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Dry Mouth

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Dry Mouth, Xerostomia, Salivary Hypofunction, Decreased Saliva Secretion

  • Definition
  1. Decreased Saliva production
  1. Re-mineralizes enamel
  2. Buffers cariogenic acids
  3. Removes food residue
  4. Inhibits Bacterial growth
  • Management
  1. Consider stopping offending medication
  2. Commercial Saliva substitute (typically carboxymethylcellulose, mucin or Glycerine)
  3. Directly apply fluoride to teeth and in Toothpaste
    1. Use 1.1% Fluoride gel daily
    2. Fluoride toothpaste
    3. Fluoride rinses
  4. Scrupulous dental care is essential
    1. See Dentist regularly
  5. Saliva stimulation
    1. Sugar-free chewing gum (esp. Xylitol containing gums)
    2. Lemon lozenges
  6. Consider Muscarinic Agonists in severe refractory Xerostomia of Sjogren's Syndrome
    1. Pilocarpine (Salagen)
    2. Cevimeline (Evoxac)
  • References
  1. Daniels in Goldman (2000) Cecil Medicine, p. 2245