Systemic sclerosis (SSc), commonly known as scleroderma, can cause dry mouth. People with dry mouth are more likely to get periodontal disease, cavities, and dental infections. Dry mouth can also make it difficult to eat, speak, or swallow. Drink at least eight glasses of water a day, and drink water during meals to ease painful chewing and swallowing. (Also see Scleroderma Dental Involvement, What is Scleroderma?, Types of Scleroderma, Systemic Sclerosis and Sjogren's Syndrome)
Increase saliva by using saliva substitutes, gargling or sipping club soda, or using sugar-free lozenges or gum. Brush and floss diligently. Avoid dry, spicy or acidic foods and tobacco and alcohol as these have a drying effect. Instead, eat foods such as gelatins, yogurt, potatoes and melons.
Use Biotene toothpaste, mouthwash, ointment, and chewing gum or similar products, which you can buy over-the-counter or on the Internet.
Altered Salivary Redox Homeostasis in Patients with Systemic Sclerosis. Salivary redox homeostasis is perturbed in patients with SSc and may inform on the pathophysiology and presence of the disease (biomarkers) and efficacy of therapeutic interventions. Su H. (PubMed) J Rheumatol, 2010 Jul 1.
Validity and Reliability of the Italian Version of the Mouth Handicap in Systemic Sclerosis Scale (MHISS). Our results support the validity and reliability of MHISS in Italian SSc patients. The lower values of MHISS total score and subscales in our series in respect to the original one may be explained by the high presence of limited SSc patients in our series. A. Del Rosso. (THU0299) EULAR 2009. (Also see Microstomia)
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