Presented by: Cheryl Ann Peters. * A chronic, systemic and inflammatory autoimmune disease in which immune cells attack and destroy exocrine glands that.

Slides:

Advertisements

Similar presentations

Floss Your Teeth!.

Advertisements

Seniors Oral Health. Seniors Oral Health Introduction Maintaining healthy teeth and gums at any age is an important part of preserving your overall good.

1 Sjögren‘s Syndrome 1.Ocular symptoms 2.Oral symptoms 3.Ocular signs 4.Histopathology 5.Salivary gland involvement 6.Autoantibodies In patients without.

Dry Mouth and Related Oral Conditions John T. Frey, D.D.S. How To Dance in the Rain Conference Grand Rapids, MI ◊ September 6, 2014.

. The American Autoimmune Related Diseases Association (AARDA) is dedicated to the eradication of autoimmune diseases and the alleviation of the suffering.

“You cannot be healthy without oral health.” Surgeon General’s Report on Oral Health ~May WDSF 2011 ©

Mohd Shafiq Bin Paridin Mohd. Firdaus Bin Jamalullail Nik Mohd Abduh Bin Nik Mhd Nor 4 th Year Medical Student Faculty Of Medicine, Zagazig University.

Diabetes and Oral Health:

BIOLOGY OF THE HUMAN DENTITION

Oral Care. Aims By the end of the session the participant will:  Be familiar with the structures within and around the mouth  Be aware of the negative.

Pharmacology-1 PHL 313 Parasympathetic Nervous System Third Lecture By Abdelkader Ashour, Ph.D. Phone:

40-3 Immune System Disorders Page1043. A. Allergies 1. Allergies are an overreaction of the immune system to antigens.

Disorders of the salivary glands

Drugs For Treating Asthma

White Blood Cell Chasing and Engulfing a Bacteria (phagocytosis)

DIAGNOSIS AND MANAGEMENT

Why do we need teeth? Chew Talk Appearance  Maintaining healthy teeth and gums at any age is an important part of preserving your overall good health.

The Olympic Area Agency on Aging & Washington Dental Service Foundation G ood oral health contributes to good overall physical health.

Dental Hygiene for the year old woman

Chapter 5 Autonomic Drugs.

Allergies, Asthma, Diabetes, and Arthritis. Allergies Allergy- specific reaction of the immune system to a foreign and frequently harmless substance Sneezing.

Copyright © 2013, 2010 by Saunders, an imprint of Elsevier Inc. Chapter 14 Muscarinic Agonists and Antagonists.

A. Haerian, DDS, PhD Associate Professor in Periodontics.

By Emily Wong.  is defined as dry mouth resulting from reduced or absent of saliva.  Lubricates oral cavity  Helps chew food  Prevents decay  Regulate.

Why do we need teeth? Chew Talk Appearance  Maintaining healthy teeth and gums at any age is an important part of preserving your overall good health.

Sjögren’s Syndrome Austen Bowling Kiara Bell. What is Sjögren's Syndrome? a chronic disorder in which the white blood cells attack the saliva and tear.

Harjot Sihota MD4 #1034. Introduction An autoimmune disease characterized by destruction of the lacrimal and salivary glands, resulting in the inability.

By Sahba Kazerani & Spencer Close. Why Promote Oral Health? Improve overall health and well-being Recognise common oral diseases Prevent dental pain Reduce.

NON-COMMUNICABLE DISEASES December 1, Non-communicable  Disease that is not transmitted by another person, a vector, or the environment.  Cardiovascular.

Mosby items and derived items © 2007 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 21 Antineoplastic Drugs.

Overview of Sjogren’s Syndrome: Robert I. Fox, MD., Ph.D. Scripps Memorial and Ximed La Jolla, CA.

Chapter 13: Infectious and Noninfectious Conditions $100 $200 $300 $400 $100$100$100 $200 $300 $400 STIsPathogensDisorders Non- Infectious Conditions FINAL.

Antidiarrheal Drugs. Normal bowel movement: An average, healthy person has anywhere from three bowel movements a day to three a week, depending on that.

© 2011 McGraw-Hill Higher Education. All rights reserved. Chapter Twelve: Managing Chronic Conditions.

RED EYE. 2 The Red Eye Differential Diagnosis 3 Differential Diagnosis of “red eye” ConjunctivaPupilCornea Anterior Chamber Intra Ocular Pressure Subconjucntival.

ANTICHOLINERGIC DRUGS Prof. Alhaider Pharmacology Department Prof. Hanan Hagar Pharmacology Department.

Salivary Gland = D Bailie Van Leuven. Focus! What are the different types of salivary glands? What does saliva do?

ALLERGOLOGY The branch of medical science that studies the causes and treatment of allergies.

INTRODUCTION Diabetes is a common disorder showing an exponential increase. It has various oral manifestations that impact the overall level of oral care.

Lesson 3 Allergies, Asthma,Diabetes andArthritis Page

Find out more at

Periodontitis By: Brooke Auger. Periodontitis If you have periodontitis, then you need to get the necessary treatment and education to help restore and.

DIABETES How diabetes can/will affect your oral health Why your mouth is dry; and how that will affect your mouth Root caries What we can do.

DR.A.Tahamoli Rudsari.  Rheumatoid arthritis (RA) is a chronic multisystem disease of unknown cause.  Although there are a variety of systemic manifestations,

 Asthma  Allergens  Rheumatoid Arthritis  Inflammatory Bowel Disease  Crohn’s disease  Ulcerative Colitis.

Mosby items and derived items © 2007, 2005, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. CHAPTER 19 Cholinergic Drugs.

Drugs Affecting the Autonomic Nervous System

Myasthenia Gravis.

35.4 Immune Disorders. Allergies –Antigens that cause allergic reactions are called allergens. –Pet dander, dead skin shed from cats and dogs, is a common.

Make a difference: Clean Mouth = Healthy Body

Case Gardner May 2 nd, 2012 Anatomy and Physiology (Honors)

STATISTICS 42% adults 65 and older visit a dentist annually 68% of teenagers have experienced tooth decay average adult has 21.5 decayed or filled tooth.

Module 2 Oral Health & Disease. Definitions Oral Health Prevention –Primary –Secondary –Tertiary.

MMR is meant to prevent three types of diseases the first is Mumps. Mumps is a viral disease that spreads from person to person by sneezing or coughing.

Sjogren’s syndrome. "Sicca syndrome" is a systemic autoimmune disease in which immune cells attack and destroy the exocrine glands that produce tears.

40-1 Infectious Disease 40-2 The Immune System 40-3 Immune System Disorders 40-4 The Environment and your health CH 40 The Immune System and Disease.

Drugs Used to Treat Oral Disorders Chapter 32 Mosby items and derived items © 2010, 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

XEROSTOMIA By : Dr Ebtisam Fetohy Introduction Symptoms & signs Etiology Diagnosis Management.

Copyright ©2010 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. CHAPTER Gerontological Nursing, Second Edition Patricia.

The Link Between Diabetes And Oral Health Care. Diabetes and Oral Care Oral health care is an aspect of health that is.

Systemic Lupus Erythematosus. SLE or Lupus - is an autoimmune disease in which the body's immune system mistakenly attacks healthy tissue in many parts.

Focus on Pharmacology Essentials for Health Professionals

Sjogren’s Syndrome and Xerostomia – An Overview

Sjögren’s Syndrome Rachel Alvernaz #1, Brittany Flavel #5, Christina Fraijo #6, Stacey Smith #17 DENHY /07/15.

Xerostomia In the name of God.

Conjunctivitis Redness and inflammation of the thin layer of tissue that covers the front of the eye (the conjunctiva) often also irritation and watering.

Chronic Diseases Chapter 23.

Your Smile Says Everything About You

ARTIFICIAL SALIVA /MOUTH MOISTENER

Chapter 6 Muscarinic [,mʌskə‘rinik]毒蕈碱的 receptor agonists

Presentation transcript:

Presented by: Cheryl Ann Peters

* A chronic, systemic and inflammatory autoimmune disease in which immune cells attack and destroy exocrine glands that produce tears and saliva. Characterized by an unusual accumulation (infiltration) of lymphocytes of the exocrine glands. * Primary Sjogren’s syndrome: does not develop as a result of another condition. * Secondary Sjogren’s Syndrome: a condition that coexists with other autoimmune disease such as rheumatoid arthritis, lupus and scleroderma. * It mainly affects women (90%) with the majority being 40 years of age and older.

Hallmark symptoms of Sjogren’s Syndrome is generalized dryness, typically dry eyes (Xeropthalmia or Keratoconjunctivitis sicca), dry mouth (Xerostomia) and vaginal dryness.

Oral Manifestations: Ocular Manifestations: * Difficulty speaking, swallowing, eating* Dry, itchy eyes * Persistent dry cough* Foreign body sensation * Hoarse voice* Swollen and irritated eyelids * Dental caries* Photophobia (sensitivity to light) * Swollen salivary glands* Stinging and burning eyes * Decreased salivary flow* Mucus discharge * Recurring fungal infections of the mouth* Grittiness * Frequent sips of water needed * Redness * Decreased sense of taste

Etiology of Sjogren’s Syndrome is obscure although several hypotheses exist. * Environmental stimulus that promotes an autoimmune reaction in genetically susceptible persons. * Infectious agents have been postulated to trigger the syndrome Treatment is generally symptomatic and supportive. Medications can help stimulate salivary glands and increase production of saliva. Pharmacologic Category: Cholinergic Agonists * Pilocarpine (Salagen) * Cevimeline (Evoxac)

Cholinergic Agonists : * Binds to muscarinic (cholinergic) receptors, causing an increase in secretion of exocrine glands – salivary * Pilocarpine is a nonselective muscarinic agonist * Cevimeline is a selective muscarinic agonist * Dosage: * Oral Pilocarpine - 5 mg twice daily * Oral Cevimeline - 30 mg three times daily Adverse effects on dental treatment: * Excessive salivation, salivary gland pain, ulcerative stomatitis, xerostomia and teeth problems. * Side effects may include sweating, abdominal pain, flushing and increased urination Significant Adverse Effects: * Hypersensitivity to Pilocarpine and Cevimeline are contraindicated in narrow-angle glaucoma, uncontrolled asthma, acute iritis and severe hepatic impairment Warnings and Precautions: * Use caution in patients with cardiovascular disease, controlled asthma, chronic bronchitis and bilary tract disease.

* Good oral hygiene – prevents gum disease and infection * Salivary stimulation - sugar free (Xylitol ) chewing gum and sour lemon lozenges * Consume more liquids * Daily topical fluoride and antimicrobial rinses help prevent caries * Brush with Biotene toothpaste * Use of OTC salivary substitute lozenges, gel, rinses, sprays, swabs contain carboxymethylcellulose, mucin or glycerine, which help lubricate the oral mucosa. * Give up smoking – smoking speeds up the rate at which saliva evaporates and irritates the mouth * Maintain frequent visits to the dental hygienist.

Kruszka P, O’Brian R. J. “Diagnosis and Management of Sjogren’s Syndrome”. American Family Physician 2009; 79 (6): ,472. National Institute of Neurological Disorders and Stroke, Sjogren’s Syndrome Information Page> htm “About Sjogren’s Syndrome” (