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Functions of intercalated ducts:
• Convey the saliva from the terminal
secretory units to the striated ducts
• Cells of the proximal portion of these ducts
show indication of secretory function
• Capable of reabsorping proteins from the
lumen
• Represent a reserve of UMC which offer a
degree of regeneration
• Antibacterial protein ( Lactoferrin) has been
localized in these ducts.
b-Striated duct:
1- Lined by a single layer of columnar
cells with numerous apical microvilli.
2- Central nucleus.
3-Eosinophillic cytoplasm.
4- Prominent Basal striations due to :
a- membrane infolding
b-numerous elongated mitochondria
5- a-Cell organells …………..,
b-junctional complex (apically)&
desmosomes (laterally)
2
a
b
4
Apical end
Functions of the striated ducts:
1- Modify the secretion passing through them
(how ?)
A-Their lining cells do not reabsorb water
B-Actively reabsorb Na, Cl ions
C-Secret K ,HCO3 ions
Thus the secretion is changed from
ISOTONIC
With high Na,CL
and low K ions
HYPOTONIC
with low Na , Cl ions
and high K ions
2-Iodine concentration takes place in this
duct helping in Iodine metabolism.
3-The lining cells contains:
• Kallikrein (affect H2O & electrolyte
balance)
• Amylase ( transferred by these ducts
from the serum to saliva)
• Lysosomes ( have antibacterial effect)
c-Excretory duct and main duct
1- Interlobular ducts lined
by tall columnar cells.
2- Interlobar ducts are lined
by pseudostratified
columnar epithelium with
goblet cells.
3- Main duct is lined by
stratified squamous
epithelium
1 2
3
Goblet cell
Function of the excretory ducts:
• Covey the secretion to the oral cavity
• Reabsorb Na, Cl & secrete K, HCO3
The ductal reabsorption of Na, Cl
exceeds
secretion of K, HCO3………leading to
HYPOTONIC saliva
1
DUCT
MAIN EXCRE.DUCT EXCRETORY DUCT STRIATED DUCT INTERCALATED
Modification of
primary
secretion.
Passive conduit
Sec. Granules.
Minor contribution
in secretion
Reabsorbed
from primary
secretion .
Secreted
in primary
secretion.
Secreted.
Reabsorbed
FUNCTIONS OF SALVARY GLAND DUCTS
Acinus
B- Connective tissue.
Form a capsule surrounding the gland from which
septa or strands extend to subdivide the gland into
major lobes. Lobes are further subdivided into
lobules. Lobe
The intercalated and
Striated ducts are
considered
intralobular ducts.
The excretory ducts
on the other hand are
considered
interlobular ducts.
1 – Cells:
a-Fixed C.T. cells b-Migrating cells
Fibroblasts, Plasma cells, Macrophages
Mast, and Fat cells. Leukocytes.
2- Fibers:
Reticular & collagen.
3- Ground substances:
a-Glycoproteins b-proteoglcans
B- Connective tissue elements
4- Blood supply:
Follow the excretory duct to form:
a-Dense capillary network till striated duct.
b-Less capillary loops around Intercalated Duct
&Secretory portion.
c- Arteriovenous anastomoses.
5- Nerves:
*Unmyelinated axons surrounded by cytoplasmic
processes of the shwann cells.
*Follow the course of the vessels forming plexus in
the C.T. near the Secretory portion.
Types of human salivary glands
1- Major salivary glands:
A- Parotid. b- sumandibular. c-sublingual.
2-Minor salivary glands:
A-Labial &buccal gland. B- Palatine gland.
C- Glossopalatine gland. D-Lingual gland.
1- Major salivary glands:
A- Parotid gland
*It’s the largest salivary gland.
*Its superficial portion lies subcutaneously.
*Its deeper portion lies behind the ramus.
*Pure serous in adult& mixed in infant &old age
*Main duct Stensen’s duct.
*C.T. capsule surrounds it & sends septa to divide
the gland into lobes &lobules.
*Secretes 25-30% of saliva.
*Intercalated duct longer than in the other glands.
A- Parotid gland
b- Submandibular gland
b- Submandibular gland
*Next in size.
*Lies in the submandibular triangle behind &
below the free border of the mylohyoid M. with
small extension above it.
*Mixed predominatly serous.
*Main duct Wharton’s duct.
*Extensive C.T. capsule.
*Secretes 60-70%of secretion.
*Straited ducts longer than those of the parotid.
C-Sublingual gland
C-Sublingual gland
*Smallest.
*Lies between floor of the mouth &mylohyoid
muscle.
*The major gland is mixed predominantly mucous.
*The minor gland are pure mucous.
*Major-Bartholin’s duct opens near sumand.duct.
*Minor-Rivinus ducts (8-10) open in sublingual
fold.
*Poorly defined C.T. capsule with prominent C.T.
septa.
*Secretes 5%or less of saliva.
Comparison between major salivary glands
Sublingual
Mixed
Predominant
Mucous
Minor
subling.
(pure
mucous)
Submandibular
Mixed
predominant
serous
Parotid
Pure
serous
in adult
Mixed in
infants
& old
age
The type of
the gland
Bartholin
(Rivinus 8-
12)
Wharton
Stenson
Main ducts
sublingual
submandibular
parotid
Poorly
developed
Well
developed
Well
developed
capsule
Poorly
developed
Shorter than
those in parotid
Long
branched
I.c.duct
Poorly
developed
(lacking
basal st.)
longer
Numerous
Well dev.
St . duct
mandibular
nerve
Mandibular
nerve
mandibular
nerve
Sensory
innv.
Sublingual
&submental
artery
Facial & lingual
artery
Ext. carotid
artery
Blood
supply
Sympathatic innervation….from superior cervical ganglion
by post-ganglionic fibers (for all glands)
Parasympathetic innervation:
For parotid gland…..from glossopharyngeal nerve
which reach the gland through otic ganglion & auriculo –
temperal n.
For sub-mand.&sub-ling…..from facial nerve which reach
the gland through submandibular ganglion
2-Minor salivary glands:
- Distributed throughout the submucosa.
- Small, discrete masses.
- Lack distinct capsule
- Posses numerous short ducts that open
directly in the oral cavity.
- Occurance of focal accumulation of
lymphocytes around their duct wall.
- Secrete high amount of IgA concentration.
-Secrete 7% of saliva.
A-Labial &buccal gland.
-More glands are present in the lower lip.
- They are present on the surface of the
orbicularis oris muscle while in the buccal
mucosa they are present on the surface &
inbetween the buccinator muscle.
-Mixed gland but ultrastructurally they only
show mucous cells.
- Buccal glands duct open in the third molar
area & are known as molar gland.
Minor mucous glands
B- Palatine gland&
C- Glossopalatine gland.
Palatine:
Pure mucous.
In Hard Palate 250 Soft Palate 100
Uvula12
Glossopalatine:
Pure mucous.
Found in the isthmus region.
Gland of hard palate
D-Lingual gland
Weber gland
Blandin-Nuhn SG
von Ebner S G
1-Blandin- Nuhn
Ant. part mucous, Post. Part- mixed
Open in the ventral surface
2-Von Ebner (VE) Pure serous
under circumvallate& folliate papillae
Wash the trough, dissolve the food,
Contain digestive enzymes ( amylase &
lipase ), and protective enzymes
(Peroxidase & lysozymes ).
3-Weber Pure mucous
Open in the lingual crypt.
D-Lingual gland
Age changes of salivary glands
1- Fatty degenerative change.
2- Atrophy of a part or a whole terminal portion
with its replacement by fibrous tissue (Fibrosis).
3-Accumulation of lymphocytes in the stroma.
4- in the salivary secretion which leads to xerstomia.
5- xerstomia leads to difficulty in eating&swallowing
as well as in dental caries.
6- Oncocyte cells in number & may form neoplasm
in old people.
Young age
Old age
Fatty degenerative change.
Saliva
A-Definition:
Saliva is a complex fluid produced by
the salivary glands, whose important
role is maintaining the well being of the
mouth.
For ex. patients with deficiency of
salivary secretion experience difficulty
in eating, speaking& swallowing &
become prone to mucosal infections &
rampant caries.
1-Protective functions: It provides a washing action
that clears harmful substances in the oral cavity.
Functions of saliva:
2-Buffering action: Mucin lubricates oral tissues and
forms a barrier against microbial products.
Saliva maintains neutral pH in the oral cavity which
prevents demineralization of enamel that would occur due
to acids produced by sugar metabolizing bacteria.
3-Maintenance of tooth integrity:
*Saliva is rich in calcium and phosphate ions that leads to
post eruptive maturation of enamel which increases their
hardness and resistance to demineralization.
*It helps to protect the teeth from dental caries.
*The cleansing action of saliva and the presence of high
molecular weight glycoproteins which aggregate specific
strains of microorganisms reduce the concentration of
substrates and number of bacteria in the oral cavity.
4-Defense: (antimicrobial action) (bacteriostatic)
*Salivary IgA is an important factor in oral immune defense,
together with salivary agglutinins (glycoproteins)
*IgA causes clumping of certain microorganisms thus
preventing them from adhering to oral and dental surfaces.
*Other components namely histatins, lysozyme, lactoferrin
and peroxidase inhibit bacterial growth.
5-Taste functions
• * It enables the pleasurable sensations
of food to be experienced.
• *It permits the recognition of noxious
substances.
• *Contains protein Gustin necessary for
growth & maturation of taste buds
6-Digestive functions:
• Saliva has digestive enzymes as
*amylase :
carbohyderate…………Glucose &
Maltose
*Lingual lipase produced by von Ebner
Triglycerides diglycerides & fatty acids
7-Tissue repair
• Experimentally;
Clotting time …….accelerated when
saliva is mixed with blood
Rate of wound contraction…..increased
in presence of saliva as it contains
epidermal growth factor produced by
submandibular s.g in mice.
Thank you& Good luck

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8640368.ppt

  • 1.
  • 2. Functions of intercalated ducts: • Convey the saliva from the terminal secretory units to the striated ducts • Cells of the proximal portion of these ducts show indication of secretory function • Capable of reabsorping proteins from the lumen • Represent a reserve of UMC which offer a degree of regeneration • Antibacterial protein ( Lactoferrin) has been localized in these ducts.
  • 3. b-Striated duct: 1- Lined by a single layer of columnar cells with numerous apical microvilli. 2- Central nucleus. 3-Eosinophillic cytoplasm. 4- Prominent Basal striations due to : a- membrane infolding b-numerous elongated mitochondria 5- a-Cell organells ………….., b-junctional complex (apically)& desmosomes (laterally) 2 a b 4 Apical end
  • 4. Functions of the striated ducts: 1- Modify the secretion passing through them (how ?) A-Their lining cells do not reabsorb water B-Actively reabsorb Na, Cl ions C-Secret K ,HCO3 ions Thus the secretion is changed from ISOTONIC With high Na,CL and low K ions HYPOTONIC with low Na , Cl ions and high K ions
  • 5. 2-Iodine concentration takes place in this duct helping in Iodine metabolism. 3-The lining cells contains: • Kallikrein (affect H2O & electrolyte balance) • Amylase ( transferred by these ducts from the serum to saliva) • Lysosomes ( have antibacterial effect)
  • 6. c-Excretory duct and main duct 1- Interlobular ducts lined by tall columnar cells. 2- Interlobar ducts are lined by pseudostratified columnar epithelium with goblet cells. 3- Main duct is lined by stratified squamous epithelium 1 2 3 Goblet cell
  • 7. Function of the excretory ducts: • Covey the secretion to the oral cavity • Reabsorb Na, Cl & secrete K, HCO3 The ductal reabsorption of Na, Cl exceeds secretion of K, HCO3………leading to HYPOTONIC saliva
  • 8. 1 DUCT MAIN EXCRE.DUCT EXCRETORY DUCT STRIATED DUCT INTERCALATED Modification of primary secretion. Passive conduit Sec. Granules. Minor contribution in secretion Reabsorbed from primary secretion . Secreted in primary secretion. Secreted. Reabsorbed FUNCTIONS OF SALVARY GLAND DUCTS Acinus
  • 9. B- Connective tissue. Form a capsule surrounding the gland from which septa or strands extend to subdivide the gland into major lobes. Lobes are further subdivided into lobules. Lobe The intercalated and Striated ducts are considered intralobular ducts. The excretory ducts on the other hand are considered interlobular ducts.
  • 10. 1 – Cells: a-Fixed C.T. cells b-Migrating cells Fibroblasts, Plasma cells, Macrophages Mast, and Fat cells. Leukocytes. 2- Fibers: Reticular & collagen. 3- Ground substances: a-Glycoproteins b-proteoglcans B- Connective tissue elements
  • 11. 4- Blood supply: Follow the excretory duct to form: a-Dense capillary network till striated duct. b-Less capillary loops around Intercalated Duct &Secretory portion. c- Arteriovenous anastomoses. 5- Nerves: *Unmyelinated axons surrounded by cytoplasmic processes of the shwann cells. *Follow the course of the vessels forming plexus in the C.T. near the Secretory portion.
  • 12. Types of human salivary glands 1- Major salivary glands: A- Parotid. b- sumandibular. c-sublingual. 2-Minor salivary glands: A-Labial &buccal gland. B- Palatine gland. C- Glossopalatine gland. D-Lingual gland.
  • 13. 1- Major salivary glands: A- Parotid gland
  • 14. *It’s the largest salivary gland. *Its superficial portion lies subcutaneously. *Its deeper portion lies behind the ramus. *Pure serous in adult& mixed in infant &old age *Main duct Stensen’s duct. *C.T. capsule surrounds it & sends septa to divide the gland into lobes &lobules. *Secretes 25-30% of saliva. *Intercalated duct longer than in the other glands. A- Parotid gland
  • 15.
  • 17. b- Submandibular gland *Next in size. *Lies in the submandibular triangle behind & below the free border of the mylohyoid M. with small extension above it. *Mixed predominatly serous. *Main duct Wharton’s duct. *Extensive C.T. capsule. *Secretes 60-70%of secretion. *Straited ducts longer than those of the parotid.
  • 18.
  • 20. C-Sublingual gland *Smallest. *Lies between floor of the mouth &mylohyoid muscle. *The major gland is mixed predominantly mucous. *The minor gland are pure mucous. *Major-Bartholin’s duct opens near sumand.duct. *Minor-Rivinus ducts (8-10) open in sublingual fold. *Poorly defined C.T. capsule with prominent C.T. septa. *Secretes 5%or less of saliva.
  • 21.
  • 22. Comparison between major salivary glands Sublingual Mixed Predominant Mucous Minor subling. (pure mucous) Submandibular Mixed predominant serous Parotid Pure serous in adult Mixed in infants & old age The type of the gland Bartholin (Rivinus 8- 12) Wharton Stenson Main ducts
  • 23. sublingual submandibular parotid Poorly developed Well developed Well developed capsule Poorly developed Shorter than those in parotid Long branched I.c.duct Poorly developed (lacking basal st.) longer Numerous Well dev. St . duct mandibular nerve Mandibular nerve mandibular nerve Sensory innv. Sublingual &submental artery Facial & lingual artery Ext. carotid artery Blood supply
  • 24. Sympathatic innervation….from superior cervical ganglion by post-ganglionic fibers (for all glands) Parasympathetic innervation: For parotid gland…..from glossopharyngeal nerve which reach the gland through otic ganglion & auriculo – temperal n. For sub-mand.&sub-ling…..from facial nerve which reach the gland through submandibular ganglion
  • 25. 2-Minor salivary glands: - Distributed throughout the submucosa. - Small, discrete masses. - Lack distinct capsule - Posses numerous short ducts that open directly in the oral cavity. - Occurance of focal accumulation of lymphocytes around their duct wall. - Secrete high amount of IgA concentration. -Secrete 7% of saliva.
  • 26. A-Labial &buccal gland. -More glands are present in the lower lip. - They are present on the surface of the orbicularis oris muscle while in the buccal mucosa they are present on the surface & inbetween the buccinator muscle. -Mixed gland but ultrastructurally they only show mucous cells. - Buccal glands duct open in the third molar area & are known as molar gland.
  • 28. B- Palatine gland& C- Glossopalatine gland. Palatine: Pure mucous. In Hard Palate 250 Soft Palate 100 Uvula12 Glossopalatine: Pure mucous. Found in the isthmus region.
  • 29. Gland of hard palate
  • 31. 1-Blandin- Nuhn Ant. part mucous, Post. Part- mixed Open in the ventral surface 2-Von Ebner (VE) Pure serous under circumvallate& folliate papillae Wash the trough, dissolve the food, Contain digestive enzymes ( amylase & lipase ), and protective enzymes (Peroxidase & lysozymes ). 3-Weber Pure mucous Open in the lingual crypt. D-Lingual gland
  • 32.
  • 33. Age changes of salivary glands 1- Fatty degenerative change. 2- Atrophy of a part or a whole terminal portion with its replacement by fibrous tissue (Fibrosis). 3-Accumulation of lymphocytes in the stroma. 4- in the salivary secretion which leads to xerstomia. 5- xerstomia leads to difficulty in eating&swallowing as well as in dental caries. 6- Oncocyte cells in number & may form neoplasm in old people.
  • 34. Young age Old age Fatty degenerative change.
  • 35. Saliva A-Definition: Saliva is a complex fluid produced by the salivary glands, whose important role is maintaining the well being of the mouth. For ex. patients with deficiency of salivary secretion experience difficulty in eating, speaking& swallowing & become prone to mucosal infections & rampant caries.
  • 36.
  • 37.
  • 38. 1-Protective functions: It provides a washing action that clears harmful substances in the oral cavity. Functions of saliva: 2-Buffering action: Mucin lubricates oral tissues and forms a barrier against microbial products. Saliva maintains neutral pH in the oral cavity which prevents demineralization of enamel that would occur due to acids produced by sugar metabolizing bacteria.
  • 39. 3-Maintenance of tooth integrity: *Saliva is rich in calcium and phosphate ions that leads to post eruptive maturation of enamel which increases their hardness and resistance to demineralization. *It helps to protect the teeth from dental caries. *The cleansing action of saliva and the presence of high molecular weight glycoproteins which aggregate specific strains of microorganisms reduce the concentration of substrates and number of bacteria in the oral cavity.
  • 40. 4-Defense: (antimicrobial action) (bacteriostatic) *Salivary IgA is an important factor in oral immune defense, together with salivary agglutinins (glycoproteins) *IgA causes clumping of certain microorganisms thus preventing them from adhering to oral and dental surfaces. *Other components namely histatins, lysozyme, lactoferrin and peroxidase inhibit bacterial growth.
  • 41. 5-Taste functions • * It enables the pleasurable sensations of food to be experienced. • *It permits the recognition of noxious substances. • *Contains protein Gustin necessary for growth & maturation of taste buds
  • 42. 6-Digestive functions: • Saliva has digestive enzymes as *amylase : carbohyderate…………Glucose & Maltose *Lingual lipase produced by von Ebner Triglycerides diglycerides & fatty acids
  • 43. 7-Tissue repair • Experimentally; Clotting time …….accelerated when saliva is mixed with blood Rate of wound contraction…..increased in presence of saliva as it contains epidermal growth factor produced by submandibular s.g in mice.