Helping patients manage xerostomia

Many oral health care providers frequently encounter patients with signs of xerostomia. While at one point the only known treatment was to use over-the-counter oral moisturizers and drink more water, there are now many more impactful treatments available. 

Xerostomia, or dry mouth, can lead to oral pain, increased caries risk, periodontal complications, candidiasis, tissue sores and nutrient deficiencies. Because the cause of this condition is often multifactorial, it's important to assess the situation comprehensively. Some factors might include medications, aging, chemotherapy, radiation therapy, nerve damage, health conditions like diabetes, sleep-disordered breathing, mouth breathing and drug/alcohol use. 

When discussing options with patients, make sure they understand that certain beverages like caffeine or alcohol may have a counteractive effect to dry mouth. Lifestyle considerations could include using a humidifier, nasal breathing and eating foods with added liquids. Remember that every patient is different and managing xerostomia might include some trial and error before finding a solution that works. 

Read more: RDH Mag 

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