Evaluation, differential diagnosis, and treatment of xerostomia.
J Rheumatol Suppl
; 61: 6-10, 2000 Dec.
Article
em En
| MEDLINE
| ID: mdl-11128701
ABSTRACT
The salivary component of Sjögren's syndrome (SS) is defined as xerostomia (dry mouth). However, xerostomia is a common symptom associated with quantitative and qualitative changes in saliva, which are generally referred to as salivary hypofunction. This can be caused by various systemic diseases (including SS), anticholinergic effects of many drugs, psychological conditions, and physiological changes. Chronic salivary hypofunction is clinically significant because it can cause oral dysfunction, dental destruction, and mucosal infection. Evaluating patients complaining of xerostomia requires particular attention to their current medications and physical examination of the major salivary glands, teeth, and oral mucosa. Based on that information and the differential diagnosis of salivary hypofunction, appropriate tests can then be selected to develop a final diagnosis. Effective treatment of patients with chronic salivary hypofunction requires a combination of (1) ongoing dental decay prevention and treatment supervised by their dentist; (2) salivary flow stimulation; (3) recognition and treatment of chronic oral candidiasis; (4) selective use of saliva substitutes; and (5) prescription drug review.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Xerostomia
/
Síndrome de Sjogren
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Qualitative_research
Limite:
Humans
Idioma:
En
Revista:
J Rheumatol Suppl
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Estados Unidos