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Dry Mouth
A "Silent" Dental Condition
Dry mouth, also called xerostomia, is a common oral health
problem. Unfortunately, for some patients it becomes a “silent”
condition that often goes undiagnosed and untreated. While
there are many potential reasons for this condition, one of the
most frequent contributing factors is the use of medications.
Over four hundred commonly prescribed drugs list dry mouth as a
potential side effect.
While this condition is fairly common in the general
population, the prevalence increases with age. This is likely
because many older adults take medications for one or a number
of co-existing medical conditions.
Though some people may consider dry mouth an inconsequential
medical or dental concern, it can be a troublesome symptom also
associated with systemic diseases and health conditions. Things
that most people take for granted, such as being able to chew
their food - or even to taste it - result in a reduced quality
of life for the patient with xerostomia.
Negative effects of dry mouth can include:
• Increased dental decay
• Oral infections
• Cracks and fissures in the tissues of the mouth
• Denture sores and ulcerations
• A decreased willingness or ability to speak easily
Keep in mind that almost everyone has experienced dry mouth at
some time in their lives. Dehydration following excessive
perspiration, diarrhea, or alcohol consumption are experiences
many people have experienced at one time or another. These
situations are generally transient and easily identified.
If, however, you find any of the following problems to be daily
events, you should raise the issue with your dentist or
physician:
• Do you consistently need to sip liquids to help you to
swallow your food?
• Does your mouth feel dry whenever you eat?
• Do you have any difficulty swallowing?
• Does the amount of saliva in your mouth seem to be much less
than you remember, or do you not notice the difference?
There are several simple things your health practitioner can do
to evaluate your condition. A medical history will also provide
clues. For example, certain conditions such as diabetes, cancer
treatments, and Sjögren’s syndrome have also been connected
with dry mouth. (Sjögren's syndrome is a chronic autoimmune
disease in which a person’s white blood cells attack their
moisture-producing glands.)
Keep in mind that dry mouth symptoms may not appear until
saliva production has been reduced to approximately half the
normal flow.
While it is always best to identify the source of the problem
to seek a long-term resolution, sometimes it is necessary to
provide symptomatic relief. A number of products have been
developed that can help the dry-mouth patient who so often has
extra sensitive mouth tissues. These include stimulation
products such as chewing gums, specially formulated toothpastes
and mouthwashes that are free of irritating ingredients, and
moisturizing gels or sprays.
The important thing is that you do not ignore dry mouth
symptoms if they exist. Talk to your dentist or doctor.
Day-to-day symptoms and their complications can be managed. If
you and your doctor correctly identify the source, perhaps
those problems can even be eliminated over time. The simple
pleasures of life - eating comfortably, tasting an enjoyable
meal, laughing freely - shouldn’t be just a
memory.
by Richard J. Walicki, D.M.D. - May 10,
2009
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Dr. Richard J. Walicki is a Philadelphia dentist providing both
general and cosmetic dentistry services.
Source: http://www.ToothWiz.com
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