Download “What`s the Dry Idea? Caring for those patients with Xerostomia

“What’s the Dry Idea? Caring for those patients with Xerostomia”
Presented by:
Shannon Nanne, RDH
[email protected]
216-288-3232
Xerostomia
Discuss causes and problems
Recommend guidelines for care
Review clinical observations
Patient management ideas
Oral care products available
Xerostomia
The term ‘xerostomia’ refers to the patient’s perception of oral dryness…Do I have dry mouth????
‘Xerostomia’ is not usually a solitary symptom.
There is a wide variety of ‘oral’ and ‘non oral’ symptoms associated with this condition.
ORAL AND NON ORAL SYMPTOMS REPORTED BY XEROSTOMICS
Dentures
Dry mouth can also affect how your dentures fit.
Tests prove, when you have a dry mouth, normal denture adhesives don't work well.
Sjögren’s Syndrome
*An autoimmune disease that causes dryness.
*The lymphocytes invade and damage the moisture- producing glands, such as tears and saliva glands.
Sjögren’s Syndrome
*Primary : Occurs by itself and is not associated with other diseases.
*Secondary : Occurs in association with other forms of arthritis such as rheumatoid arthritis, lupus or scleroderma (hard skin).
Refresh Preservative Free Eye Drops
Refresh® Celluvisc® Lubricant Eye Drops, restores the moisture your eyes crave with a gently protecting and lubricating formula that has some
of the same healthy qualities as natural tears.
With use of these drops, you can enjoy long-lasting relief from the irritating, scratchy feeling of dry, irritated eyes.
Thicker formula.
PROTECTIVE FUNCTIONS OF SALIVA
Lubrication
Antibacterial and Antifungal
Promotes Remineralization
Cleanses the Oral Cavity
Buffering
Prevents Damage to Mucosa
What is Saliva?
A clear solution primarily consisting of water that is secreted from the major and minor salivary glands.
Contains antibacterial, antifungal and antiviral agents to balance the oral flora and inhibit bacterial colonization.
What is Saliva?
Whole saliva also contains:
crevicular fluid
serum and blood cells
bacteria and bacterial products
desquamated epithelial cells
cellular components
viruses
fungi
food debris
bronchial secretions
Anatomy
Clinical Observations
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Tongue Scraping
Less saliva means less oxygen.
If there is less oxygen available in the oral environment you have an anaerobic environment, which is perfect for sulfur-producing bacteria.
In essence, the bacteria are now capable of making high levels of sulfur gases, which in turn make the breath and taste worse.
Dental research proves that a clean tongue helps maintain fresh breath and optimize oral hygiene. Tongue cleaning is a highly acclaimed
adjunct to brushing and flossing.
Why Clean your tongue?
Organisms on the tongue can contribute significantly to periodontal diseases and tooth decay.
Debris on the tongue has been directly related to oral malodor.
-Gordon Christensen, JADA, Vol. 129, November 1998
Why clean your tongue?
It is now clear that the most important source of oral malodor is the microbial deposits on the tongue.
The tongue plays the most important role in harboring organisms that contribute to oral malodor.
Oral bacteria residing on the tongue are chiefly responsible for bad breath.
-ADA
Council on Scientific Affairs JADA, Vol. 134, February 2003
Biocurv Medical Instruments is a team of Dentists & Specialists dedicated to making the finest tongue cleaners in the world and educating
dental professionals of the importance of complete oral health care.
Together we can make a positive difference!
Metals can be sterilized an infinite number of times
The Tongue Sweepers “Edge”
How to sweep the tongue…
With mouth open and tongue extended, gently pull the Tongue Sweeper across the top surface of the tongue from back to front in a sweeping
motion.
Rinse your Tongue Sweeper after every use and occasionally disinfect in a dishwasher or wet autoclave.
LEXI-COMP
Drug Information Handbook
Designed for all dental professionals requiring quick access to concisely-stated drug information pertaining to commonly prescribed
medications.
Each drug monograph is alphabetically organized by brand and generic name. Dental-specific content is highlighted in red, providing the
information you need most within seconds.
Why should toothpaste be
Sodium Lauryl Sulfate-FREE?
Once this protective layer has been compromised, the underlying tissue is more vulnerable to irritants.
In a recently published study, an 81% reduction in mouth sores was found in participants when using a non-SLS toothpaste.
SLS FREE Options
REMBRANDT® GENTLE WHITE Toothpaste (formerly Canker Sore)
REMBRANDT® Canker Sore Toothpaste has a new look and name, REMBRANDT® GENTLE WHITE toothpaste, but the same great formula. It is
specially formulated to be gentle enough for mouths prone to canker sores while still providing effective teeth whitening. SLS- and surfactantfree, this gentle formula actively restores and strengthens the enamel on your teeth.
Debacterol
Debacterol is indicated in the topical treatment of Recurrent Apthous Stomatitis (Canker Sores).
Debacterol provides relief from the pain and discomfort of oral mucosal ulcers and helps decrease the risk of infection of the ulcerated tissue.
DEBACTEROL
Debacterol is a dark brown, semi-viscous liquid.
It contains 50% sulfonated phenolics, which are antiseptic agents with topical analgesic properties, and 30% sulfuric acid, which is a tissue
denaturant and sterilizing agent, in a aqueous solution.
A one-time, five-second topical treatment.
Available through Epien Medical (Melissa)
Toll Free: 1-888-884-4675 $49.99 / 12
Aloclair ™ Gel & Spray
Pain-Free Relief from cankers and small mouth sores
No numbing benzocaine, no stinging hydrogen peroxide, no burning alcohol.
Provides immediate pain relief from cankers, braces, dentures and small mouth sores.
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Micro-thin, invisible, bioadhesive, protective barrier which adheres to mucosa and seals off the nerve endings, providing instant relief for about
6 hours
Rincinol
Fast, pain-free relief from canker and mouth sores
Forms a thin, invisible, protective coating that promotes healing
Prevents irritation of sensitive nerve
endings for hours
No numbing benzocaine
No stinging hydrogen peroxide – No
burning alcohol
Aloe Vera helps soothe, hydrate and heal
Swish for 60 seconds
Viroxyn
San Francisco – October 19, 2012 – Quadex Labs, a healthcare research and product development company, announced today the release of
Viroxyn Professional Use, a single application cold sore product available exclusively through healthcare professionals.
The patented no-touch system contains 7.5% benzocaine to numb the site of the cold sore, making it possible to address the virus itself. This
starts the healing process immediately, and provides the best clinical outcome per dose of any prescription or over-the-counter (OTC) cold sore
medication.
Adults and children over 2 years of age
Viroxyn
Active Ingredients:
Benzalkonium Chloride 0.3%Cold Sore/Fever Blister Treatment
Benzocaine 7.5% Pain Relief During Application
Viroxyn
Viroxyn® is a unique approach to treating cold sores/fever blisters.
For most people, Viroxyn® is a single-application treatment, and has been proven to shorten the duration of outbreaks from 10 days to three to
four days. Many patients report pain relief within minutes of application.
The active ingredient in Viroxyn® is considered by the FDA to be safe and effective when used as a germicidal treatment of open skin wounds.
Viroxyn® is applied topically, and works by acting directly on the mature virus.
Radiation Decay
Varnish
Duraphat
Duraphat releases fluoride for 28 weeks. Two-thirds of the fluoride is released by 6 months.**
There is less fluoride ingestion with a fluoride varnish than with conventional office caries treatments because the fluoride adheres to the
tooth surface for longer periods of time.
No special equipment is needed for the application.
Teeth do not need to be professionally cleaned prior to varnish application.
Children can eat and drink immediately after application.
Duraphat
Fluoride varnish can prevent decay in both smooth surface and pit and groove sites.
It needs to be applied two or more times a year.
It is fast and easy and can be done in one appointment with no injections. This varnish is a sticky, yellow semi-liquid containing 5% sodium
fluoride in a resin base mixed with alcohol to dry quickly after application.
You can leave immediately after application.
OMNII Sodium Fluoride Varnish
3M ESPE
Ultradent Flor-Opal
Controlled delivery
Uniform distribution of fluoride
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Easy application in difficult-to-reach areas
5% sodium fluoride varnish suspended in a natural resin carrier
Varnish is applied to enamel and exposed dentin as a fluoride treatment.
Xylitol is a sweetener found in many fruits and vegetables, and is even produced by the human body during its normal metabolism of glucose.
Xylitol is typically manufactured from birch trees, or other natural xylan-rich sources.
Why Xylitol?
It reduces Caries because xylitol alone actually inhibits the growth of Streptococcus mutans, thereby reducing caries susceptibility.
Xylitol’s pleasant sweet taste stimulates salivary flow, which in turn increases plaque pH and neutralizes acids produced from other fermentable
carbohydrates.
The increased flow of saliva will also promote the remineralisation of early caries lesions.
Why Xylitol?
Plaque that forms when using xylitol products is less sticky than sucrose-induced plaque. This type of plaque is less adhesive enabling easier
removal when brushing and flossing.
Including xylitol in a fluoride toothpaste results in a 12% reduction in decay filled surfaces after three years, compared with the fluoride only
toothpaste.
www.xylitol.org
How much xylitol should one eat per day?
The anticariogenic effect of xylitol stems partly from the affected bacteria population in the mouth and partly from the properties of saliva.
Xylitol is a natural and convenient way of supplementing daily dental care.
Research shows that a mere 5-10g/ day is enough. In practice, this means 3-8 pieces of chewing gum a day. The pieces should be chewed
immediately after a meal or a snack. If you eat more snacks, you of course need more frequent help from xylitol.
Xylitol containing gum:
Dogs and xylitol
The Xylitol causes dogs to secrete insulin so their blood sugar drops very quickly. The second thing that happens is liver failure.
The increase in insulin leads to hypoglycemia (lowered sugar levels). Blood sugar has been known to drop from 90 to 59 in 30 minutes.
Initial signs of toxicosis include vomiting, lethargy, and loss of coordination — and can even result in seizures. Elevated liver enzymes and liver
failure can be seen within a few days.
Induce vomit, give a charcoal drink to absorb the toxin, then they would start an iv with dextrose.
Other foods to avoid - Dogs
Alcohol (vomiting, diarrhea, decreased coordination, central-nervous-system depression, difficulty breathing, tremors, abnormal blood acidity,
coma and even death)
Avocado (persin = vomiting and diarrhea)
Macadamia Nuts (depression, vomiting, tremors, and hyperthermia)
Grapes & Raisins (kidney failure)
Yeast Dough (intestines to rupture)
Onions, Garlic, Chives (GI irritation)
Salt (excessive thirst and urination)
Chocolate (theobromine = seizures)
Other Sugar Alcohols
Sorbitol is the alcohol form of sucrose, manufactured from corn syrup. It occurs naturally in fruits and vegetables.
Mannitol is the alcohol form of mannose. It occurs naturally pineapples, carrots and asparagus. Mannitol is extracted from seaweed for use in
food manufacturing.
Oral Cancer Facts
Accounts for 3.6% of all cancers diagnosed.
30,000 new cases reported annually in U.S.
Mostly occurs in people over 45 years old.
Men are twice as likely as women to develop oral cancer.
Roughly 9,000 deaths annually.
Fewer than ½ cases cured because of late diagnosis.
Oral Cancer Facts
One American dies every hour from oral cancer
Survival rate has not changed significantly in over 40 years
Late detection: 70% of oral cancer lesions identified during visual exam alone are detected in stages III and IV
59% 5-year survival rate; poor quality of life
More than 25% of oral cancer victims don’t use tobacco
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Chemiluminescence
TBlue Stained Lesion Biopsy Results
Oral CDX
Brush firmly and repeatedly (may require 15 or 20 rotations) over the center as well as at the periphery of the spot.
Transfer cells directly from the brush to the slide rotating the brush over the entire length of the slide.
Open the envelope that contains the fixative and apply directly to the entire slide.
Let the slide dry for approximately 15-20 minutes and then place it into the plastic container.
The slide holder and the test requisition form are returned to OralCDx Laboratories by mail in the convenient pre-paid box. Results are faxed to
office.
www.oralcdx.com
Oral Cancer Causes
Carcinogens in tobacco, alcohol and betel nut. (Some people chew tobacco with betel nut).
When tobacco and alcohol are combined, the risk of oral cancer increases 15 times.
Excessive exposure to sun.
Genetically inherited.
Human papillomavirus infection.
Warning Signs of Oral Cancer
Red, white or discolored lesions, patches or lumps in or around the mouth.
Typically painless, although as the cancer spreads, lesions become painful.
Swelling, growth or lump anywhere in or about the mouth and neck.
Repeated bleeding from mouth or throat.
Difficulty swallowing and persistent hoarseness.
Coffee: Awakening the Fight Against Oral Cancer
American Cancer Society’s study concluded that there is in fact a strong association between [caffeinated] coffee consumption and a
decreased rate of oral/pharangeal cancer mortality.
Consuming more than four cups of caffeinated coffee per day was associated with a 49% decrease in risk from dying from oral/pharangeal
cancer (when compared to zero or minimal consumption).
Oral Cancer Screening
Normal Saliva Production
Salivary glands secrete about 2 to 4 pints (or about 1 to 2 liters) of spit into your mouth every day!
Can we test saliva flow???
YES YOU CAN!!!!!
Saliva plays a significant role in maintaining Good Oral Health. Healthy saliva contains Calcium and Phosphate as well as trace amounts of
Fluoride. Calcium and Phosphate help to buffer the acids from plaque and deliver the minerals necessary to remineralize the tooth.
SALIVA IS NATURES #1 DEFENSE AGAINST DECAY!
Saliva Check
SALIVA CHECK TESTS FOR PH, BUFFERING CAPACITY AND OVERALL QUALITY OF YOUR SALIVA.
THIS SIMPLE 10 MINUTE TEST WILL GIVE YOU AND YOUR DENTAL CARE PROVIDER A BETTER UNDERSTANDING OF YOUR SALIVA
CHARACTERISTICS.
THIS TEST GIVES YOU AND YOUR DENTIST VALUBLE INFORMATION TO DETERMINE TREATMENT CHOICES AND STRATEGIES.
SALIVA
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Welcome to the Family….
Superior Oral Health
Superior Results
UV Sanitizer
Philips Sonicare FlexCare comes packaged with a UV Sanitizer; the first integrated power toothbrush with a sanitizer.
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The Sanitizer’s UV Clean technology helps safeguard against up to 99 percent of certain germs found on brush head(s) clinically shown to
reduce Streptococcus Mutans, E Coli and Herpes.
Patients have the choice to purchase FlexCare with the integrated UV Sanitizer or a stand-alone sanitizer that is compatible with other
rechargeable power toothbrush heads.
Sonicare for Sensitivity
Sonicare has extra-soft, nylon bristles and an extra-wide sweeping motion, and it’s clinically proven to be gentle yet effective at removing
bacteria and keeping your mouth clean and healthy, even if your teeth are sensitive.
Brush heads are extremely important to the effectiveness of a Sonicare. The ADA and Philips Sonicare recommend brush head replacement
every three months for optimal plaque removal results.
NEW Sensitive brush head
Gentle, Effective Cleaning
Our latest brush head innovation is designed for patients who have sensitive teeth or gums but still want the dynamic cleaning action of
Sonicare.
Ultra-soft bristles at the core of the bristle field — 25% softer than our standard ProResults brush head
Bristles are trimmed in a domed shape, designed to apply less pressure on sensitive teeth and gums
Fits DiamondClean, FlexCare+, FlexCare, HealthyWhite and EasyClean
NEW Sensitive brush head
Gentle, Effective Cleaning
Sensitive brush head removes up to 54% more plaque than a manual toothbrush
New interproximal cleaning device designed to give patients an easy, effective way to clean in between teeth
Product Overview
Clinical Research
Compliance / Ease of Use
Superior Results
Better checkup in 90 days / Whiter teeth in 28 days
Dynamic cleaning action beyond the bristles
Sonicare®
High Frequency / High Amplitude
Use of a Sonicare toothbrush is helpful in the treatment of saliva hypofunction.
Sonicare Elite e9000
Scientific Benefits
Superior plaque removal in hard-to-reach areas
Removes 40% more plaque than a manual toothbrush
Disrupts 3 times more plaque biofilm beyond the bristles
Safe & gentle on hard & soft tissues
Advanced stain removal
Reduces gingivitis
Slide courtesy of Sonicare
Sonicare Elite® e9000 series designed with the innovative Custom Care System
Customized brushing experience
2 Brush Head Sizes
Standard & Compact
2 Cleaning Modes
Max & Gentle
Advanced
Easy to use
Designed around you
Philips’ patented sonic technology
Slide courtesy of Sonicare
New Sonicare Elite e9000
Sonicare®Elite®
Fluid Dynamic Cleaning Action
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95% patients- improved overall oral hygiene
92% patients- improved periodontal status
93% patients- were satisfied with Sonicare Elite
2 out of 3 dental professionals noted improvement in their own oral health
98% of dental professionals would recommend Sonicare Elite to their patients
Biotene Dry Mouth Toothpaste
Contains the patented Enzyme LP3-Complex s that kills unhealthy bacteria while helping maintain healthy bacteria.
Contains Aloe Vera to heal damaged and irritated tissues.
Clinically proven to inhibit harmful microorganisms associated with gingivitis and oral irritations.
Promotes healing of bleeding gums and inflammation.
Fights both the causes and effects of Halitosis (bad breath).
Sweetened with xylitol.
Contains no Sodium Lauryl Sulfate.
Biotene PBF Toothpaste
Contains Mutanase and Dextranase, patented plaque dissolving enzymes to control plaque build-up.
Includes Biotene enzyme system.
Sweetened with xylitol.
Reduces excess tartar, less inflamation, bleeding and tooth decay.
Biotene Sensitive Toothpaste
This breakthrough formulation combines potassium nitrate, the most effective active ingredient for protection against tooth sensitivity with
Biotene's exclusive Enzyme LP3 Complex™ for the soothing treatment of dry mouth.
Multi-Protection Formula
Maximum sensitivity protection with Biotene's advanced Enzyme LP3 Complex™ for dry mouth relief
Promotes healing of bleeding guyms and inflammation that can cause tooth sensitivity
Delicious flavor fights cavities and the causes and effects of bad breath
WHAT IS MI Paste?
MI Paste
For Xerostomia / High Caries Risk
MI PASTE
Recaldent technology
In order for the fluoride ion ( - charge) to penetrate enamel, a calcium ion ( + charge) is needed to penetrate enamel
This drives the Fl ion into enamel
We need to keep enamel out of demineralization.
Recaldent technology does just that!
RECALDENT
A sticky milk protein, that sticks to bacteria to wait for acid attack.
3 ½ hour half life.
Over 120 research articles.
Others are not stable for remineralization.
ACP ( Amorphous Calcium Phosphate) is a desensitizing agent, but needs CPP (Casein Phosphopeptide) to stabilize it.
Reverses lesion with subsurface remineralization. Fluoride works from the outside in, not just the superficial top layer.
MI Paste Plus
MI Paste or MI Paste Plus ?
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Decalcification
FREQUENTLY ASKED QUESTIONS FOR THE DENTAL PROVIDER
Tom’s of Maine
A patent-pending breakthrough formula, our Natural Clean & Gentle Care Toothpaste uses the natural ingredient glycyrrhizin (from purified
licorice root) to create a patent-pending natural foaming experience for ingredient dispersal without SLS. Glycyrrhizin needs no additional
processing and is gentle on gums. We’ve also added cooling xylitol (from birch trees or corn) to soothe a dry mouth.
Tom’s of Maine Dry Mouth Soother
SLS-free
The foaming properties of glycyrrhizin (from purified licorice root) replace the need for SLS (which may, for some people, occasionally be
irritating) or an SLS alternative.
Soothing brushing experience
We’ve added xylitol (from birch trees or corn), gentle glycerin, and organic aloe for their soothing properties.
Prevents cavities
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Naturally sourced fluoride remineralizes soft spots on teeth before they turn into cavities.
Mild non-mint flavor
Delicious natural flavor oils leave your mouth feeling clean and fresh.
Tom’s of Maine
Glycerin for moistening.
Xylitol for soothing.
Contains Sodium Lauryl Sulfate.
“We use SLS in our toothpaste to properly disperse the ingredients and ensure easy rinsing.”
Spry Xylitol Toothpaste
The Spry Dental Defense System is a family of products from the makers of popular Xlear Nasal Wash. All Xlear and Spry products contain Xylitol
- a natural sweetener.
Colgate Prevident 5000 Toothpaste
Unique liquid gel formula1
Enables faster fluoride dispersion than paste form Rx toothpaste
Significant remineralization of root caries in as little as three months (38%) and six months (57%)2
Therapeutic decay prevention safe for exposed root surfaces
SLS-free formula
Soothing Mint flavor
Sunstar Butler
The efficacy of non-alcohol CHX rinses is supported by a number of clinical and in vitro studies.
Studies in the US and Europe have shown that a non alcohol CHX rinse is equally as effective as one with alcohol.
The FDA approved the new GUM CHX rinse as therapeutically equivalent to currently available CHX rinses - all which contain alcohol.
FDA-approved alcohol FREE CHX rinse.
"The GUM® brand oral rinse is unlike all the other chlorhexidine gluconate rinses on the market," remarked Michael G. Bava, President of
Sunstar Butler. "It is important to note that alcohol does not make CHX more effective; it's not necessary for any patients, not appropriate for
many, and not desirable for most."
All other chlorhexidine gluconate rinses sold in the US contain 11.6% alcohol by volume.
Biotene 100% CPC and Alcohol FREE
Contains the patented Enzyme LP3-Complex s that kills unhealthy bacteria while helping maintain healthy bacteria.
Contains Aloe Vera to heal damaged and irritated tissues.
Specially formulated to clean and soothe oral discomfort and irritations pre and post surgically.
Ph 5.0 – 5.5, close to Ph of the mouth.
Acts quickly to help neutralize mouth odors.
Promotes gingival health without detergents, strong flavors, CPC, artificial colors and the stinging of alcohol.
Works without staining.
CETYLPRIDINIUM CHLORIDE
CPC becomes ineffective when it comes in contact with Fluoride. (JCP Volume 30, issue 3, page 255, 3/03)
0.05% CPC is a category III drug and has not be reclassified to a class I drug to a lack of data to support it’s safety and effectiveness. (59 Fed Reg.
6084) (Feb 9, 1994)
Alters Oral Microflora
Alters Taste
Biotene Mouthwash
INTRODUCING ANOTHER INDUSTRY
1ST FROM BIOTENE
Plaque-Bioflim Dissolving Formula Mouthwash
New!
BIOTENE PBF Mouthwash
Plaque-Biofilm DISSOLVING Formula
New
Biotene PBF Mouthwash
Biotene Mouthwash Biotene PBF
Indicated for all xerostomia patients
Patients that have normal plaque build up
Patients that have healthy saliva
Indicated for any patient that has excessive plaque build up, making dental cleanings easier!
Used to control plaque build up between dental cleanings for patients that have dry mouth, unhealthy saliva, unhealthy diets, systemic
disease, and manual dexterity problems
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INTRODUCING ANOTHER INDUSTRY
1ST FROM BIOTENE
New!
BIOTENE PBF Mouthwash
Plaque-Biofilm DISSOLVING Formula
Oasis Mouthwash
Glycerin for moisturizing.
Ph 6.0.
Contains Cetylpryridinium Chloride.
Uses Sorbitol for sweetener.
Contains FD&C Blue no. 1 dye.
Contains Sodium Saccharin.
Tom’s of Main Mouthwash
Tom’s of Main Mouthwash
Our alcohol-free fluoride mouthwash provides additional cavity protection for those who wish to supplement their daily dental regimen. Xylitol,
a cool, flavorful natural ingredient from birch trees, helps soothe a dry mouth, and naturally-sourced fluoride helps prevent cavities. We've also
added the antioxidant green tea as well as aloe vera leaf juice and chamomile for a soothing feel.
Toms of Maine
Alcohol free and gluten free, using pure essential oils that give you a clean, fresh-feeling mouth.
Water, glycerin, propanediol (vegetable source), poloxamer 335, xylitol, natural flavor, benzoic acid, menthol
Oxyfresh
Unflavored Mouthrinse
Oxyfresh Mouthrinses contain the exclusive proprietary ingredient Oxygene®, which safely and completely destroys odors that cause bad
breath at their source! Oxygene® literally dissolves odor-causing microorganisms by attacking volatile sulfur compounds (VSCs), neutralizing
their odorous by-products and the harmful effect they have in the mouth.
This formula has been carefully designed to contain no flavoring or sweeteners of any kind.
Crest Pro-Health Rinse
Alcohol-Free.
Contains Cetylpryridinium Chloride.
Contains FD&C Blue no.1.
Contains glycerin.
Contains Sodium saccharin.
BreathRx Antibacterial Mouth Rinse
With ingredients including CPC and Zytex, BreathRx Antibacterial Mouth Rinse attacks bad breath at it's source.
Alcohol free
Oral Balance Moisturizing Gel
Soothes and protects dry oral tissues from minor irritations, itching and burning sensations
Provides up to 8 hours of comfort
Contains Biotène's antibacterial enzymes to help neutralize odors and unpleasant taste.
Non-drying formula also helps mouth breathers
Improves retention under dentures
Xylitol sweetened, pleasant tasting gel formula
BioXtra
Lactoperoxidase, Lactoferrin, Lysozymes and immunoglobulins which are all extracts of natural salivary components.
Other ingredients include Xylitol, Fluoride, Whey Extract, Aloe Vera, Glucose Oxidase and moisturiser.
Biotene Dry Mouth Spray
Triple Enzyme Protection
Xylitol
Natural Formulation
Tastes Great
Soothes, Moistens, Promotes Healing
Balances Oral Enviroment
Oral Balance Moisturizing Liquid
Relieves DRY MOUTH no matter what the cause!
Suitable for anyone with dry mouth symptoms. Can be used often as needed or as an everyday mouth moisturizer.
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Soothes and Moistens
Using the state-of-the-art moisturizers, coats tender mouth tissues for long-lasting protection from dryness. Enhanced by pampering textures
and a soft flavor to relieve burning sensations.
Promotes Healing
Contains Biotène Bio-active enzymes with essential Amino acids to recreate the natural protection found in the mouth.
Freshens Breath
The Bio-active enzymes also inhibit the causes and effects of odor causing bacteria.
GC America Dry Mouth Gel
GC Dry Mouth Gel:
• Has a neutral pH
• Sugar-free and alcohol free
• Pleasant tasting – comes in five delicious flavors, fruit salad, lemon, mint, orange and raspberry
Polyglycerol (Dglycerol)
Pure water
Sodium carboxymethylcellulose
Carrageenan
Sodium citrate
Flavour
Ethyl p-hydroxybenzoate
More Salivary Substitutes
Salivary Substitutes
Salivart®
ORAL MOISTURIZER
Naturally relieves dry mouth and throat. Salivart® Oral Moisturizer is a gentle, aerosol spray that is non-irritating. The unique aerosol delivery of
Salivart coats the oral mucosa thoroughly and efficiently.
Salivary Substitutes
Mouth Kote contains natural mucopolysaccharides, extracted from the Yerba Santa plant. These mucopolysaccharides mimic the glycoproteins
in saliva by holding the aqueous component in contact with the epithelial cells, which protects moisture. Mouth Kote is sugar and alcohol free
with a pleasant lemon-lime taste, and is sweetened with Xylitol which has been shown to help resist the formation of dental caries. Patients
with partial salivary function using Mouth Kote may experience relief for up to five hours.
Rain Dry Mouth Spray
Xlear, makers of Spry
Ingredients:
Purified Water, Xylitol, Aloe Vera Concentrate, Vegetable Glycerin, Natural Spearmint Flavoring, Calcium Glycerophosphate, Cellulose Gum, and
Grapefruit Seed Extract as a preservative.
Numoisyn
Align Pharmaceuticals
TheraSpray
Sweetened with Xylitol
- Vanilla Mint Flavor
- Alcohol - Free
- Fights plaque with Microdent®
- Fits easily in your pocket
- 18 ml. pump dispensed container
Helps to stimulate saliva flow and prevent plaque for a cleaner, fresher feeling mouth.
Stoppers 4 Dry Mouth Spray
Water (Deionized), Glycerin, Xylitol, Hydroxyethyl Cellulose, Lysozyme, Lactoferrin, Glucose Oxidase, Spearmint Flavor (Natural), Sodium
Benzoate
Pilocarpine
Pilocarpine is a "cholinergic" drug, that is, a drug that mimics the effects of the chemical, acetylcholine which is produced by nerve cells.
Acetylcholine serves as a messenger between nerve cells and between nerve cells and the organs they control. For example, acetylcholine is
responsible for causing the salivary glands to make saliva and the lacrimal glands to make tears to lubricate the eyes.
Pilocarpine
SIDE EFFECTS: Excessive sweating (diaphoresis) is a frequent side effect of pilocarpine. Other side effects include chills, dizziness, excessive
tearing, flushing, voice change, stuffy nose, tremor, increased need to urinate, visual disturbances, diarrhea, difficulty swallowing, abdominal
pain, nausea, vomiting, and slow heart rate.
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Pilocarpines
Evoxac (generic name cevimeline) is a newly approved drug for treating dry mouth. In studies involving people with Sjogren's Syndrome, Evoxac
reduced dry mouth symptoms in about 75 percent of those who used it. The most common side effects of Evoxac are excessive sweating,
headaches, blurred vision, and nausea.
Salagen (pilocarpine), a prescription tablet, can also be used to treat dry mouth. In studies, most people had significant relief of dry mouth
symptoms. Each dose of Salagen increases salivary-gland output for up to two hours. The most common side effects of Salagen include
sweating, headache, and nausea.
Super Soft Toothbrush
Extra soft and tapered 0.003 bristles, assure a gentle cleaning without irritating inflamed or unhealthy tissues
Safely, gently and effectively remove plaque and food debris from gum-line
Over 4.000 hair-like bristles comfortably massage extra sensitive areas
Large beveled handle for comfortable hand grip and easier control
Biotene Super Soft Toothbrush
Extra soft 0.003 bristles, assure a gentle cleaning without irritating inflamed or unhealthy tissues.
Tapered bristles safely and effectively remove plaque and food debris from gumline.
Over 4.000 hair-like bristles comfortably massage extra sensitive areas.
Biotene Dry Mouth Gum
Relieves oral dryness
Effectively fights the cause and effects of bad breath
Protects between brushings
Reduces plaque and mouth sugars
Doesn't stick to dental work
Sugar-free, sweetened with
xylitol
2 Pieces recommended
XyliMelts
• Stimulate saliva flow
• The flat side of each dome is coated with a vegetable gum so that the
dome may be adhered to a molar or
the gums beside a
molar.
• Suppress harmful bacteria that flourish in a dry mouth
• Can be used while sleeping
• Last 1-6 hours in a dry mouth
• All-Natural, Sugar-free
• Available in Mild Mint or Plain Xylitol flavors
http://orahealth.com/products/XyliMelts.html
Salese / Nuvora
Xanthan gum: A natural polymer with a "slippery, saliva feel" when it makes contact with the oral mucosa. Salese's slow release technology
maintains this moist mouth-feel for prolonged periods.
Essential oils: peppermint, eucalyptol, thymol and wintergreen.
Xylitol:
Sodium Bicarbonate: Brings the pH balance of the mouth back to neutral and helps prevent demineralization.
Zinc: Neutralizes the sulfur containing compounds that causes bad breath. The basis of the polymer lozenge is cellulose.
Note: For those with very dry mouth conditions it is recommended that Salese be taken with a sip of water to activate the lozenge.
More…
“What’s the Dry Idea? Caring for those patients with Xerostomia”
Presented by:
Shannon Nanne, RDH
[email protected]
216-288-3232
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