Dealing with Thick Saliva and Denture Discomfort: Possible Causes and Solutions - Dentistry

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Thick saliva?


I previously inquired about a heavy foreign body sensation in my mouth after getting dentures, as well as an increasing problem with thick saliva.
I went to the hospital for a check-up to see if I had xerostomia, and the test results indicated that I was normal and did not have dry mouth.
However, the sensation of thick saliva has become more severe.
A few days ago, I visited an oral and maxillofacial specialist, who said there was no issue, but I can confirm that the problem with thick saliva is particularly noticeable with the dentures.
In fact, when I wake up in the morning, my dentures are stuck to my mouth.
I have undergone all the necessary examinations for this issue, but no cause has been identified.
Could it be related to the dentures? The dentist has already adjusted them to the point where I can see the metal components exposed.
Is it possible that I have a metal allergy? How can I resolve the issues of thick saliva and discomfort with the dentures? I look forward to your response, as this problem has been troubling me for almost a year, and I am feeling very depressed.

Pei Ling, 50~59 year old female. Ask Date: 2022/03/26

Dr. Lin Jiayong reply Dentistry


Hello: If you suspect that the issue is related to your dentures, it is advisable to wear them only when necessary.
You can also check if the metal materials are precious metals, as they have high biocompatibility and are less likely to cause allergies.
If you still feel discomfort, consider discontinuing the use of dentures to see if your condition improves.
If there is no improvement, it is recommended to consult a rheumatologist or an endocrinologist to investigate any potential endocrine-related issues (such as hyperthyroidism, etc.).

Reply Date: 2022/03/26

More Info


Dealing with thick saliva and discomfort from dentures can be quite challenging, especially when you've already sought medical advice and undergone various tests without finding a clear cause. Let's explore some potential reasons for your symptoms and possible solutions.

Firstly, it's important to understand that the sensation of thick saliva can be influenced by several factors, including hydration levels, medications, and oral health. Even if your tests for dry mouth (xerostomia) came back normal, it’s possible that other factors are contributing to the thickness of your saliva. For instance, certain medications, particularly those with anticholinergic properties, can lead to changes in saliva consistency. If you are taking any medications, it might be worth discussing with your healthcare provider to see if they could be affecting your saliva production.

Another potential cause could be related to the materials used in your dentures. If your dentures are made from certain types of acrylic or metal, and if you have a sensitivity or allergy to these materials, it could lead to an inflammatory response in your oral tissues, which might manifest as discomfort and changes in saliva consistency. Metal allergies, while less common, can occur and may lead to localized reactions in the mouth. If you suspect this might be the case, consider discussing alternative materials for your dentures with your dentist.

The discomfort you experience with your dentures, especially the feeling of them sticking to your gums in the morning, could be due to improper fit or alignment. Even if your dentist has adjusted them, it may be beneficial to seek a second opinion or revisit your dentist for further adjustments. Sometimes, a denture reline or remake may be necessary to achieve a better fit, which can alleviate discomfort and improve overall function.

In terms of managing thick saliva, there are several strategies you can try:
1. Stay Hydrated: Ensure you are drinking enough water throughout the day. Dehydration can exacerbate the feeling of thick saliva.

2. Saliva Substitutes: Over-the-counter saliva substitutes or mouth rinses can help alleviate the sensation of thick saliva and provide moisture.

3. Dietary Adjustments: Avoiding overly salty or spicy foods can help reduce irritation in the mouth. Incorporating more moist foods can also help.

4. Oral Hygiene: Maintaining excellent oral hygiene is crucial, especially with dentures. Regular cleaning of both your dentures and your mouth can help reduce any buildup of bacteria or food particles that may contribute to discomfort.

5. Consultation with a Specialist: If your symptoms persist, consider consulting an oral medicine specialist or an ENT (ear, nose, and throat) doctor who can provide further insights into your condition.

Lastly, it’s understandable that this ongoing issue has caused you distress. Chronic discomfort can lead to feelings of frustration and depression. It might be helpful to talk to a mental health professional about your feelings, as they can provide support and coping strategies.

In summary, while you've taken the right steps by seeking medical advice, further exploration into the materials of your dentures, potential medication side effects, and ongoing adjustments may be necessary. Don't hesitate to advocate for yourself and seek further opinions if needed. Your comfort and well-being are paramount, and there are solutions available to help you manage these symptoms effectively.

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