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Xerostomia: diagnosis and management
1Department of Stomatology, University of California at San Francisco, USA.
Oncology (Williston Park, N.Y.)
|March 1, 1996
Summary
Xerostomia, or dry mouth, affects eating and speaking and can lead to oral infections and dental caries. Early management of dry mouth improves quality of life and prevents severe dental issues.
Area of Science:
- Oral Medicine
- Dental Science
- Endocrinology
Background:
- Xerostomia (dry mouth) is a frequent complaint with diverse etiologies.
- Causes include medications (e.g., antidepressants), radiation therapy, dehydration, diabetes, and Sjögren's syndrome.
- Dry mouth may or may not correlate with reduced salivary gland output.
Purpose of the Study:
- To review the causes, consequences, and management of xerostomia.
- To highlight the impact of dry mouth on oral functions and quality of life.
- To emphasize the importance of early diagnosis and intervention.
Main Methods:
- Literature review of xerostomia causes and effects.
- Analysis of patient-reported symptoms and clinical observations.
- Summary of current management strategies for dry mouth.
Main Results:
- Xerostomia causes difficulties in eating, speaking, swallowing, and denture use.
- Associated symptoms include taste alteration and salivary gland enlargement.
- Reduced saliva increases risk for oral candidiasis and dental caries.
Conclusions:
- Effective xerostomia management involves assessing salivary function, employing replacement therapies, and preventing caries and candidiasis.
- Prompt recognition and treatment of dry mouth are crucial for preventing significant dental disease.
- Intervention can substantially enhance the patient's quality of life.