unit 4

Question 1

name all salivary glands

Answer 1

parotid, submandibular, sublingual, and accessory

Question 2

of accessory glands

Answer 2

600-1000

Question 3

functions of saliva

Answer 3

salivary amylase, forms bolus, aids in deglutition, buffers acids, cools foods, aids in remineralization, forms pellicle

Question 4

parotid gland produces mostly:

Answer 4

serous

Question 5

sublingual gland produces mostly:

Answer 5

mucous

Question 6

submandibular gland produces:

Answer 6

serous and mucous

Question 7

fx of intercalated duct:

Answer 7

changes the fluid produced by secretory acini

Question 8

fx of secretory acini:

Answer 8

produces fluid

Question 9

fx of striated duct

Answer 9

adds to or enhances fluid or changes pH

Question 10

fx of myoepithelial cells

Answer 10

squeeze and push fluid out

Question 11

excretory duct

Answer 11

releases fluid into the mouth

Question 12

possible effects of xerostomia

Answer 12

increased caries, burning mouth, oral candidiasis, redness, apthous ulcers, lichen planus, sticking

Question 13

sialadenitis

Answer 13

general term for inflammation of the salivary gland

Question 14

sialolithiasis

Answer 14

obstruction of the duct by a calculus like mass

Question 15

sialolith

Answer 15

salivary stone

Question 16

autoimmune sialadenitis

Answer 16

atrophy of the salivary gland tissue resulting in xerostomia. can involve all the salivary glands, but mostly in the parotid. Resulting in painless swelling of the gland

Question 17

Mikulicz Disease

Answer 17

when autoimmune sialadenitis is limited to salivary gland symptoms only

Question 18

sjogrens syndrome

Answer 18

autoimmune sialadenitis is accompanied with dry eyes, Rheumatoid arthritis, and bilateral enlargement of the parotid glands

Question 19

epidemic parotitis

Answer 19

aka: mumps. inflammation in the salivary glands (and gonads possible) caused by viral droplet. Pain increases wit even the thought of food. 10 day duration

Question 20

supporotive parotitis

Answer 20

pus, infected salivary gland

Question 21

Mucocele

Answer 21

aka: mucous extravasation phenomenon. collection of saliva (mucous) in the connective tissue which becomes walled off by connective tissue. tx = removal of entire accesory gland.

Question 22

mucous retention cyst

Answer 22

aka: obstructive sialadenitis. ovstruction of salivary flow by a calculus mass

Question 23

ranula

Answer 23

aka: frogs belly. always found on flour of the mouth, usually associated w/sublingual gland, large, rapidly growing, bluish in appearance. may be congenital

Question 24

amount of saliva produced per day

Answer 24

1000 ml or 1 liter everyday. geater in infants. Only 10 ml produced at night

Question 25

sialorrhea

Answer 25

increased saliva flow

Question 26

xerostomia

Answer 26

dry mouth

Question 27

pleomorphic adenoma

Answer 27

aka: benign mixed tumor of the salivary gland. most common benign tumor of salivary glands. 90% in parotid. solid yellow encapsulated mass. 30% recurrence after excision. locally destructive. painless

Question 28

oncocytoma

Answer 28

benign tumor of old age. old cell tumor

Question 29

oncocyte

Answer 29

old cell

Question 30

mucoepidermoid carcinoma

Answer 30

malignant tumor of salivary gland. 90% parotid. indurated. women most often. 50% survival rate. most common adenocarcinoma in children.

Question 31

acute traumatic oroantral fistula

Answer 31

an abnormal passage connecting the sinus (antrum of highmore) to the oral cavity most often occuring after ext of upper post teeth.

Question 32

mucocele in sinus

Answer 32

retention cyst developing from mucous gland of the sinus mucosa. tx: excise by otolaryngologist (ENT)

Question 33

micrognathia

Answer 33

small jaw. trauma to the condylar growth centers resulting in cessation of condylar growth. limited opening.

Question 34

What type of joint is the TMJ

Answer 34

synovial

Question 35

4 sinuses

Answer 35

maxillary, frontal, ethmoid, sphenoid, (plus mastoid)

Question 36

subluxation

Answer 36

partial dislocation of TMJ. Pt can replace jaw in proper position

Question 37

dislocation

Answer 37

caused by opening too far. yawn, laugh, etc. Pt cannot close mouth

Question 38

most common place for mandibular fracture

Answer 38

neck of the condyle

Question 39

myo-facial pain dysfunction syndrome

Answer 39

TMD. tx: get the tmj numb from face, physical therapy, splint. 60% in women over 50.

Question 40

Padget's Disease

Answer 40

swelling of maxilla so that it doesn't fit into the joint.

Question 41

Trigeminal Nerualgia

Answer 41

aka: tic douloureux. pain along the course of CN V. pt has trigger points and consider suicide from intense pain. CN is compressed by artery or vein. Associated with MS or tumor

Question 42

Bells Palsy

Answer 42

one side of the face is paralyzed. fixes itself w/in 3-6 mos. common in pregnancy.