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XEROSTOMIA Abnormal dryness of the mouth due to depression), recreational drugs. provide significantly better relief of Dehydration symptoms in patients suffering from chronic Dry mouth increases your chances of developing tooth decay and periodontal insufficient secretion of saliva disease. Makes your mouth sore and Some of the Signs and Symptoms: uncomfortable. Causes difficulties in Dry feeling in the mouth speaking. Difficulty swallowing Saliva stimulants: Altered taste sensation Burning sensation in the mouth Cracked lips Mouth sores Side effect of medications Medical treatment such as chemotherapy to Chemotherapy for cancer Some health conditions (for example: diabetes, Sjorgen's syndrome, scleroderma) Psychogenic (anxiety, stress and Alcohol-free mouth wash and frequently Sialogogue medications such as pilocarpine There were significant reductions in patients’ reporting severe dry mouth, sticky saliva, needing to sip water to swallow food, and waking up at night to drink water. Electrostimulation Device stimulate salivary flow, and slow the loss of Sends electrostimulation using the oral functional salivary gland tissue. Pilocarpine mucosa to the lingual nerve enhancing HCI has been shown to be effective when salivary reflex. used as a mouthwash for one minute in healthy individuals. Some clinicians have the head and neck area Sugar-free gum, mints or lozegens. rinsing with water. Causes of Xerostomia: radiation-induced xerostomia. also prescribed 5mg pilocarpine lollipops for 20 to 30 seconds, approximately every two hours. Used in ten minute sessions per hour; it increased the amount of saliva secreted by salivary glands. Study carried out in 13 countries by reputable universities.Convenient to use, Acupuncture: Study has showed that acupuncture electrical impulses are not felt by the compared with group oral care education patient. worn by the patient like a night guard, Dental Team Role References 1. 1.Douglas, L. ” Profile in Oral Health: substances for targeting xerostomia.”Hygiene and prevention • Recognizing & informing the patients • Consulting about their self-oral hygiene care • Recommending a change in their routine or other medications • Utilizing the Saliography profile in oral health. 3(2013):124-1270. http://www.dentaltown.com/dentaltown/article.aspx? i=314&aid=4315 2. Kim, J.H, Ahn ,H.J, Choi, J.H, Jung ,D.W ,Kwon, J.S .”Effect of 0.1% pilocarpine mouthwash on xerostomia: double-blind, randomized controlled Xerostomia Aka DRY MOUTH trial”. Journal of Oral Rehabilitation 41(2014):226235.Print Dental Care Frequent dental checkups are important if you have dry mouth. This will minimize dental decay and periodontal disease Fluoride or other preventive products may be recommended by your dentist to prevent formation of cavities Good home care is of utmost importance for people with xerostomia. Brush twice a day, and floss or use interdental irrigator to clean between teeth once daily. 3 Simcock1,R., Fallowfield2,L., Monson2,K., SolisTrapala3,L, Parlour2,L., Langridge2,C., Jenkins2,V. “ ARIX: A randomised trial of acupuncture v oral care sessions in patients with chronic xerostomia following treatment of head and neck cancer *” on behalf of the ARIX Steering Committee 4. Strietzel, F. (2011). Efficacy and Safety of an Intraoral Electrostimulation Device for Xerostomia Relief. Arthritis & Rheumatism, 63(1), 180- 190. Retrieved February 9, 2015, from PubMed-NCBI 4.http://www.huffingtonpost.com/2012/10/24/acu puncture-dry-mouth-xerostomia-head-and-neckcancer_n_2009778.html Presenters: Cristhian Galindo Irina Mamadaliyeva-baazova ShuFen Zhou