Managing Problems with Saliva Flashcards
what is cephalic control of salivation
inhibition of salivation as anxiety directly causes real oral dryness
what is cephalic control of perception
altered perception of reality where normal information comes from the mouth is misunderstood by small changes at the synapses as it is processed
how do you test salivary flow
test for unstimulated salivary flow by spitting into a tube for 15 minutes
how many mls of saliva is expected for normal salivary flow
more than 1.5ml
what are the treatable causes of dry mouth
dehydration
medicines with anti-muscarinic side effects
poor diabetes control
somatoform disorder
what dry mouth conditions can only be treated with symptomatic treatment
sjogrens syndrome
dry mouth from cancer treatment
dry mouth from salivary gland disease
what are the treatment options for the cases which can only be treated symptomatically
intensive dental prevention
salivary substitutes
salivary stimulants
what tissue exam is used for investigating dry mouth
labial gland biopsy
when is sialography used
where obstruction is suspected
what imaging is preferred for salivary gland investigation and why
salivary ultrasound because there is radiation in sialography
what are the blood tests for dry mouth
Us and Es and glucose = dehydration
autoimmune disease = autoantibodies
complement levels
what is the dentists role in managing dry mouth
prevention of oral disease
what salivary substitutes are available
sprays
lozenges
salivary stimulants - pilocarpine
sip water
what are the true causes of hypersalivation
drug causes
dementia
CJD
stroke
what are the perceived causes of hypersalivation
swallowing failure
postural drooling
