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XEROSTOMIA

XEROSTOMIA. DEFINITION. Refers to a subject sensation of a dry mouth. Frequently associated with salivary gland hypofunction. A common problem in 25% older adults. CLINICAL FEATURES.  in salivary secretion Residual saliva appear foamy or thick and “ropey”

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XEROSTOMIA

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  1. XEROSTOMIA

  2. DEFINITION • Refers to a subject sensation of a dry mouth. Frequently associated with salivary gland hypofunction. • A common problem in 25% older adults.

  3. CLINICAL FEATURES •  in salivary secretion • Residual saliva appear foamy or thick and “ropey” • Examining gloves stick to the oral mucosa • Dorsal tongue often is fissured with atrophy of the filiform papillae • Patient may c/o difficulty in mastication and swallowing and may indicate that food adheres to the oral membranes during eating. • Signs: more prone to dental decay especially at cervical and root caries. Associated more often with radiotherapy aka radiation-induction therapy.

  4. Salivary gland aplasia CAUSES Impaired fluid intake Hemorrhage Vomiting /diarrhea Medication Radiation therapy to head and neck Chemotherapy Sjogren syndrome Diabetes mellitus Diabetes insipidus Sarcoidosis HIV Hep C infection Graft-versus-host-disease Psychogenic disorders mastication Smoking Mouth breathing

  5. MEDICATIONS THAT MAY PRODUCE XEROSTOMIA

  6. EVALUATION

  7. Interpretation of findings Xerostomia is diagnosed by symptoms, appearance, and absence of salivary flow when massaging the salivary glands.

  8. Other test Should the presence of xerostomia become unclear:

  9. Management of Xerostomia • Identify the underlying cause • Provide symptomatic treatment where little can be done to alter the underlying cause • It Aims are: • Increase existing saliva flow • Replacing lost secretion • Control dental caries • Control specific measure i.e. infection

  10. Treatment • Drug-related xerostomia: cannot changed to another drug. Schedule to optimize drug effect during the day • Custom-fitted acrylic night guards carrying fluoride gel. • Drugs in liquid should be considered than sublingual osage. • Lubricate mouth and throat with water before swallowing cap. Tab. Or b4 sublingual nitroglycerin • Avoid decongestant and antihistamine

  11. Symptomatic treatment

  12. Symptomatic treatment

  13. http://www.merckmanuals.com/professional/dental_disorders/symptoms_of_dental_and_oral_disorders/xerostomia.htmlhttp://www.merckmanuals.com/professional/dental_disorders/symptoms_of_dental_and_oral_disorders/xerostomia.html • http://www.oralcancerfoundation.org/complications/xerostomia.php • CONTEMPORARY OPOM, NEVILLE

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