Mrs Rhiannon F Jones Clinical Lecturer Cardiff University The Importance of developing a mouth care system for sufferers of severe oral dryness Mrs Rhiannon F Jones Clinical Lecturer Cardiff University

Learning Objectives To understand the problems faced by sufferers of xerostomia To learn how products can affect the oral cavity To understand the need for a personalised mouth care routine

Functions of Saliva Lubrication for eating and speech. Aids retention of dentures and appliances. Contains anti-bodies, enzymes and proteins that protect against some common bacterial and fungal infections Buffering action that protects teeth against acid attack Moistens food and its enzymes begin the breakdown of food It truly is the defender of the oral Cavity…

Problems with standard mouth care Toothpastes contain many irritants such as strong flavours and Sodium Lauryl Sulphate Mouthwashes can contain alcohol and strong flavourings The frequent sipping of water can affect the elasticity of saliva and render it less effective. Better to remain well hydrated and consider gels/sprays. Reliance on foods and drinks containing sugar to get relief causing decay Many products are too painful to use and are therefore avoided causing further disease Lack of knowledge amongst medical/dental profession

What can you do? Listen and record symptoms (challacombe Scale) Examine if appropriate Ask what has helped previously and what causes increased soreness Explain the need for a new mouth care system for their ’new’ mouth Explain the different types of product available (evidenced based) and how they could help Provide written information and/or prescription

Choices

How to introduce a new mouth care routine What is their biggest problem? What have they tried previously? We need to explain that their mouth is more sensitive following their treatment and that they now need to try milder formulations of mouth care products Macmillan have a good booklet on mouth care and dealing with dry mouth Sometimes we can use analogies to explain the need to try numerous products such as hair or skin care Once a patient has found relief the impact is profound. Physically, Psychologically and socially

How do we make a decision with regards to prescribing? Declan Lenahan