Xerostomia

xerostomia

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Define Xerostomia

Dry mouth - Clinical manifestation of salivary gland dysfunction

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What can a lack of saliva result in?

- Increased dental disease - Increased trauma - Lesions

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{"id":4226797,"question_id":"1047058","created_at":"2020-04-18 13:40:13","updated_at":"2020-04-18 13:40:13","answerTitle":"- Increased dental disease\r\n- Increased trauma\r\n- Lesions","isAnswerCorrect":"1","isAnswerBlank":null,"isInSecondMatchingColumn":null,"sequenceOrder":null,"lang":"","type":0}

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1046961

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Signs and symptoms of xerostomia

- Cracked/fissured tongue - Frothy saliva - Sticky mucosa - Difficulty eating (poor bolus formation) - Difficulty swallowing - Reduced taste - Burning sensation - Recurrent candida infection ( Lack of Histatine)

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{"id":4226472,"question_id":"1046961","created_at":"2020-04-18 11:03:58","updated_at":"2020-04-18 11:03:58","answerTitle":"- Cracked\/fissured tongue\r\n- Frothy saliva\r\n- Sticky mucosa\r\n- Difficulty eating (poor bolus formation)\r\n- Difficulty swallowing\r\n- Reduced taste\r\n- Burning sensation\r\n- Recurrent candida infection ( Lack of Histatine)","isAnswerCorrect":"1","isAnswerBlank":null,"isInSecondMatchingColumn":null,"sequenceOrder":null,"lang":"","type":0}

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Temporary causes of Xerostomia

- Anxiety/ Depression - Medication - Duct Calculi - Swelling of salivary glands - Dehydration

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{"id":4226477,"question_id":"1046963","created_at":"2020-04-18 11:05:18","updated_at":"2020-04-18 11:05:18","answerTitle":"- Anxiety\/ Depression\r\n- Medication\r\n- Duct Calculi\r\n- Swelling of salivary glands\r\n- Dehydration","isAnswerCorrect":"1","isAnswerBlank":null,"isInSecondMatchingColumn":null,"sequenceOrder":null,"lang":"","type":0}

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Permanent causes of Xerostomia

- Sjogrens Syndrome - Radiotherapy - Surgery (Resection) - Mouth Breathing - Systemic Disorders ie. Diabetes, Vit deficiency, Parkinsons

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{"id":4226478,"question_id":"1046964","created_at":"2020-04-18 11:08:41","updated_at":"2020-04-18 11:08:41","answerTitle":"- Sjogrens Syndrome\r\n- Radiotherapy\r\n- Surgery (Resection)\r\n- Mouth Breathing\r\n- Systemic Disorders ie. Diabetes, Vit deficiency, Parkinsons\r\n","isAnswerCorrect":"1","isAnswerBlank":null,"isInSecondMatchingColumn":null,"sequenceOrder":null,"lang":"","type":0}

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What are the three key steps of Xerostomia management?

- Elimination - Stimulation - Prevention

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{"id":4226479,"question_id":"1046965","created_at":"2020-04-18 11:09:32","updated_at":"2020-04-18 11:09:32","answerTitle":"- Elimination\r\n- Stimulation\r\n- Prevention","isAnswerCorrect":"1","isAnswerBlank":null,"isInSecondMatchingColumn":null,"sequenceOrder":null,"lang":"","type":0}

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What steps could be taken to eliminate Xerostomia?

- Liaise with GMP to sway medication - Removal of salivary duct calculi - Smoking/Alcohol cessation - GP referral if signs of systemic disease

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{"id":4226480,"question_id":"1046966","created_at":"2020-04-18 11:11:09","updated_at":"2020-04-18 11:11:09","answerTitle":"- Liaise with GMP to sway medication\r\n- Removal of salivary duct calculi\r\n- Smoking\/Alcohol cessation\r\n- GP referral if signs of systemic disease\r\n","isAnswerCorrect":"1","isAnswerBlank":null,"isInSecondMatchingColumn":null,"sequenceOrder":null,"lang":"","type":0}

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How can salivary flow be stimulated in patients with Xerostomia?

- Frequent sips of water - Chewing gum - Saliva replacement products

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{"id":4226485,"question_id":"1046968","created_at":"2020-04-18 11:14:17","updated_at":"2020-04-18 11:14:17","answerTitle":"- Frequent sips of water\r\n- Chewing gum\r\n- Saliva replacement products","isAnswerCorrect":"1","isAnswerBlank":null,"isInSecondMatchingColumn":null,"sequenceOrder":null,"lang":"","type":0}

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What types of saliva replacement products are available to pts with Xerostomia?

- T/paste - M/wash - Gels - Sprays

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{"id":4226490,"question_id":"1046970","created_at":"2020-04-18 11:15:30","updated_at":"2020-04-18 11:15:30","answerTitle":"- T\/paste\r\n- M\/wash\r\n- Gels\r\n- Sprays","isAnswerCorrect":"1","isAnswerBlank":null,"isInSecondMatchingColumn":null,"sequenceOrder":null,"lang":"","type":0}

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What are often added to xerostomia products? What should you be cautious of when recommending products?

- Fluoride, phosphate and calcium ions to aid remineralisation - Beware pig mucin added to some products

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{"id":4226495,"question_id":"1046972","created_at":"2020-04-18 11:17:22","updated_at":"2020-04-18 11:17:22","answerTitle":"- Fluoride, phosphate and calcium ions to aid remineralisation\r\n- Beware pig mucin added to some products","isAnswerCorrect":"1","isAnswerBlank":null,"isInSecondMatchingColumn":null,"sequenceOrder":null,"lang":"","type":0}

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Why to Xerostomia patients have a high caries risk?

- Loss of remineralisation potential from saliva - Diet of soft sticky foods - Often frequent sipping of sugary drinks - Sucking sweets

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{"id":4226500,"question_id":"1046974","created_at":"2020-04-18 11:20:13","updated_at":"2020-04-18 11:20:13","answerTitle":"- Loss of remineralisation potential from saliva\r\n- Diet of soft sticky foods\r\n- Often frequent sipping of sugary drinks\r\n- Sucking sweets \r\n\r\n","isAnswerCorrect":"1","isAnswerBlank":null,"isInSecondMatchingColumn":null,"sequenceOrder":null,"lang":"","type":0}

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What diet advice could the DH recommend to patients with Xerostomia?

- Reduce the amount and frequency of sugar in foods/drinks - Avoid snacking on soft sticky foods - Sip only water to relieve symptoms - Avoid sucking sweets (erosive risk even if sugar free) - Avoid spicy and acidic foods that may irritate mucosa - Reduce alcohol intake to reduce dehydration

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1046984

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What OHI could the DH give a patient suffering with Xerostomia?

- Importance of excellent OH to reduce risk of dental disease - Brush two times daily with fluoride t/paste 1500ppm - Consider use of high fluoride t/paste - SLS free t/paste - Spit don't rinse - Fluoride m/wash 225ppm as adjunt - Recommend fluoride varnish application - smoking cessation - Regular dental visits

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{"id":4226534,"question_id":"1046984","created_at":"2020-04-18 11:36:09","updated_at":"2020-04-18 11:36:09","answerTitle":"- Importance of excellent OH to reduce risk of dental disease\r\n- Brush two times daily with fluoride t\/paste 1500ppm\r\n- Consider use of high fluoride t\/paste\r\n- SLS free t\/paste\r\n- Spit don't rinse\r\n- Fluoride m\/wash 225ppm as adjunt\r\n- Recommend fluoride varnish application\r\n- smoking cessation\r\n- Regular dental visits\r\n\r\n","isAnswerCorrect":"1","isAnswerBlank":null,"isInSecondMatchingColumn":null,"sequenceOrder":null,"lang":"","type":0}

Xerostomia

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