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GOOD MORNING
Presented by:
M.VIJAYALAKSHMI
Contents:
• Introduction
• Salivary glands
» Classifications
» Anatomy
» Development
» Structure
• Composition & Functions
• Regulation of secretion
• Saliva production
» Flow rate
• Disorders
» Hypo function
» Hyper function
• Saliva a diagnostic aid
• Saliva & age
STRUCTURE OF SALIVARY
GLAND
Serous Cell
• Stain darkly with
haematoxylin and eosin
• Rounded nuclei towards the
base
Nucleus encodes a message
Aminoacid with specific sequence is synthesized
These pre proteins contain NH2 terminal called signal
sequence
Signal sequence is attached to rough endoplasmic
reticulum
RER recognizes the signal sequence and crosses
with the growing polypeptide chain
Newly synthesized protein reaches the cisternal
space of RER
Protein reaches the golgiapparatus
• Budding vesicles of RER enter from the cis
face.
vesicles fuses with the golgi saccules
proteins are packed in to vacuoles
(immature granules)
They under go glycosylation and forms
mature granule
Mucous Cell
• Mucous cells stain very
lightly
• Completely filled by
mucoid material (stains
poorly)
• This material pushes the
nuclei towards the
basement membrane
• Nuclei are flattened
Myoepithelial cells
SALIVARY DUCTAL SYSTEM
Intercalated duct
STRIATED DUCT
EXCRETORY DUCT
DEVELOPMENT OF SALIVARY
GLAND
• They originate from oral
epithelial buds invading the
underlying ectomesenchyme
• The origin of epithelial buds
Ectodermal in parotid
and minor salivary gland
Endodermal in
submandibular and
sublingual glands
• The connective tissue stroma
and blood vessels origin from
the mesenchyme
Gland Location IU life
Parotid gland Corner of stomodium 6th week
Sub mandibular gland Floor of mouth End of 6th week
Sub lingual gland Lateral to sub
mandibular primordium
8th week
Minor salivary glands Buccal epithelium 12th week
STAGES OF DEVELOPMENT
• STAGE I:
Bud formation :Induction
of oral epithelium by
underlying mesenchyme
• STAGE -II
Formation and growth
of epithelial cord
• STAGE III: Initiation
of branching in terminal
parts of epithelial cord
and continuation of
glandular differentiation
• STAGE IV:
Dichotomous branching
of epithelial cord and
lobule formation
STAGE V: Canalization
of presumptive ducts.
• STAGE VI:
Cytodifferentiation
Connective tissue
• Capsule
• Septa divides the gland into lobes and
lobules
Blood supply
Nerve supply
CLASSIFICATION OF
SALIVARY GLANDS
• Classification
• Major salivary glands
• Minor salivary glands
• Mucous salivary glands
• Serous salivary glands
• Mixed salivary glands
Major salivary glands
Parotid gland
Parotid duct
• Thick walled
• About 5 cm long
• Emerges from middle of anterior border
• Relations are :
• superiorly
1. Accessory parotid gland
2. Upper buccal branch of facial nerve
3. Transverse facial vessels
• Inferiorly : The lower buccal branch of the facial nerve
Blood supply
• External carotid artery
Venous drainage
• External jugular vein
Nervous supply –(otic ganglion)
• Parasympathetic- auriculotemporal nerve
• sympathetic- plexus around external carotid artery
Nucleus of origin
Inferior salivary nucleus
Glossopharyngeal nerve
Tympanic branch
Tympanic plexus
Lesser petrosal nerve
Otic ganglion
Submandibular Gland
• Situated in anterior part of
digastric triangle
• Superficial part
• Deep part
Submandibular duct
• Wharton’s duct passes
forward along the superior
surface of the mylohyoid
adjacent to the lingual nerve.
• Blood supply
– facial artery
• Venous drainage
– common facial or lingual vein
• Nerve supply
– Parasympathetic –submandibular
ganglion
– Sympathetic –plexus around the facial
artery
– Sensory – lingual nerve
Nucleus of origin
Superior salivary nucleus
facial nerve
Chorda tympani
Lingual nerve
Submandibular gland
Sublingual gland
• Smallest of the three glands.
• Blood supply
– Lingual and submental arteries
• Venous drainage
– common facial or lingual vein
• Nerve supply
– Parasympathetic – submandibular ganglion
– Sympathetic – plexus around the facial artery
– Sensory – lingual nerve
Minor salivary glands
• Labial and buccal salivary glands
• Glosso palatine salivary glands
• Lingual salivary glands
COMPOSITION OF
SALIVA
Inorganic components
Organic components of saliva
Other substances
• Blood group substances, sugars, steroid hormones, amino
acids, ammonia, urea
SALIVA SECRETION
• The formation of saliva occurs in two stages.
1. In the first stage - primary saliva.
2. In the second stage, the primary saliva is modified.
Salivary secretion:two step model
• Ductal modification of
primary saliva:
• Occurs principally through
reabsorption & secretion of
electrolytes
• The luminal & basolateral
membrane have abundant
transporters that function to
produce a net reabsorption of
Na⁺ & Cl⁻ resulting in
formation of hypotonic final
saliva
• The final electrolyte
composition of saliva varies
depending on the salivary flow
rate
Control of secretion
• It is through the activity of the ANS.
Sympathetic and Para sympathetic
postganglionic fibres
secretory, myoepithelial cells, intercalated
ducts, straited ducts
• 2 types of innervation are seen
intra epithelial{hypolemmal}
sub epithelial{epilemmal}
• Stimulus secretion coupling ?
• Stimulation of alpha , beta and cholinergic
receptors causes ?
• Substance P and vasoactive intestinal
polypeptides
• Intercellular junctions of salivary glands
Gap junctions
• Secretory cells are stimulated. protein
secretion occurs in two pathways
1. primary pathway (main pathway)
2. secondary pathway.
Transcytosis – from basolateral to apical cell
Saliva & Age:
• With age, a generalized decrease in saliva
Decreased parenchymal tissue occurs/
medication
• Resting salivary secretion is in the normal range,the volume of
saliva produced during stimulated secretion is less than
normal.
Functions of saliva
• Protection :
prevents dessication
washing action
lubrication
buffering
antibacterial
defensive
• Other functions are
taste perception
speech
tissue repair
digestion
excretory
mastication and deglutition
Saliva production
– Differential saliva production by glands
• Unstimulated salivation (Salivary gland at rest)
– 1.5 Liters produced per day (basal rate)
– Major salivary glands: 90% of saliva produced
– Submandibular and sublingual glands: 70% of saliva
• Stimulated salivation
– Saliva production increases 5 fold
– Parotid gland produces majority of saliva
Flow rate (ml/min)
WHOLE PAROTID SUBMANDIBULAR
RESTING 0.2-0.4 0.04 0.1
STIMULATED 2.0-5.0 1.0-2.0 0.8
pH 6.7-7.4 6.0-7.8
0.0
0.1
0.2
0.3
0.4
0.5
20-39 yr 40-59 yr > 60 yr
ml/min
Age
Flow Rate of Saliva
unstimulated
stimulated
Clinical considerations
Xerostomia
• Unstimulated salivary flow - less than 0.12 to 0.16 ml/minute
Pale Fisured Tongue Due To
Severe Dry Mouth Moderate Xerostomia
Severe Dry Mouth
(Strawberry Tongue)
MUCOCELE
Ranula
Nicotiana stomatitis
ptyalism
Sialolithiasis
Tumours of the salivary glands
• Benign tumours
• Malignant tumours
IMAGING MODALITIES :
• Computed Tomography
• Magnetic Resonance
• Ultrasound sonography
• Sailograms
IMAGING MODALITIES contd…
• ADULTS :
• CT – inflammatory disorders
• MR – evaluation of tumors
• CHILDREN:
• Ultrasound – inflammatory or superficial
• MR- deeper masses
CT of salivary gland
MRI
ULTRASONOGRAPHY
SIALOGRAPHY
• Scintigraphy
• References
1. orbans oral histology and embryology
(13th edition)
2. Tencates oral histology
3. orbans oral histology and
embryology(11th edition)
4. garants oral cells and tissues
5. burkets oral medicine
6. google search
7. Chaurasia human anatomy head and
neck
•
Thank u

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