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Critical Reviews in Oral Biology & Medicine
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4(3):271-277 (1993)     Crit Rev Oral Biol Med
© 1993 SAGE Publications

Diagnosis and Management of Salivary Dysfunction

Ingrid H. Valdez

Clinical Investigations and Patient Care Branch, Bldg. 10, Rm. 1 N-113, National Institute of Dental Research, National Institutes of Health, Bethesda MD 20892

Philip C. Fox

Clinical Investigations and Patient Care Branch, Bldg. 10, Rm. 1 N-113, National Institute of Dental Research, National Institutes of Health, Bethesda MD 20892

Salivary gland dysfunction may occur as a result of common medications, cancer therapy, or Sjogren's syndrome. Affected patients may develop significant oral, dental, and upper gastrointestinal sequelae. This article reviews the basic elements in diagnosis of salivary dysfunction, including initial evaluation and specialized diagnostic procedures. Patient management depends primarily on the severity of salivary dysfunction. More severe permanent forms of dysfunction, such as radiation-induced and Sjogren's syndrome, require long-term care, with preventive measures to maintain the dentition and therapeutic attempts to increase oral fluids.

Key Words: saliva • xerostomia • radiation therapy • Sjogren's syndrome • sialogogues.

Critical Reviews in Oral Biology & Medicine, Vol. 4, No. 3, 271-277 (1993)
DOI: 10.1177/10454411930040030301
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