xerostomia

Question 1

what 4 things does xerostomia increase the risk for:

Answer 1

risk for caries, erosion, dentinal hypersensitivity, and candidiasis

Question 2

most cases for xerostomia are (chronic/acute)

Answer 2

chronic!

Question 3

what is xerostomia a side effect for

Answer 3

numerous over the counter and prescription medication

Question 4

this can be a symptom or sign of a SYSTEMIC disorder or disease

Answer 4

xerostomia

Question 5

can be responsible to the physical climate or manifestation of an emotional response

Answer 5

xerostomia

Question 6

xerostomia: med history

Answer 6

1. diabetes
2. hormone changes (pregnancy/menopause)
3. depression, anxiety-medications
4. radiation for head and neck cancer
5. autoimmune disorders (sjorgen’s syndrom aka dry eyes)

Question 7

xerostomia: subjective evaluation questions:
1
2
3
4
5
6

Answer 7

difficultly swallowing?
mouth feel dry when eat?
sip liquids to help swallow?
oral burning or soreness
bad breath
eat crushed ice or drink fluids to help

Question 8

xerostomia clinic assessment:
1
2
3

Answer 8

reddened, pebbled surface of tongue
dry and cracked corners of mouth
red, glossy parched mucosal tissues

Question 9

xerostomia tests:

Answer 9

1. mirror test: place mirror against buccal mucosa and tongue. see if sticks
2. saliva pooling: checl for saliva collection in the floor of the mouth

Question 10

xerostomia: evaluate flow and consistency:

Answer 10

tissue moistened?
sore mucosa
urning sensation in mouth

Question 11

6 symptoms of xerostomia:

Answer 11

1. candidiasis
2. angular chelitis
3. burning tongue
4. root and cervical caries
5. stomatitis- inflammation of mucous membrane of mouth
6. dysphagia
   (fungal infections and difficulty swallowing)

Question 12

what is candidiasis?

Answer 12

white plaque
creamy white lesions
(looks like hyperkeratosis but) WIPES OFF

Question 13

where is candidiasis found?

Answer 13

buccal mucosa or lateral boarders of the tongue

Question 14

where can candidiasis (“thrush”) spread to

Answer 14

tongue
hard and soft palate
tonsillar region

Question 15

risk factors for candidiasis:

Answer 15

immunocompromised
pregnancy
poor oral hyigene
smoking
stress
depression
birth control pills
diabetes
dentures that dont fit right
xerostomia
iron, B12 deficiency

Question 16

most common candidiasis.
creamy white patches again and can be EASILY WIPED OFF. when wiped off, what does it leave?

Answer 16

pseudomembranous candidiasis

Question 17

where is pseudomembranous candidiasis found

Answer 17

tongue
buccal mucosa
floor

Question 18

pseudomembranous candidiasis has pain with

and difficulty with

Answer 18

spicy and acidic foods

difficulty with swallowing (dysphagia)

Question 19

where is pseudomembraneous candidiasis found

Answer 19

tongue
buccal mucosa
floor

Question 20

white plaque
looks like hyperkeratosis but rubs off
indsider corners, buccal mucosa, lateral tongue

Answer 20

candidiasis and pseudomembraneous candidiasis

Question 21

where is atrophic candidiasis found

Answer 21

under dentures

Question 22

caused by ill-fitting or dentures that are never taken out

Answer 22

atrophic candidiasis

Question 23

what does atrophic candidiasis look like?
what does it burn with?

Answer 23

looks like red on palate or tongue
burns with spicy food and alc

Question 24

candidiasis treatment:

Answer 24

-oral hygiene
-yogurt, acidophilus
-avoid alc and simply sugars
-medications- antifungal and nystatin (rinse and tablets)
-ketaconozole (can cause severe liver damage)