1.
XEROSTOMIA

2.
XEROSTOMIA
PRESENTED BY
Satyki Verma

3.
CONTENTS Introduction
 Etiology
 Clinical Features
 Oral Manifestations
 Management
 Summary
 Conclusion
 Bibliography

4.
INTRODUCTION
• It is subjective clinical condition of less than normal amount
of saliva.
• It is dryness of mouth, which is a clinical manifestation of
salivary gland dysfunction.
•It is also known as
Cottonmouth
Drough mouth
Des (desert like)

5.
CONT…… It is symptoms of various medical condition, a side effect
of a radiation to the head & neck or side effect of a wide
variety of medication.
 It is also associated with decreased salivary gland
function.
 Common complaint found often among older adults,
affecting approximately 20% of the elderly.
 It can produced serious negative effects on the patients
quality of life, affecting dietary habits, nutrition status
,speech ,taste ,tolerance to dental Prosthesis and
increased susceptibility to dental caries.

6.
ETIOLOGY
1.DEVELOPMENTAL ORIGIN
Salivary gland aplasia
2.WATER /METABOLIC LOSS.
Impaired fluid intake
Hemorrhage
Vomiting ,diarrhea
3.IATROGENIC ORIGIN
Medication
Radiation therapy to the head &neck region
Chemotherapy.

7.
Systemic diseases.
 Sjogren syndrome
 Diabetes mellitus
 Diabetes insipidus
 Sarcoidosis
 HIV infection
 Psychogenic disorder

8.
CONT……
Medication-
 Antihistaminic agents
 Antidepressant
.
 Antihypertensive
 Anticholinergic agent.
 Sedatives and angiolytics.

9.
CONT……..
Local factors
 Decrease mastication
 Smoking
 Mouth breathing

10.
CERVICAL CARIES DUE TO
RADIATION

11.
RADIATION MUCOSITIS

12.
Gingival Hyperplasia

13.
Xeerostomia Due To Sjogren’s
Syndrome

14.
Partial Depapillation And
Cobblestone Pattern Due To
Chronic Xerostomia

15.
Extensive Cervical Caries
Developed Due To Severe
Xerostomia

16.
CLINICAL FEATURES
1.EFFECTS OF XEROSTOMIA ON ORAL FUCTIONS.
2.SALIVARY GLAND ENLARGEMENT.
3.EFFECT OF XEROSTOMIA ON NORMAL
FUNCTIONS.
4.CLINICAL SINGS OF XEROSTOMIA.
5.CANDIDIASIS.
6.RESIDUAL SALIVA.

17.
EFFECTS OF XEROSTOMIA ON
ORAL FUNCTION
 Patient may notice increased thrust &increase uptake
of fluid specially while eating.
 Patient also get difficulty in swallowing , speech,
eating dry food.
 Burning and tinglining sensation on mouth.
 Frequent oral infection .
 Intolerance to dental appliance & abnormal taste in
mouth.

18.
EFFECT OF XEROSTOMIA ON
NORMAL FUNCTIONS
 Many times xerostomia is accompanied by
hypofunction of other secretory gland.
 Blurred vision
 Ocular dryness.
 Itching burning and sandy sensation in eye.
 Also dryness of pharynx and skin.
 Itching and burning sensation of vagina.

19.
CLINICAL SIGNS OF XEROSTOMIA
 Dryness of lining oral mucosa.
 Oral mucosa appears thin, pale,and feels dry.
 Tongue may manifest deficiency by atrophy of
papillae, inflammation, fissuring, craking and
denudation.
 There is increased incidence of dental caries.

20.
CANDIDIASIS
 Psuedomembranous and form of candidiasis occurs .
 The reason for occurrence candidiasis is absence of
normal cleansing and antimicrobial activity of the
saliva.

21.
RESIDUAL SALIVA
 Residual saliva which remains foamy, thick, and ropey.

22.
MANAGEMENT
STIMULATION OF SALIVARY PRODUCTION
1.local stimulation-
Chewing of gums.
Mints.
Paraffin.
Citric acid containing lozenges and rinses.

23.
2.SYSTEMIC STIMULATION.
Bromhexine –mucolytic &and mucokinetic agents.
Anethole trithione-neurostimulator
Pilocarpine – (cholinergic parasympathomimetic
agents)
Increase secretion by exocrine glands & can affects the
sweat , salivary, lacrimal glands.

24.
CONT…….
 Oral hygiene product
Like lactoperoxidase, lysozyme and lactoferrin.
 Discontinuation of drug.
AVOIDANCE OF CERTAIN THINGS
 Like dry foods such as cookies ,toast ,crackers,
 Sticky things - chocolates,pasty , peanut butter.
 Salty foods.

25.
SYMPTOMATIC TREATMENT
 Salivary substitute
commonly contain carbomethyl cellulose or
hydroxyethylcelluloseor lubricant and variety of
artificial sweetners, preservative and chloride or
fluoride salts.
 Artificial saliva

26.
summary
 Xerostomia is the subjective clinical condition of less
then normal amount of saliva.
 It is dryness of mouth which is a clinical manifestation
of salivary gland dysfunction.
 A no. of factor may play role in the cause of xerostomia
like drugs ,radiation,systemic disease .
 It causes difficulty in mastication,swallowing &
speech.
 It inceases the susceptibity to dental caries

27.
CONCLUSION
Complain of dry mouth &diminished salivary out put
(salivary hypofunction ) are common in elderly people
as a result of plethora of salivary gland disorders
medication use & medical disorder .
It has a clinically significant deleterious impact on
oropharyngeal health.

28.
BIBLIOGRAPHY
1.ORAL AND MAXILLOFACIAL PATHOLOGY
NEVILLE ,DAMM , ALLEN , BOUQUOT , 3rd
EDITION.
2.TEXT BOOK OF ORAL PATHOLOGY
SHAFER’s , 6th EDITION.
3.TEXT BOOK OF ORAL MEDICINE
ANIL GOVINDRAO GHOM , 2nd EDITION.
4.COLOR ATLAS OF CLINICAL ORAL PATHOLOGY
NEVILLE,DAMM,ALLEN,2nd EDITION
5.INTERNET