There is tremendous potential for salivary diagnostics revolutionary improvements in health care.Saliva is a complex fluid, which influences oral health through specific and nonspecific physical and chemical properties. The importance of saliva in our everyday activities and the medicinal properties it possesses are often taken for granted. saliva has a myriad of beneficial functions that are essential to our well-being. Although saliva has been extensively investigated as a medium, few laboratories have studied saliva in the context of its role in maintaining oral and general health.
3. A clear, viscous secretion produced
mostly by the three pairs of salivary
glands that contains various salts
mucin ,lysozyme ,salivary amylase
and lingual lipase.
7. Types of secretion
Serous secretion:
• It contains
ptyalin which is
an enzyme for
digesting
starches.
• Watery
secretion from
serous acini.
Mucus secretion:
• It contains
mucin for
lubricating and
for surface
protective
purpose.
• Thick and
viscous
secretion from
mucous acini.
Mixed secretion:
• Mix of the two
• (i.e. Serous and
mucous)
8.
9.
10. (contd...)
Parotid glands- Only serous acini
Sub- mandibular glands- Mostly serous acini with
some mucus acini.
Sublingual glands- Mostly mucous acini with few
serous acini.
11. Parotid gland
Word Parotid (parotic) means “beside the ear”
Location: Inferior and anteri0r to the ears.
It secreats the saliva in to the oral cavity via parotid
gland.
Largest of all salivary glands.
Weight: 14.28g
Purely serous gland which produces thin, watery,
amylase rich salivary juice.
Stensons duct-open out adjacent to the maxillary
second molar.
12. Sub-mandibular gland
Sub=beneath ; man-dib-u-lar=lower jaw.
Location: Region below the lower jaw.
Second largest salivary gland.
Produces 65-70% of total saliva output.
Duct is known as wharton’s duct.
Wharton’s duct exits on the floor of the mouth
opposing the lingual surface of the tongue.
Mixed secretion-mostly serous.
13. Sub-lingual gland
Sub=beneath ; lin-gual=tongue.
Location: Dorsal to the tongue superior to the sub-
mendibular.
Smallest of the major glands.
Produce less than 5% of total saliva output.
14. Minor salivary gland
It is found throughout the mouth:
-lips
-buccal mucosa(cheek )
-alveolar mucosa(palate)
-tongue dorsum and ventrum
-floor of the mouth
• Together, they play a large role in salivary production.
16. Unstimulated flow
Resting salivary flow-no external stimulus
Typically 0.2mL-0.5mL/min
Less then 0.1mL/min means the person is considered
as hyposalivation.
17. Stimulated flow
Response to a stimulus, usually taste, chewing, or at
meal time.
Typically 1.5mL/min.
Less than 0.7mL/min is consider Hyper salivation.
Average person produces approx. 0.5L-1.5L/day.
Salivation flow peaks in afternoon as decreases at
night.
18. Composition
Water content 99.5%
Solids 0.5%
Inorganic content 0.2%
Organic content 0.3%
Gases
Cellular elements
19. Organic component of saliva
Enzymes
Amylase-converting starch into glucose and fructose
Lysozymes-prevents bacterial infections in the mouth
Histatins-prevents fungal infection
Secretory Ig A-immunity mediator
Lactoperoxidases-stimulation of minor salivary glands
Rnase and Dnase-cellular maintainance
Lipase-initiate digestion of fats
24. Mechanism of saliva secretion
Occurs in two stages:
- Primary formation occurs in acini.
- Then modifies as it passes through the ducts.
25. (contd...)
Sodium ions are actively reabsorbed form salivary duct
and potassium ions are actively secreted in exchange
of sodium ions.
As a result sodium ion concentration decreases and
potassium ion concentration increases resulting into
generation of electrical negativity (-70mV) in salivary
ducts this causes chloride ions to be passively
reabsorbed.
Therefore, chloride ion concentration in salivary fluid
falls to very low level matching decrease in sodium ion
concentration.
26.
27. Salivation
SALIVATION: The secretion of saliva.
Amount of saliva secreted daily is 1000mL-1500mL.
Normally, PARASYMPATHETIC stimulation promotes
continuous secretion of moderate amount of saliva.
Parasympathetic impulses in fibres of the facial(VII)
and glassopharyngeal(IX) nerves majorly stimulate the
secretion.
Sympathetic stimulation dominates during stress
resulting into dryness of the mouth.
28. Functions of saliva
Potective properties:
Lubrication
Maintenance of mucous membrane integrity
Soft tissue repair
Antifungal activity
Action of lectoferrin
Antiviral activity
Buffering capacity of saliva
30. Unusual facts
Saliva contains entire GENETIC BLUEPRINT.
Some birds (Aerodramus spp.)makes sticky saliva
which helps them in building their nest.
Saliva nest are the basis of BIRD’S NEST SOUP which
is popular in Asia and is very expensive.
33. Conclusion
There is tremendous potential for salivary diagnostics
revolutionary improvements in health care.
Using saliva in place of blood is optimal for children
and elderly persons.