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Salivary gland dysfunction affects the flow, amount, or quality of saliva produced. A reduced salivation is termed hyposalivation . Hyposalivation often results in a dry mouth condition called xerostomia , and this can cause tooth decay due to the loss of the protective properties of saliva.
527 Diseases of the salivary glands. 527.0 Atrophy of salivary gland; 527.1 Hypertrophy of salivary gland; 527.2 Sialoadenitis; 527.3 Abscess of salivary gland; 527.4 Fistula of salivary gland; 527.5 Sialolithiasis; 527.6 Mucocele of salivary gland; 527.7 Disturbance of salivary secretion; 528 Diseases of the oral soft tissues, excluding ...
Salivary immunoglobulin A serves to aggregate oral bacteria such as S. mutans and prevent the formation of dental plaque. [28] Tissue repair: Saliva can encourage soft-tissue repair by decreasing clotting time and increasing wound contraction. [29] Digestion: Saliva contains amylase, which hydrolyses starch into glucose, maltose, and dextrin.
Saliva stagnates and forms a mucus plug behind the stricture during sleep when the salivary output of the parotid is reduced. Then, when salivary secretion is stimulated, the mucus plug becomes stuck in the stricture. [1] The backlog of saliva behind the blockage causes the swelling, and the increased pressure inside the gland causes the pain.
Stimulated salivary flow rate is calculated using a stimulant such as 10% citric acid dropped onto the tongue, and collection of all the saliva that flows from one of the parotid papillae over five or ten minutes. Unstimulated whole saliva flow rate more closely correlates with symptoms of xerostomia than stimulated salivary flow rate. [1]
It has also been defined as increased amount of saliva in the mouth, which may also be caused by decreased clearance of saliva. [ 4 ] Hypersalivation can contribute to drooling if there is an inability to keep the mouth closed or difficulty in swallowing (dysphagia) the excess saliva, which can lead to excessive spitting.
The blockage may be from a salivary stone, a mucous plug, or, more rarely, by a tumor, usually benign. Salivary stones (also called sialolithiasis, or salivary duct calculus) are mainly made of calcium, but do not indicate any kind of calcium disorder. [7] Other causes can be duct stricture (narrowing of the duct), infection or injury.
Salivary stones (sialolith) may be evident with cystic dilation of the salivary ducts and periductal fibrosis. Mucus extravasation may also be observed. Common observations of chronic sialadenitis include chronic inflammatory infiltrate (lymphocytes, plasma cells and macrophages), fibrosis, acinar atrophy, and mucous cell metaplasia of the ...