Date post: | 20-Dec-2015 |
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Clinical approach to xerostomia
Dr. Abbas Javadzadeh Dr. Atessa Pakfetrat
Associate Professor of Oral medicine Department Mashhad Dental School
�َXerestomia is a
symptom not a diagnosis
or disease
Clinical evaluation of xerostomia
1. Subjective or objective
signs and symptom
2. Permanent or temporary?
Acute or chronic?
Clinical course?
Clinical evaluation of xerostomia
3. Symptoms of salivary gland
dysfunction
Clinical evaluation of xerostomia
4. Associated diseases
5. History
Review of system
PMH, PDH
Clinical evaluation of xerostomia
EtiologyEtiology1-Iatrogenic
Drugs
Radiation
chemotherapy
2- Developmental
Salivary gland agenesis
3- Water/metabolite loss 3- Water/metabolite loss
Impaired fluid intake
Hemorrhage
Vomiting/diarrhea
4- Systemic disease 4- Systemic disease Sjogren syndrome
Renal failure
Diabete
Granulomatose diseases
HIV infection
Malnutrition
Late stage liver disease
GVHD
Primary Biliary cirrhosis
Chronic Active Hepatitis
Vasculitis, …..
5- Psychological Factors
Affective disorders
6- Local factors
Decreased mastication
Smoking
Mouth breathing
7- Rarities
Amyloidosis
Bell’s palsy
Cystic fibrosis
hemochromatosis
Para clinic
Imaging Serologic tests
Biopsy
Sialometry
Salivary gland
function test
..……
Treatment
Systemic stimulation Symptomatic
Treatment of associated diseases
Psychological Treatment and consult
Drug substitution
Non-DrugStimulation
بوی باران ، بوی سبزه ، بوی خاکشاخه های شسته ، باران خورده ، پاک
آسمان آبی و ابر سپيدبرگهای سبز بيد
عطر نرگس ، رقص بادنغمه و بانگ پرستوهای شادخلوت گرم کبوترهای مستنرم نرمک ميرسد اينک بهار
خوش بحاِل5 روزگار …خوش بحاِل5 چشمه ها و دشتهاخوش بحاِل5 دانه ها و سبزه هاخوش بحاِل غنچه های نيمه باز........................................