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Introduction
The oral cavity is kept moist by a film of
fluid called saliva, this complex salivary
fluid is secreted by the salivary gland
which is exocrine in nature . Salivas
important function is to maintain the well
being of mouth hence any Individuals with
a deficiency of salivary secretion
experience difficulty eating, speaking,
swallowing and prone to mucosal
infections .
Serous:parotid
,submandibular and von
ebners glands
Mucous : sub
lingual,labial
,buccal,palatine
,glossopalatine,posterir
part of tongue
Embryology
Development :individual salivary glands arise as a
proliferation of oral epithelial cells,forming focal thickening
that grows into underlying ectomesenchyme
Parotid : 6 th week of I U : corners of stomatidium
Sub mandibular : end of 6 th week of I U : floor of mouth
Sub lingual : 8 th week of I U: lateral to primordium
Minor salivary gland : 12 th week of I U :buccal epithelium
Relations :
Anteriorly : The gland of the opposite side.
Posteriorly : The deep part of the submandibular gland.
Medially : The genioglossus muscle, the lingual nerve, and the
submandibular duct.
Laterally : The gland is related laterally to the sublingual
fossa of the medial surface of the mandible.
Superiorly : The mucous membrane of the floor of the mouth,
which is elevated by the gland to form the sublingual fold.
Inferiorly : The gland is supported by the mylohyoid muscle.
Sublingual ducts : The sublingual ducts are eight to twenty in
number. The majority open into the mouth on the summit of
the sublingual fold, but a few may open into the
submandibular duct.
Nerve supply:
Parasympathetic secretomotor supply
from the superior salivary nucleus of the
seventh cranial nerve. The nerve fibers
pass to the submandibular ganglion via
the chorda tympani nerve and the lingual
nerve. Postganglionic parasympathetic
fibers pass to the gland via the lingual
nerve.
Postganglionic sympathetic fibers reach
the gland as a plexus of nerves around
the facial and lingual arteries.
Nerve supply
Blood supply:
The gland is supplied by branches of
the facial and lingual arteries. The
veins drain into the facial and lingual
veins.
Lymph Drainage:
The lymph vessels drain into the
submandibular and the deep cervical
lymph nodes.
Composition of saliva
Volume : 600 1000ml/day
Electrolytes :Na+ ,K+ ,HCO3- ,Ca++ ,Mg++ , SCNand F
Secretory proteins :amylase,proline rich protiens
,mucins ,histatin,peroxidase lysosyme,lactoferrin
secretory immunoglobulins ;IgG and IgM
Small organic molecules :Glucose ,amino acids
urea,uric acid and lipids
Others : insulin,cyclic adenosine
monophpsohate binding proteins and serum
albumin
Rate of flow
Flow rate(ml/min)
submandibular
Resting
whole
0.2-0.4
parotid
0.04
0.1
0.8
Stimulated
2.0-5.0
1.0-2.0
pH
6.7-7.4
6.0-7.8
Functions
Protection
Buffering
Tooth integrity
Anti microbial activity
Tissue repair
Digestion
Taste
Aids in denture retention
Ranula