Sx
Dry Mouth
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Dry Mouth
, Xerostomia, Salivary Hypofunction, Decreased Saliva Secretion
See Also
Medication Causes of Dry Eyes
Definition
Decreased
Saliva
production
Physiology
Saliva
plays vital role in
Dental Health
Re-mineralizes enamel
Buffers cariogenic acids
Removes food residue
Inhibits
Bacteria
l growth
Causes
See
Medication Causes of Dry Eyes
Radiation Therapy
to head and neck
Salivary Gland
surgery
Sjogren's Syndrome
Amyloidosis
Human Immunodeficiency Virus
(
HIV Infection
)
Hepatitis C
Diabetes Mellitus
Major Depression
Mouth breathing (e.g. obstructed nares)
Granulomatous Disease
Sarcoidosis
Tuberculosis
Leprosy
Management
Consider stopping offending medication
Commercial
Saliva
substitute (typically carboxymethylcellulose, mucin or
Glycerin
e)
Directly apply fluoride to teeth and in
Tooth
paste
Use 1.1% Fluoride gel daily
Fluoride toothpaste
Fluoride rinses
Scrupulous dental care is essential
See Dentist regularly
Saliva
stimulation
Sugar-free chewing gum (esp. Xylitol containing gums)
Lemon lozenges
Consider
Muscarinic Agonist
s in severe refractory Xerostomia of
Sjogren's Syndrome
Pilocarpine
(
Salagen
)
Cevimeline
(
Evoxac
)
References
Daniels in Goldman (2000) Cecil Medicine, p. 2245
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