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HipossalivaĆ§Ć£o: da etiologia ao tratamento
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Abstract(s)
A sensaĆ§Ć£o de boca seca pode ser subjetiva, designando-se por xerostomia ou estar associada a hipofunĆ§Ć£o das glĆ¢ndulas salivares (hipossalivaĆ§Ć£o) ou alteraĆ§Ć£o da composiĆ§Ć£o salivar. SĆ£o dois conceitos diferentes, apesar da sua utilizaĆ§Ć£o indiscriminada, muitas vezes subvalorizados e subdiagnosticados pelo mĆ©dico dentista. A hipofunĆ§Ć£o das glĆ¢ndulas salivares predispƵe os pacientes a diversas complicaƧƵes como disgeusia, dor, sensaĆ§Ć£o de ardor na mucosa oral, cĆ”ries dentĆ”rias e outras doenƧas infeciosas, disfagia e disfonia, queixas frequentes na consulta de medicina dentĆ”ria. O objetivo deste trabalho Ć©, Ć luz do conhecimento atual e recorrendo a pesquisa bibliogrĆ”fica, compreender a etiologia, mĆ©todos de diagnĆ³stico e estratĆ©gias terapĆŖuticas para a gestĆ£o do paciente com hipossalivaĆ§Ć£o e xerostomia. A gestĆ£o do tratamento do paciente com hipossalivaĆ§Ć£o nĆ£o obteve ainda um consenso geral, pelo que sĆ£o necessĆ”rios mais estudos nesta Ć”rea, para que ocorra a sua uniformizaĆ§Ć£o.
The dry mouth sensation can have a subjective nature, called xerostomia, or it can be associated to salivary gland hypofunction (hyposalivation) or a change in the composition of saliva. Despite their indiscriminate use, these are two different concepts, which are often underrated and subdiagnosed by the dentist. Patients with salivary gland hypofunction are subject to various complications, such as dysgeusia, pain, a burning sensation in the oral mucosa, dental caries and other infectious diseases, dysphagia and dysphonia, which are common complaints in the dental medicine appointment. So far, there hasnāt been a general consensus over the treatment options for a patient with hyposalivation, therefore further research is necessary in order to achieve a uniformization.
The dry mouth sensation can have a subjective nature, called xerostomia, or it can be associated to salivary gland hypofunction (hyposalivation) or a change in the composition of saliva. Despite their indiscriminate use, these are two different concepts, which are often underrated and subdiagnosed by the dentist. Patients with salivary gland hypofunction are subject to various complications, such as dysgeusia, pain, a burning sensation in the oral mucosa, dental caries and other infectious diseases, dysphagia and dysphonia, which are common complaints in the dental medicine appointment. So far, there hasnāt been a general consensus over the treatment options for a patient with hyposalivation, therefore further research is necessary in order to achieve a uniformization.
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Keywords
Xerostomia Dry mouth Hyposalivation Salivary gland hypofunction Saliva Sialometry Treatment