
Dry Mouth or Xerostomia
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Dry mouth
is the condition of not having enough saliva to keep your mouth wet. It
is known as xerostomia
Saliva is necessary to help protect the teeth in these important ways:
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Saliva
constantly flushes the mouth to clear food debris that may act as a
food supply for the bacteria in
plaque. |
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It
reduces the pH (acidity) of the waste products produced by plaque
which helps to limit
tooth decay by these acid attacks.
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Saliva is
the source of systemic fluorides and minerals needed for the
remineralization of damaged dental enamel. |
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It helps digest food |
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It prevents infection by controlling bacteria and fungi in the
mouth
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It makes it possible for you to chew and swallow
Saliva
does not flow evenly through the mouth. There are saliva "highways",
such as the tongue side of the lower molars, where the flow is greater
and faster. There are saliva "byways" such as the check side of the
upper incisors where to flow is less and slower. The result is that
plaque will be more cavity causing on the byways than the highways of
the mouth.
Saliva
covers the teeth and
gums with a protein film. Stimulated saliva
offers more buffering protection than non-stimulated saliva. This is
why can often help prevent caries.
Without
enough saliva you can develop tooth day or other infections in your
mouth and you would limit your nutritional intake if you could not
chew or swallow certain foods.
Dry
mouth can: |
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Cause difficulties in tasting, chewing, swallowing, and
speaking
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Increase your chance of developing
dental decay and other
infections in the mouth |
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Be a sign of certain diseases and conditions
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Be caused by certain medications or medical treatments |
Symptoms include:
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A
sticky, dry feeling in the mouth |
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Trouble chewing, swallowing, tasting, or speaking
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A burning feeling in the mouth |
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A dry feeling in the throat |
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Cracked lips |
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A dry, tough tongue |
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Mouth sores |
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An infection in the mouth |
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Decay, when there is not an adequate supply of saliva, the rate
of tooth decay increases rapidly |
Most
often, chronic dry mouth is caused by:
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Side
effect of
drug therapy. More than 400 medicines can cause the
salivary glands to make less saliva. Medications used to treat
hypertension, anxiety, depression or psychosis cause the most
difficulty. Antihistamines, antispasmodics, cancer-chemotherapy
drugs, decongestants, and muscle relaxants often cause dry mouth. |
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Health
conditions such as extensive radiation therapy to the face and neck
can cause severe dry mouth. |
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Many
disease effect saliva flow: Sjogren's syndrome*, bacterial and viral
infections, poorly controlled diabetes, salivary-gland stones, tumors,
Alzheimer's disease, diabetes, anxiety, HIV/AIDS, depression, Bell's
palsy, and Parkinson's disease. Alzheimer's and stroke can not feel
the wetness in their mouth. |
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Chemotherapy drugs that are used to treat cancer can make saliva
thicker causing the mouth to feel dry. |
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Nerve
damage from an injury to the head or neck that tell salivary glands
not to make saliva. |
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Attachment loss from periodontal disease or who have had root caries
are especially vulnerable to the adverse effects of xerostomia. |
Dry mouth is
not a normal part of aging. So if you think you have dry mouth, see your
dentist or physician. |
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RECOMMENDATIONS FOR WHAT TO DO FOR DRY MOUTH |
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Here are some
suggestions to help relieve the dryness; preserve soft tissue and help
prevent the tooth decay that results from dry mouth:
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Take
frequent sips of water throughout the day. |
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Chronic
dryness will make your mouth more easily irritated, so experiment to
find the level of seasoning you can tolerate. |
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Use a
water spray bottle to wet your mouth. Keep it near the places you
work, sit and sleep. |
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Chew
sugarless gum to stimulate salivary flow. Chew gum that contain
xylitol, a sweetening agent that reduces cavity-causing bacteria. |
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A warm
salt water or baking soda rinse can improve oral comfort when your
mouth is sore. |
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Suck on
sugarless hard candy to stimulate saliva flow; citrus, cinnamon or
mint-flavored candies are good choices. |
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Chew
fibrous foods, like carrots and celery between meals. |
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Use an
electric toothbrush. |
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Drink
frequently while you eat. This makes chewing and swallowing easier
and improves taste. |
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Use an
anti-bacterial mouthwash which does not contain alcohol or sugar.
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Use
bland, non-spicy sauces (no masalas) and gravies on foods to add more
moisture to the foods you eat. Be aware that spicy or salty foods may
cause pain in a dry mouth |
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Moisten
foods with butter. |
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Limit
caffeine-containing beverages because they increase dryness after
drinking them. |
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Carry a
toothbrush with you to brush often to decrease your risk toward
cavities. |
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Do not
use toothpastes that contain sodium lauryl sulphate which is a foaming
agent because it can irritate gum tissue. |
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Limit
sweet, sticky, sugary foods and high acid food they increase your risk
towards cavities. |
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Always
brush immediately after eating. If you can not brush, swish and
swallow water as soon as possible. |
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Dentures
make people with dry mouth more susceptible to infection from yeast
organisms, which adhere to the plastic. Soak your denture overnight
in one part chlorine beach to ten parts water to prevent infection. |
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Do not
use mouth washes with alcohol or phenol in them, alcohol dries out and
damages gum tissue. |
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Use
fluoridated mouth rinses and gels. |
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After
brushing your teeth and right before you go to bed, brush or apply
this toothpaste with a cotton tip to gums and teeth for one minute,
Then swish for one minute to force the gel to cover all your teeth and
gum tissue. Make sure you spit out all the fluoride. Do NOT swallow or
rinse your mouth after you do this. Go to bed with the fluoride
residue on these surfaces. Do this again in the morning and do not
eat or drink anything for 30 minutes after this routine. |
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Apply
fluoride gel into a mouthguard and wear for five to ten minutes
before bed and in the morning. Again, do NOT swallow any of the
fluoride.
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Avoid
irritants, such as tobacco and alcohol-including high-alcohol-content
mouthwashes - and products containing cinnamon, peppermint, or
wintergreen - they dry out the mouth. |
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Breath
through your nose (breathing through your mouth evaporates moisture). |
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Use a
room vaporizer to cut down on mouth dryness especially at night. |
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If your salivary glands are not working right ask your doctor
to give you a medicine called pilocarpine that helps your salivary
glands to work better. |
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If you dry mouth is caused by medicine, ask your doctor to
change your medicine or adjust the dosage. |
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Keep you
recare appointments at least four times a year to keep your
mouth
healthy by having your teeth professionally
cleaned, receive fluoride
treatments and early detection of
cavities. |
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