acquired enamel pellicle. The resulting localized super saturation of calcium and phosphate reduce the dissolution and promotes remineralization of enamel. 5- Antibacterial factors produced by serous cells of major and minor salivary glands. a-Salivary peroxidase and thiocyanate , In the presence of hydrogen peroxide (produced by oral microorganisms), establish a bactericidal system in saliva. b- Lysozyme, is an enzyme which hydrolyzes the polysaccharides of bacterial walls, resulting in cell lysis. c- Lactoferrin, an iron binding protein, may inhibit bacterial growth by limiting the availability of iron needed by the certain bacteria. d- By the antibodies (immunoglobulin): IgA (salivary or secretory Ig A) e- Histidine-rich salivary proteins have growth inhibitory and antimicrobial activity against certain oral bacteria and fungi.
  • 94. 2- Taste function a- Saliva is required to dissolve substances to be tasted and carry them to the taste buds. b- It also contains a protein called gusten, which is necessary for growth and maturation of taste bud. 3-Digestive function a- The amylase act on carbohydrate to produce glucose and maltose. b- Lingual lipase (produced by von Ebner S.G) initiates the digestion of dietary lipids. 4- Tissue repair a- The saliva contains epidermal growth factor b- Saliva also reduces the bleeding time and the blood clot formed in the mouth ( blood+ saliva) is less solid than normal.
  • 95. Age Changes In The Salivary Glands 1- The terminal portions: -The number of secretory ends decreases by age , serous acini may be replaced by mucous or fatty cells. -Atrophy of a part or the whole terminal portions of a lobule and their replacement either by fibrous or fatty tissue. -The secretory cells decrease in height and width (the lumen becomes wider). -The nuclei of cells show pyknosis and their cytoplasm is faintly stained with the appearance of fatty inclusions.
  • 96. Young age Old age Fatty degenerative change.
  • 97. 2- The duct system ☻ Most of intercalated ducts may disappear due to the transformation of the cells into secretory cells, which are mostly mucous. ☻The striations of some striated ducts may disappear. ☻The epithelial lining of the excretory ducts may undergo metaplasia. (the epithelium changes to flattened cells). ☻Some ducts with large lumen show stagnated mucous secretion. 3- The connective tissue of the salivary glands ☻ The capsule of the parotid and submandibular salivary glands becomes thicker and shows fatty inclusions and a large number of chronic inflammatory cells.