2. By the end of this lecture students will be able
to understand the:
2
LEARNING
OBJECTIVES
Types and secretions Salivary glands
Composition of Saliva
Stages of Saliva secretion
Neural regulation
Flow and reflexes
3. INTRODUCTION
The important glandular secretions involve in GIT
proper functioning may include:
Salivary glands secretion.
Gastric glands secretion.
Exocrine pancreas secretion.
Liver secretion.
4. 4
SALIVA
Saliva is an extracellular
fluid produced and
secreted by salivary
glands in the mouth.
5. Saliva (Physical characteristics)
Saliva is colorless LIQUID
Moderately viscous
pH is slightly acidic 6-7 (6.7 average)
pH become BASIC during activity of glands
Average pH of Saliva is =8 due to Bicarbonate
1 liter of saliva / day ( 800 - 1500 ml/day).
Hypotonic to Plasma (Less Na+, Cl- and more K and HCO3)
8. Salivary Gland is any cell or organ
discharging a secretion into the oral cavity.
8
Major and minor Salivary Glands
SALIVARY GLANDS
Major (Paired)
Parotid
Submandibular
Sublingual
Minor
Those in the Tongue,
Palatine Tonsil,
Palate, Lips and Cheeks
10. SALIVARY SECRETORY UNIT
Acinar cells
It secretes primary secretion which is Isotonic to Plasma
Ptyalin and/or Musin, and electrolytes with ionic concentration similar to ECF
10
Salivary secretion is two stage process by Salivary unit consist of
1) Acini and 2) Ducts
Salivary ducts
When primary secretion flow through ducts, its ionic composition changes through
active processes
11. As saliva passes
through the salivary
ducts, cations
(sodium and chloride)
are reabsorbed into
the adjacent
blood vessels.
11
IONS AND SALIVARY FLOW
12. Mechanism of saliva secretion
Acinar cells
Ducts
Secretory portion
Produce
Primary secretion
By active process
Modify primary secretion by
Reabsorption secretion
Na+ actively K+ actively
Cl
-
passively HCO3
- Passively and actively
Electronegativity
-70 millivolts
Balance
15. Sodium and chloride ions conc. reduced
about 1/7th to 1/10th of that plasma
Conc. = 15 mEq/L each.
Potassium ions concentration increased 7
times of that Plasma
Conc. = 30mEq/L
Bicarbonate concentration increased 2 to
3 times that of plasma
Conc. = 50 to 70 mEq/L.
The net result under resting conditions
16. Rate of formation of Primary secretion
from Acini increased 20 times.
Due to rapid flow of primary secretion
from ducts, ductal conditioning become
reduced
Saliva Na-Cl conc. become 2/3rd
Potassium conc. Become 4 times
increased
During maximum Salivation
17. Resting salivary flowno external
stimulus
o Typically 0.2 mL 0.3 mL per
minute
o Less than 0.1 mL per minute
means the person has
hyposalivation
Hyposalivation not producing
enough saliva
17
UNSTIMULATED FLOW STIMULATED FLOW
Response to a stimulus,
usually taste, chewing, or
medication eg, at mealtime
o Typically 1.5 mL 2 mL per
minute
o Less than 0.7 mL per minute is
considered hyposalivation
18. 18
NEURAL REGULATION
PARASYMPATHETIC PATHWAY
Signals such as smell ,taste, sight AND tectile stimuli is conveyed through
facial and glossopharangeal nerves to salivatory nuclei in brain stem
It leads to discharge of parasympathetic nerves
Increasing the rate of secretion by 20 fold
Para. Sym stimuli dilate blood vessels
19. Parasympathetic nervous
regulation of salivary
secretion.
The salivatory nuclei
are located
approximately at the
juncture of the
medulla and pons.
They are stimulated
by both taste and
tactile stimuli from
the tongue and other
areas of the mouth
and pharynx
20. Salivatory nuclei are excited by
Taste and tactile stimuli from tongue and other areas of mouth and pharynx
Stimuli from esophagus and stomach (due to stimulation of vagal afferent
fibers)
(unconditioned reflex)
Stimuli arising from higher centers of brain due to sight, smell or thought of
food
(conditioned reflex).
20
Pavlov with his dog
21. 21
NEURAL REGULATION
SYMPATHETIC PATHWAY
Slightly increase Salivation
Nerve originate from superior cervical ganglia travel towards blood vessels supply to the Sala.
Glands
22. Facilitation of swallowing and speech.
Cleaning(hygiene) :of the mouth and teeth by washing and antibacterial
effect of lysozymes &IgA.
Buffer function: by bicarbonate &phosphate.
Digestion: By salivary amylase to start digestion of cooked starch &by
salivary lipase initiate lipid digestion.
Excretory function: for waste product, lead, mercury, iodide, fluoride,
some drugs &alcohol.
Facilitate taste sensation.
Regulation of water balance (decrease in dehydration and give thirst
sensation).
FUNCTIONS OF SALIVA
23. Main function: maintaining the well-being of the mouth
Other important functions:
Protection
Buffering Action
Digestion
Facilitation of Taste
Defensive Action against Microbes
Ionic Exchange between Tooth Surface
23
FUNCTIONS OF SALIVA
24. 1. The flow of saliva helps wash away pathogenic bacteria, as well as food particles that
provide their metabolic support.
2. Saliva contains several factors that destroy bacteria. One of these is thiocyanate ions
and another is several proteolytic enzymesmost important, lysozymethat
(a) attack the bacteria,
(b) aid the thiocyanate ions in entering the bacteria where these ions in turn
become bactericidal, and
(c) digest food particles, thus helping further to remove the bacterial metabolic
support.
3. Saliva often contains significant amounts of antibodies that can destroy oral
bacteria, including some that cause dental caries. In the absence of salivation, oral
tissues often become ulcerated and otherwise infected, and caries of the teeth can
become rampant.
Function of Saliva for Oral Hygiene
Editor's Notes
As saliva passes through the salivary ducts, cations (sodium and chloride) are reabsorbed into the adjacent blood vessels.