When the Clinician Becomes the Patient: Xerostomia Solutions in Cancer Care

Course Code:F10

AGD Code: 730

1.5 Hour Lecture – Technical and Scientific

Suggested Audience: D, H, C  

This lecture course provides a comprehensive, evidence-based overview of xerostomia in patients with cancer, guiding providers from assessment through clinical management. Grounded in both scientific literature and the presenter’s personal experience navigating xerostomia during cancer therapy, the course offers a uniquely practical and empathetic perspective. Participants will review normal salivary gland physiology and learn to identify cancer-related causes of xerostomia, along with key clinical signs and patient-reported symptoms. Dietary contributors will be examined and evidence-based nutritional strategies to reduce oral dryness will be presented. Attendees will compare the effectiveness of topical therapies, systemic sialagogues, prescription fluoride, antimicrobials, and saliva substitutes, while also exploring emerging options such as acupuncture, photobiomodulation therapy, gene-based approaches, and xylitol-containing products. Personal insights are woven throughout to illustrate real-world challenges and highlight what patients often find most helpful. Emphasis is placed on developing individualized care plans that integrate patient history, cancer treatment modality, and symptom severity. Participants will also learn how to educate patients on hydration, oral hygiene, and self-care strategies to support comfort, nutrition, and overall quality of life—enhanced by firsthand understanding of the patient experience.

Educational Objectives:

• Compare the effectiveness of topical therapies and systemic treatment options for xerostomia

• Describe the physiology of normal salivary gland function

• Identify the primary causes of xerostomia in cancer patients

• Recognize the clinical signs and patient-reported symptoms of xerostomia

• Evaluate dietary contributors to xerostomia and recommend evidence-based modifications