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oral biology > dry mouth > Flashcards

dry mouth Flashcards

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1
Q

what is the symptoms of a dry mouth called?

A

xerostomia

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2
Q

what are the signs of a dry mouth called?

A

dry mouth

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3
Q

what are causes of dry mouth?

A

medicines
time of day-night
dehydration
anxiety
mouth breathing
diabetes
radiotherapy
sjrogrens syndrome
diurnal
salivary aplasia >1

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4
Q

what are the symptoms of dry mouth?

A

-difficulty eating
-difficulty swallowing
-dry mouth
-poor denture retention
-bad taste
-halatosis
-mucosa stick together
-sore mouth
-increase in caries
-salivary swelling

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5
Q

what is used to check signs of dry mouth?

A

challacombe scale

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6
Q

what do you check when using challacombe scale?

A

-mirror sticks to mucosa
-lobuled/fissured tongue
-shortened tongue papillae (smooth tongue)
-frothhy saliva
-no saliva at fom
-shiny gingivae
-cervical (Smooth surface) caries
-debris sticking to tongue

-candidias
-traumatic ulceration
-poor denture retention
-saladenitis

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7
Q

what score is each reason given?

A

1

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8
Q

what is the range of mild dry mouth?

A

0-3

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9
Q

what is the outcome for mild dry mouth?

A

routine monitoring

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10
Q

what is the range for moderate dry mouth ?

A

4-6

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11
Q

what is the outcome for moderate dry mouth?

A

further investigation if cause unknown

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12
Q

what is the range for severe dry mouth?

A

7-10

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13
Q

what is the outcome for severe dry mouth?

A

investigate-refer to check for sjrogrens

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14
Q

what is the investigation for dry mouth?

A

lean forward and dribble for 15 mins

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15
Q

what is considered normal level?

A

0.3-0.4ml/min

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16
Q

what is considered very low?

A

<0.1ml/min

17
Q

what is the treatment for mild dry mouth?

A

sugar free gum and hhydration

18
Q

what is the treatment for moderate dry mouth?

A

sugar free gum and saliva stimulating tablets- consider substitutes

19
Q

what should also be considered for moderate dry mouth?

A

fluoride due to increased caries risk

20
Q

what is the treatment for severe dry mouth?

A

saliva substitutes and fluoride

21
Q

what are examples of saliva stimulants?

A

sugar free gum
artificial saliva pastilles (saliva)
saliva stimulation tablets
xyilimelts

22
Q

what saliva stimulants require a prescription and why?

A

pastilles and stimulating tablets as they are acidic and it is required that some saliva be there to neutralise this

23
Q

what are substitutes?

A

sprays (carbox) and mucin spray

gels - last longer
biotin
oralieve (contains fluoride and anti bac)

24
Q

what is a systemic medication used for dry mouth that is not on the NHS?

A

pilocarpine

oral biology (5 decks)

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