Topical Oral Pain

Question 1

Xerostomia is..

Answer 1

Excessively dry oral cavity

Hypo-salivation

Primary caused from: decreased salivary production. (lesion or tumor possibly)

Secondary: Medication induced. ACh, dopamine increase.

• Siogrens syndrome
• Blockage of ducts
• Radiation damage
• Type II DM
• Psychiatric issues

Question 2

Xerostomia leads to..

Answer 2

Tooth decay, dysphasia (difficulty speaking)

Dysphagia (difficulty in eating or swallowing)

Impaired/Absence of Taste

Increased oral infection

Thrush

Question 3

Who is affected by xerostomia?

Answer 3

20-25% of adults

Up to 45% of elderly

Increased risk with…
age

Medications: anti-cholinergic, dopaminergic

Medical conditions: diabetes, psychiatric issues

Question 4

Xerostomia presentation

Answer 4

Dry, sticky mouth

Dentures wont stay in place

Painful, tingling tongue

Gingivitis

Gum recessions

Tooth decay

Thrush

Question 5

If you have xerostomia, you should avoid what..?

Answer 5

Tobacco products

Alcohol, caffeine, carbonated beverages

Drying offending medications - ACh, decongestants (pseudoephedrine)

Mouthwashes
Alcohol

Highly acidic or spicy foods, beverages