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Managing Dry Mouth

Dry mouth can leave you feeling deserted!

Dry mouth, or xerostomia, may be may be caused by factors such as medications, medical treatments, or certain habits like tobacco use. Dry mouth can also occur along with certain medical conditions. For example, it is a key indication of Sjögren’s syndrome, a disorder in which the body’s immune system mistakenly attacks its own moisture-producing glands, including the salivary glands. This symdrome results in a dry mouth due to a lack of saliva. Other factors may include:

  • Certain emotional states, such as depression or anxiety which can leave you feeling like your mouth is dry.
  • A number of medications can cause dry mouth such as those used to control allergies, cold symptoms, or blood pressure, as well as some pain relievers or antidepressants.
  • Some medical treatments like head and neck radiation can affect the salivary glands and reduce the flow of saliva.
  • Habits like mouth breathing, drinking alcohol, or using tobacco products, can dry your mouth as well.


Saliva cleanses the mouth, it helps you chew and swallow food, and it even helps you speak. In addition to making it difficult to chew, swallow, or speak, a low saliva flow can cause the following:

  • Dry, cracked lips
  • A rough tongue
  • Bad breath
  • Infections on the surface of the tongue, cheeks, or gums.

Saliva also can help protect your teeth from decay. Your teeth are coated with a film of bacteria called plaque. When you eat or drink foods that contain sugar, these bacteria produce acid that can cause tooth decay. Saliva affects this acid in a way that makes it less harmful to your teeth. When you don’t have enough saliva, you might develop cavities.


If you notice that you are experiencing any of the oral health changes listed above, speak with us about it. Once we’ve narrowed down what could be causing the problem, it will be easier to develop a plan to help minimize the effects. We may suggest that you use a special gel or rinse designed to keep your mouth moist. If you are developing cavities, your dentist might prescribe a toothpaste or mouth rinse that has fluoride in it to help protect your teeth. We may also apply a fluoride gel or give you a fluoride-containing rinse during your office visit. Other ways you might find relief include the following:

  • Chewing sugar-free gum or sucking on sugar-free hard candies to stimulate salivary flow.
  • Sucking on ice chips.
  • Sipping water with meals to aid in chewing and swallowing food.
  • Using alcohol-free mouth rinse.
  • Avoiding carbonated drinks (like soda), caffeine, tobacco, and alcohol.
  • Using lip balm to soothe cracked or dry lips.

Most importantly, take care of your teeth. Good oral hygiene is especially important for people who have decreased salivary flow and therefore at increased risk of tooth decay. Brush twice a day with toothpaste that contains fluoride and clean between your teeth daily with floss or an interdental cleaner. Visit us regularly for professional cleanings and oral examinations.

Referenced from the American Dental Association (ADA) Division of Science. Copyright  2015 American Dental Association.

Michael D. Gillespie, DDS

Michael D. Gillespie, DDS