Saliva Secretion: Neural Control and Gland Function - Otolaryngology

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Regarding salivary secretion?


I often feel saliva pooling at the bottom of my mouth.
Does the human body secrete saliva continuously, or is there a nervous system that controls saliva secretion? Do the parotid, submandibular, and sublingual glands continuously secrete saliva, or is there a nervous system that regulates saliva secretion? Is there a central control for saliva secretion? Thank you.

Monica, 30~39 year old female. Ask Date: 2013/05/30

Dr. Zheng Jueyi reply Otolaryngology


Hello, saliva in the human body is continuously secreted.
Under normal circumstances, it is primarily produced by the submandibular glands, while during eating, it is mainly secreted by the parotid glands.
The salivary glands are controlled by the parasympathetic nerves from the seventh and ninth pairs of cranial nerves.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2013/05/30

More Info


Saliva secretion is a complex physiological process that is primarily regulated by the autonomic nervous system, which includes both the sympathetic and parasympathetic branches. The major salivary glands involved in saliva production are the parotid gland (ear), submandibular gland (jaw), and sublingual gland (under the tongue). Each of these glands plays a distinct role in the composition and volume of saliva produced.

The autonomic nervous system controls saliva secretion through a reflex mechanism. When you see, smell, or even think about food, the brain sends signals to the salivary glands to begin producing saliva. This process is largely mediated by the parasympathetic nervous system, particularly through the facial nerve (cranial nerve VII) and the glossopharyngeal nerve (cranial nerve IX). The facial nerve primarily stimulates the submandibular and sublingual glands, while the glossopharyngeal nerve primarily stimulates the parotid gland.

In addition to these neural controls, saliva secretion can also be influenced by various factors, including hydration levels, medications, and overall health. For instance, certain medications, particularly those with anticholinergic properties, can reduce saliva production, leading to dry mouth (xerostomia). Conversely, some medications may enhance saliva production.

The central nervous system (CNS) plays a crucial role in regulating saliva secretion. The brainstem, particularly the medulla oblongata, contains the salivary nuclei that coordinate the autonomic output to the salivary glands. When sensory stimuli are detected, such as the taste of food, the brain processes this information and activates the appropriate neural pathways to stimulate saliva production.

Saliva itself serves multiple functions, including aiding in digestion, maintaining oral hygiene, and facilitating taste. It contains enzymes like amylase that begin the digestion of carbohydrates, as well as antimicrobial agents that help control the growth of bacteria in the mouth.

In summary, saliva secretion is a continuous process regulated by the autonomic nervous system, with the brain playing a central role in coordinating this function. The parotid, submandibular, and sublingual glands are the primary contributors to saliva production, and their activity is influenced by both neural signals and various external factors. If you are experiencing excessive saliva production or any discomfort related to saliva, it may be beneficial to consult a healthcare professional for further evaluation and management.

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