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Critical Reviews in Oral Biology & Medicine, Vol 4, 271-277, Copyright © 1993 by International & American Associations for Dental Research
ARTICLES |
I. H. Valdez and P. C. Fox
Clinical Investigations and Patient Care Branch, National Institute of Dental Research, National Institutes of Health, Bethesda, MD 20892.
Salivary gland dysfunction may occur as a result of common medications, cancer therapy, or Sjogren's syndrome. Affected patients may develop significant oral, dental, and upper gastrointestinal sequelae. This article reviews the basic elements in diagnosis of salivary dysfunction, including initial evaluation and specialized diagnostic procedures. Patient management depends primarily on the severity of salivary dysfunction. More severe permanent forms of dysfunction, such as radiation-induced and Sjogren's syndrome, require long-term care, with preventive measures to maintain the dentition and therapeutic attempts to increase oral fluids.
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