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Oral dryness and Sjögren's: an update
1Honorary Reader, Unit of Oral Medicine, Floor 23 Tower Wing, Guy's Hospital, Great Maze Pond, London, SE1 9RT.
British Dental Journal
|November 11, 2017
Summary
Dry mouth, or oral dryness, is common and often drug-related. This review covers causes, diagnosis, and management of oral dryness, including Sjögren
Area of Science:
- Dentistry
- Rheumatology
- Immunology
Background:
- Oral dryness is a prevalent condition encountered in dental and specialist settings.
- Drug-induced xerostomia is the most frequent cause.
- Sjögren's syndrome, an autoimmune disorder, can manifest with oral and ocular dryness, prompting dental consultation.
Purpose of the Study:
- To provide an update on the causes and management of oral dryness.
- To detail the latest diagnostic criteria, signs, symptoms, investigations, and management principles for Sjögren's syndrome.
Main Methods:
- Literature review and synthesis of current knowledge on oral dryness.
- Focus on drug-induced causes and Sjögren's syndrome.
- Inclusion of updated diagnostic and management guidelines.
Main Results:
- Oral dryness has diverse etiologies, with medication side effects being most common.
- Sjögren's syndrome presents with characteristic oral and ocular symptoms.
- Comprehensive management strategies exist for both drug-induced dryness and Sjögren's syndrome.
Conclusions:
- Effective management of oral dryness requires accurate diagnosis of its underlying cause.
- Dentists play a crucial role in identifying and managing patients with oral dryness, including those with Sjögren's syndrome.
- Adherence to updated diagnostic criteria and management principles is essential for optimal patient outcomes.
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