Increase Patient Awareness

Patients should receive detailed information about the causes and effects of hyposalivation. Patient education should emphasize the importance of oral hygiene (i.e., regular brushing and flossing), regular dental visits, and the use of topical fluoride. Patients should be instructed to avoid products irritating to oral soft tissues such as toothpaste with sodium lauryl sulphate; alcohol and tobacco (initiate tobacco-use cessation counseling); hot, spicy, and coarse foods; fruits and beverages with a high acid content; and to eat a soft diet. Patients should refrain from wearing removable prostheses for extensive periods of time, perform daily cleansing of removable prostheses and prosthesis-bearing mucosal tissues, and regularly inspect oral tissues for evidence of candidal infection. Provide patients with links to available online educational resources (Box B).