Dry Mouth (Xerostomia)

July 17, 2009

Dry mouth, or xerostomia is a common condition which can affect many people of all ages at any time for a variety of reasons.

Saliva has 6 main functions:

1. Lubrication – keeps the oral environment wet to help with chewing, swallowing and talking.
2. Buffering – neutralises acids produced by plaque bacteria
3. Cleansing – washes away food debris
4. Digestion – starts the breakdown of starches
5. Re-mineralisation – helping repair the early stages of tooth decay
6. Protection – Saliva has antimicrobial properties

Problems associated with dry mouth:

  • Dental caries
  • Difficulty eating/swallowing/talking
  • Increased risk of mouth ulcers/gum inflammation and candida (yeast) infection
  • Dry/sore/smooth tongues

Causes of dry mouth include

  • Side effect of prescription drugs – particularly medication for high blood pressure, depression and allergies
  • Immune related diseases (sjogrens syndrome)
  • Radiation damage
  • Dehydration
  • Anxiety

Early morning dryness can be a problem for people who sleep with their mouths open.

Advice for dealing with dry mouth:

  • Brush twice a day with fluoride toothpaste (1400ppm)
  • Reduce frequency of sugar and acidic foods and drinks
  • Regular dental examinations
  • Use of saliva substitutes – sprays, gels, toothpaste to lubricate the mouth
  • Chew sugar free chewing gum to stimulate saliva flow
  • FLuoride mouthwash – such as Dentyl pH which also leaves an oily film around the mouth used at a different time to toothbrushing
  • Tooth mouse – has recently been shown to help with symtoms and effects of xerostomia

Biotene saliva substitutes and tooth mouse are available at the reception desk

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