The document discusses the human sense of taste. It describes the five primary tastes detected by taste buds located on papillae on the tongue. Taste buds contain specialized cells that detect tastes and transmit signals through cranial nerves to the brainstem, thalamus, and gustatory cortex. Factors that influence taste include saliva, medications, disease, and aging. Disorders of taste include loss of taste and distortions or phantom tastes.
3. INTRODUCTION
• Sense of taste-allow us to separate undesirable
or even lethal foods from those that are pleasant
to eat.
• Function of taste buds
• Taste stimulate secretion of saliva and gastric
juices.
• Allows to select food
15. • Appears early – 7 to 8 weeks of IUL
• Matures later after gestation
• Increase in number after birth
• Adults- 3000-10,000
• Children
• >45yrs
• Ability to Regenerate – gustatory nerve
Degenerate ---taste sensation
16. TASTE CELLS
• Mitotic division
• Mature cells- lie toward centre of the bud-break
up & dissolve
• Life span- 10 days
17. HISTOLOGY OF TASTE BUD
• Type 1 – long and narrow ,dark
cells,irregular nucleus
• Type II – long, light cells, round oval nuclei
• Type III – similar to type II , dense cored
vesicle in basal portion
• Type IV - contacts basement
membrane,doesnot extend to the taste pore
- basal cell
31. THALAMUS AND CORTEX
• Thalamic gustatory relay nucleus
ventro medial tip
ventro postero medial thalamic nucleus
part of ventro basal complex
• Projections further ascend – agranular insular
cortex
• Gustatory stimulation – cortical gustatory projection
32.
33. ROLE OF SALIVA
• Essential for normal taste function
• Dry mouth- difficult to taste
• Acts as a solvent
• Fungiform – saliva from all salivary glands
• Remaining papillae – von Ebner’s
• Taste buds –palate,larynx,pharynx- minor salivary
glands
34. • Feeding/drinking
Muscles move food around mouth
Facilitates access of solubilzed taste stimuli entirely
• Significant – clefts of vallate & foliate papilla
35. Effect of reduced salivation
• Head and Neck radiation – taste disturbances
• Affect turn over of taste buds
• Damage nerve terminals
• xerostomia- altered taste perception
36. Salivary gland removal
Electronmicroscopy of taste buds
macrophages, large number of bacteria
altered taste perception
• Sjogren syndrome- reduced taste sensitivity for
all 4 taste qualities
37. CLINICAL CONSIDERATIONS
• Complete loss – aguesia
• Partial loss – hypoguesia
• Distortions of taste – dysguesia
• Abberant taste - Abnormal stimulation – Phantom –
chemosensory disorders
• Vitamin A deficiency - keratinization
• Gustatory hallucinations -epilepsy
39. Incidence of taste disturbance with common
medications
Medication Incidence , %
• Acetazolamide 12-100
• Captopril 2-7
• Lithium 5
• Procainamide 3-4
• Amiodarone 1-3
Rebecca Douglass et al, Drug-related taste disturbance A contributing factor in
geriatric syndromes; Can Fam Physician 2010;56:1142-7
40. INVESTIGATION
Possible causes
• Detailed history and examination - local causes.
• Haematological and biochemical investigations -
nutritional and endocrine causes
• Computed tomography - neurological causes
• Ageing process
J M Boyce, G R Shone, Effects of ageing on smell and taste; Postgrad Med J 2006;
82:239–241.
41. MANAGEMENT
• Counselling and reassurance
• Relatives or neighbours need closer involvement
to check for spoiled food that if eaten could lead
to food poisoning.
• Flavour enhancement - salt
J M Boyce, G R Shone, Effects of ageing on smell and taste; Postgrad Med J 2006;
82:239–241
42. CONCLUSION
• Taste sensation allow us to separate lethal foods
• 5 principal taste
• Mainly in taste buds
• Lack-anorexia, weight loss.
43. REFERENCES
• Bradley RM: Essentials of Oral Physiology,
USA,1998, Mosby
• Antonio Nanci. Salivary Glands. Tencate’s Oral
Histology 7th ed.Mosby .India. 2008
• G S Kumar.Salivary glands .Orban’s Oral
Histology and Embryology.12th ed.Elsevier
India;2007
• Arthur Guyton.The Chemical senses. Textbook
of medical physiology.10th ed WB Saunders;2001
44. • J M Boyce, G R Shone, Effects of ageing on smell
and taste; Postgrad Med J 2006;82:239–241.
• Rebecca Douglass et al, Drug-related taste
disturbance A contributing factor in geriatric
syndromes; Can Fam Physician 2010;56:1142-7
Editor's Notes
13 chemical rece n taste cells nd r grpd into 5 genrl categories
Multiple class of chemicals
Multpl cls f chmcls
Bitter more sensitive, provide a protective fn against many dangerous toxins n food
Tp- fluid envmt f larynx oropharynx
Microvilli receptr surface for taste
PALATE
Secnd mesngr trnsmtr substnce, g protein coupled receptor- gustducin closng f k channels
Cell bodies Geniculate 7 petrosal 9 nodosa 10
Send axons rostrally & other loctns n d medulla, ovoid connect locally within nts