Flashcards in Sjogrens Syndrome Deck (16):
Causes of a dry mouth?
psychogenic - depression, anxiety, hypochondriasis
what is sjogrens?
autoimmune chronic inflammation of tear and salivary ducts. Primary and Secondary
what is secondary sjogrens associated with?
rheumatoid arthritis, SLE, PBC, MCTD
EU-USA diagnosis criteria?
require serological markers or positive labial gland biopsy
features and symptoms of sjogrens?
dry mouth, dry eyes, erythematous/lubulated tongue, oral discomfort, hard to talk, swallow, salivary gland swelling, poor denture retention, altered taste, susceptible to infection, increased incidence of lymphoma
new treatments for sjogrens?
pilocaipine - orally 5mg up to 3 times/day
types of artificial saliva?
orthana - spray
bioextra - gel
glandosane - spray
lubrant - carbomethylcellulose
salinum - based on linseed oil
what is orthana?
gastric mucin, NaF, xylitol
what is bioextra?
lactoperoxidase, lactoferrin, xylitol
prescribed on NHS
what is glandosane?
aerosol. on NHS, low pH = problem
what are salivix pastilles?
sugar free, malic acid on NHS
sugar free sweets?
tooth friendly symbol = acceptable
what can a lack of saliva cause?
opportunistic oral infections
how to treat fungal infections?
amphotericin C - only one sugar free
both come as lozenges or rinses
chairside advice for dry mouth?
OHI, topical F, diet advice, atomiser with water