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• It is subjective clinical condition of less than normal amount
• It is dryness of mouth, which is a clinical manifestation of
salivary gland dysfunction.
•It is also known as
Des (desert like)
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
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.
Salivary gland aplasia
2.WATER /METABOLIC LOSS.
Impaired fluid intake
Radiation therapy to the head &neck region
Partial Depapillation And
Cobblestone Pattern Due To
Extensive Cervical Caries
Developed Due To Severe
1.EFFECTS OF XEROSTOMIA ON ORAL FUCTIONS.
2.SALIVARY GLAND ENLARGEMENT.
3.EFFECT OF XEROSTOMIA ON NORMAL
4.CLINICAL SINGS OF XEROSTOMIA.
EFFECTS OF XEROSTOMIA ON
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
EFFECT OF XEROSTOMIA ON
Many times xerostomia is accompanied by
hypofunction of other secretory gland.
Itching burning and sandy sensation in eye.
Also dryness of pharynx and skin.
Itching and burning sensation of vagina.
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
There is increased incidence of dental caries.
Psuedomembranous and form of candidiasis occurs .
The reason for occurrence candidiasis is absence of
normal cleansing and antimicrobial activity of the
Residual saliva which remains foamy, thick, and ropey.
STIMULATION OF SALIVARY PRODUCTION
Chewing of gums.
Citric acid containing lozenges and rinses.
Bromhexine –mucolytic &and mucokinetic agents.
Pilocarpine – (cholinergic parasympathomimetic
Increase secretion by exocrine glands & can affects the
sweat , salivary, lacrimal glands.
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.
commonly contain carbomethyl cellulose or
hydroxyethylcelluloseor lubricant and variety of
artificial sweetners, preservative and chloride or
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 &
It inceases the susceptibity to dental caries
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
1.ORAL AND MAXILLOFACIAL PATHOLOGY
NEVILLE ,DAMM , ALLEN , BOUQUOT , 3rd
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