Dental Management

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Xerostomia

MH- meds? Anxiety? Operations? Smoking? Alcohol? Pregnancy? Dehydration? Chemo/radiotherapy? Depression? Pain/swelling? How long has dry mouth been present? Continual/intermittent? What is pt using for dry mouth? E/O Any swellings? if so bi-lateral or unilateral I/O; frothy saliva, atrophic mucosa, inflamed tongue, infection, dryness, eating and speech difficulties DH ROLE - Elimination: removal of causative factor where possible - Stimulation; stimulation of salivary flow; chewing gum, SF pastels (aid mastication and saliva flow), Saliva Replacement: Sprays in day, Gels at night, some have enzymes which replace ones lost from saliva -Prevention; Of secondary diseases; OHI, smoking cessation, denture care (risk; caries, candida, stomatitis), diet advice, onward referrals> oral med biopsy to identify underlying causes, GDP if caries/candida, GP change of meds? > avoid spicy foods, moisten foods, sip water frequently, lip moisturiser, limit alcohol





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