Dry Mouth in Long Term Care

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Presentation Description

Dry mouth contributes to bad breath and periodontal disease. Join up with your dental hygienist to make sure you know all the angles and all the products you can use for dry mouth.

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By: asufloss (3 month(s) ago)

Hello Shirley I am a dental hygeine educator and would like to download your presentation for an inservice for faculty.

Presentation Transcript

Dry Mouth: 

Dry Mouth Not for sissies

Is Spit It?: 

Is Spit It? Children have plenty Helps in Speaking Swallowing Chewing

Salivary Stimulation: 

Salivary Stimulation Teething stimulates saliva Teeth erupt into the mouth not fully mineralized Salivary components help teeth mineralize

Very Important Bodily Fluid: 

Very Important Bodily Fluid

Xerostomia: 

Xerostomia Lipstick on teeth Asking for extra liquids at dinner Avoid dry foods Asks for soups Needs gravy or sauce

Hyposalivary function: 

Hyposalivary function Damage to the salivary glands Surgery Medication Radiation

Dysphagia : 

Dysphagia Malnutrition and dehydration. Dysphagia can make it difficult to take in enough food and fluids to stay adequately nourished. People with difficulty swallowing are at risk of malnutrition and dehydration . http://www.mayoclinic.com/health/difficulty-swallowing/DS00523/DSECTION=complications

Dysphagia : 

Dysphagia Respiratory problems. If food or liquid enters airway ( aspiration) respiratory problems or infections can occur, such as frequent bouts of pneumonia or upper respiratory infections.

Slide 10: 

J Am Geriatr Soc. 2007 Nov;55(11):1808-16. Epub 2007 Aug 28. Association between aspects of oral health-related quality of life and body mass index in community-dwelling older adults … underweight persons were more likely to limit foods they eat because of mouth dryness

Slide 11: 

Xerostomia was associated with a significant increase in the odds of having dry lips, throat, eye, skin and nose . Aust Dent J. 2011 Sep;56(3):290-5. doi : 10.1111/j.1834-7819.2011.01347.x. Risk factors and symptoms associated with xerostomia: a cross-sectional study .

Dialysis: 

Dialysis The prevalence of oral lesions was significantly higher in renal patients both dialysis and transplant. The most prevalent oral clinical findings were saburral tongue and xerostomia for both groups. Quintessence Int. 2011 Feb;42(2):127-33. Clinical oral findings in dialysis and kidney-transplant patients.

Swallowing food: 

Swallowing food Oral Preparatory Goal: reduce food to a bolus and position it for transport Initial transport (the bolus lacement ) - tongue positions the food to ready it for reduction Reduction phase - bolus is chewed & mixed with saliva Bolus placement - bolus is positioned for transport

Denture wearing: 

Denture wearing

Cures: 

Cures Swapping medications Saliva stimulating mediations Chewing gum Sipping water Moisturizing lip balm

Palliative Help: 

Palliative Help

Swapping Medications: 

Swapping Medications

Increased emphasis: 

Increased emphasis

Increased Emphasis: 

Increased Emphasis

Cures: 

Cures

Cures: 

Cures

Not cures: 

Not cures Sour candies Glycerin Sour foods

Conclusion: 

Conclusion Dry mouth is more complicated than just uncomfortable. Steps to increase saliva should be taken. Watch out for improper “cures.”

Slide 25: 

Find out the laws restricting dental hygienists in your state! Mandating a dental hygienist on the staff of all Medicaid funded care facilities can save millions of dollars a year just in people with diabetes.

Credits: 

Credits PowerPoint designed by Cross Link Presentations, LLC Presentation design Shirley Gutkowski, RDH, BSDH, FACE crosslinkpresent@aol.com Script Shirley Gutkowski, RDH, BSDH, FACE Photos: Dreamstime , Gutkowski, Stone Characters: PresenterMedia Copyright 2011 Exploring Transitions, LLC