1. 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

2. 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

3. 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…

5. 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

6. 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

7. Choices

8. 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

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