|
Sign In to gain access to subscriptions and/or personal tools.
|
Prevalence of Subjective Feelings of Dry Mouth in the Elderly
T.O. Närhi
Department of Prosthetic Dentistry, Institute of Dentistry, P.O. Box 41, University of Helsinki, SF-00014 Helsinki, Finland
Dry mouth is a common disorder in elderly individuals. It is not, however, necessarily related to decreased salivary flow rate, since subjective feelings of oral dryness have also been found in those with normal flow rates. The aim of this study was to examine in elderly individuals the prevalence of subjective complaints related to dry mouth, and their association with salivary flow rates and the use of systemic medication. In 1990 and 1991, 368 elderly inhabitants of Helsinki, Finland, had their oral health status examined. In addition to the clinical examination, 341 subjects were interviewed regarding different oral and non-oral complaints related to dry mouth. Findings showed that 46% (n =158) of the subjects had noticed subjective symptoms of dry mouth. Continuous oral dryness was reported by 12% (n = 40) of the subjects, 6% of the men and 14% of the women (p < 0.05). In these 40, the oral and non-oral complaints were studied in more detail. Almost all oral and non-oral symptoms were more frequent in subjects reporting continuous dry mouth compared with controls. Continuous dry mouth was clearly associated with the female gender, with mouth breathing, and with the use of systemic medications.
Key Words: Salivation Aging Perceptions
REFERENCES
- Baum BJ ( 1981). Evaluation of stimulated parotid saliva flow in different age groups. J Dent Res 60:1292-1296.
- Baum BJ ( 1987). Neurotransmitter control of secretion. J Dent Res 66(Spec Iss):628-632.[Medline]
[Order article via Infotrieve]
- Dawes C. (1987). Physiological factors affecting salivary flow rate, oral sugar clearance, and the sensation of dry mouth in man. J Dent Res 66(Spec Iss):648-653.[Medline]
[Order article via Infotrieve]
- Fox PC (1987). Systemic therapy of salivary gland hypofunction. J Dent Res 66(Spec Iss):689-692.[Medline]
[Order article via Infotrieve]
- Fox PC, van der Ven PF, Sonies BC, Weiffenbach JM, Baum BJ ( 1985). Xerostomia: evaluation of a symptom with increasing signifi
- cance. J Am Dent Assoc 110:519-525.
- Fox PC, Busch KA, Baum BJ ( 1987). Subjective reports of xerostomia and objective measures of salivary gland performance. J Am Dent Assoc 115:581-584.[Abstract]
- Fox PC, Atkinson JC, Macynski AA, Wolff A., Kung DS, Valdez IH, et al. (1991). Pilocarpine treatment of salivary gland hypof unction and dry mouth (xerostomia). Arch Intern Med 151:1149-1152.[Abstract/Free Full Text]
- McDonald E., Marino C. (1991). Dry mouth: diagnosing and treating its multiple causes. Geriatrics 46:61-63.
- Narhi TO, Meurman JH, Ainamo A., Nevalainen JM, Schmidt-Kaunisaho KG, Siukosaari P., et al. (1992). Associations between salivary flow rate and the use of systemic medication among 76-81- and 86-year-old inhabitants in Helsinki, Finland. J Dent Res 71:1875-1880.
- Navazesh M., Christensen C., Brightman V. (1992). Clinical criteria for the diagnosis of salivary gland hypofunction. J Dent Res 71:1363-1369.
- Niinimaa V., Cole P., Mintz S., Shephard RJ (1981). Oronasal distribution of respiratory airflow. Respir Physiol 43:69-75.[CrossRef][Medline]
[Order article via Infotrieve]
- Osterberg T., Landahl S., Hedegard B. (1984). Salivary flow, saliva, pH and buffering capacity in 70-year-old men and women. J Oral Rehabil 11:157-170.[CrossRef][Medline]
[Order article via Infotrieve]
- Parvinen T., Larmas M. (1982). Age dependency of stimulated salivary flow rate, pH and lactobacillus and yeast concentrations. J Dent Res 61:1052-1055.
- Rhodus NL, Brown J. (1990). The association of xerostomia and inadequate intake in older adults. J Am Diet Assoc 90:1688-1692.[Medline]
[Order article via Infotrieve]
- Schneyer LH, Pigman W., Hanahan L., Gilmore RW (1956). Rate of flow of human parotid, sublingual and submaxillary secretions during sleep. J Dent Res 35:109-114.
- Schubert MM, Izutsu KT (1987). Iatrogenic causes of salivary gland dysf unction. J Dent Res 66(Spec Iss):680-688.
- Ship JA, Patton LL, Tylenda CA (1991). An assessment of salivary f unction in healthy premenopausal and postmenopausal females. J Gerontol 46:11-15.
- Spielman AI (1990). Interaction of saliva and taste. J Dent Res 69:838-843.
- Sreebny LM (1987). Xerostomia (dry mouth). In: The salivary system. Sreebny LM, editor. Boca Raton, FL: CRC Press, pp. 179-202.
- Sreebny LM, Valdini A. (1987). Xerostomia. A neglected symptom. Arch Intern Med 147:1333-1337.[Abstract/Free Full Text]
- Sreebny LM, Valdini A. (1988). Xerostomia. Part I: Relationship to other oral symptoms and salivary gland hypofunction. Oral Surg Oral Med Oral Pathol 66:451-458.[Medline]
[Order article via Infotrieve]
- Sreebny LM, Valdini A., Yu A. (1989). Xerostomia. Part II: Relationship to nonoral symptoms, drugs, and diseases. Oral Surg Oral Med Oral Pathol 68:419-427.[CrossRef][Medline]
[Order article via Infotrieve]
- Syrjanen S. (1982). Salivary glands in rheumatoid arthritis (dissertation). Proc Finn Dent Soc 78(Suppl IV).
- Talal N. (1987). Overview of Sjogren's syndrome. J Dent Res 66(Spec Iss):672-674.
- Tandler B. (1987). Salivary gland changes in disease. J Dent Res 66:398-406.
- Tomita Y., Osaki T. (1990). Gustatory impairment and salivary gland pathophysiology in relation to oral cancer treatment. Int J Oral Maxillofac Surg 19:299-304.[Medline]
[Order article via Infotrieve]
Journal of Dental Research, Vol. 73, No. 1,
20-25 (1994)
DOI: 10.1177/00220345940730010301

CiteULike Complore Connotea Del.icio.us Digg Reddit Technorati Twitter What's this?
This article has been cited by other articles:

|
 |

|
 |
 
J. Varikooty and T. L. Simpson
The Interblink Interval I: The Relationship between Sensation Intensity and Tear Film Disruption
Invest. Ophthalmol. Vis. Sci.,
March 1, 2009;
50(3):
1087 - 1092.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Turner, L. Jahangiri, and J. A. Ship
Hyposalivation, xerostomia and the complete denture: A systematic review
J Am Dent Assoc,
February 1, 2008;
139(2):
146 - 150.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. D. Turner and J. A. Ship
Dry Mouth and Its Effects on the Oral Health of Elderly People
J Am Dent Assoc,
September 1, 2007;
138(suppl_1):
15S - 20S.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. W Matear, D Locker, M Stephens, and H P Lawrence
Associations between xerostomia and health status indicators in the elderly
Perspectives in Public Health,
March 1, 2006;
126(2):
79 - 85.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
D. W Matear and J. Barbaro
Effectiveness of saliva substitute products in the treatment of dry mouth in the elderly: a pilot study
Perspectives in Public Health,
January 1, 2005;
125(1):
35 - 41.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. NAVAZESH
How can oral health care providers determine if patients have dry mouth?
J Am Dent Assoc,
May 1, 2003;
134(5):
613 - 618.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. Nederfors
Xerostomia and Hyposalivation
Advances in Dental Research,
December 1, 2000;
14(1):
48 - 56.
[Abstract]
[PDF]
|
 |
|
|
|