Problems:

• Physical morbidities - skin excoriation, dehydration
• Social morbidities (participation restriction) - psychosocial issues (isolation, embarrassment, damage to assistive devices)
• Caregiver - Increased burden of care

Reasons for drooling:

• Poor postural control (eg head control)
• Poor lip and tongue control (eg constant open mouth posture, constant tongue thrusting)
• Swallowing problem (eg abnormal gag reflex)
• Abnormal intra-oral sensation (diminished or hypersensitive)

Treatment options:

• Medication (oral or local)
• Therapy training
• Surgery
• Botulinium toxin ( BTX ) injection