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Dry Mouth/Xerostomia
Dry mouth, or xerostomia, is a subjective sensation that may be caused by a decrease in saliva production. It affects millions of people in the United States, particularly women and the elderly.1 Approximately 10 percent of the general population experiences dry mouth on a daily basis, and this figure increases to 25 percent in elderly populations.2

It is common for non-sufferers to discount the effects of xerostomia, but for people living with the condition, the problems are very real. Saliva is a vital component of such everyday processes as tasting, swallowing, speech and digestion. It also helps defend against tooth decay and bacterial, fungal and viral infections.3 Common signs and symptoms of severe xerostomia may include1,4: tooth decay, gingivitis, a burning sensation in the mouth, yeast infections, inability to wear dentures, inability to eat certain foods, diminished sense of taste, increased susceptibility to infection and sleep interruptions due to thirst.

Dry mouth is associated with a number of medical conditions and, in extreme cases, diseases. Such conditions include: 1,3 dehydration, smoking, anxiety, aging, pregnancy, stress, hypertension and depression. And diseases can include:1,3 Sjögren's syndrome, sarcoidosis, diabetes mellitus, HIV, chronic active hepatitis, Parkinson's disease.

In fact, there are more than 400 medications that can adversely affect saliva production.5 Common types of medication that can cause dry mouth include: cancer treatments, diuretics, antidepressants, antihistamines, antihypertensives, sedatives and muscle relaxants.

Research shows that dry mouth sufferers often don't mention the condition to their oral health care providers. But by proactively questioning patients, dental professional can help identify dry mouth sufferers, and recommend a number of measures to help patients with dry mouth be more comfortable. This can include switching to an alternate medication1, avoiding caffeinated drinks5 and tobacco products5, stimulating salivary flow with products such as certain sugar-free hard candies or sugar-free gum1 and/or using over-the-counter moisturizing products which work as artificial saliva.3

For more information on the clinicals and research, continuing education and journal resources associated with dry mouth, click a topic at right.


Sources:

  1. Guggenheimer J, Moore PA. Xerostomia: etiology, recognition and treatment. JADA. 2003;143:61-69.
  2. Fox PC. Dry Mouth and Salivary Gland Dysfunction. In: Max MB, Lynn J, eds. Symptom Research: Methods and Opportunities. Baltimore: National Institutes of Health/National Institute of Dental and Craniofacial Research. 2003.
  3. Facts about Dry Mouth: Information provided by GlaxoSmithKline Consumer Healthcare.
  4. Data on file, GlaxoSmithKline Consumer Healthcare
  5. National Institutes of Health/National Institute of Dental and Craniofacial Research. "Dry Mouth." 1999.

Additional Resources
View Clinicals/Research on Dry Mouth


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