James C. Calcagno, DDS

General & Cosmetic Dentistry

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 logoDry Mouth also known as Xerostomia, is characterized by a decreased flow in saliva. Dry mouth is more common in older adults as a result of aging and hormonal changes; medical illnesses such as cancer that require radiation therapy to the face/neck, and Sjrogens syndrome among others. Dry mouth is also a side effect from a wide variety of medications including drugs used to treat depression, anxiety, pain, allergies, obesity, acne, epilepsy, hypertension, diarrhea, nausea, psychotic disorders, asthma, and Parkinson's disease.

Some problems associated with dry mouth may be difficulty speaking, burning sensation, difficulty swallowing, and dry nasal passage. When saliva is reduced or absent, it can also negatively affect the teeth and gums. Our saliva has natural buffers which help protect our teeth from acids made by plaque and helps wash debris off the teeth. People who have dry mouth are more prone to developing inflamed gums, tooth decay, or fungal infections on the oral tissues. 

If you have dry mouth, there are some helpful products and remedies. Sipping on water through out the day is a cost effective way to help moisten the mouth and rinse the teeth. There are special lozenges (called Salease )that help promote saliva flow. Biotene are products that help moisten and neutralize the oral enviorment. Artificial saliva's such as Saliva Substitute, Mouth Kote, and Moi-Stir can also help. For more severe cases of dry mouth, prescribed medications such as Salagen and Evoxac can help stimulate salivary function.

Those who suffer from dry mouth tend to have higher levels of plaque than those with normal saliva and should see their dentist more often. Managing dental decay is critical for those suffering from dry mouth. Fluoride/ Acidulated Calcium Phosphate (ACP) delivery trays or in-office treatments can help protect and re-mineralize the tooth. At home, it is very important to clean the teeth and gums properly and remove all plaque everyday. Some tools that will improve home care include: electric tooth brushes, daily flossing, tongue scraper, and a water flosser by WaterPik. Talk to your dentist or hygienist if you suffer from dry mouth or have noticed a change in your salivary flow. 

Written by: Camile Periat, RDH and James Calcagno, DDS

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Client Testimonials

As always, a very pleasant, relaxing visit..this team is the best! And Dr.Calcagno their suburb leader!5stars
My dental hygenist does an excellent job of cleaning my teeth in a thorough and efficient manner. The dentist exam is also thorough and I appreciate that he keeps me informed about areas of concern and what his plan of action is.5stars
The dental asst always makes me feel so comfortable so my anticipation is never stressful. I thought i was going to need a crown or at the least a new filling but he was able to repair the tooth... Thank you Dr. Calcagno and staff.5stars


As always!!!...the best care a patient can receive. Dr. Calcagno, you and your staff have my healthcare at the top of your mission. Thank you for a wonderful visit and keeping my smile, smiling!!! Enjoy your work days and keep those smiles coming.5stars
I love this dental office! The whole office is so professional yet super friendly. The office staff sets the tone by knowing exactly who you are when you walk in the door. The hygienist does the best job ever, and the doctor is super friendly at the same time explaining the best course of action to correct any problems without feeling any pressure. I highly recommend this dental office!5stars


Dr Calcagno has been my dentists for over 20 years. He and his entire staff will always spend time to have everything explained to you and what all the possible options are. They will treat you like family, need I say more!5stars
I always have a great experience at Dr. Calcagno's office. Dr. Calcagno and his Staff are always very caring and positive. It is a wonderful environment and always love to go back to his office. They have taken care of all my dental needs and go above and beyond for their clients. 5stars
Always satisfied with the expert service from Dr. Calcagno and his very qualified staff.5stars


The entire staff is excellent in delivering the highest quality dental care under the guidance of Dr. Calcagno. I drive from San Jose to see the Calcagno team. They are, far and away, the very best.5stars
Camille is very professional and excellent at what she does. She always makes me feel comfortable. Recently, someone tried to recruit my husband and I to their dental practice. I told my husband; "no Camille, no deal!" My experience with Dr. Calcagno and his staff has made the experience of "going to the dentist," pleasurable. Thank you.5stars