Clinical criteria for the diagnosis of salivary gland hypofunction

J Dent Res. 1992 Jul;71(7):1363-9. doi: 10.1177/00220345920710070301.

Abstract

There is considerable difficulty in the making of initial clinical decisions as to whether a given patient has salivary gland hypofunction, and hence requires additional salivary gland evaluation. This study identified a set of four clinical measures that, together, successfully predicted the presence or absence of salivary gland hypofunction. The four measures were: dryness of lips, dryness of buccal mucosa, absence of saliva produced by gland palpation, and total DMFT; they were derived from discriminant analysis of data collected from 71 individuals with normal and low salivary flow rates. These measures are proposed as criteria for clinical decision-making, as well as for classification of patients in studies of salivary gland dysfunction syndromes. This study also identified unstimulated whole salivary flow rates of 0.12-0.16 mL/min as the critical range separating individuals with salivary gland hypofunction from those with normal gland function.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • DMF Index
  • Discriminant Analysis
  • Female
  • Humans
  • Lip / pathology
  • Male
  • Middle Aged
  • Mouth Mucosa / pathology
  • Palpation
  • Periodontal Index
  • Reproducibility of Results
  • Saliva / metabolism
  • Salivary Glands / metabolism*
  • Secretory Rate
  • Tongue / pathology
  • Xerostomia / diagnosis*
  • Xerostomia / pathology
  • Xerostomia / physiopathology