Xerostomia- Dryness of mouth

Xerostomia is the diesease in which their is absence of saliva in mouth. The slide inlcudes all the helpful subjects about the topic. graphical representation for ease of understanding

1. XEROSTOMIA

2. XEROSTOMIA PRESENTED BY Satyki Verma

3. CONTENTS Introduction Etiology Clinical Features Oral Manifestations Management Summary Conclusion Bibliography

4. INTRODUCTION It is subjective clinical condition of less than normal amount of saliva. It is dryness of mouth, which is a clinical manifestation of salivary gland dysfunction. It is also known as Cottonmouth Drough mouth Des (desert like)

5. CONT…… It is symptoms of various medical condition, a side effect of a radiation to the head & neck or side effect of a wide variety of medication. It is also associated with decreased salivary gland function. Common complaint found often among older adults, affecting approximately 20% of the elderly. It can produced serious negative effects on the patients quality of life, affecting dietary habits, nutrition status ,speech ,taste ,tolerance to dental Prosthesis and increased susceptibility to dental caries.

6. ETIOLOGY 1.DEVELOPMENTAL ORIGIN Salivary gland aplasia 2.WATER /METABOLIC LOSS. Impaired fluid intake Hemorrhage Vomiting ,diarrhea 3.IATROGENIC ORIGIN Medication Radiation therapy to the head &neck region Chemotherapy.

7. Systemic diseases. Sjogren syndrome Diabetes mellitus Diabetes insipidus Sarcoidosis HIV infection Psychogenic disorder

8. CONT…… Medication - Antihistaminic agents Antidepressant . Antihypertensive Anticholinergic agent. Sedatives and angiolytics .

9. CONT…….. Local factors Decrease mastication Smoking Mouth breathing

10. CERVICAL CARIES DUE TO RADIATION

11. RADIATION MUCOSITIS

12. Gingival Hyperplasia

13. Xeerostomia Due To Sjogren’s Syndrome

14. Partial Depapillation And Cobblestone Pattern Due To Chronic Xerostomia

15. Extensive Cervical Caries Developed Due To Severe Xerostomia

16. CLINICAL FEATURES 1.EFFECTS OF XEROSTOMIA ON ORAL FUCTIONS. 2.SALIVARY GLAND ENLARGEMENT. 3.EFFECT OF XEROSTOMIA ON NORMAL FUNCTIONS. 4.CLINICAL SINGS OF XEROSTOMIA. 5.CANDIDIASIS. 6.RESIDUAL SALIVA.

17. EFFECTS OF XEROSTOMIA ON ORAL FUNCTION Patient may notice increased thrust &increase uptake of fluid specially while eating. Patient also get difficulty in swallowing , speech, eating dry food. Burning and tinglining sensation on mouth. Frequent oral infection . Intolerance to dental appliance & abnormal taste in mouth.

18. EFFECT OF XEROSTOMIA ON NORMAL FUNCTIONS Many times xerostomia is accompanied by hypofunction of other secretory gland. Blurred vision Ocular dryness. Itching burning and sandy sensation in eye. Also dryness of pharynx and skin. Itching and burning sensation of vagina.

19. CLINICAL SIGNS OF XEROSTOMIA Dryness of lining oral mucosa. Oral mucosa appears thin, pale,and feels dry. Tongue may manifest deficiency by atrophy of papillae, inflammation, fissuring, craking and denudation. There is increased incidence of dental caries.

20. CANDIDIASIS Psuedomembranous and form of candidiasis occurs . The reason for occurrence candidiasis is absence of normal cleansing and antimicrobial activity of the saliva.

21. RESIDUAL SALIVA Residual saliva which remains foamy, thick, and ropey.

22. MANAGEMENT STIMULATION OF SALIVARY PRODUCTION 1.local stimulation- Chewing of gums. Mints. Paraffin. Citric acid containing lozenges and rinses.

23. 2.SYSTEMIC STIMULATION . Bromhexine – mucolytic &and mucokinetic agents. Anethole trithione-neurostimulator Pilocarpine – (cholinergic parasympathomimetic agents) Increase secretion by exocrine glands & can affects the sweat , salivary, lacrimal glands.

24. CONT……. Oral hygiene product Like lactoperoxidase , lysozyme and lactoferrin . Discontinuation of drug. AVOIDANCE OF CERTAIN THINGS Like dry foods such as cookies ,toast ,crackers, Sticky things - chocolates,pasty , peanut butter. Salty foods.

25. SYMPTOMATIC TREATMENT Salivary substitute commonly contain carbomethyl cellulose or hydroxyethylcelluloseor lubricant and variety of artificial sweetners , preservative and chloride or fluoride salts. Artificial saliva

26. summary Xerostomia is the subjective clinical condition of less then normal amount of saliva. It is dryness of mouth which is a clinical manifestation of salivary gland dysfunction. A no. of factor may play role in the cause of xerostomia like drugs , radiation,systemic disease . It causes difficulty in mastication,swallowing & speech. It inceases the susceptibity to dental caries

27. CONCLUSION Complain of dry mouth &diminished salivary out put (salivary hypofunction ) are common in elderly people as a result of plethora of salivary gland disorders medication use & medical disorder . It has a clinically significant deleterious impact on oropharyngeal health.

28. BIBLIOGRAPHY 1.ORAL AND MAXILLOFACIAL PATHOLOGY NEVILLE ,DAMM , ALLEN , BOUQUOT , 3 rd EDITION. 2.TEXT BOOK OF ORAL PATHOLOGY SHAFER’s , 6 th EDITION. 3.TEXT BOOK OF ORAL MEDICINE ANIL GOVINDRAO GHOM , 2 nd EDITION. 4.COLOR ATLAS OF CLINICAL ORAL PATHOLOGY NEVILLE,DAMM,ALLEN,2 nd EDITION 5.INTERNET

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