Management of dry mouth: assessment of oral symptoms after use of a polysaccharide-based oral rinse

Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Jan;123(1):76-83. doi: 10.1016/j.oooo.2016.09.008. Epub 2016 Sep 28.

Abstract

Objective: Salivary dysfunction is associated with a range of oral/dental issues, and management of oral symptoms may improve oral function and overall quality of life. The purpose of this pilot study was to evaluate oral symptoms and function in a xerostomic population after use of a proprietary topical for dry mouth, Moisyn (Synedgen Inc., Claremont, CA), which is a polysaccharide-based product.

Study design: A pre- and post-test survey was completed by 57 patients with xerostomia. Patients rated their common oral symptoms, based on the Vanderbilt Head and Neck Symptom Survey, before and after 1-week use of Moisyn rinse and spray. Saliva production under resting and chewing stimulation was also assessed.

Results: Most patients reported relief from dry mouth symptoms and thick saliva (81.7% and 76.0%, respectively) for more than 30 minutes after product use. Statistically significant reductions were found in 15 of 33 oral symptoms. Symptom improvement ranged from 10.7% to 28.4% for thick saliva, 8.4% to 30.6% for pain, 5.5% to 30.4% for dry mouth, and 12% to 21.3% for taste/diet change. Whole unstimulated/resting saliva improved by 100%, and whole stimulated saliva improved by 23.8%.

Conclusions: These findings suggest that the product has utility in symptom control in patients with xerostomia and may lead to an increase in saliva production.

MeSH terms

  • Chitosan / analogs & derivatives*
  • Chitosan / pharmacology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mouthwashes*
  • Pilot Projects
  • Treatment Outcome
  • Xerostomia / prevention & control*

Substances

  • Mouthwashes
  • Chitosan