Journal vol.7 no.1 abstract3 of The Japan Health Care Dental Association

The Journal of The Japan Health Care Dental Association Vol.7 No.1, 2005
abstract

Yoshiaki Nomura, DDS

The survey for the medication, oral conditions including tooth conditions, and a dry mouth was conducted with 2,269 adult patients who attended at the private dental clinics. The aim of this survey is to invstigate the following items: a) if the medication has a relationship with the salivaly secretion and a dry mouth, b) if the lowered amount of salivaly secretion and a dry mouth have a relationship with dental caries and periodontitis, c) what medicines may cause a dry mouth and lower saliva secretion, and d) what the analysis of saliva reveals. Dr. Mochizuki M will give a report of c) and Dr. Nomura Y and Dr. Saito I will give a report of a part of the findings from, d) which is an ongoing issue.

Among the subjects participated in this study, 2,269 subjects take some kind of medicine, and only 786 do not take any medicine. For the subjective symptom of a dry mouth, most of them responded No experience” and only 84 subjects responded to experiencing a dry mouth Frequently” or every day. Together with those who experience a dry mouth In a while” accounts for about 10% of the research people. Among the general diseases in this study, hypertension is the most frequent and 463 cases out of 2,269. The relationship of subjective symptom for a dry mouth with the presence of dysfunction of masticatory, the presence of emotional stress, medication, underlying disease, age, smoking and oral diseases was investigated. The results reveals that masticatory function is related with a dry mouth. Emotional stress was examined using the selected contents from the interview sheet CMI that is applied in the clinical psychiatric service and most contents showed significant difference. The relationship of 5-minitue stimulated saliva volume with emotional stress was also analyzed however, no significant difference was observed. Accordingly, it can be presumed that emotional stress is related with a dry mouth, but not related with the wstimulated saliva volume. Mediation is one of the etiology of a dry mouth, but relationship is not identified that a presence of a dry mouth due to medication has with the stimulated saliva volume. ÎAge is related both with a dry mouth and the stimulated saliva volume. Smoking is substantially attributable with the stimulated saliva volume. Subjective symptom of a dry mouth and the stimulate saliva volume are both associated with dental caries, neither of them are associated with of periodontitis.