“…Subjective xerostomia has been reported in higher percentages (75.18% to 91.84%) in the patients with SS (56,75,88,91). Additional dryness-related signs in patients with SS are angular chelitis, redness of the tongue, atrophy of filiform papilae ( Figure 3 and 4), erythematous buccal mucosa ( Figure 5), hardpalate and softpalate, difficulties and pain on swallowing, burning syndrome, sensitivity to acid and/or spicy food, dysgeusia and bitter taste (8,(87)(88)(89)(90)(91)(92)(93). Most of the subjective symptoms such as dry mouth feeling and dysphagia have been reported to be in direct correlation with the decreased salivary flow rate which could also affect the sensory process of swallowing that leads to pain and difficulties on swallowing (73, 94).…”