8 Reasons Why Your Mouth Is Dry

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Dry mouth can make your mouth feel like Sahara desert

Dry mouth is something everyone experiences at some point of life. Normally it passes by it self but sometimes it persists and might become a condition that affects the standard of living and oral health. At that point we realise how important the saliva actually is.

Here are the most common reasons for dry mouth.

Dehydration

I start from the most common reason for the dry mouth, the dehydration. There are many reasons for the dehydration and some of them are not so well known amongst common people. Here are the most typical reasons:

  • exercise
  • drinking diuretic drinks (e.g. coffee, tea, coke, alcohol)
  • hot weather
  • air conditioning

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The dehydration caused by these reasons is easily cured by drinking enough water. For example if you drink a cup of coffee, drink same amount of water as well.

Dehydration can be caused by other reasons as well like

  • medication
  • illnesses (e.g. fever, diabetes)
  • vomiting, diarrhoea

Mouthwashes

Mouthwashes that contain alcohol can dry the mouth. If you experience dry mouth, it may cause bad breath because saliva is not around to kill bacteria.

It is bacteria that is causing the bad breath and without saliva it will build up quicker. If dry mouth is accompanied with an inadequate oral hygiene regime it will result in thick layer of bacteria (plaque). And the longer the plaque stays in one place, the more sinister bacteria there will be. Even amoebas! Eew!

People who experience bad breath will often turn to mouthwashes but it can actually go from bad to worse. The best thing to do when you get bad breath is to visit your hygienist, follow a good oral hygiene regime and keep yourself hydrated.

Even the alcohol-free mouthwashes can dry the mouth. There are so many chemicals in the mouthwashes that it is not possible to predict how your mouth reacts to one. If you are interested to read more about mouthwashes and if you should use them, read this.

Stress

Stress can cause the saliva flow to decrease leaving your mouth feeling sticky. Also all the stress related illnesses like depression and anxiety can cause dry mouth.

Medications

There are many side effects with medicines, one being the dry mouth. The most common medicines to cause dry mouth are

  • antihistamines
  • beta-blockers
  • antidepressants
  • anti-psychotics
  • muscle relaxants
  • diuretics

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Sometimes it is worth consulting your doctor if there would be an alternate medicine for the same condition – maybe this alternate medicine is not causing that many side effects. Also pills from different trade marks can have different composition even though they have the same active ingredient. So trying different trade mark might help with the side-effects.

Remember not to stop taking medicine before you consult your doctor.

Illnesses and Syndromes

There are illnesses that may cause dry mouth. The Sjögren’s Syndrome is one of them. Also Alzheimer’s disease and stroke may cause dry mouth.

Cancer that requires radiation therapy close to salivary glands can damage the salivary glands and this will cause dry mouth. Also chemotherapy will cause dry mouth as it will make the saliva thicker.

Type 1 and type 2 diabetes can cause dry mouth with some individuals. It is not well known why this happens but it has been suspected that the high blood sugar levels are the culprit.

Smoking and Recreational Drug Use

Smoking and chewing tobacco can cause dry mouth symptoms, so does the use of marijuana.

Methamphetamine aka Crystal meth also causes dry mouth and damaged “meth teeth”. But the dry mouth side effect is the least of the worries with this drug. Stay away from it unless you are in a hurry to the grave. It is also good to remember that marijuana can be a gateway to stronger drugs. So it is best to avoid it as well.

Mouth Breathing

Breathing through mouth because of blocked nose or because of anatomy of the facial structures (lips, jaw) causes dry mouth. Also some of the mouth breathing is habitual and some of it happens at night when you sleep. This reminds me that I’ve always wondered if the mouth breathing is a nice way to say you snore at night?

Toothpaste Ingredients

Toothpastes have many ingredients and they vary from toothpaste to toothpaste. But 2 ingredients to avoid when you experience dry mouth are sodium lauryl sulfate (SLS) and zinc. SLS is found in many foam forming products like shampoos and it is better known by the name soap.

Also it is best to choose a toothpaste that does not cause your mouth burn or make it dry. The combo of chemicals reacts differently with each individual (like with mouthwashes) so you can find a suitable toothpaste for you by testing different toothpastes. Remember to always choose a toothpaste that contains fluoride (1450ppm).

How to Relieve the Dry Mouth

  • drink plenty of water
  • chew sugar-free chewing gum (preferably sweetened with xylitol or erythritol)
  • suck 100% xylitol pastilles (100% means that xylitol is the only sweetener used in the pastilles) – xylitol has an ability increase saliva flow. You can suck these as often you stomach can take.
  • suck on ice cubes
  • use dry mouth gels, sprays or lozenges that you can get from the pharmacist. Ask the pharmacist to check that they are tooth-friendly.
  • make sure your nose is not blocked, use decongestant before hitting the hay if it is
  • use small amount of olive oil before going to bed – spread it all around your mouth with your tongue. This will hopefully prevent you waking up because of the dry mouth at night.
  • set a room vaporiser to add moisture to the bedroom air if it is very dry – drying laundry indoors will do the same trick
  • seek help for the snoring from your doctor
  • think about changing your lifestyle habits especially if you can tick many boxes in the list of the reasons for dry mouth. Some things you cannot change, but those you can, might make a difference to your overall well being. If you are depressed and have medication for the depression – seek help for the root cause of the depression. Maybe a therapy?

Oral-B Gum & Enamel Repair Original Toothpaste Review

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Oral-G Gum & Enamel Repair Original toothpaste

Today I am going to review a toothpaste for the first time ever. It is a toothpaste that was given to me by a representative of Oral-b. It is called Oral-b Gum & Enamel Repair Original toothpaste and it is Oral-b’s newest toothpaste.

Here’s the manufacturer’s selling speech about the toothpaste on their website:

  • It defends against acid erosion and helps to repair enamel
  • It provides antibacterial action to help rejuvenate gums
  • For sensitive teeth – clinically proven
  • Oral-B Gum & Repair Original toothpaste comes with a mild flavour and a smooth texture

The Design

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The design of the packaging looks simplified and minimalistic which I very much like. This is welcome change from their previous toothpastes’ outlook that had too much information in a small space.

The tube is still easy to open, but there is small change in the lid. It used to be made of metal which at least in my opinion is better recycling-wise than plastic. Small detail but still. Can’t help this image of whales’ intestines full of plastic popping in my mind. But then again the whole tube is plastic.

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The Testing

Staying on the environmental subject. The plastic and the whales. There has been lots of talk over microbeads that are found in many consumer products. Even in toothpastes. These microbeads will eventually find their way into the sea and cause problems to the oceans as persistent pollutant. The representative who gave me this Gum & Enamel Repair Original toothpaste sample promised that there are no microbeads in it. The ingredient to look for is polyethylene when you want to make sure there is none of them. I found no polyethylene in the ingredients list (see at the end of this post). Great.

The texture of the toothpaste looks smooth as they promised but when you take closer look, it is not that smooth after all and the fear of microbeads is getting stronger again.

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The texture of the Gum & Enamel Repair Original toothpaste
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Closer look of the toothpaste reveals tiny beads.

The tiny granules are clearly visible but these could be actually hydrated silica (abrasive), not microbeads.

Ok, time to add toothpaste to my toothbrush. Like with Oral-b Pro-Expert toothpaste, this new one is also quite runny and can be messy if you are not quick enough. Once I had applied toothpaste to my toothbrush I was in a rush to take a photo before it dripped on to the table.

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I use my beloved Philips Sonicare

and with this brush the runny texture is actually better than the ones that are stiffer pastes. But I can see that the sink in the bathroom will have toothpaste marks here and there. Also, note to myself – do not let husband use this toothpaste as he brushes his teeth after he has put his suit on. Silly man.

So lets put the toothpaste in my mouth. It does begin to formulate foam which means there is soap in the toothpaste. Not the best option for somebody with sensitive soft tissues or dry mouth. Soap aka sodium lauryl sulfate can make the mouth dry and also it has been linked to canker sores aka aphthous ulcers (although nothing is scientifically proven and oh boy don’t I hear it from the rep e-v-e-r-y time).

Very soon I begin to feel burning sensation on first third of the tongue (the tip of the tongue), both top and bottom of the tongue. Also the tongue feels slightly numb. This carries on all through the brushing and after spitting the toothpaste out. Now, I do advise my patients not to rinse after brushing but the burning sensation is so strong that I must rinse lightly. Once I did that and bit my teeth together, I could feel biting on some grit. This made me think about the abrasiveness of the toothpaste. It is new toothpaste so the RDA value (Relative Dentine Abrasivity) was impossible to find. I will add the RDA value as soon I find it out.

Ten minutes after brushing the burning can still be felt. Also I feel that the layer of skin inside my lips is peeling off. This has been “a feature” with Oral-b Pro-Expert toothpastes and the reps have said it’s absolutely normal and will diminish when using the toothpaste for longer period of time. My colleague asked the rep if this new Gum & Enamel Repair Original toothpaste does the same. I must say that I cannot remember the rep’s exact answer but I think she said this toothpaste should cause less of the peeling of the mucosa. Well it doesn’t. At least with me. If anything I think the peeling of the mucosa is quicker than with Pro-Expert toothpaste.

Twenty minutes after brushing I can still feel the burning feeling slightly. I guess some people will associate this burning feeling with effectiveness of the toothpaste. The more it burns, the more effective it is. As a dental professional I must say that this is not true. No toothpaste should feel uncomfortable to use.

Would I Recommend?

To be honest, most likely I will not recommend this toothpaste to anyone. Not after I took a closer look at the ingredients. One ingredient has been nominated as Allergen of the Year for 2018 by American Contact Dermatitis Society. This ingredient is called propylene glycol.

The list of ingredients is long and to my mind the longer the list is the more side-effects there will be. My favourite toothpaste that I recommend to my patients a lot has only eight ingredients (aqua, crystalline sorbitol, hydrated silica, crystalline xylitol, PEG, anhydrous natural betaine, cellulose gum, sodium fluoride (1500 ppm F), sorbate). Oral-b Gum & Enamel Repair Original toothpaste has nineteen! Three of these ingredients can have adverse reactions to one’s health – propylene glycol, CI 77891 and sodium lauryl sulfate.

Also the fact that I got this burning feeling in my mouth tells me this toothpaste is not suitable for most of the people. Remember that it should not feel unpleasant to use a toothpaste. Certainly it should not hurt. So change if it does.

The Ingredients

Here are the ingredients of the Oral-B Gum & Enamel Repair Original toothpaste and short explanation of what they are (by clicking the link you will find more information):

  1. Glycerin – an organic compound most commonly from animal fat and vegetable oil
  2. Hydrated Silica – abrasive
  3. Sodium Hexametaphosphate – anti-stains and anti-tartar
  4. PEG-6 – The abbreviation PEG = polyethylene glycol. Possibility for adverse reaction. An emulsifier and foaming agent
  5. Propylene Glycol – the American Contact Dermatitis Society’s Allergen of the Year for 2018. An emollient and emulsifier.
  6. Aqua – the main carrier for all ingredients. Helps dissolve other soluble ingredients. Helps the mechanical process of cleaning teeth in mouthwashes
  7. Zinc Lactate – such a difficult ingredient to find any information solely on zinc lactate. Lots of information on zinc but there must be difference in different types of zinc? If anyone finds trustworthy site with information on zinc lactate, please drop me a line.
  8. Sodium Gluconate – to sequester calcium and helps to prevent gingivitis
  9. CI 77891 – titanium dioxide (nanoparticles). A thickening agent and colourant.
  10. Sodium Lauryl Sulfate – soap, the foaming agent. Can work as an irritant.
  11. Silica – a mild abrasive to clean teeth.
  12. Aroma – a chemical compound which adds odours to dental products.
  13. Sodium Saccharin – an artificial sweetener
  14. Carrageenan – an extract from a red seaweed. Binds and gels all the ingredients together
  15. Trisodium Phosphate – stain remover and de-greaser
  16. Stannous Fluoride – the good in the toothpaste
  17. Stannous Chloride – antibacterial
  18. Xanthan Gum – a thickening agent
  19. Sodium Fluoride – the good in the toothpaste

If you are interested in other common ingredients in toothpastes that can cause adverse reactions, click here.

Edit 21.6.2018

Want to know what the rep told me about the RDA level of the Oral-B Gum & Enamel Repair Original toothpaste? Click here to find out.

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