Stier K

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Stier, K. (2019). The etiology of xerostomia. Dimensions of Dental Hygiene, 17(7):50-53.

As Dental Hygienists, it is our job to do intra and extraoral examinations, to detect dry

mouth. Xerostomia creates dry mouth and is a decrease in salivary flow. We as hygienists should

be able to detect some of the key symptoms of xerostomia. Saliva is 99% water, and the other

1% is enzymes, proteins, antibodies, and many other things that help out our oral cavity. Saliva

aids in the integrity of our soft tissues, such as our gingiva, tongue, and mucosa. It also aids in

swallowing, talking, ingesting our food, and protects tooth structure. Intra orally, we should be

able to detect the redness, of the mucosa and gingiva tissue, from the saliva not properly

lubricating the oral tissues. Extra orally, we may detect dry and chapped lips, from the lack of

saliva. Medication is one of the main reasons patients get xerostomia. The chemicals in the

medications can alter the salivary gland secretion. Patients who take more than one medication

are also at a higher risk of xerostomia. It is also very common to treat a patient with a mental

illness; the main side effects are xerostomia. A systemic disease, such as Sjorgen syndrome. An

autoimmune disorder that targets the salivary glands, and causes severe dry mouth. Many

conditions within your body can affect your oral cavity. Your lifestyle and eating habits can also

affect your salivary flow. Some ways we can help is by giving them an oral mouth rinse, certain

kinds of toothpaste, and giving them the correct information about how alcohol, drugs, and

certain sugary drinks can affect their salivary flow.

This article was very informative and very beneficial to my clinical knowledge for certain

times to come. This article was able to give me ideas, on what to look for, what could be causing

xerostomia, and how to fix it. I believe this article was very beneficial to me because I will be

able to use this information in my clinical situations where some of my patients will have

xerostomia, and I will be able to tell them why or how they got it.

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