Mesh : Animals Anti-Inflammatory Agents / therapeutic use Cholinergic Agonists / therapeutic use Complementary Therapies Controlled Clinical Trials as Topic Deglutition Disorders / etiology Dental Caries / etiology Humans Interferon-alpha / therapeutic use Mouth Diseases / microbiology Muscarinic Agonists / therapeutic use Parasympathomimetics / therapeutic use Salivary Glands / physiopathology Salivation / drug effects Xerostomia / drug therapy etiology

来  源:   DOI:10.1067/moe.2001.116601

Abstract:
Xerostomia may result from salivary dysfunction secondary to a variety of conditions, including medications, autoimmune disease, and tumoricidal therapy. As the geriatric population increases, the incidence of xerostomia will increase and the oral manifestations will continue to be a challenge to the clinician. Common oral manifestations resulting from decreased salivary flow include increased dental caries, fungal infections, and dysphagia. Treatment for salivary gland dysfunction is currently limited because of a lack of controlled clinical trials. Medications that have been studied in clinical trials are emphasized in this article. The aim of this article is to briefly review salivary gland physiology and to summarize the suggested systemic treatment modalities for xerostomia that emphasize controlled clinical trials.
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