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El-Desouky SS, Omer SMM, Ghouraba RF, Latif RMAA, Kabbash IA, Hadwa SM. Zinc oxide-ozonated olive oil as a new root canal filling material in primary molars: a clinical randomized controlled trial. Clin Oral Investig 2023; 27:7395-7405. [PMID: 37864602 PMCID: PMC10713656 DOI: 10.1007/s00784-023-05329-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 10/10/2023] [Indexed: 10/23/2023]
Abstract
OBJECTIVES The complex root canal anatomy of primary teeth keeps it very tricky to attain appropriate cleansing by biomechanical instrumentation, so obtaining an obturating material with excellent antimicrobial properties is a challenge in current clinical pulpectomy practice. So, this study aimed to assess the clinical and radiographic performance of zinc oxide-ozonated olive oil as a primary root canal filling material. MATERIALS AND METHODS Ninety non-vital primary molars in children ranging from 4 to 8 years were allocated into three groups in which root canals were filled with zinc oxide-ozonated olive oil, zinc oxide-olive oil, and zinc oxide-eugenol (ZOE) according to each group after pulpectomy procedure. Clinical and radiographic evaluations were done at 3-, 6-, and 12-month follow-up periods. Statistical analysis was performed for the collected data. RESULTS All study groups showed a significant improvement regarding clinical signs and symptoms during follow-up periods. Ozonated-olive oil group revealed a significant increase in furcation radiodensity and a decrease in periodontal ligament space at 3-, 6-, and 12-month follow-up intervals compared to other groups. CONCLUSION Zinc oxide-ozonated olive oil and zinc oxide-olive oil paste had shown good clinical and radiographic success for primary teeth pulpectomy. CLINICAL RELEVANCE The intricate torturous primary root canal anatomy, in addition to the child's negative behavior, interferes with the complete debridement, so the long-lasting antibacterial effect of the primary root canal filling material aids in the pulpectomy success.
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Affiliation(s)
- Shaimaa S El-Desouky
- Pediatric Dentistry, Oral Health, and Preventive Dentistry Department, Faculty of Dentistry, Tanta University, Tanta, Egypt.
| | - Shaimaa M Mahfouz Omer
- Pediatric Dentistry, Preventive Dentistry, and Dental Public Health Department, Faculty of Dentistry, Suez University, Suez, Egypt
| | - Rehab F Ghouraba
- Oral Medicine, Periodontology, Oral Diagnosis, and Radiology Department, Faculty of Dentistry, Tanta University, Tanta, Egypt
| | - Reham M Ali Abdel Latif
- Pediatric Dentistry, Preventive Dentistry, and Dental Public Health Department, Faculty of Dentistry, Suez Canal University, Ismailia, Egypt
| | - Ibrahim A Kabbash
- Public Health & Community Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt
| | - Shimaa M Hadwa
- Pediatric Dentistry, Oral Health, and Preventive Dentistry Department, Faculty of Dentistry, Tanta University, Tanta, Egypt
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Rodríguez-Agurto A, Bravo M, Magán-Fernandez A, López-Toruño A, Muñoz R, Ferrer J, Mesa F. Randomized clinical trial on the clinical effects of a toothpaste containing extra virgin olive oil, xylitol, and betaine in gingivitis. Sci Rep 2023; 13:6294. [PMID: 37072503 PMCID: PMC10113385 DOI: 10.1038/s41598-023-33521-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 04/14/2023] [Indexed: 05/03/2023] Open
Abstract
To determine the effects on gingival bleeding, dental biofilm, and salivary flow and pH in patients with gingivitis of using toothpaste with extra-virgin olive oil (EVOO), xylitol, and betaine in comparison to a placebo or commercial toothpaste. This controlled, double blinded, and multicenter randomized clinical trial included patients with gingivitis randomly assigned to one of three groups: test group (EVOO, xylitol, and betaine toothpaste), control group 1 (placebo toothpaste), or control group 2 (commercial toothpaste). Percentage supragingival biofilm and gingival bleeding were evaluated at baseline (T0), 2 months (T2), and 4 months (T4), measuring non-stimulated salivary flow and salivary pH. Comparisons were performed between and within groups. The final study sample comprised 20 in the test group, 21 in control group 1, and 20 in control group 2. In comparison to control group 1, the test group showed significantly greater decreases in gingival bleeding between T4 and T0 (p = 0.02) and in biofilm between T2 and T0 (p = 0.02) and between T4 and T0 (p = 0.01). In the test group, salivary flow significantly increased between T2 and T0 (p = 0.01), while pH alkalization was significantly greater between T4 and T0 versus control group 2 (p = 0.01) and close-to-significantly greater versus control group 1 (p = 0.06). The toothpaste with EVOO, xylitol, and betaine obtained the best outcomes in patients with gingivitis, who showed reductions in gingival bleeding and supragingival biofilm and an increase in pH at 4 months in comparison to a commercial toothpaste.
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Affiliation(s)
| | - Manuel Bravo
- Department of Preventive and Community Dentistry, University of Granada, Granada, Spain
| | - Antonio Magán-Fernandez
- Department of Periodontics, School of Dentistry, University of Granada, Granada, Spain.
- Facultad de Odontología, Universidad de Granada, Campus de Cartuja s/n, 18071, Granada, Spain.
| | - Ana López-Toruño
- Department of Periodontics, School of Dentistry, University of Granada, Granada, Spain
| | - Ricardo Muñoz
- Odontólogo, Centro de Salud de Loja, Unidad de Salud Bucodental Distrito Metropolitano, Servicio Andaluz de Salud, Granada, Spain
| | - Joaquín Ferrer
- Odontólogo, Centro de Salud de Huétor-Tajar, Unidad de Salud Bucodental Distrito Metropolitano, Servicio Andaluz de Salud, Granada, Spain
| | - Francisco Mesa
- Department of Periodontics, School of Dentistry, University of Granada, Granada, Spain
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Effects of different detergent-containing children's toothpastes on the viability, osteogenic and chondrogenic differentiation of human dental periodontal ligament stem cells and gingival stem cells in vitro. Tissue Cell 2021; 72:101538. [PMID: 33878638 DOI: 10.1016/j.tice.2021.101538] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 03/22/2021] [Accepted: 03/23/2021] [Indexed: 01/09/2023]
Abstract
BACKGROUND Detergents are the most commonly used compounds in toothpastes due to their foaming and cleaning peoperties. This study aimed to investigate the effects of children's toothpastes with different detergent content on the viability, the osteogenic and chondrogenic differentiation potentials of human mesenchymal stem cells. METHODS The necessary tissues for human periodontal ligament mesenchymal stem cells (hPDLMSCs) and human gingival mesenchymal stem cells (hGMSCs) isolation were obtained during extraction of 10 impacted third molar teeth. The viability of the cells stimulated with different concentratiaons of Colgate, Sensodyne, Splat, Nenedent, Perlodent toothpaste solutions and complete Dulbocco's modified eagle medium (control group) were evaluated by using the flow cytometer. In addition, the osteogenic and chondrogenic differentiation potential of human gingival and periodontal ligament mesenchymal stem cells exposed to toothpaste solutions were examined morphologically. Datas were analyzed with IBM SPSS V23. One way ANOVA test was used to determine the differences between the groups for multiple comparisons, while the Tukey post-hoc test was used for pair wise comparisons in determining which groups differed. RESULTS A higher percentage of cell viability was detected in Control group at 20 %, 50 % and 80 % (p = 0.000) on hGMSCs. After the Control group, the highest cell viability ratios were observed in the detergent-free Splat group (p = 0.000) followed by the Sensodyne experimental group containing CABP (p = 0.000). While the cell viability rates in Nenedent group was found significantly higher than the Perlodent group at other concentrations except for 20 % concentration (p = 0.000). Colgate group had the lowest percentage of cell viability among the experimental groups at all concentrations on hPDMSCs (p = 0.000). The highest live cell ratios was detected in Control group (p = 0.000), followed by Splat and Sensodyne groups (p = 0.000). The cell viability ratios at 50 % concentration were higher in Perlodent group than Nenedent group (p = 0.000). The highest osteogenic and chondrogenic differentiation potential of mesenchymal stem cells stimulated with different toothpaste was determined in Control and Splat group. CONCLUSIONS As a result of the findings, it was observed that toothpaste containing SLS had a more negative effect on the viability of the cells and the differentiation potentials than the other groups.
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López-Pintor RM, Ramírez L, Serrano J, de Pedro M, Fernández-Castro M, Casañas E, Hernández G. Effects of Xerostom ® products on xerostomia in primary Sjögren's syndrome: A randomized clinical trial. Oral Dis 2018; 25:772-780. [PMID: 30561129 DOI: 10.1111/odi.13019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2018] [Revised: 11/18/2018] [Accepted: 12/08/2018] [Indexed: 01/27/2023]
Abstract
OBJECTIVES To assess the effects of Xerostom® toothpaste and mouthwash in primary Sjögren's syndrome (pSS) patients with xerostomia. SUBJECTS AND METHODS A double-blinded, randomized study where patients were assigned at baseline test or control products. Patients used the products 3 times/day/28 days. We used a visual analogue scale (VAS) for xerostomia and an Oral Health Impact Profile-14 (OHIP-14), baseline and after treatment, to assess possible improvement. RESULTS A total of 28 patients with pSS were included in this study, but only 24 finished it (all women, mean age 55.21 ± 11.87), and 13 patients received the test and 11 the control. VAS and OHIP-14 scores decreased in both groups after treatment but significant differences between groups were not found. We do not detect VAS intragroup significant differences before and after treatment in test and control groups. A significant improvement in OHIP-14 was identified in the treatment group, while no significant differences were observed in the control group. No adverse effects were present. CONCLUSIONS Xerostom® toothpaste and mouthrinse may alleviate and improve quality of life without associated side effects, but further research with a larger number of participants and follow-up are necessary to establish the positive efficacy of these topical products in pSS patients.
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Affiliation(s)
- Rosa María López-Pintor
- Department of Dental Clinical Specialties, School of Dentistry, Complutense University, Madrid, Spain
| | - Lucía Ramírez
- Department of Dental Clinical Specialties, School of Dentistry, Complutense University, Madrid, Spain
| | - Julia Serrano
- Department of Dental Clinical Specialties, School of Dentistry, Complutense University, Madrid, Spain
| | - Miguel de Pedro
- Department of Dental Clinical Specialties, School of Dentistry, Complutense University, Madrid, Spain
| | | | - Elisabeth Casañas
- Department of Dental Clinical Specialties, School of Dentistry, Complutense University, Madrid, Spain
| | - Gonzalo Hernández
- Department of Dental Clinical Specialties, School of Dentistry, Complutense University, Madrid, Spain
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Komarov GN, Hope CK, Wang Q, Adejemi AA, Smith PW, Burnside G, Inui T, Higham SM. Dental plaque regrowth studies to evaluate chewing gum formulations incorporating magnolia bark extract. J Funct Foods 2017. [DOI: 10.1016/j.jff.2017.08.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Martín M, Marín A, López M, Liñán O, Alvarenga F, Büchser D, Cerezo L. Products based on olive oil, betaine, and xylitol in the post-radiotherapy xerostomia. Rep Pract Oncol Radiother 2016; 22:71-76. [PMID: 27920611 DOI: 10.1016/j.rpor.2016.09.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Accepted: 09/14/2016] [Indexed: 11/25/2022] Open
Abstract
AIM The objective of this study was determining if the use of products based in olive oil, betaine and xylitol are efficacious to decrease the impact of the dry mouth in the quality of life of the patients with xerostomia due to radiotherapy treatment. BACKGROUND Following therapeutic irradiation of the head and neck, patients with profound xerostomia have complaints associated with oral dryness, speech, and taste. There is no strong evidence that any topical therapy is effective for relieving the symptom of dry mouth. MATERIAL AND METHODS 40 patients who had been treated with radiotherapy for head and neck carcinoma and reported symptoms of dry mouth were included in the study. A xerostomia-related quality of life questionnaire, visual analogue scale questionnaire for subjective assessment of salivary dysfunction and salivary flow were reported before and 15 days after the use of topical products based on olive oil, betaina and xylitol. RESULTS The four primary quality of life areas demonstrated significantly greater improvement after the use of topical products and all eight VAS items had favourable changes. The reduction of symptoms was statistically significant in 7 of the 8 items. After the use of the products, there were improvements in salivary flow in 45%. CONCLUSIONS The use of products based on olive oil, betaine and xylitol, shaped like collutory, toothpaste, gel and spray significantly improved most symptoms and the quality of life limitations produced by dry mouth in patients treated with radiotherapy.
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Affiliation(s)
- Margarita Martín
- Department of Radiation Oncology, Instituto de Investigación Hospital de La Princesa, Diego de León 62, 28006 Madrid, Spain
| | - Alicia Marín
- Department of Radiation Oncology, Instituto de Investigación Hospital de La Princesa, Diego de León 62, 28006 Madrid, Spain
| | - Mario López
- Department of Radiation Oncology, Instituto de Investigación Hospital de La Princesa, Diego de León 62, 28006 Madrid, Spain
| | - Olga Liñán
- Department of Radiation Oncology, Instituto de Investigación Hospital de La Princesa, Diego de León 62, 28006 Madrid, Spain
| | - Felipe Alvarenga
- Department of Radiation Oncology, Instituto de Investigación Hospital de La Princesa, Diego de León 62, 28006 Madrid, Spain
| | - David Büchser
- Department of Radiation Oncology, Instituto de Investigación Hospital de La Princesa, Diego de León 62, 28006 Madrid, Spain
| | - Laura Cerezo
- Department of Radiation Oncology, Instituto de Investigación Hospital de La Princesa, Diego de León 62, 28006 Madrid, Spain
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Abstract
Saliva is one of the most versatile, multifunctional substances produced by the body and has a critical role in the preservation of the oropharyngeal health. It comprises a serous and mucinous component and is secreted by the major salivary glands. The mucins in the saliva serve to protect and lubricate the hard and soft tissues of the mouth, protecting them from chemical and mechanical damage. Hyposalivation can be managed by various salivary substitutes, peripheral sialagogues, and central sialagogues.
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Affiliation(s)
- Michael D Turner
- Mount Sinai Beth Israel/Jacobi/Einstein Oral and Maxillofacial Surgery, Institute of Head and Neck and Thyroid Cancer, 10 Union Square East, Suite 5B New York, NY 10003, USA.
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Lapiedra RC, Gómez GE, Sánchez BP, Pereda AA, Turner MD. The Effect of a Combination Saliva Substitute for the Management of Xerostomia and Hyposalivation. J Maxillofac Oral Surg 2015. [PMID: 26225058 DOI: 10.1007/s12663-015-0752-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
OBJECTIVE The objective of this study was to evaluate the difference between the combination agent of xylitol, beatine and olive oil in a chewable capsule versus the control agent of a sorbitol tablet in subjects with hyposalivation and xerostomia. MATERIALS AND METHODS The subjects had xerostomia over 3 months and a measured hyposalivation. The study was 3 weeks in duration, with 2 treatment phases of 1 week and a 7 day wash out period in between. At the end of each treatment phase, subjects returned for a follow up evaluation. At this visit they were given the subjective sensation questionnaire, as well as their unstimulated whole salivary flow and stimulated whole salivary flow were measured. RESULTS There was a greater increase in the unstimulated and stimulated whole salivary flow rate, although the results were not statistically significant. The subjective evaluation as measured by the questionnaire showed that both agents reduced the mean score as compared to the baseline, although only the findings in the active agent was statistically significant (p = 0.0015). CONCLUSION The significant conclusions found in this study were that the active agent provided a significant subjective improvement in speech, swallowing, and decreased subjective xerostomia as compared to the control tablet. CLINICAL RELEVANCE This combination agent has a significant effect on patients with subjective xerostomia but does not have a significant effect on objective hyposalivation.
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Affiliation(s)
- R C Lapiedra
- Department of Oral Medicine & Orofacial Surgery, University Complutense of Madrid, Madrid, Spain
| | - G E Gómez
- Department of Oral Medicine & Orofacial Surgery, University Complutense of Madrid, Madrid, Spain
| | - B P Sánchez
- Department of Oral Medicine & Orofacial Surgery, University Complutense of Madrid, Madrid, Spain
| | | | - M D Turner
- Division of Oral and Maxillofacial Surgery, NY Center for Salivary Gland Diseases, Mount Sinai Beth Israel Medical Center NY, New York, NY USA
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Lipids in preventive dentistry. Clin Oral Investig 2012; 17:669-85. [DOI: 10.1007/s00784-012-0835-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2012] [Accepted: 08/28/2012] [Indexed: 02/06/2023]
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Hannig C, Kirsch J, Al-Ahmad A, Kensche A, Hannig M, Kümmerer K. Do edible oils reduce bacterial colonization of enamel in situ? Clin Oral Investig 2012; 17:649-58. [PMID: 22552590 DOI: 10.1007/s00784-012-0734-0] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2011] [Accepted: 04/09/2012] [Indexed: 12/23/2022]
Abstract
OBJECTIVE Edible oils are an empiric approach for the prevention of oral diseases. The present in situ study investigated the effect of edible oils on initial bacterial colonization of enamel surfaces. METHODS AND MATERIALS Initial biofilm formation was performed on enamel specimens mounted on maxillary splints and carried by eight subjects. After 1 min of pellicle formation, rinses with safflower oil, olive oil and linseed oil were performed for 10 min. Application of chlorhexidine for 1 min served as positive control. Afterwards, the slabs were carried for 8 h overnight. Samples carried for 8 h without any rinse served as negative controls. The amount of adherent bacteria was determined by DAPI staining (4',6-diamidino-2-phenylindole) and live-dead staining (BacLight). Additionally, determination of colony forming units was performed after desorption of the bacteria. TEM evaluation was carried out after application of the rinses. RESULTS The number of adherent bacteria on control samples was 6.1 ± 8.1 × 10(5)/cm(2) after 8 h (DAPI). Fluorescence microscopic data from DAPI staining and live-dead staining as well as from the determination of CFU revealed no significant effects of rinsing with oils on the amount of adherent bacteria compared to the non-rinsed control samples. However, with chlorhexidine a significant reduction in the number of bacteria by more than 85 % was achieved (DAPI, chlorhexidine: 8.2 ± 17.1 × 10(4)/cm(2)). The ratio of viable to dead bacteria was almost equal (1:1) irrespective of the rinse adopted as recorded with BacLight. TEM indicated accumulation of oil micelles at the pellicle's surface and modification of its ultrastructure. CONCLUSION Rinses with edible oils have no significant impact on the initial pattern and amount of bacterial colonization on enamel over 8 h. CLINICAL RELEVANCE Rinses with edible oils cannot be recommended for efficient reduction of oral biofilm formation.
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Affiliation(s)
- Christian Hannig
- Clinic of Operative Dentistry, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, Germany.
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Coulthwaite L, Pretty I, Smith P, Higham S, Verran J. QLF is not readily suitable for in vivo denture plaque assessment. J Dent 2009; 37:898-901. [DOI: 10.1016/j.jdent.2009.07.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2009] [Revised: 07/02/2009] [Accepted: 07/03/2009] [Indexed: 10/20/2022] Open
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Ship JA, McCutcheon JA, Spivakovsky S, Kerr AR. Safety and effectiveness of topical dry mouth products containing olive oil, betaine, and xylitol in reducing xerostomia for polypharmacy-induced dry mouth. J Oral Rehabil 2008; 34:724-32. [PMID: 17824884 DOI: 10.1111/j.1365-2842.2006.01718.x] [Citation(s) in RCA: 63] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Polypharmacy is a common cause of salivary hypofunction, producing symptoms of dry mouth or xerostomia, especially among older populations. As the number of older people continues to increase, polypharmacy-induced salivary hypofunction is becoming an increasing problem. Many over-the-counter products are available for relieving symptoms of dry mouth, but few have been tested in controlled clinical investigations. The purpose of this investigation was to evaluate the safety and efficacy of a group of topical dry mouth products (toothpaste, mouth rinse, mouth spray and gel) containing olive oil, betaine and xylitol. Forty adults were entered into this single-blinded, open-label, cross-over clinical study and 39 completed all the visits. Subjects were randomly assigned at baseline to using the novel topical dry mouth products daily for 1 week, or to maintain their normal dry mouth routine care. After 1 week, they were crossed over to the other dry mouth regimen. The results demonstrated that the use of the novel topical dry mouth products increased significantly unstimulated whole salivary flow rates, reduced complaints of xerostomia and improved xerostomia-associated quality of life. No clinically significant adverse events were observed. These data suggest that the daily use of topical dry mouth products containing olive oil, betaine and xylitol is safe and effective in relieving symptoms of dry mouth in a population with polypharmacy-induced xerostomia.
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Affiliation(s)
- J A Ship
- Department of Oral & Maxillofacial Pathology, Radiology, and Medicine, New York University College of Dentistry and the Bluestone Center for Clinical Research, New York, NY, USA.
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