Nanan Nur’aeny
Departemen Ilmu Penyakit Mulut, Fakultas Kedokteran Gigi, Universitas Padjadjaran Bandung, Indonesia

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THE SALTY TASTE THRESHOLD AND TONGUE CLEANING HABITS IN HEALTHY YOUNG ADULT MALE SMOKERS Marcella bt Mohamad Azlin; Erna Herawati; Nanan Nur'aeny
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 7, Nomor 2, Desember 2020
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v7i2.470

Abstract

Introduction: Smoking has adverse effects on the body such as various types of cancer, coronary heart diseases, stroke, peripheral vascular diseases, and oral changes including decreased taste sensation. There have been many studies on the effects of smoking on taste threshold, but specific studies in a group of young adult males and data on the frequency of tongue cleaning habits have not been reported. This study aims to determine the salty taste threshold and tongue cleaning habits in healthy young adult male smokers. Methods: This study was a descriptive cross-sectional study, and the subjects were taken by consecutive sampling. The criteria for the subjects were healthy males, aged 18-24 years old, who had a habit of smoking 10 cigarettes or more per day and had smoked for more than 1 year. A questionnaire was conducted including data on tongue cleaning habits before measuring the salt taste threshold using various concentrations of sodium chloride solution which are 0,012M, 0,014M, and 0,016M. Introduction: Smoking has adverse effects on the body such as various types of cancer, coronary heart diseases, stroke, peripheral vascular diseases, and oral changes including decreased taste sensation. There have been many studies on the effects of smoking on taste threshold, but specific studies in a group of young adult males and data on the frequency of tongue cleaning habits have not been reported. This study aims to determine the salty taste threshold and tongue cleaning habits in healthy young adult male smokers. Methods: This study was a descriptive cross-sectional study, and the subjects were taken by consecutive sampling. The criteria for the subjects were healthy males, aged 18-24 years old, who had a habit of smoking 10 cigarettes or more per day and had smoked for more than 1 year. A questionnaire was conducted including data on tongue cleaning habits before measuring the salt taste threshold using various concentrations of sodium chloride solution which are 0,012M, 0,014M, and 0,016M. Results: Subjects consisted of 76 healthy young adult male smokers for 3-8 years. There were 39%, 53%, and 8% of subjects with a salty taste threshold at concentration 0.012M, 0.014M and 0.016M respectively. Most subjects had a smoking habit for 4 years (36%), and the tongue cleaning habit was not found in the majority of subjects (46%).Conclusion: Most of the subjects had a salty taste threshold higher than normal and more subjects do not have the habit of cleaning the tongue.
ORAL ALLERGY SYNDROME (OAS) AKIBAT REAKSI ALERGI MAKANAN Nanan Nur'aeny
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 2, Nomor 2, Desember 2015
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (67.734 KB) | DOI: 10.33854/JBDjbd.20

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Allergic condition such as itching of the skin, or runny nose and sneezing are widely known, but different case of allergic reaction in the mouth. Are still unknown, one of them is Oral Allergy Syndrome (OAS). Almost everyone knows food allergens such as shrimp, or marine fish, but actually fresh fruits and vegetables also can trigger allergic reactions like OAS in the form of itching or swelling of the lips, tongue, palate, and pharynx. Author intends to provide further information about the OAS in this paper. The mechanism of OAS is a type I, immunoglobulin E-mediated hypersensitivity reaction, common in atopic people with history of atopic rhinitis, bronchial asthma, or urticaria. Food allergen that causes OAS have a cross reaction/ homolog with pollen from protein pathogen respons / PR-10 family, such as Bet v 1 (Birch) and Bet v 2 (Birch). Some OAS allergens from vegetables that homolog with Bet v 1 includes celery (Api g 1) and soybean (Gly m 4), and other allergens from fruits homolog with Bet v 2, such as Ana c1 alergen pineapple. The diagnosis of OAS based on medical history, clinical examination and diagnostic tests includes skin prick test, specific IgE serum, or basophil activation test, and cellular antigen stimulation test with an enzyme-linked immunosorbent assay. Management of OAS consists of non-pharmacological includes information and education to avoid the causes, and give suggestion to eat cooked food. Pharmacologically are prescription of antihistamines or epinephrine injection in case of emergencies. Signs and symptoms of OAS in fact have long been found, but its diagnosis and management are still not widely known. Dentist should know about signs and symptoms of food allergy in the oral mucosa include OAS which caused by fruits and vegetables such as celery, soybean, carrot, apple, pineapple, and strawberry, so finally dentist will provide good management for the patient..
JUMLAH KOLONI CANDIDA ALBICANS PADA PENDERITA HIPERTENSI DAN NON HIPERTENSI DENGAN COATED TONGUE Fitri Rahmadhanti Nurfajrina; Nanan Nur'aeny; Erna Herawati; Yuti Malinda
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 7, Nomor 1, Juni 2020
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v1i1.471

Abstract

Pendahuluan: Candida albicans merupakan mikroorganisme komensal dalam rongga mulut. Pertumbuhan berlebih Candida albicans dapat dipengaruhi oleh kondisi sistemik maupun faktor lokal. Kondisi sistemik seperti penggunaan obat anti hipertensi pada penderita hipertensi dapat mempengaruhi munculnya gangguan dalam rongga mulut seperti hiposalivasi. Salah satu faktor lokal yang penting adalah kondisi kebersihan mulut dengan salah satu indikatornya seperti terdapatnya lapisan putih pada dorsum lidah atau coated tongue. Tujuan penulisan ini adalah menyajikan informasi mengenai jumlah koloni Candida albicans dari saliva penderita hipertensi dan non hipertensi yang memiliki coated tongue. Metode: Penelitian bersifat deskriptif dengan pendekatan cross-sectional. Sebanyak 26 subjek terdiri atas 13 subjek penderita hipertensi dan 13 subjek non hipertensi. Pengambilan saliva menggunakan metode oral rinse concentrate yaitu subjek berkumur dengan larutan phosphate buffer saline (PBS) kemudian ditampung dalam container steril. Identifikasi spesies Candida dilakukan pada medium Chromogenic agar kemudian koloni dihitung menggunakan colony counter dengan pengulangan sebanyak 2 kali. Hasil: Koloni Candida albicans didapatkan hanya pada 50% subjek dalam kedua kelompok. Jumlah koloni Candida albicans dari penderita hipertensi yaitu dengan rata-rata 1429 CFU/ml koloni, dan rata-rata dari 7 subjek non hipertensi yaitu 11300 CFU/ml. Simpulan: Jumlah rata-rata koloni Candida albicans pada kelompok subjek non hipertensi dengan coated tongue lebih tinggi daripada kelompok hipertensi dengan coated tongue, hal ini menunjukkan bahwa coated tongue sebagai salah satu penanda buruknya kebersihan mulut perlu untuk mendapat perhatian dalam hal penanganan maupun pencegahannya. 
Xerostomia as a potential condition in patients Covid-19 with tetanus: A Case report: Serostomia sebagai kondisi potensial pada penderita Covid-19 disertai tetanus: Laporan kasus Alamsyah Piliang; Dewi Zakiawati; Nanan Nur'aeny
Makassar Dental Journal Vol. 11 No. 1 (2022): Volume 11 Issue 1 April 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i1.501

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Introduction: Xerostomia is a dry mouth condition caused by many factors, including the potential of neuroinvasiveness and neurotropism from severe acute respiratory syndrome-coronavirus-2 (SARS-Cov-2). Tetanus causes muscle spasm, rigidity, and also as a risk factor for xerostomia. Objective: To discuss the pathogenesis of xerostomia in patients with coronavirus di-sease-2019 (Covid-19) and tetanus. Case: A 66-year-old male was referred to Oral Medicine Department from Neurology De-partment. Extraoral showed dry and exfoliative lips. Intraoral showed one finger mouth opening, a brownish plaque in dorsum of tongue, no saliva pooling in floor of mouth. Polymerase chain reaction SARS-Cov-2 was positive. Patient was diagnosed with xerostomia. Management: Cleaning the oral cavity with gauze moistened of 0.9% NaCl and 0.12% chlorhexidine diglu-conate, and applying the vaseline album on lips. Conclusion: The pathogenesis of xerostomia is an important factor as po-tential consequence of patients with Covid-19 and tetanus due to damage the angiotensin converting enzyme-2. Keywords: xerostomia, Covid-19, tetanus, angiotensin converting enzyme-2
Knowledge and stigma towards people living with HIV/AIDS: A study among dental hygiene students Wahyu Hidayat; Nanan Nur’aeny; Kamilah Winda
Journal of Dentomaxillofacial Science Vol. 7 No. 3 (2022): (Available online: 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v7i3.1411

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Objective: This study aims to assess the level of HIV/AIDS-related knowledge and stigma among dental hygiene’ students towards people living with HIV/AIDS. Material and Methods: A cross-sectional survey conducted to a senior year dental hygiene student in Politeknik Kesehatan (POLTEKKES) Bandung in November 2019. The sample size determined by a total sampling technique gives rise to 71 participants out of 75 (response rate 94.67%). A self-administered questionnaire was attempted, covered demographic information, participants’ sources of HIV/AIDS knowledge, eleven items concerned to knowledge and five items related to stigma towards PLWHA. Results: The average score for the HIV/AIDS knowledge items and the level of stigma were 8.36 and 3.53. Most of the participants considered as having a high knowledge (71.84%). None of them categorized as a low level of knowledge. Our study also found 66.2% of participants willing to treat PLWHA. Conclusion: The level of HIV/AIDS knowledge considered moderate. However, we still found several mistakes due to the transmission mode of HIV. The stigma’s assessment of PLWHA was low. Nevertheless, unwillingness to live in the same community with PLWHA still indicated.
Morsicatio buccarum dan labiorum kronis terkait kondisi depresi, kecemasan, dan stres: sebuah laporan kasus Inesh Zuria Artika; Nanan Nur'aeny; Dewi Zakiawati
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 35, No 1 (2023): April 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v35i1.41858

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ABSTRAK         Pedahuluan: Morsicatio buccarum adalah kondisi pada mukosa bukal berupa fragmen putih kasar diakibatkan oleh traumatik mekanik kronis. Kondisi ini dapat juga ditemukan pada mukosa labial disebut morsicatio labiorum. Gejala klinis morsicatio berupa plak putih disertai adanya daerah erosi. Lesi dapat ditemukan pada kondisi yang berkaitan dengan depresi, kecemasan, dan stres. Tujuan penulisan adalah memaparkan temuan klinis morsicatio terkait dengan depresi, kecemasan, dan stress serta manajemen lesi. Laporan kasus: seorang pasien perempuan berusia 24 tahun datang mengeluhkan sariawan disertai area putih-putih pada pipi bagian dalam sejak 1 tahun. Keluhan terasa perih apabila tergigit dan makan pedas. Pasien memiliki kebiasaan buruk menggigit pipi dan bibir, serta mengalami kesulitan tidur. Pemeriksaan ektraoral terdapat deskuamasi pada bibir. Pemeriksaan intraoral terdapat lesi ulser dan terdapat plak putih bentuk tidak beraturan pada mukosa bibir dan pipi. Diagnosis kasus adalah morsicatio buccarum dan labiorum kronis dengan diagnosis banding leukoplakia, oral candidiasis, dan friksional keratosis. Hasil pemeriksaan pada pasien menggunakan kuesioner Depression Anxiety and Stress Scale (DASS-21) menunjukan depresi dan kecemasan sangat berat, serta stres sedang. Pendekatan modifikasi perilaku telah diberikan, dibantu dengan antiiflamasi triamcinolone acetonide gel 0,1% dan antiseptik povidone iodine 1%, serta merujuk ke psikolog. Satu minggu setelah terapi keluhan berangsur sembuh, ukuran lesi berkurang dan warna mukosa mulai normal. Kunjungan ke-2 pasien merasa lebih baik dan keluhan tidak terasa perih. Simpulan: Perilaku menggigit pipi atau bibir yang kronis merupakan manifestasi kondisi stress dan salah satu faktor predisposisi morsicatio, sehingga terapi yang dilakukan adalah manajemen perilaku dikombinasikan dengan terapi farmakologis untuk membantu proses penyembuhan lesi.Kata kunci: DASS-21, modifikasi perilaku, morsicatio buccarum, morsicatio labiorum Chronic morsicatio buccarum and labiorum related to depression, anxiety, and stress: a case reportABSTRACT Introduction: Morsicatio buccarum is a condition of the buccal mucosa in the form of rough white fragments caused by chronic mechanical trauma. This condition can also be found on the labial mucosa called morsicatio labiorum. The clinical symptoms of morsicatio are white plaques accompanied by areas of erosion. Lesions can be found in conditions related to depression, anxiety, and stress. The purpose of writing is to describe the clinical findings of morsicatio related to depression, anxiety, and stress as well as the management of the lesions. Case report: a 24 year old female patient came complaining of canker sores accompanied by a white area on the inner cheek since 1 year. Complaints feel sore when bitten and eat spicy. The patient has a bad habit of biting her cheeks and lips and has difficulty sleeping. Extraoral examination revealed desquamation of the lips. Intraoral examination revealed ulcerous lesions and white plaques of irregular shape on the lips and cheek mucosa. Case diagnosis was morsicatio buccarum and chronic labiorum with differential diagnosis of leukoplakia, oral candidiasis, and frictional keratosis. The results of examination of the patients using the Depression Anxiety and Stress Scale (DASS-21) questionnaire showed very severe depression and anxiety, as well as moderate stress. A behavior modification approach has been given, assisted by anti-inflammatory triamcinolone acetonide gel 0.1% and 1% povidone iodine antiseptic, and referred to a psychologist. One week after treatment, the complaints gradually resolved, the size of the lesions decreased and the color of the mucosa began to return to normal. The 2nd visit the patient felt better and the complaint was not painful. Conclusion: Chronic biting of the cheek or lip is a manifestation of stressful conditions and one of the predisposing factors for morsication, the therapy used is behavioral management combined with pharmacological therapy to help the lesion healing process.Keywords: Behaviour change, DASS-21, morsicatio buccarum, morsicatio labiorum 
TANTANGAN FARMAKOLOGI PENGGUNAAN STEROID TOPIKAL PADA PASIEN ORAL LICHEN PLANUS Revi Nelonda; Nanan Nur’aeny; Irna Sufiawati
Odonto : Dental Journal Vol 6: Special Issue 1. April 2019
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (607.834 KB) | DOI: 10.30659/odj.6.1.30-36

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Background: Oral lichen planus (OLP) is a chronic autoimmune disease sprinkled by T cells on the oral mucosal surface. The goal of OLP treatment is to eliminate erythema, ulceration and relieve symptoms. Corticosteroids are the first line in the treatment of OLP, either systemically or topically. The problem arises when using topical steroids, namely the time of topical steroid attachment to the oral mucosa, especially in cases of OLP with clinical desquamative gingivitis. Some studies suggest that the use of individual gingival tray can overcome this problem. Objective: To provide information on topical steroid use in OLP cases with desquamative gingivitis clinical signs.Case Management: Women, age 31, complain that pain with burning on the lips and mouth is aggravated by spicy food. Intraoral examination shows irregular white plaques on the buccal, labial and dorsal mucosa of the tongue accompanied by diffuse erythema in the anterior gingiva of the upper and lower jaws. Patients diagnosed with OLP. Lesions improve 3 months after topical steroid administration, except lesions on the gingiva. Gingival individual tray is then used to obtain adequate attachment of topical steroids on the gingiva surface. The gingiva showed significant improvement after a month later.Conclusion: The use of topical steroid concoctions applied to the gingival individual tray is effective in treating OLP lesions especially with clinical signs of desquamative gingivitis.
Peran kepatuhan pasien pada penatalaksanaan kasus ulser traumatik yang menyerupai Oral Squamous Cell Carcinoma: Laporan kasus Sekar Safitri; Nanan Nur'aeny; Dewi Zakiawati
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 35, No 2 (2023): Agustus 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v35i2.47481

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ABSTRAKPendahuluan: Ulser traumatik adalah lesi ulserasi akibat paparan trauma baik mekanis, termal, dan kimia pada mukosa oral. Gambaran klinis ulser traumatik dapat menyerupai gambaran klinis Oral Squamous Cell Carcinoma (OSCC) yang merupakan epithelial cancer. Ulser traumatik dapat bersifat kronis, sehingga diperlukan kepatuhan pasien untuk keberhasilan perawatan. Laporan kasus ini bertujuan untuk menguraikan keberhasilan penatalaksanaan kasus ulser traumatik yang menyerupai OSCC melalui kepatuhan pasien. Laporan Kasus: Seorang perempuan berusia 24 tahun datang untuk kunjungan kontrol pasca satu minggu lesi ulserasi traumatik pada mukosa labial bawah. Pada kunjungan tersebut ditemukan lesi ulserasi baru pada lateral lidah kanan, berjumlah satu buah, berbentuk oval, berukuran ±5 mm, berwarna kekuningan, dikelilingi halo eritema, dangkal, serta berbatas jelas dan tegas. Setelah dua minggu lesi semakin membesar dari ukuran 5 mm menjadi 1 cm disertai indurasi, seperti pada kasus OSCC. Hasil pemeriksaan penunjang hematologi rutin dan hitung jenis leukosit menunjukkan parameter normal, kecuali kadar neutrofil batang di bawah normal. Pasien diberikan edukasi untuk mencegah trauma berulang. Menimbang kondisi pandemi serta kendala jarak, evaluasi dilakukan dengan kontrol berkala secara langsung dan melalui metode teledentistry. Penyembuhan lesi terjadi dalam waktu lama akibat kepatuhan pasien yang kurang terhadap instruksi yang diberikan. Setelah dilakukan edukasi ulang pada pasien, terdapat perbaikan lesi setelah dua bulan pemberian terapi medikasi dan edukasi kepada pasien. Temuan klinis lesi ulserasi traumatik pada rongga mulut yang bersifat kronis perlu ditindaklanjuti terutama apabila menyerupai tanda klinis keganasan. Simpulan: Kepatuhan pasien sangat mendukung keberhasilan dalam penatalaksanaan kasus ulser traumatik kronis yang menyerupai OSCC.Kata kunciulser traumatik, OSCC, kepatuhan pasien, medikasi, edukasi. The role of patient compliance in management of traumatic ulcer mimicking Oral Squamous Cell CarcinomaABSTRACTIntroduction: Traumatic ulcers arise from exposure to mechanical, thermal, and chemical trauma to the oral mucosa. The clinical appearance of traumatic ulcers in the oral cavity may resemble Oral Squamous Cell Carcinoma (OSCC), a type of epithelial cancer. Traumatic ulcers can sometimes become chronic, necessitating patient compliance for effective treatment. This case report aims to depict the successful management of traumatic ulcer cases that mimic OSCC, underscoring the pivotal role of patient compliance in the process. Case Report: A 24-year-old female returned for a follow-up visit one week after developing a traumatic ulcerated lesion on the lower labial mucosa. During the visit, a new solitary ulcerated lesion was discovered on the lateral right side of the tongue. The lesion was oval-shaped, approximately 5 mm in diameter, and exhibited a yellowish hue. It was encompassed by an erythematous halo, appeared shallow, had distinct borders, and displayed firmness. Over two weeks, the lesion had expanded from 5 mm to 1 cm, exhibiting induration. Remarkably, the lesion was painless, which raised concerns about its resemblance to Oral Squamous Cell Carcinoma (OSCC). Haematological investigations and leukocyte count outcomes returned within normal ranges, except for a below-normal count of stem neutrophils. The patient received guidance on measures to prevent re-trauma. Given the prevailing pandemic conditions and limitations in proximity, evaluations were conducted through periodic direct examination and teledentistry. Due to inadequate patient adherence to the provided instructions, the healing process of the lesion was prolonged. Upon patient re-education, a positive response to treatment was observed after two months of medical therapy and education. The clinical improvement underscored the significance of following up on chronic traumatic ulcerated lesions in the oral cavity, remarkably when their clinical presentation resembles signs of malignancy. Conclusion: Patient compliance significantly contributes to the successful management of chronic traumatic ulcer cases resembling OSCC, alongside eliminating underlying etiological factors.Keywordstraumatic ulcer, OSCC, patient compliance, medication, education.
Evaluation of oral health impact profile-14 in head and neck cancer patients with oral manifestation: Evaluasi oral health impact profile-14 pada pasien kanker kepala dan leher dengan manifestasi oral Ridho, Faiznur; Hapid, Hasan; Nur’aeny, Nanan
Makassar Dental Journal Vol. 13 No. 3 (2024): Volume 13 Issue 3 Desember 2024
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v13i3.1105

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Oral health impact profile-14 (OHIP-14) is a method used to measure oral health quality of life (OHRQoL) after radiotherapy. This case report aims to evaluate OHIP-14 before and after head and neck cancer treatment. In case-1, a 51-year-old man complained of an unpleasant sensa-tion in the mouth, loss of taste, and dry lips after undergoing the 17th cycle of radiotherapy. Case-2, a 24-year-old man complained of dry mouth and unpleasant sensation inside the mouth especially when eating and drinking after undergoing 3rd cycle radiotherapy. Both were diagnosed with stage III tongue cancer. The patients were referred to the Department of Oral Medicine. The patients were diagnosed with oral mucositis, acute pseudomembranous candidiasis, exfoliative cheilitis and xerostomia. Patients were treated with mechanical cleaning using gauze soaked in 0.9% NaCl, gargling with 0.025% hyaluronic acid three times daily for oral mucositis, nystatin oral suspension for oral candidiasis, vaseline album and GC dry Mouth® topical commercial gel for dry lips and xerostomia. The OHIP-14 scores of both patients decreased. It was concluded that a decrease in OHIP-14 score indicates successful treatment of head and neck cancer patients with oral complications after radiotherapy.
Monitoring risk factors of patients with recurrent aphthous stomatitis by serial psychometric assessments of DASS-21 and SXI-ID: Pemantauan faktor risiko pasien stomatitis aftosa rekuren dengan serial asesmen psikometri DASS-21 dan SXI-ID Rajasa, Adrianus Surya Wira; Nur’aeny, Nanan
Makassar Dental Journal Vol. 13 No. 3 (2024): Volume 13 Issue 3 Desember 2024
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v13i3.1130

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This article evaluates the DASS-21 and SXI-ID questionnaires to assess the level of anxiety and xerostomia in the management of SAR. A 23-year-old male with ulcers surrounded by areas of erythema, accompanied by pain in the right buccal mucosa and left lateral tongue that had not been treated; also accompanied by discomfort and dryness in the oral cavity. Quantitative assess-sment in the form of the depression, anxiety, and stress scale (DASS-21) questionnaire was conducted four times during one month, determine the patient's state of dealing with heavy work. The diagnosis of xerostomia was established with the summated xerostomia inventory-Indonesian version (SXI-ID) questionnaire. Pharmacological therapy in the form of 0.2% hyaluronic acid mouthwash for 3 times 10 mL, as well as a behaviour modification approach. It was concluded that periodic evaluation using DASS-21 can identify behavioural changes related to the healing process of SAR. SXI-ID can be a psychometric instrument in patients with xerostomia. Behavioural management and symptomatic management play a role in SAR healing.