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Salivary Gland Disorders and Diseases

  • Siri Beier JensenEmail author
  • Arjan Vissink
  • Norman Firth
Reference work entry

Abstract

Saliva plays an important role in maintaining healthy oral mucosa and teeth as well as oral function by continually covering and lubricating the oral tissues. Salivary gland dysfunction designates decreased saliva flow rate (salivary gland hypofunction), increased saliva flow rate (sialorrhea or hypersalivation), and changed saliva composition. Xerostomia (the subjective feeling of oral dryness) is often associated with salivary gland hypofunction and may severely affect nutritional intake, social interaction and quality of life. Local or systemic disorders and diseases are common causes of compromised saliva secretion. Some of these are related to gland pathology or to the pathophysiological conditions of the host, whereas others affect the gland innervation or are an iatrogenic result of treatment of a disease (e.g., radiation therapy for head and neck cancer, side effects of medications). In general, many patients suffering from diseases that influence salivary gland function also undergo treatments that may impair saliva secretion and/or induce xerostomia as an adverse effect. Consequently, it can be difficult to distinguish what can be attributed to the disease per se or what can be induced by treatment (e.g., medication intake). Thus, a thorough diagnostic workup and early diagnosis of salivary gland dysfunction are crucial to provide appropriate evidence-based treatment of salivary gland dysfunction to prevent oral sequelae and to initiate individualized alleviating management strategies of xerostomia.

Keywords

Salivary gland Disorders Diseases Medications Dysfunction Hyposalivation Xerostomia Hypersalivation Histopathology Sialometry Subjective/objective/semiquantitative assessment 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Siri Beier Jensen
    • 1
    Email author
  • Arjan Vissink
    • 2
  • Norman Firth
    • 3
  1. 1.Department of Dentistry and Oral HealthAarhus UniversityAarhus CDenmark
  2. 2.Department of Oral and Maxillofacial SurgeryUniversity Medical Center Groningen, University of GroningenGroningenThe Netherlands
  3. 3.UWA Dental SchoolUniversity of Western AustraliaNedlandsAustralia

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