Efficacy and safety of two artificial saliva-based polymers containing 0.1% pilocarpine for treatment of xerostomia: A randomized clinical pilot trial.


Journal

Journal of clinical and experimental dentistry
ISSN: 1989-5488
Titre abrégé: J Clin Exp Dent
Pays: Spain
ID NLM: 101603132

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 19 03 2021
accepted: 24 05 2021
entrez: 20 10 2021
pubmed: 21 10 2021
medline: 21 10 2021
Statut: epublish

Résumé

Topical agents are the mainstay in the treatment of xerostomia, a common complaint most frequently associated with salivary dysfunction. This study aimed to compared the efficacy and safety for xerostomia treatment of 2 artificial saliva preparations containing 0.1% pilocarpine, and, either sodium carboxymethylcellulose (SCMC), or, sodium polyacrylate (SPA). Thirty-one xerostomia patients were randomly allocated into either a SCMC-treated group (15 patients), or, a SPA-treated group (16 patients). The formulations were taken 0.5 ml, 4 times daily for 6 weeks and double-blinded assessed before and after treatments using Xerostomia Inventory (XI) and Clinical Oral Dryness Score (CODs). Unstimulated and stimulated whole salivary flow rates were measured. After treatment, the SCMC-treated group had significantly lower CODs and higher unstimulated and stimulated whole salivary flow rates ( This randomized controlled pilot trial demonstrated superior efficacy of SCMC-formula over a SPA-formula after 6 weeks of xerostomia treatment. These formulations with topical pilocarpine proved safe in clinical use with minimal reported AE.

Sections du résumé

BACKGROUND BACKGROUND
Topical agents are the mainstay in the treatment of xerostomia, a common complaint most frequently associated with salivary dysfunction. This study aimed to compared the efficacy and safety for xerostomia treatment of 2 artificial saliva preparations containing 0.1% pilocarpine, and, either sodium carboxymethylcellulose (SCMC), or, sodium polyacrylate (SPA).
MATERIAL AND METHODS METHODS
Thirty-one xerostomia patients were randomly allocated into either a SCMC-treated group (15 patients), or, a SPA-treated group (16 patients). The formulations were taken 0.5 ml, 4 times daily for 6 weeks and double-blinded assessed before and after treatments using Xerostomia Inventory (XI) and Clinical Oral Dryness Score (CODs). Unstimulated and stimulated whole salivary flow rates were measured.
RESULTS RESULTS
After treatment, the SCMC-treated group had significantly lower CODs and higher unstimulated and stimulated whole salivary flow rates (
CONCLUSIONS CONCLUSIONS
This randomized controlled pilot trial demonstrated superior efficacy of SCMC-formula over a SPA-formula after 6 weeks of xerostomia treatment. These formulations with topical pilocarpine proved safe in clinical use with minimal reported AE.

Identifiants

pubmed: 34667494
doi: 10.4317/jced.58415
pii: 58415
pmc: PMC8501859
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e994-e1000

Informations de copyright

Copyright: © 2021 Medicina Oral S.L.

Déclaration de conflit d'intérêts

Conflicts of interest The authors declare that they have no conflicts of interest.

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Auteurs

Wilairat Sarideechaigul (W)

Department of Oral Biomedical Science, Faculty of Dentistry, Khon Kaen University, Khon Kaen 40002, Thailand.
Neuroscience Research and Development Group, Khon Kaen University, Khon Kaen 40002, Thailand.

Aroonsri Priprem (A)

Faculty of Pharmacy, Mahasarakham University, Mahasarakham 44150, Thailand.
Melatonin Research Group, Khon Kaen University, Khon Kaen 40002, Thailand.

Sucharat Limsitthichaikoon (S)

Department of Pharmaceutical Technology, College of Pharmacy, Rangsit University, Pathum Thani 12000, Thailand.

Pensri Phothipakdee (P)

Department of Oral Biomedical Science, Faculty of Dentistry, Khon Kaen University, Khon Kaen 40002, Thailand.

Rajda Chaijit (R)

Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen 40002, Thailand.

Teekayu P Jorns (TP)

Department of Oral Biomedical Science, Faculty of Dentistry, Khon Kaen University, Khon Kaen 40002, Thailand.
Neuroscience Research and Development Group, Khon Kaen University, Khon Kaen 40002, Thailand.

Nopphakhun Lungruammit (N)

Dental Student, Faculty of Dentistry, Khon Kaen University, Khon Kaen 40002, Thailand.

Krittiporn Chaiya (K)

Dental Student, Faculty of Dentistry, Khon Kaen University, Khon Kaen 40002, Thailand.

Classifications MeSH