sjognre's disease

Created by: DianaIspas
Created on: 02-02-21 16:13

what are the causes of dry mouth

Causes of dry mouth:
• Psychogenic
(depression, anxiety, hypochondriasis)
• Drugs
• Radiotherapy
• Dehydration
• Sarcoidosis
• HIV
• Sjogren’s Syndrome

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what is sjogren's syndrome

Autoimmune disease. Chronic inflammation of tear and saliva glands
• Types: Primary and Secondary
Secondary associated with: rheumatoid arthritis, systemic lupus erythematosus, PBC and MCTD

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what is the diagnostic criteria

- Require serological markers (antibodies)
and/or
- Positive labial gland biopsy

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what are the ooo-facial features and symptoms

• Obvious dryness – xerostomia
• Dry eyes
• Erythema and lobulation tongue
• Oral discomfort
• Difficulty in swallowing and talking
• Altered taste
• Poor retention of dentures (if worn)
• Oral fungal and bacterial infections
• Increased incidence of lymp

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lack of saliva will predispose to ?

Opportunistic oral infections- candidiasis
Periodontal disease
Caries, particularly at the cervical margin

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what is the management of fungal infections?

antifungal treatments (nystatin rinse or miconazole gel)

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give examples of chair side advice to help reduce the risk of caries

• Topical Fluoride applications for caries
• Oral hygiene instruction – prevention better than cure
• Dietary advice – sugar free diet!
• Atomiser – water

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what is the management of PD

frequent hygiene appointments, stress meticulous OH and denture hygiene, chlorohexidine gel

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What is the management of sjogren's syndrome during treatment

• TLC and Support!
• Lubricate lips with vaseline, reapply as necessary
• Constant lubrication of mucosa using 3 in1
• Wet mirror avoid contact with mucosa if possible
• Retract buccal mucosa with dampened swab
• Offer patient water frequently
• Avoid suc

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Other cards in this set

Card 2

Front

what is sjogren's syndrome

Back

Autoimmune disease. Chronic inflammation of tear and saliva glands
• Types: Primary and Secondary
Secondary associated with: rheumatoid arthritis, systemic lupus erythematosus, PBC and MCTD

Card 3

Front

what is the diagnostic criteria

Back

Card 4

Front

what are the ooo-facial features and symptoms

Back

Card 5

Front

lack of saliva will predispose to ?

Back

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sjognre's disease