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Dentistry · Oral histology and anatomy: buffering in stimulated saliva
Sample itemWhen salivary flow increases during chewing, the pH of whole saliva rises above its resting level and plaque acids are neutralised more quickly. Which component is chiefly responsible for this rise in buffering?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Bicarbonate
Bicarbonate is the main buffer of stimulated saliva, and its concentration rises with flow rate. Phosphate contributes mainly at low flow.
Option by option
A. Phosphate
Phosphate buffers mainly at resting flow and does not increase greatly with stimulation.
B. Bicarbonate (correct)
Correct. Bicarbonate output climbs with flow and gives the strongest buffering.
C. Lysozyme
Lysozyme is an antibacterial enzyme and does not neutralise acid.
D. Mucins
Mucins lubricate and protect but are not the main acid buffer.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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