Problems with Salivation Flashcards

1
Q

what do you examine intra-orally for examining salivary glands

A

minor salivary glands
duct orifices
fluid expression

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2
Q

what are the functions of saliva

A

acid buffering
mucosal lubrication
taste facilitation
antibacterial

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3
Q

what can cause a dry mouth

A

salivary gland disease
drugs
medical conditions
radiotherapy and cancer treatments
anxiety and somatisation

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4
Q

what is lost in salivary glands as a normal process of aging

A

acinar tissue loss

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5
Q

what anti-muscarinic cholinergic drugs can cause indirect salivary problems

A

tricyclic antidepressants
antipsychotics
anithistamine
atropine
diuretics
cytotoxics

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6
Q

what are chronic medical problems associated with dry mouth

A

diabetes
renal disease
stroke
addisons disease
persisting vomiting

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7
Q

what acute medical problems are associated with dry mouth

A

acute oral mucosal diseases
burns
vesiculobullous diseases
haemorrhage

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8
Q

what are some direct salivary gland problems

A

aplasia
sarcoidosis
HIV
gland infiltration
cystic fibrosis

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9
Q

what is ectodermal dysplasia

A

hair, nails, teeth and salivary glands all aplastic and deficient

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10
Q

what is sarcoidosis

A

granuloma change in salivary glands causing enlargement of parotid and submandibular glands

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11
Q

how does HIV affect salivary glands

A

causes lymphoproliferative changes in the gland where it increases in bulk but decreases in function

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12
Q

what is amyloidosis

A

deposition of protein in the gland which prevents the gland from working properly

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13
Q

what is haemochromatosis

A

excess storage of iron within tissue which stops salivary tissue from functioning

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14
Q

what is the effect of radiation on the glands

A

blood supply lost to gland

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15
Q

what is the effect of radioiodine on the glands

A

iodine accumulates in glands and kills of acinar cells affecting salivary function

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16
Q

what scale is used to assess mucosal dryness

A

challacombe scale

17
Q

what is included in mild dryness

A

mirror sticks to buccal mucosa
mirror sticks to tongue
saliva is frothy

18
Q

how do you treat mild dryness

A

sugar free chewing gum for 15 mins
no treatment

19
Q

what is included in moderate dryness

A

no saliva pooling in floor of mouth
tongue shows generalised shortened papilla
altered gingival architecture

20
Q

how do you treat moderate dryness

A

sugar free gum
saliva substitutes
topical fluoride

21
Q

what is included in severe dryness

A

glassy appearance of oral mucosa
tongue lobulated/fissured
cervical caries
debris on palate or sticking to teeth

22
Q

how do you treat severe dryness

A

saliva substitutes
topical fluoride
find cause and exclude sjogrens

23
Q

what tests are used for investigating salivary disease

A

blood tests
salivary flow test
tissue assay
imaging

24
Q

what sort of imaging is used for salivary gland disease

A

plain radiographs
sialography
MR sialography
ultrasound