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Management of Dry Mouth.

Renee L Hayslett1, Leisa L Marshall1

  • 1Mercer University College of Pharmacy, Atlanta, Georgia.

The Senior Care Pharmacist
|February 1, 2025
PubMed
Summary

Dry mouth (xerostomia) significantly impacts quality of life, often caused by medications. Pharmacists can manage dry mouth by reviewing medications and educating patients on oral health practices.

Area of Science:

  • Oral Medicine
  • Pharmacology
  • Geriatrics

Background:

  • Xerostomia (dry mouth) is a prevalent condition in older adults.
  • It leads to dental issues, discomfort, and reduced quality of life.
  • Common causes include medications, dehydration, and systemic diseases.

Purpose of the Study:

  • To define xerostomia.
  • To outline diagnostic approaches.
  • To review causes, complications, and treatments for dry mouth.

Main Methods:

  • Comprehensive literature search of PubMed, Proquest, Cochrane Library, and drug databases.
  • Inclusion of clinical guidelines, reviews, and original research.
  • Keywords: xerostomia, dry mouth, hyposalivation, causes, treatment, pharmacology.

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Main Results:

  • Medication use, particularly with anticholinergic effects and polypharmacy, is the leading cause of dry mouth.
  • Other causes include dehydration, alcohol, caffeine, and Sjögren's disease.
  • Untreated dry mouth increases risks for caries, periodontal disease, and infections.

Conclusions:

  • Pharmacists are crucial in managing dry mouth through medication reviews and patient education.
  • Saliva substitutes and cholinergic agonists can alleviate symptoms.
  • Addressing dry mouth improves oral health and patient well-being.