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anxious pt

MH > medication; anti depressants can cause xerostomia SH- smoking, alcohol give cessation, DH, DR EO; salivary gland swelling if xerostomia I/O; xerostomia- dryness, infections, frothy saliva, pale atrophic mucosa, inflamed tongue, eating and speaking difficulties communication is key multiple visits to undo one bad experience multiple of short apts > acclimatisation build trust and rapport initially talking; past experiences, may not be able to do any tx, aetiology OHI > drip feed information, tell show do, leaflets Diet advice (if xerostomia increased caries risk) I/O: xerostomia (from anti-depressants) > elimination, stimulation, prevention tx; explain all tx let pt have control one instrument at a time respect pt wishes possible F- varnish application referral for change of meds to GP if xerostomia referral to DH for sedation reduce recall to 3/12





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