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Sialorrhea (Sialosis)

Sialorrhea (Sialosis)
Etiology • Varied; may include idiopathic paroxysmal sialorrhea, parkin-
sonism, stomatitis (acute), newly inserted oral appliances, expectorants, neostigmine, and others
Clinical Presentation • Excess saliva resulting in drooling • Angular cheilosis • Diffuse parotid/submandibular salivary gland enlargement
Diagnosis • Direct observation and analysis of history • Flow-rate measurement
Differential Diagnosis • See “Etiology.”
Treatment • Scopolamine • If related to medication use, an alternate medication should be
chosen, if possible.

Prognosis • Guarded/indeterminate