Over-the-counter and compounded mouthwashes for radiotherapy-induced xerostomia: a randomized controlled trial

Abstract Head and neck radiotherapy quantitatively and qualitatively compromises salivary flow, and salivary substitutes have the potential to alleviate the symptoms. This study aims to assess the effectiveness of two salivary substitutes in relieving symptoms of radiotherapy-induced xerostomia thro...

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Main Authors: Isabella Silveira SAVO, Samanta Vicente de OLIVEIRA, Gabriela Banacu de MELO, Celso LEMOS, Camila de Barros GALLO
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2025-06-01
Series:Brazilian Oral Research
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025000101554&lng=en&tlng=en
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author Isabella Silveira SAVO
Samanta Vicente de OLIVEIRA
Gabriela Banacu de MELO
Celso LEMOS
Camila de Barros GALLO
author_facet Isabella Silveira SAVO
Samanta Vicente de OLIVEIRA
Gabriela Banacu de MELO
Celso LEMOS
Camila de Barros GALLO
author_sort Isabella Silveira SAVO
collection DOAJ
description Abstract Head and neck radiotherapy quantitatively and qualitatively compromises salivary flow, and salivary substitutes have the potential to alleviate the symptoms. This study aims to assess the effectiveness of two salivary substitutes in relieving symptoms of radiotherapy-induced xerostomia through a double-blind randomized controlled trial. Twenty-four patients were selected from a dental oncology clinic and randomly assigned to the over-the-counter or compounded mouthwash group. Each patient was instructed to rinse their oral cavity with the assigned solution three times a day for 30 days. Both participants and researchers were blinded to the product used during the trial. The impact of xerostomia was assessed using a numerical rating scale and validated questionnaires on oral health-related quality of life and xerostomia, administered before and after the intervention and subsequently compared. Both groups exhibited a statistically significant reduction in xerostomia symptoms. The studied salivary substitutes produced transient beneficial effects on complaints of radiotherapy-induced xerostomia.
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spelling doaj-art-4ff81cd2ffde46dd8d0a0598e75c685c2025-08-20T03:07:35ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072025-06-013910.1590/1807-3107bor-2025.vol39.057Over-the-counter and compounded mouthwashes for radiotherapy-induced xerostomia: a randomized controlled trialIsabella Silveira SAVOhttps://orcid.org/0000-0002-6645-1133Samanta Vicente de OLIVEIRAhttps://orcid.org/0000-0002-9653-3893Gabriela Banacu de MELOhttps://orcid.org/0000-0001-5136-9383Celso LEMOShttps://orcid.org/0000-0002-3372-6719Camila de Barros GALLOhttps://orcid.org/0000-0002-8141-6029Abstract Head and neck radiotherapy quantitatively and qualitatively compromises salivary flow, and salivary substitutes have the potential to alleviate the symptoms. This study aims to assess the effectiveness of two salivary substitutes in relieving symptoms of radiotherapy-induced xerostomia through a double-blind randomized controlled trial. Twenty-four patients were selected from a dental oncology clinic and randomly assigned to the over-the-counter or compounded mouthwash group. Each patient was instructed to rinse their oral cavity with the assigned solution three times a day for 30 days. Both participants and researchers were blinded to the product used during the trial. The impact of xerostomia was assessed using a numerical rating scale and validated questionnaires on oral health-related quality of life and xerostomia, administered before and after the intervention and subsequently compared. Both groups exhibited a statistically significant reduction in xerostomia symptoms. The studied salivary substitutes produced transient beneficial effects on complaints of radiotherapy-induced xerostomia.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025000101554&lng=en&tlng=enXerostomiaRadiotherapySaliva, ArtificialMouthwashesQuality of Life
spellingShingle Isabella Silveira SAVO
Samanta Vicente de OLIVEIRA
Gabriela Banacu de MELO
Celso LEMOS
Camila de Barros GALLO
Over-the-counter and compounded mouthwashes for radiotherapy-induced xerostomia: a randomized controlled trial
Brazilian Oral Research
Xerostomia
Radiotherapy
Saliva, Artificial
Mouthwashes
Quality of Life
title Over-the-counter and compounded mouthwashes for radiotherapy-induced xerostomia: a randomized controlled trial
title_full Over-the-counter and compounded mouthwashes for radiotherapy-induced xerostomia: a randomized controlled trial
title_fullStr Over-the-counter and compounded mouthwashes for radiotherapy-induced xerostomia: a randomized controlled trial
title_full_unstemmed Over-the-counter and compounded mouthwashes for radiotherapy-induced xerostomia: a randomized controlled trial
title_short Over-the-counter and compounded mouthwashes for radiotherapy-induced xerostomia: a randomized controlled trial
title_sort over the counter and compounded mouthwashes for radiotherapy induced xerostomia a randomized controlled trial
topic Xerostomia
Radiotherapy
Saliva, Artificial
Mouthwashes
Quality of Life
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025000101554&lng=en&tlng=en
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