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Abstract：
Xerostomia leads to great challenges for patients and dentists in managing and maintaining oral health due to the high risk of developing dental caries. We discuss a case of a 10-year-old male patient who presented with complaints of decayed teeth and difficulty chewing and swallowing food. He had bilateral congenital stenosis and stricture of lacrimal ducts and a family history of lacrimal gland agenesis and Hashimoto\'s disease. The diagnosis reached was agenesis of all major salivary glands confirmed by saliva testing and ultrasound examination of the glands. Comprehensive preventative, restorative, and maintenance protocols based on caries management by risk assessment (CAMBRA) were implemented, including fissure sealants, amalgam and composite resin restorations, professional and home-applied fluoride, chlorhexidine mouthwash, frequent water consumption, and two-monthly recalls. We were able to stabilize the patient\'s risk of dental caries for over three years. The implementation of stringent restorative, preventive, and maintenance protocols is key to improving and maintaining oral health in severe cases of xerostomia.
摘要：
由于患龋齿的高风险，口干症给患者和牙医在管理和维持口腔健康方面带来了巨大挑战。我们讨论了一例10岁的男性患者，该患者抱怨牙齿腐烂，咀嚼和吞咽食物困难。患者有双侧先天性泪道狭窄和狭窄，有泪腺发育不全和桥本病的家族史。达到的诊断是通过唾液测试和腺体的超声检查确认的所有主要唾液腺的发育不全。全面预防,恢复性,并实施了基于风险评估龋齿管理（CAMBRA）的维护协议，包括裂缝密封剂,汞合金和复合树脂修复体，专业和家庭应用的氟化物，洗必泰漱口水,经常用水，和两个月的召回。我们能够稳定患者患龋齿的风险超过三年。实行严格的恢复性,预防性,在严重的口干症病例中，维护方案是改善和维持口腔健康的关键。
