speak up about xerostomia and deliver comprehensive care ... · managing patients with xerostomia...
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Speak up about xerostomia and deliver comprehensive care to your patients.
• Maintainingthemouth’spHlevel
• Remineralizingteeth
• Protectingenamelanddentintoothsurfaces
Most xerostomia products fall short. Managingpatientswithxerostomiawillcontinuetobeachallengefordentistsaspeoplelivelongerandtakemoremedications.Patientsmaybeafraidtospeakupormayalreadybedisappointedwithover-the-counterproductsthatdon’tdeliverpromisedrelief.Patientsarelookingforfast,effectiveandconvenientrelief.Yet,theytypicallyfindthemselveshavingtomixpacketsofpowderinwatertorinsetheirmouthsrepeatedlyorneedingtoreapplyproductsfrequentlythroughouttheday.
Butyoucanhelprestorepatients’oralhealthandtheirconfidencetofindtheirvoiceandlivetheirlivestothefullest.
Why is saliva so important?Salivaisoneofthosethingsinlifethatyoudon’ttrulyappreciateuntilit’sgone.Saliva’sbasicfunction istokeepteeth,gumsandtissuesinsidethemouthmoist.Ithasanumberofbenefits,suchas:
• Aidingineatingandspeaking
• Protectingtissuesfrombacteriaandviruses
• Keepingthemouthclean
Xerostomia increases the risk of tooth decay and affects overall health.Letpatientsknowtheoralhealthrisksinclude:
• Dentalcaries
• Plaqueaccumulation
• Gingivitisorperiodontitis
• Candidiasisandotherinfections
• Angularcheilitisormucositis
• Traumaticorallesions
Advocate for your patients’ oral health.Yourpatientsmaycallitdrymouth,butxerostomiaisamoreseriousmedicalconditionthanitsnicknamewouldsuggest.Withmostcases,patients’dailylivesandoralhealthcanbesignificantlycompromisediftheirxerostomiaisnotdiscoveredearlyandmanagedeffectively.
Xerostomia is common — and commonly undetected. Thecausesofxerostomia,whichisassociatedwithadecreaseinthequantityandqualityofsaliva,arenumerous.Xerostomiacanbecausedorexacerbatedbymorethan700medications,bothover-the-counterandprescription.1Patientswithcertainhealthconditionsormedicaltreatments,suchasSjögren’ssyndrome,headandneckcancertherapy,anddiabetes,oftenexperiencexerostomia.Despitebeingacommonmedicalcondition,thesignsandsymptomsmaygounnoticedinaroutinedentalexam.It’sbeenreportedthattheincidenceofxerostomiainthegeneralpopulationisashighas65percent.2
Medications commonly associated with xerostomia:3
• Antiacneagents
• Antianxietyagents
• Anticonvulsants
• Antidepressants
• Antidiarrhealagents
• Antidysrhythmics
• Antihistamines
• Antinauseaagents
• Antipsychotics
• Anorexiants
• Antacids
• Bronchodilators
• Decongestants
• Diuretics
• Highbloodpressuremedications
• Musclerelaxants
• Narcoticanalgesics
• Nonsteroidal anti-inflammatory drugs(NSAIDs)
• Opioidanalgesics
• Parkinson’sdiseasemedications
• Sedatives
• Smoking-cessation agents
• Urinaryincontinence agents
The incidence of xerostomia in the general population is as high as
65%2
1Lamoreux,D.(2014,March11).Findingcomfortwithadrymouth.www.rdhmag.com/articles/print/volume-34/issue-3/features/finding-comfort-with-a-dry-mouth.html.2ADAScienceInstitute,C.(2017).OralHealthTopics:Xerostomia(DryMouth).JADA.www.ada.org/en/member-center/oral-health-topics/xerostomia.3 Sankar,V.,&Rhodus,N.(2015,October15).Xerostomia.www.aaom.com/index.php?option=com_content&view=article&id=107:xerostomia&catid=22:patient-condition-information&Itemid=120.
3M™ Xerostomia Management Solutions provide comprehensive care.Drymouthtreatmentdoesn’thavetostopatrelievingsymptoms.Youcanhelp protectyourpatients’oralhealthbyrecommendingaprogramincludingin-office fluoridetreatments,prescription-strengthtoothpasteandsalivastimulants.
4Mouly,S.,Orler,J.B.,Tillet,Y.,Coudert,A.C.,Oberli,F.,Preshaw,P.,&Bergmann,J.F.Efficacyofaneworallubricantsolutioninthemanagementofpsychotropicdrug-inducedxerostomia,JournalofClinicalPsychopharmacology2007;Volume27,No5.
Learn more: 3M.com/xerostomia
3M™ Vanish™ 5% Sodium Fluoride White VarnishProvideadditionalprotection foryourpatients withthiseasy-to-apply, extended-release-formula varnish.Itcontainsadded calciumandphosphateandmigratestoareasthatare difficulttoreach.
3M™ Clinpro™ 5000 1.1% Sodium Fluoride Anti-Cavity ToothpasteSendyour patientshomewith prescription-strengthfluorideprotectiontheycanusedaily tohelppreventcaries.BrushingwithClinpro5000toothpasteonceadaycreateshigh-qualitymineral,preventsminerallossandhelpsprotectagainstlesionprogression. Clinpro5000containsfluoride,calciumandphosphate—componentsfoundinsaliva thatarenecessaryforbuildingstrongteeth.Seebackcoverforprescribinginformation.
3M™ TheraMints™ 100% Xylitol Sweetened MintsThesegreat-tastingmintsstimulatesalivaflowtofighttheharmfuleffectsofdrymouth.Theyaresweetenedwithxylitol,anaturalsugarsubstitute,anddonotpromotetoothdecay.Xylitolalsohasantimicrobialandantibacterialeffects.
3M™ Xerostomia Relief SprayRapid,effective,prescription-strengthreliefofsymptoms inaconvenient,discreetspray.Inaclinicalstudy,92percent ofpatientssawanimprovementintheirdrymouthsymptoms.4
• Relievessymptomsofdrymouthforuptofourhours
• Lipid-basedspraymoistensandlubricatesthemucosa
• Providesrapidrelief
• Improvespatients’abilitytochew,taste,swallowandspeak
• Easyandconvenientapplication
• Availableonlybyprescriptionthroughadentalprofessional
Speak up when your patients can’t.Patientsmaynotrealizetheyhavexerostomiaorevenknowwhatitis.Theymaythinkthereisnothingtheycandoaboutit,orthatdrymouthisjustsomethingtheyhavetoacceptwithage. Andtheymaynotunderstandhowdamagingxerostomiacanbe.Forthesereasonsandothers,yourpatientsmaybesufferinginsilence.Butastheiroralhealthadvocate,youhavethepower tospeakup,helppatientsunderstandtheirxerostomiaandprovidewaystofightback.
Start by asking your patients about their symptoms.Ifapatientsaysyestooneofthesestatements,it’sworthwhiletofollowupwithadetailedmedicalhistoryandoralexam.Catchingdrymouthearlyisessentialtopreventingsignificanttoothdecay.
• Iamfrequentlythirsty,andmyphysicianhasruledoutdiabetes
• Idrinkbeveragesallday/nighttoquenchmythirstbutgetonlytemporaryrelief
• Ifrequentlyfeelasticky,tackysensationinmymouth
• I’venoticedaraworsoreandburningsensationinmymouthandonmytongue
• I’mhavingdifficultyswallowing,anditismorenoticeableatnight
• Ihavetroublespeakingandchewingmyfood
• Ihaveredsorespots/cracksatthecornersofmymouth
• MysignificantotherhastoldmethatIhavebadbreath
3M Oral Care2510ConwayAvenueSt.Paul,MN55144-1000USA
Phone1-800-634-2249Web3M.com/dental
3M,ESPE,Clinpro,VanishandTheraMintsaretrademarksof3Mor3MDeutschlandGmbH.PrintedinUSA.©3M2019.Allrightsreserved. 70-2013-7043-7(Rev5/2019)
Ordering Information
3M™ Vanish™ 5% Sodium Fluoride White VarnishItem # Product Information
12149C12149L12149M
3M™ Vanish™ 5% Sodium Fluoride White Varnish — 50 PackEach 50 Pack includes: 50 unit-dose packets (0.5ml each) of one flavor and applicator brushes in individual foil pouchesCherry FlavorMelon FlavorMint Flavor
12150C12150L12150M
3M™ Vanish™ 5% Sodium Fluoride White Varnish — 100 PackEach 100 Pack includes: 100 unit-dose packets (0.5ml each) of one flavor; 100 applicator brushesCherry FlavorMelon FlavorMint Flavor
12151C12151L12151M
3M™ Vanish™ 5% Sodium Fluoride White Varnish — Bulk PackEach Bulk Pack includes: 10 boxes of one flavor. Each box includes: 100 unit-dose packets (0.5ml each); 100 applicator brushesCherry FlavorMelon FlavorMint Flavor
Item # Product Information
12151CL 3M™ Vanish™ 5% Sodium Fluoride White Varnish Bulk Pack — Cherry & Melon FlavorsIncludes: 10 boxes (5 Cherry, 5 Melon). Each box includes: 100 unit-dose packets (0.5ml each); 100 applicator brushes
12151X 3M™ Vanish™ 5% Sodium Fluoride White Varnish Bulk Pack — Assorted FlavorsIncludes: 10 boxes (4 Cherry, 4 Melon, 2 Mint). Each box includes: 100 unit-dose packets (0.5ml each); 100 applicator brushes
3M™ TheraMints™ 100% Xylitol Sweetened MintsItem # Product Information
12119M 3M™ TheraMints™ 100% Xylitol Sweetened Mints — Mint Flavor Includes: 520-mint bottle with travel tin
3M™ Clinpro™ 5000 1.1% Sodium Fluoride Anti-Cavity Toothpaste – Prescription OnlyItem # Product Information
1211512115BG12115SM
Clinpro™ 5000 1.1% Sodium Fluoride Anti-Cavity Toothpaste — 4oz tubeVanilla Mint FlavorBubble Gum FlavorSpearmint Flavor
IMPORTANT INFORMATION ABOUT Clinpro™ 5000 1.1% Sodium Fluoride Anti-Cavity Toothpaste Brief Summary (For full Prescribing Information, refer to package insert.)
WHAT IS CLINPRO 5000? Clinpro 5000 1.1% Sodium Fluoride Anti-Cavity Toothpaste is a prescription strength toothpaste indicated for use in adults and children 6 years of age and older, as part of a professional program for the prevention and control of dental caries.
HOW SHOULD I TAKE CLINPRO 5000? Use once daily in place of conventional toothpaste unless instructed otherwise by a doctor or dentist. Apply a thin ribbon or pea-sized amount of Clinpro 5000 using a soft-bristled toothbrush and brush teeth for at least two minutes. After brushing adults should expectorate. Children 6 to 16 years of age should expectorate and rinse mouth thoroughly with water. Do not swallow.
WHAT ARE THE MOST COMMON SIDE EFFECTS OF CLINPRO 5000?
• Allergic reactions and other idiosyncrasies have been rarely reported.
• Repeated ingestion of high levels of fluoride may cause dental fluorosis.
• You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
WHERE SHOULD I GO FOR MORE INFORMATION ABOUT CLINPRO 5000? Ask your doctor or dentist if Clinpro 5000 is right for you. Go to www.3M.com/dental or call 1-800-634-2249.
3M™ Xerostomia Relief Spray — Prescription Only Item # Product Information
12137 3M™ Xerostomia Relief Spray – Two 10 mL vials
Order a supply from a 3M-authorized distributor and dispense prescription treatments directly from your office, or prescribe to your patients for mail-order through Transition Pharmacy (TPS). To download the TPS prescription form, visit 3M.com/RxFormTPS
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