Drooling

Question 1

The unintentional spillage of saliva from mouth

Answer 1

Drooling

Question 2

Secretions pooling in the hypopharynx and contribute to aspiration

Answer 2

Posterior drooling

Question 3

3 major pairs of glands in the mouth

Answer 3

Submandibular

Sublingual

Parotid glands

Question 4

Submandibular

Answer 4

Produce saliva through ducts in front of the mouth just under the tongue

Question 5

Produce saliva through ducts in front of the mouth just under the tongue
Produce thick and mucousy saliva

Answer 5

Sublingual

Question 6

Produces saliva through ducts which open into the mouth near the second upper molar teeth

Answer 6

Parotid glands

Question 7

Functions of saliva

Answer 7

Lubricates
Food for chewing
Tongue and lips during speech
Cleanses teeth and gums
Regulates acidity/toxins
Destroys microorganisms
Taste
Initiates carb digestion
Facilitates chewing and swallowing
Begins enzymatic breakdown of proteins and carbohydrates
Protections from dental disease and oral infection
Ease of articulator movement for speech production

Question 8

considerable amounts of saliva

Answer 8

3 months

Question 9

can control saliva when supine, but drool more frequently when sitting upright to prone

Answer 9

6mo

Question 10

ATYPICAL DROOLING COMMONLY SEEN in

Answer 10

Cognitive impairment
CP
Neuromuscular d/o
Dysphagia
SPD

Question 11

Abnormal drooling can be due to

Answer 11

Lack of awareness
Inadequate lip closure
Absent/impaired oropharyngeal sensation
Abnormal movement/tone of tongue and lips
Reduced frequency/difficulty swallowing
Poor posture
Dental problems
Mouthing of objects
Medication

Question 12

Negative effects of drooling include

Answer 12

Physical, social, and psychological effects

Question 13

PATHOPHYSIOLOGICAL MECHANISM of saliva

Answer 13

Overproduction of saliva
Incoordination of swallowing pattern
Reduction in the rate of swallowing
Sensory integration: reduced awareness of the presence of secretions
Open mouth posture: poor muscle tone/strength, nasal obstruction
Medication side effects: clozapine, compazine, nitrazepam

Question 14

How is drooling assessed?

Answer 14

General health
Medications
Dental history
Eating and drinking
Communication abilities

Question 15

SLP assessment of drooling

Answer 15

assesses oral and pharyngeal sensorimotor components

Question 16

ENT assessment of drooling

Answer 16

medical evaluation, particularly of the aerodigestive tract

Question 17

OT assessment of drooling

Answer 17

posture, head/neck/trunk control

Question 18

Dental assessment of drooling

Answer 18

level and effectiveness of dental care

Question 19

Description of the drooling problem:

Answer 19

Amount
Timing
Extent
Contributing factors
Psychological

Question 20

Drooling severity

Answer 20

1) Dry
2) Mild - wet lips
3) Moderate - wet lips and chin
4) Severe - clothing damp
5) Profuse - clothing, hands and objects wet

Question 21

Tx options for drooling

Answer 21

Reassurance with/without re-assessment
Eliminate situational factors
Pharmacological treatment
Surgery
Therapy

Question 22

THERAPY for drooling

Answer 22

Oral motor therapy
Behavior modification

Question 23

Oral-motor therapy

Answer 23

Increase oral sensations
Coordination/strength
Improve swallow function

Question 24

Behavior modification

Answer 24

Patient must be highly motivated and have mod-high cognition

Goals:
Increase sensory awareness
Retrain habitual open mouth posture
Increase voluntary swallowing rate

Question 25

EFFECTS OF DROOLING

Answer 25

Saliva causes staining of clothes and can smell and be offensive if the drooling is severe .
When children are young, waterproof backed bibs can be changed frequently .
As children grow older, there needs to be more appropriate ways of disguising the drooling