Xerostomia Flashcards
Caries pattern of a patient with xerostomia.
Cervical caries and class III’s
Drugs that commonly cause xerostomia.
- Antihypertensives
- Analgesics
- Sedatives
- Tranquilizers
- Antihistamines
- Anti-parkinson meds
What percent of adults have root surface caries by age 45?
33%
What percent of adults have root caries by age 64?
59%
91% of root caries can be arrested by what?
Fluorides
VItamin used to treat patients with acne.
A
Excess of Vitamin A can cause what?
Xerostomia
Minerals found in amorphous calcium phosphate (ACP)
Ca2+ and (PO4)3-
How does the amorphous precipitate form in ACP?
By combining the Ca2+ and (PO4)3-.
After several hours, what does the amorphous precipitate form?
Crystalline hydroxyapatite
What is Prevident?
Topical Fluoride
Remineralization products
- Trident gum
- Amorphous CaPO4
- MI paste
What is Recaldent?
Amorphous CaPO4, which is a remineralization agent.
Artificial saliva works better in what form to stimulate salivation?
Spray
Can be prescribed to increase salivation.
Salagen/Pilocarpine
Must have what kind of salivary glands in order to use salagen/pilocarpine?
Intact
Dose of salagen.
5 mg 3x/day
Another saliva stimulating drug besides salagen.
Evoxac
Trident white contains this to remineralize the tooth surface.
Recaldent
Therapy for Xerostomia
1) No caffeine
2) Chewing sugarless gum
3) Sugarless lozenges (lemon, pineapple, apple).
4) Oral balance (Biotene)
Xerostomia Quadruplet Problems
1) Candidiasis
2) Caries- recurrent and root surface
3) Excess Plaque
4) Denture retention problems
How to prevent xerostomia
1) Sugarless gum with recaldent
2) sugarless lozenges (lemon or pineapple)
3) Artificial saliva spray
4) Salagen (pilocarpine)
5) Candidiasis more common in appliance users
