Clinical approach to xerostomia Dr. Abbas Javadzadeh Dr. Atessa Pakfetrat Associate Professor of...
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Transcript of Clinical approach to xerostomia Dr. Abbas Javadzadeh Dr. Atessa Pakfetrat Associate Professor of...
![Page 1: Clinical approach to xerostomia Dr. Abbas Javadzadeh Dr. Atessa Pakfetrat Associate Professor of Oral medicine Department Mashhad Dental School Dr. Abbas.](https://reader035.fdocuments.us/reader035/viewer/2022062714/56649d4c5503460f94a29b16/html5/thumbnails/1.jpg)
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Clinical approach to xerostomia
Dr. Abbas Javadzadeh Dr. Atessa Pakfetrat
Associate Professor of Oral medicine Department Mashhad Dental School
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�َXerestomia is a
symptom not a diagnosis
or disease
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Clinical evaluation of xerostomia
1. Subjective or objective
signs and symptom
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2. Permanent or temporary?
Acute or chronic?
Clinical course?
Clinical evaluation of xerostomia
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3. Symptoms of salivary gland
dysfunction
Clinical evaluation of xerostomia
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4. Associated diseases
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5. History
Review of system
PMH, PDH
Clinical evaluation of xerostomia
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EtiologyEtiology1-Iatrogenic
Drugs
Radiation
chemotherapy
2- Developmental
Salivary gland agenesis
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3- Water/metabolite loss 3- Water/metabolite loss
Impaired fluid intake
Hemorrhage
Vomiting/diarrhea
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4- Systemic disease 4- Systemic disease Sjogren syndrome
Renal failure
Diabete
Granulomatose diseases
HIV infection
Malnutrition
Late stage liver disease
GVHD
Primary Biliary cirrhosis
Chronic Active Hepatitis
Vasculitis, …..
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5- Psychological Factors
Affective disorders
6- Local factors
Decreased mastication
Smoking
Mouth breathing
7- Rarities
Amyloidosis
Bell’s palsy
Cystic fibrosis
hemochromatosis
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Para clinic
Imaging Serologic tests
Biopsy
Sialometry
Salivary gland
function test
..……
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Treatment
Systemic stimulation Symptomatic
Treatment of associated diseases
Psychological Treatment and consult
Drug substitution
Non-DrugStimulation
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بوی باران ، بوی سبزه ، بوی خاکشاخه های شسته ، باران خورده ، پاک
آسمان آبی و ابر سپيدبرگهای سبز بيد
عطر نرگس ، رقص بادنغمه و بانگ پرستوهای شادخلوت گرم کبوترهای مستنرم نرمک ميرسد اينک بهار
خوش بحاِل5 روزگار …خوش بحاِل5 چشمه ها و دشتهاخوش بحاِل5 دانه ها و سبزه هاخوش بحاِل غنچه های نيمه باز........................................
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