TAILIEUCHUNG - Dry mouth and its effects on the oral health of elderly people

The above theoretical discussions have been useful in clarifying that one needs to use a basic epidemiological approach in thinking about the relationship between trends in different aspects of health. Mortality is a dynamic process that removes people from the population at a faster or slower rate over time. The number or proportion of people who are not healthy in a population is an indicator of population health—or a stock measure—at a point in time. This indicator is affected by a number of dynamic processes: the age-specific onset rates of unhealthy conditions, the rate of health deterioration of people with these conditions, and the likelihood that Annu. Rev | Dry mouth and its effects on the oral health of elderly people Michael D. Turner DDS MD Jonathan A. Ship DMD FDS RCS Edin Saliva plays a critical role in the preservation of oropharyngeal health. Complaints of a dry mouth xerostomia and diminished salivary output are common in older populations which can result in impaired food and beverage intake host defense and communication. Persistent xerostomia and salivary dysfunction can produce significant and permanent oral and pharyngeal disorders and can impair a person s quality of life. Salivary function remains remarkably intact in healthy older people yet a plethora of systemic diseases such as Sjogren s syndrome SS medications such as anticholinergics and head and neck radiotherapy such as for cancer cause xerostomia particularly in elderly patients. Treatment strategies include salivary replacement therapies as well as use of gustatory masticatory and pharmacological stimulants. EPIDEMIOLOGY OF DRY MOUTH IN ELDERLY PEOPLE Estimates of xerostomia and salivary gland hypofunction are difficult to obtain owing to the limited number of epidemiological studies Background. The objective of this literature review is to summarize information about the etiology diagnosis oral sequelae and treatment of dry mouth in elderly patients. Types of Studies Reviewed. The authors con- ducted a comprehensive review of the English-based scientific literature from the past 10 years. They selected the studies on the basis of clinical investigations to provide an objective assessment of dry mouth problems among older people. Results. Dry mouth salivary hypofunction xerostomia is a common problem among older people. It causes significant oropharyngeal disorders pain and an impaired quality of life. Dry mouth has many causes from local salivary disorders to a plethora of medications and medical conditions. Treatments are designed to correct the underlying cause and or to enhance salivation with topical and systemic stimulants. Early .

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