This document discusses functional disorders of the salivary glands, including sialorrhea/ptyhalism and xerostomia. Sialorrhea is characterized by increased salivary secretion that can be caused by systemic factors like paralysis or psychological factors. Xerostomia refers to a decreased amount of saliva and can be caused pharmacologically by drugs like antihistamines or systemically by conditions like diabetes that result in fluid loss. Both conditions present clinical features like drooling of saliva or fissuring of the tongue. Management may include drugs to stimulate saliva production, salivary substitutes, or surgery in severe cases.

1. FUNCTIONAL DISORDERS OF SALIVARY GLAND
SIALORRHEA/PTYALISM : Increased salivary secretion
ETIOLOGY : 1) systemic- paralysis ,alcoholic neuritis,
Parkinson's diseases, Down’s syndrome.
2) Protective buffering
3) Psychic factor, metal poisoning,
facial paralysis
4)
CLINICAL FEATURES : Drooling of saliva
MANAGEMENT :
DrugsOropharyngeal irritation
5)Local factors
Lip chapping
Removal of local factors
adult- 0.4mg every 6hrs
childern-0.01mg/kg every 4-6 hrs
surgery- relocation of duct,
bilateral tympanic neurectomy
XEROSTOMIA: less than normal amount of saliva
ETIOLOGY:
2)Pharmacologically induced anti-convulsant,
anti-histamine, anti-emetics
3)Local factor-mastication,mouthbreathing
4)Systemic alternations-Fluid loss,diabetic mellitus
CLINICAL FEATURES:
•Blurred vision&ocular dryness
•MUCOSITIS
Management:
,
presented by, Reshma k.n,Shiji margaret,Ritty elizabeth . Final year BDS 2008-2013 batch
ANUG
ERYTHEMAMULTIFORME STOMATITIS
SMOKING
NUTRITIONAL
1)
DrugsRADIATION INDUCED
•FISSURINGOF
TONGUE
Local stimulation-
Salivary substitute:-carboxy methyl cellulose
Systemic stimulation:adult 8mgTDS
Children 4mg TDS
Anethole trithione:1-2 tabs(25mg)TDS
Pilocarpine
•SALIVARY GLAND
ENLARGEMENT
Vit c
Metal poison