Managing Problems with Saliva Flashcards
why do we take a biopsy from minor salivary glands when assessing cause of decreased salivary flow rate
the same changes happen in both types of gland
risk of damage to CNVII when biopsying major salivary glands
minor salivary glands can be accessed more easily in the lower lip
give 5 examples of frequent somatoform diseases
oral dysaesthesia
TMD pain
headache
neck/ back pain
dyspepsia
name three medical conditions where you can only provide symptomatic treatment for dry mouth
sjogrens syndrome
dry mouth due to cancer treatment
dry mouth from salivary gland disease
what is the salivary flow rate test
less than 1.5ml unstimulated flow in 15 mins
what blood tests specifically look for dehydration in decreased saliva flow
U&Es and glucose
what blood tests specifically look for autoimmune disease in decreased saliva flow
ANA, Anti-Ro, Anti-La, CRP
what are you looking for on a salivary ultrasound
leopard spots on sialectasis
what is the schirmer test
less than 5mm wetting of test paper in 15 mins
what are you examining for in a labial gland biopsy
lymphocytes infiltrate and focal acinar disease
what is the dentist’s role in salivary disease
prevent oral disease (caries assessment/ candida awareness and reduction)
prevention (diet/ fluoride)
what are two examples of saliva substitute sprays
glandosane
saliva orthana
why is glandosane sometimes discouraged for use
has a low pH
give 2 examples of lozenges for saliva substitute
saliva orthana
SST
what is an example salivary stimulants
pilocarpine
what is an oral care system that improves the feeling of dryness and is useful for at night
oral balance
