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SUBLINGUAL SALIVARY GLANDS
Dr. Ayesha Tahir
Senior Lecturer
MSc. Oral Biology, BDS
SUBLINGUAL SALIVARY GLANDS
• Smallest of the three
major salivary glands
• Mixed in secretion but
predominantly
mucous
• Composed of a major
sublingual gland along
with 8-30 mixed,
minor salivary glands
ANATOMY
• Located in the anterior part of the floor of the mouth
• It lies between the hyoglossus and mylohyoid muscles and lies
against the sublingual fossa of the mandible
DUCT AND SECRETIONS
• The secretions enter the oral cavity through a series of small ducts, the
ducts of Rivinus
• These ducts open into the sublingual fold in the floor of the mouth or;
• Through a larger duct- Bartholin’s Duct which opens at the sublingual
caruncle along with the submandibular duct
BLOOD AND NERVE SUPPLY
• Blood Supply: Sublingual and Sub-mental
Arteries
• Parasympathetic Innervation: Chorda Tympani
branch of the Facial Nerve (CN VII)
• Pre-Ganglionic Fibres: via Lingual nerve to the
submandibular ganglion
• Post-Ganglionic Fibres: From SM Ganglion to the
suBmandibular and sublingual glands
HISTOLOGY
• Predominantly mucous in nature
• Mucous tubules and serous demilunes resemble those in SM gland
• Serous end pieces are rare if present at all
• Ductal system is much less developed
• Intercalated ducts are short, difficult to recognize and may be
absent
• Striated ducts are usually absent
• Collecting ducts are rich in mitochondria, lack basal striations
• Sublingual saliva is rich in Sodium
MINOR SALIVARY GLANDS
• Estimated to be in between 600-1000 in number
• Small, discrete aggregates of secretory tissue
present in the submucosa, almost throughout the
oral cavity
• Mostly mucous except lingual serous glands
(Ebner’s glands) in tongue – secretion of digestive
enzymes and proteins
• Intercalated ducts are poorly developed
• Minor salivary gland secretion is typically rich in
mucins, antibacterial proteins and immunoglobulins
• Protection and moistening the oral cavity especially at
night
AGE CHANGES
• Generalized loss of salivary glands parenchyma
• Lost salivary cells are often replaced by adipose
tissue
• Increase in fibrous and vascular elements
• Changes in ductal system:
– Increase in non-striated intralobular ducts
– Dilatation of extra lobular ducts
– Degenerative and metaplastic changes
• Decreased production of saliva
DISEASES
• Local and systematic
• Viruses: Infect and replicate within salivary glands e.g.
cytomegalovirus, Epstein-Bar virus
• Viral and bacterial infections may cause inflammation of the glands
• Blockages of ducts
• Ductal obstructions by formation of sialoliths
• Severing of a minor SG by trauma
• Benign and malignant tumours
• Diabetes
• Autoimmune disease e.g. Sjogren’s Syndrome
XEROSTOMIA (DRY MOUTH)
• Loss of salivary function or a reduction in the
volume of secreted saliva- dry mouth
• May occur as a side effect of medications (e.g.
antihypertensives, antidepressants) - central or
peripheral inhibition of salivary secretion
• Destruction of salivary gland- chemotherapy/
radiation therapy
• Autoimmune disease- Sjogren’s Disease
XEROSTOMIA
EFFECTS OF XEROSTOMIA
• Dry mouth- loss of protective effects
• Susceptibility to infections, difficulty and pain in
speech, eating, swallowing
• High susceptibility to caries
• TREATMENT MODALITIES:
– Frequent sipping of water/ artificial saliva
– Pharmacological therapy e.g. pilocarpine
– Genetic modification
THANK YOU

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SUBLINGUAL SALIVARY GLANDS.pptx

  • 1. SUBLINGUAL SALIVARY GLANDS Dr. Ayesha Tahir Senior Lecturer MSc. Oral Biology, BDS
  • 2. SUBLINGUAL SALIVARY GLANDS • Smallest of the three major salivary glands • Mixed in secretion but predominantly mucous • Composed of a major sublingual gland along with 8-30 mixed, minor salivary glands
  • 3. ANATOMY • Located in the anterior part of the floor of the mouth • It lies between the hyoglossus and mylohyoid muscles and lies against the sublingual fossa of the mandible
  • 4. DUCT AND SECRETIONS • The secretions enter the oral cavity through a series of small ducts, the ducts of Rivinus • These ducts open into the sublingual fold in the floor of the mouth or; • Through a larger duct- Bartholin’s Duct which opens at the sublingual caruncle along with the submandibular duct
  • 5.
  • 6. BLOOD AND NERVE SUPPLY • Blood Supply: Sublingual and Sub-mental Arteries • Parasympathetic Innervation: Chorda Tympani branch of the Facial Nerve (CN VII) • Pre-Ganglionic Fibres: via Lingual nerve to the submandibular ganglion • Post-Ganglionic Fibres: From SM Ganglion to the suBmandibular and sublingual glands
  • 7.
  • 8. HISTOLOGY • Predominantly mucous in nature • Mucous tubules and serous demilunes resemble those in SM gland • Serous end pieces are rare if present at all • Ductal system is much less developed • Intercalated ducts are short, difficult to recognize and may be absent • Striated ducts are usually absent • Collecting ducts are rich in mitochondria, lack basal striations • Sublingual saliva is rich in Sodium
  • 9. MINOR SALIVARY GLANDS • Estimated to be in between 600-1000 in number • Small, discrete aggregates of secretory tissue present in the submucosa, almost throughout the oral cavity • Mostly mucous except lingual serous glands (Ebner’s glands) in tongue – secretion of digestive enzymes and proteins • Intercalated ducts are poorly developed
  • 10. • Minor salivary gland secretion is typically rich in mucins, antibacterial proteins and immunoglobulins • Protection and moistening the oral cavity especially at night
  • 12. • Generalized loss of salivary glands parenchyma • Lost salivary cells are often replaced by adipose tissue • Increase in fibrous and vascular elements • Changes in ductal system: – Increase in non-striated intralobular ducts – Dilatation of extra lobular ducts – Degenerative and metaplastic changes • Decreased production of saliva
  • 14. • Local and systematic • Viruses: Infect and replicate within salivary glands e.g. cytomegalovirus, Epstein-Bar virus • Viral and bacterial infections may cause inflammation of the glands • Blockages of ducts • Ductal obstructions by formation of sialoliths • Severing of a minor SG by trauma • Benign and malignant tumours • Diabetes • Autoimmune disease e.g. Sjogren’s Syndrome
  • 15. XEROSTOMIA (DRY MOUTH) • Loss of salivary function or a reduction in the volume of secreted saliva- dry mouth • May occur as a side effect of medications (e.g. antihypertensives, antidepressants) - central or peripheral inhibition of salivary secretion • Destruction of salivary gland- chemotherapy/ radiation therapy • Autoimmune disease- Sjogren’s Disease
  • 17. EFFECTS OF XEROSTOMIA • Dry mouth- loss of protective effects • Susceptibility to infections, difficulty and pain in speech, eating, swallowing • High susceptibility to caries • TREATMENT MODALITIES: – Frequent sipping of water/ artificial saliva – Pharmacological therapy e.g. pilocarpine – Genetic modification