The Oral Cavity

The Oral Cavity

4 min read Updated Mar 26, 2026

Digestion begins the instant you take a bite. Your teeth grind the food into smaller pieces (mechanical digestion), and enzymes in saliva immediately start breaking chemical bonds (chemical digestion). By the time you swallow, starch digestion is already underway.

Mastication: The First Station

Labeled diagram of the three major salivary glands: parotid, submandibular, and sublingual
The three major salivary glands. The parotid (largest, serous/watery), submandibular (mixed), and sublingual (mostly mucous) secrete saliva containing amylase (starch digestion) and lingual lipase (fat digestion). Credit: Wikimedia Commons, CC BY-SA 4.0

Chewing (mastication) is the only voluntary step of mechanical digestion. Your teeth cut, tear, and grind food into a soft mass called a bolus. This increases the surface area available for enzymes - a whole cracker has far less exposed surface than a chewed-up cracker.

Saliva: More Than Just Water

Saliva is produced by three pairs of salivary glands:

GlandLocationMain Contribution
ParotidIn front of each earSerous (watery) fluid rich in salivary amylase
SubmandibularBelow the jawMixed serous and mucous secretion
SublingualUnder the tonguePrimarily mucous secretion

Saliva contains:

  • Water and mucus - moisten food and lubricate the bolus for swallowing
  • Salivary amylase - begins starch digestion
  • Lingual lipase - begins fat digestion (secreted by glands at the back of the tongue)
  • Lysozyme and IgA - antimicrobial defense
  • Bicarbonate - buffers acids to protect tooth enamel

Saliva production is controlled by the autonomic nervous system. Parasympathetic stimulation (rest and digest) increases saliva flow. Sympathetic stimulation (fight or flight) decreases it - that is why your mouth goes dry when you are nervous.

Salivary Amylase: Starch Digestion Starts Here

Salivary amylase hydrolyzes the alpha-1,4-glycosidic bonds in starch, breaking it into maltose and maltotriose (shorter chains). This enzyme works best at a neutral pH (~6.8) and is inactivated once it reaches the acidic stomach.

Try this: hold a plain cracker in your mouth for 30 seconds without swallowing. It starts to taste sweet. That sweetness is maltose being released as salivary amylase breaks down the starch in real time.

Lingual Lipase: Fat Digestion Also Starts Here

Lingual lipase is secreted by glands at the back of the tongue. It begins triglyceride digestion in the mouth, although its activity continues in the stomach because lingual lipase is acid-stable (it works at low pH). It is most important for digesting milk fat in infants.

What Does NOT Get Digested in the Mouth?

Protein digestion does not begin until the stomach (pepsin requires acidic pH). If you mix saliva with protein in a test tube, nothing happens to the protein - there are no proteases in saliva.

A student mixes saliva with a solution containing starch, triglycerides, and polypeptides. After 30 minutes at 37°C, which macromolecule(s) remain completely intact?
Click to reveal answer
Polypeptides remain intact. Salivary amylase partially digests starch into maltose. Lingual lipase partially digests triglycerides into fatty acids. But there are no proteases in saliva, so polypeptides are untouched. This is a common MCAT experimental question.
Why does salivary amylase stop working once food reaches the stomach?
Click to reveal answer
The stomach's low pH (~1.5-2) denatures salivary amylase. Salivary amylase has an optimal pH near 6.8. The highly acidic gastric environment inactivates it, halting starch digestion until pancreatic amylase takes over in the duodenum.