Document Detail


The oral mucosa as a therapeutic target for xerostomia.
MedLine Citation:
PMID:  19193197     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Autoimmune disorders, medical interventions, and aging are all known to be associated with salivary gland hypofunction, which results in the uncomfortable feeling of dry mouth (xerostomia) and significantly diminished oral health. The current therapeutic regimen includes increasing oral hydration using over-the-counter oral comfort agents and the use of systemic cholinergic drugs to stimulate salivary output. However, these approaches produce very transient relief or are associated with uncomfortable side-effects. Thus, new treatments that provide long-lasting relief from discomfort and improve oral health with minimal side-effects would benefit the therapy of this disease. The processes that mediate fluid loss from the oral cavity, such as the absorption of fluid from the oral mucosa, represent novel therapeutic targets for xerostomia. Preventing fluid absorption from the oral cavity is predicted to improve oral hydration and alleviate the clinical symptoms and discomfort associated with dry mouth. Furthermore, therapeutic strategies that prevent fluid absorption should complement current approaches that increase salivary output. This review discusses the current understanding of oral fluid balance and how these processes may be manipulated to provide relief for those suffering from dry mouth.
Authors:
W R Thelin; M T Brennan; P B Lockhart; M L Singh; P C Fox; A S Papas; R C Boucher
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Oral diseases     Volume:  14     ISSN:  1601-0825     ISO Abbreviation:  Oral Dis     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2009-02-05     Completed Date:  2009-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9508565     Medline TA:  Oral Dis     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  683-9     Citation Subset:  D    
Affiliation:
Parion Sciences, Durham, NC, USA. bthelin@parion.com
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MeSH Terms
Descriptor/Qualifier:
Absorption
Body Water / drug effects,  metabolism
Humans
Ion Transport / drug effects
Mouth Mucosa / drug effects*,  metabolism
Saliva / drug effects,  secretion
Secretory Rate / drug effects
Water / metabolism
Water-Electrolyte Balance / drug effects
Xerostomia / drug therapy*
Chemical
Reg. No./Substance:
7732-18-5/Water

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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