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Diagnosis and treatment of dry mouth

Oral Diagnosis I
Third Year

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Diagnosis and treatment of dry mouth

  1. 1. Diagnosis and treatment of dry mouth 1. Ahmed Nouh Alhwaj 251070022 2. Mansour Alfalah 251070025 3. Abdullaziz Aldossary 251070026 4. Abdullah Alsenaidi 251070031 5. Abdulrahman Alsulaiman 251070032 6. Ra’ad Abualresh 207019340 Supervision: Prof. Dr. Essam Soussa
  2. 2. Outline  Introduction  Diagnosing Dry Mouth  Treating Dry Mouth  Coping with Dry Mouth
  3. 3. Introduction  Xerostomia is not a disease but can be a symptom of certain disease. If can produce serious negative effects on the patients quality of life, affecting dietary habits nutritional status speech taste tolerance to dental prosthesis and increases susceptibility to dental caries. The increase in dental caries can be devastating in many patients and therefore special care must be made to control this condition.
  4. 4. Diagnosing Dry Mouth  History — Specifics of the complaint of dry mouth are obtained: duration, frequency, and severity. The presence of dryness at other sites (eyes, nose, throat, skin, vagina) is documented. A complete medical and prescription drug history is taken.
  5. 5.  Examination — Major salivary glands are palpated for the presence of tenderness, firmness, or enlargement. The amount and quality of saliva coming from the ducts inside the mouth are assessed, and the absence of saliva or presence of dry or reddish oral mucosa is noted. Active dental decay is evaluated.
  6. 6.  Salivary flow rate — The amount of saliva produced during a specified amount of time may be measured. The test is non-invasive and painless.  Scintigraphy — Performed in the hospital, this test measures the rate at which a small amount of injected radioactive material is taken up from the blood by the salivary glands and secreted into the mouth. It is another method to measure salivary flow rate.
  7. 7.  Biopsy of minor salivary glands — A small, shallow incision is made inside the lower lip to remove at least four of these glands. A pathologist then examines them for changes characteristic of the salivary component of Sjögren’s syndrome.
  8. 8. Treating Dry Mouth  Reduce oral symptoms and increase salivary secretion: Two prescription drugs pilocarpine and cevimeline reduce symptoms of dry mouth and increase salivary secretion for a few hours.
  9. 9.  Treat and prevent dental decay: 1. Flossing and brushing teeth with a fluoride- containing toothpaste. 2. Decrease risk of tooth decay by decreasing the amount and frequency of fermentable carbohydrate intake, especially sticky foods such as cookies, bread, potato chips and candy.
  10. 10.  Treat oral candidiasis (thrush) when necessary: A red appearance of the oral mucosa and/or a burning sensation in the mouth may indicate to have an oral infection by the yeast Candida.
  11. 11. Coping with Dry Mouth  Keeping mouth moist by sipping small amounts of water during the day.  Avoiding frequent intake of acidic beverages.  Drinking water while eating to aid chewing and swallowing.  Increasing salivary secretion by chewing sugarfree gum.  Soothing Dry cracked lips by an oil-based balm or lipstick placed over previously moistened lips. The use of vitamin E-containing ointments may be helpful.
  12. 12. Thank You