Samenvatting
Uit de onderzoeksgegevens van speeksel van de oudere mens kan geconcludeerd worden dat:
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onder normale omstandigheden geen verlaagde speekselklierfunctie optreedt;
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speekselklieren een overcapaciteit hebben aan secretoire cellen en aan secretiegranules;
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hyposalivatie vaak te verbeteren is door stimulatie van het kauwproces en door smaakstimulatie;
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indien de speekselsecretie niet te verbeteren is, de voornaamste oorzaak een speekselklierdisfunctie is als gevolg van:
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het gebruik van medicatie met een anticholinerge hoofdwerking;
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een systemische ziekte, vooral het syndroom van Sjögren en andere auto-immuunziekten;
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een speekselklieraandoening, onder andere na radiotherapie.
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In ieder geval dient de droge-mondklacht serieus te worden genomen en niet te worden afgedaan met ‘het hoort nu eenmaal bij het ouder worden’ en ‘u moet ermee leren leven’, of ‘een droge mond is niet levensbedreigend’. Als de arts en tandarts de klacht serieus nemen, kan naar een doelmatige therapie worden gezocht, waarmee dit voor de patiënt vaak lastige euvel kan worden verholpen of verlicht.
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van Nieuw Amerongen, A. (2008). 18 Leeftijd en speeksel. In: Speeksel, speekselklieren en mondgezondheid. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-313-6317-9_18
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