Sjogrens Syndrome Flashcards
Causes of a dry mouth?
psychogenic - depression, anxiety, hypochondriasis drugs radiotherapy dehydration sarcoidosis HIV sjogrens
what is sjogrens?
autoimmune chronic inflammation of tear and salivary ducts. Primary and Secondary
what is secondary sjogrens associated with?
rheumatoid arthritis, SLE, PBC, MCTD
EU-USA diagnosis criteria?
require serological markers or positive labial gland biopsy
features and symptoms of sjogrens?
dry mouth, dry eyes, erythematous/lubulated tongue, oral discomfort, hard to talk, swallow, salivary gland swelling, poor denture retention, altered taste, susceptible to infection, increased incidence of lymphoma
new treatments for sjogrens?
pilocaipine - orally 5mg up to 3 times/day
acupuncture
types of artificial saliva?
orthana - spray bioextra - gel glandosane - spray lubrant - carbomethylcellulose salinum - based on linseed oil
what is orthana?
spray
gastric mucin, NaF, xylitol
NHS prescirbed
what is bioextra?
gel
lactoperoxidase, lactoferrin, xylitol
prescribed on NHS
what is glandosane?
aerosol. on NHS, low pH = problem
what are salivix pastilles?
sugar free, malic acid on NHS
sugar free sweets?
tooth friendly symbol = acceptable
what can a lack of saliva cause?
opportunistic oral infections
perio disease
caries
how to treat fungal infections?
nystatin
amphotericin C - only one sugar free
both come as lozenges or rinses
chairside advice for dry mouth?
OHI, topical F, diet advice, atomiser with water
