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BackTable / ENT / Podcast / Episode #103

Xerostomia: The Dentist's Perspective

with Dr. Anushka Gaglani and Dr. Abhishek Nagaraj

In this episode of BackTable ENT, Dr. Shah and Dr. Agan invite two comprehensive dentists, Dr. Abhishek Nagaraj and Dr. Anushka Gaglani, back to the show to discuss diagnosis and treatment of xerostomia.

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Xerostomia: The Dentist's Perspective with Dr. Anushka Gaglani and Dr. Abhishek Nagaraj on the BackTable ENT Podcast)
Ep 103 Xerostomia: The Dentist's Perspective with Dr. Anushka Gaglani and Dr. Abhishek Nagaraj
00:00 / 01:04

BackTable, LLC (Producer). (2023, April 6). Ep. 103 – Xerostomia: The Dentist's Perspective [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Anushka Gaglani discusses Xerostomia: The Dentist's Perspective on the BackTable 103 Podcast

Dr. Anushka Gaglani

Dr. Anushka Gaglani is a practicing dentist in Chicago and the co-founder and co-CEO of Areo Dental Group..

Dr. Ashley Agan discusses Xerostomia: The Dentist's Perspective on the BackTable 103 Podcast

Dr. Ashley Agan

Dr. Ashley Agan is a practicing ENT and assistant professor at UT Southwestern Medical Center in Dallas, TX.

Dr. Gopi Shah discusses Xerostomia: The Dentist's Perspective on the BackTable 103 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.

Synopsis

First, the doctors explain common causes of xerostomia, which include multiple medications and comorbid conditions. Lifestyle factors, such as mouth breathing, alcohol consumption, tobacco usage, smoking, and dehydration can also contribute to xerostomia. Less common causes of xerostomia include Sjogren syndrome, chemotherapy, radiation, and radioactive iodine exposure. Then, they discuss how to perform a comprehensive xerostomia workup. Xerostomia is formally diagnosed by measuring the rate of salivary flow for 5 minutes. It can also be diagnosed through minor salivary gland biopsy, but this procedure is performed by ENTs or oral surgeons, not dentists. After taking a thorough patient history, dentists may be able to see evidence of xerostomia during physical examination through signs like fissures on tongue, halitosis, ill-fitting dentures, and angular cheilitis.

Then, the dentists explain the different treatments for xerostomia, from lifestyle changes to medications. They recommend that patients drink 60-65 ounces of water daily and brush at least two times a day. Fluoride mouthwashes and sugar-free lozenges may also help stimulate saliva production. Finally, a cholinergic medication like pilocarpine can be used if patients do not get better with non-pharmacologic intervention. Dr. Nagaraj also recommends that patients with xerostomia come in for dental cleaning four times a year instead of only twice because of their increased risk of developing dental caries. Finally, the doctors discuss how to distinguish the sensation of a dry mouth from the true diagnosis of xerostomia.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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