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Dr. Bob Merrill
112 S. Stone St.
Augusta, WI 54722
(715) 286-2960
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Dry mouth, also known as xerostomia, is
defined as a decrease in the flow and amount of saliva. It
is no trivial ailment, and is certainly life-altering to the
millions of people it victimizes. They may need to awaken
frequently during the night to get drinks of water, or they
may experience difficulty eating or swallowing. They may feel
a burning sensation inside their mouths, develop sores on
their lips from a lack of moisture, or have difficulty tasting
foods or even speaking clearly. Some of the conditions now
known to cause xerostomia include:
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Emotional disturbances such as depression,
grief, worry or stress
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Medications, especially those taken by
people over the age of 65. Drugs that decrease salivary
flow include blood-pressure medications, anti-depressants,
anti-convulsants, sedatives, decongestants, tranquilizers,
muscle relaxants, and cough medicines. The drugs that
top the list of medications affecting the body's signal
to produce saliva are psychiatric drugs as Prozac, Paxil,
Zoloft, Valium and Xanax. Blood pressure medicines such
as Vasotec and Lopressor, pain relievers, acne medications
and antihistamines also can cause dry mouth.
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Various illnesses and chronic conditions
such as rheumatoid arthritis and diabetes
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Radiation treatments
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Vitamin deficiencies
Dry mouth is the condition of not having enough saliva
to keep your mouth wet. It is known as xerostomia
Xerostomia sufferers need to take extra care
to keep their mouth clean since they are without the normal
flushing, cleansing, and acid-neutralizing effects of normal
salivary flow. In the absence of saliva, levels of bacterial
colonies and plaque accumulations increase dramatically, leading
to decay and an increased risk of periodontal disease. People
with dry mouth are also more prone to fungal infections and
nutrition problems. I suggest that they rinse frequently with
a fluoride mouthwash, and HAVE more frequent dental check-up
visits.
Experts on xerostomia stress that there is
no all-purpose cure, and it can often bother its sufferers
indefinitely. But, while science is working on a solution,
here are some things that you can do if xerostomia is part
of your life.
Check the medicines you are taking and talk
to your physician for advice. Changing to another medication
or reducing the dosage may help.
Avoid caffeine.
Avoid sugar - it can create a dry sensation
in the mouth all by itself. Sucking on hard candy is not
a good way to keep salivating; sugar-free gum is a much better
substitute.
Certain products are available that can help
correct this condition such as special chewing gum, artificial
saliva replacement drops and oral rinses such as:
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Biotene Dry Mouth Gum, Sugar Free
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Salivart synthetic Saliva Spray
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Oral Balance Gel LACLEDE - from Auspharm
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Aquae spray (http://www.laclede.com)
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