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What is Xerostomia?

Xerostomia is the sensation of having a dry mouth, which can result from diminished saliva production.

Saliva is of utmost importance in the mouth for several reasons.

  • Plays a critical role in the digestion process. As we chew our food, saliva assists in breaking food, facilitating its absorption in the digestive tract.
  • Acts as a lubricant, aiding in speech and swallowing of food. It also helps soften the food, making it easier to manage within the mouth.
  • Neutralizes acids produced by bacteria, thus protecting our teeth from decay.
  • Washes away food debris, reducing the risk of dental plaque and gum disease.
  • It contributes to the taste sensation, as it carries tastants to the taste buds, allowing us to enjoy and savor the flavors of our meals.
  • Antimicrobial properties make it an essential component of our innate immune system. It contains various antimicrobial substances that help combat harmful bacteria, viruses, and fungi in the mouth.
  • Maintains the equilibrium of beneficial bacteria while suppressing the growth of harmful ones.

Effects of Xerostomia on Teeth

Causes of Xerostomia

Medication-Induced Dry Mouth: This category specifically relates to dry mouth caused by certain medications. Many prescription and over-the-counter drugs, such as antihistamines, antidepressants, and diuretics, can reduce salivary flow and cause dry mouth as a side effect.

Disease-Related Dry Mouth: Some medical conditions and diseases can directly or indirectly affect salivary flow and lead to dry mouth. Examples include Sjögren’s syndrome, diabetes, autoimmune disorders, HIV/AIDS, Parkinson’s disease, and others.

Radiation-Induced Dry Mouth: Patients undergoing radiation therapy for head and neck cancers may experience damage to the salivary glands, leading to reduced saliva production and dry mouth.

Neurological Dry Mouth: Dry mouth can occur due to nerve damage or neurological conditions that affect the nerves controlling the salivary glands.

Stress-Induced Dry Mouth: Emotional stress and anxiety can affect the autonomic nervous system and lead to dry mouth symptoms.

Sleep-Related Dry Mouth: Conditions such as snoring or obstructive sleep apnea can cause mouth breathing during sleep and contribute to dry mouth.

Unknown Cause (Idiopathic Dry Mouth): In some cases, dry mouth may not have a specific identifiable cause and is classified as idiopathic.

Effects of Xerostomia on Teeth