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Xerostomia: clinical aspects and treatment
Sandra F Cassolato1, Robert S Turnbull
1Faculty of Dentistry, University of Toronto, 124 Edward Street, Toronto, Canada M5G 1G6.
Gerodontology
|December 31, 2003
Summary
Dry mouth (xerostomia) affects chewing, speaking, and oral health, increasing caries risk. Common causes include medications, radiation, and Sjogren's syndrome, requiring clinical diagnosis and management.
Area of Science:
- Dental Medicine
- Oral Health
- Geriatric Medicine
Background:
- Xerostomia, or dry mouth, is prevalent in dental settings.
- Medications, radiation therapy, and conditions like Sjogren's syndrome are common causes.
- Dry mouth leads to impaired eating, speech, malnutrition, and increased dental caries risk.
Purpose of the Study:
- To review the common causes (aetiologies) of xerostomia.
- To outline methods for clinical identification and diagnosis of dry mouth.
- To describe routine therapeutic options for managing xerostomia.
Main Methods:
- Literature review of xerostomia causes, diagnosis, and treatment.
- Clinical examination protocols for intraoral and extra-oral assessment.
- Analysis of current treatment modalities including salivary substitutes and stimulants.
Main Results:
- Medication side effects are the primary cause, particularly in the elderly.
- Xerostomia significantly impacts quality of life and oral health.
- Effective management involves diagnosis, dental care, and medication review.
Conclusions:
- Dentists must be prepared for increasing xerostomia cases due to an aging, medicated population.
- Early diagnosis and comprehensive management are crucial for patient well-being.
- Treatment strategies include salivary support, caries prevention, and medication adjustment.