Hyposalivation and Xerostomia in Dentate Older Adults

Wiener, R. Constance; Wu, Bei; Crout, Richard J.; Wiener, Michael A.; Plassman, Brenda L.; Kao, Elizabeth; McNeil, Daniel W.

doi:10.14219/jada.archive.2010.0161

Cited by 102 publications

(95 citation statements)

References 16 publications

(34 reference statements)

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“…According to the most recent criteria, impaired saliva secretion, hyposalivation, is defined as unstimulated salivary flow rates below 0.1 mL per/min [12, 17]. The percentage of patients treated with intermittent hemodialysis, in whom objectively measured hyposalivation was observed to be 28.8 %, which was lower than that found by Bots et al [4] who note decreased salivation in 36.2 % of cases.…”

Section: Discussionmentioning

confidence: 99%

Sodium gradient, xerostomia, thirst and inter-dialytic excessive weight gain: a possible relationship with hyposalivation in patients on maintenance hemodialysis

2013

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PurposeThe aim of the study was to assess whether hyposalivation is linked with increased thirst sensation and weight gain in hemodialysis (HD) patients and whether there is any connection between hyposalivation and sodium balance.MethodsOne hundred and eleven participants (64 males and 47 females) receiving maintenance hemodialysis, mean age 59.1 ± 13.6 years old, were involved in the study. All participants completed a survey evaluating thirst intensity (DTI) and xerostomia inventory (XI). In addition, pre-dialysis sodium concentration and inter-dialytic weight gain (IWG) were assessed. The division into no-hyposalivation and hyposalivation groups was based on an unstimulated whole saliva (UWS) flow rate.ResultsHyposalivation, UWS below 0.1 mL/min, was reported in 28.8 % of HD patients. In these participants, IWG was higher than in patients with UWS > 0.1 mL/min (3.65 ± 1.78 vs 3.0 ± 1.4; p = 0.042), as well as the pre-dialysis sodium gradient (3.22 ± 2.1 vs 1.6 ± 2.8; p = 0.031). The mean XI and DTI scores did not differ between study groups. In the hyposalivation group, pre-dialysis sodium serum gradient negatively correlated with saliva outflow (ρ = −0.61, p = 0.019) and positively with IWG (ρ = 0.49, p = 0.022). IWG correlated with XI (ρ = 0.622, p = 0.016) in hyposalivation group and with DTI in no-hyposalivation group (ρ = 0.386, p = 0.033).ConclusionsHyposalivation significantly correlates with IWG; however, its influence on thirst and self-reported mouth dryness seems to be weaker than expected. Additionally, hyposalivation was found to be associated with an elevated pre-dialysis sodium gradient.

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Section: Discussionmentioning

confidence: 99%

Sodium gradient, xerostomia, thirst and inter-dialytic excessive weight gain: a possible relationship with hyposalivation in patients on maintenance hemodialysis

2013

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“…Il n' est pas rare que les patients atteints de démence gardent des aliments en bouche (« phénomène de boulette »), les mâchonnant sans être capables de les mastiquer correctement, ni de les déglutir. Le risque parodontal et carieux est accru et l'hygiène bucco-dentaire doit être particulièrement suivie [21][22][42][43][44][45][46]. Les troubles de la déglutition vont des simples fausses routes aux pneumopathies d'inhalation pouvant engager le pronostic vital du patient [47][48][49][50][51][52][53][54][55].…”

Section: Les Conséquences Sur L'état De Santé Bucco-dentaireunclassified

Maladie d’Alzheimer et odontologie

Lacoste-Ferré¹,

Duran²,

Vellas³

2013

Actual. Odonto-Stomatol.

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“…Medications with antisialogogue effects are the most frequent causes of hyposalivation [10]. Hyposalivation increases with polypharmacy and is especially likely with the daily use of more than 3 medications [11].…”

Section: Introductionmentioning

confidence: 99%

Stimulated Hyposalivary Flow Rates in Healthcare Students in an Interprofessional Awareness Educational Program Curriculum

Wiener

Morgan

Swager

et al. 2017

Journal of Biomedical Education

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properly cited.Purpose. Hyposalivation influences quality of life and medication compliance. However, oral health knowledge (in general) and knowledge about hyposalivation (in particular) are often lacking in nondental healthcare professional's curricula. Additionally, hyposalivation has not been adequately studied in young adults. The purpose for this study is twofold: to use an interprofessional educational curriculum to increase nondental healthcare students' knowledge about oral health and salivary testing and determine whether hyposalivation is different between sexes in young adults. Method. First-year medical and pharmacy students ( = 178) learned the process of saliva collection and provided samples in an interprofessional program. Results. There were 14.4% of participants with hyposalivation; 72.0% were female. Males had higher flow rates ( = 0.005). There failed to be a significant difference between the sexes with frank hyposalivation. There failed to be a significant difference in hyposalivation and medication use/nonuse. Conclusions. Hyposalivation is a biomedical, public health concern. However, in this young population, there was no significant difference between sexes or in medication use/nonuse. Through participation in the program, the students learned about salivary flow rates and the need for collaboration among professionals to prevent negative impacts of hyposalivation and oral health.

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Hyposalivation and Xerostomia in Dentate Older Adults

Cited by 102 publications

References 16 publications

Sodium gradient, xerostomia, thirst and inter-dialytic excessive weight gain: a possible relationship with hyposalivation in patients on maintenance hemodialysis

Sodium gradient, xerostomia, thirst and inter-dialytic excessive weight gain: a possible relationship with hyposalivation in patients on maintenance hemodialysis

Maladie d’Alzheimer et odontologie

Stimulated Hyposalivary Flow Rates in Healthcare Students in an Interprofessional Awareness Educational Program Curriculum

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