Sjögrens Syndrome Flashcards
Causes of dry mouth?
Psychogenic Drugs Radiotherapy Dehydration Scarodosis HIV Sjogrens syndrome
What is sjogrens syndrome?
Chronic inflammation of tear ducts and salivary glands
What is secondary Sjogrens associated with?
Rheumatoid arthritis
Systemic lupus
What does the new diagnostic criteria require?
Serological markers and / or positive labial gland biopsy
What are some ora-facial features and symptoms?
Xerostomia Dry eyes Erythema and lobulation of tongue Oral discomfort Difficulty swallowing and talking Altered taste Poor retention of dentures Oral infections Increased incidence of lymphoma Tiredness Saliva glad swelling
New therapies?
Pilocarpine
How is pilocarpine taken?
Orally 5mg upto 3x daily
What must be present for pilocarpine to work properly?
Some saliva
Name 5 artificial salivas
Orthana Glandosane Luborant BioXtra Salinum
Name 4 saliva stimulants
Saliva pastel
Sugar free gum
Sugar free sweets
SS tablets
What does orthana contain?
Gastric mucin
Xylitol
Sodium fluoride
What does lack of saliva predispose patients to?
Opportunistic oral infections
Perio disease
Caries
How are anti fungal infection managed ?
Nystatin
Amphotericin
What is the % of daily and weekly fluoride MWs
Daily - 0.05%
Weekly - 0.2%
Management of a pt with sjogrens?
Support Lubricate lips Constant lubrication of oral mucosa with 3 in 1 Wet mirror to avoid sticking Retract mucosa with damp swab Offer frequent water Avoid suction where possible
