Quality of Life and Sjögren Syndrome
Study Details
Study Description
Brief Summary
The aims of this study are: To compare salivary pH changes and stimulation efficacy of two different Gustatory Stimulants of Salivation (GSSS) in patients with Primary Sjögren Syndrome (PSS); To evaluate Primary Sjögren syndrome (PSS) impact and gustatory stimulants of salivary secretion (GSSS) on oral health related quality of life measured by a Portuguese version of Oral Health Impact Profile-14 (OHIP-14) and specific Xerostomia assessment questionnaires.
The Products to be used are the Xeros® Dentaid system and a citric based mouthwash.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Xeros Group - Lozenge Application of Xeros system for 15 days. Lozenge (Malic acid 28.56 mg, Xylitol 421,98 mg, Sodium fluoride 0.55 mg) or Spray (Malic acid 1%, Xylitol 10%, Sodium fluoride 0.05%) 4 times a day. Effects on Xerostomia and Quality of Life were determined before and after application by answering the questionnaires. Effects of lozenge on hyposalivation and pH variation determined by saliva collection with pre-weighed falcon and a ph electrode at predetermined times during a 20 minute period. |
Drug: Xeros
|
Active Comparator: Mouthwash group Application of citric acid based Mouthwash (0,33% citric acid) for 15 days four times a day. Effects on Xerostomia and Quality of Life were determined before and after application by answering the questionnaires. Effects of mouthwash on hyposalivation and pH variation determined by saliva collection with pre-weighed falcon and a pH electrode at predetermined times during a 20 minute period. |
Drug: Citric Acid based Mouthwash
|
Experimental: Xeros Group - Mouthwash Application of Xeros system for 15 days. Mouthwash (Betaine 1.33%, Xylitol 3.30%, Sodium fluoride 0.05%, Allantoin 0.10%) 2 times a day. Effects on Xerostomia and Quality of Life were determined before and after application by answering the questionnaires. |
Drug: Xeros
|
Experimental: Xeros Group - Gel Application of Xeros system for 15 days. Gel (Betaine 1%, Aloe Vera 0.05%, Xylitol 10%, Sodium Fluoride 0.0033%) before bed. Effects on Xerostomia and Quality of Life were determined before and after application by answering the questionnaires. |
Drug: Xeros
|
Experimental: Xeros Group - Toothpaste Application of Xeros system for 15 days. Toothpaste (Betaine 4%, Xylitol 10%, Sodium Fluoride 0.33%, Allantoin 0.10%) 3 times a day. Effects on Xerostomia and Quality of Life were determined before and after application by answering the questionnaires. |
Drug: Xeros
|
Outcome Measures
Primary Outcome Measures
- Time of GSSS induced pH drop below 4.5 [20 minutes]
On the day that the system is attributed the subject is asked to use one of the products and saliva is collected. pH variation is determined at fixed intervals during 20 minutes. Time in which salivary pH is below 4.5 is calculated as well as the number needed to treat and the absolute risk reduction.
- Overall and sub domains scores for each questionnaire [15 days]
Before and after usage of both products at home, the Summated Xerostomia Inventory-5 (range 0 to 15) to measure subjective feeling of dry mouth, Oral Health Impact Profile-14 (range 0 to 56) to measure quality of life perception related to the oral cavity. This last questionnaire is further divided into 7 subdomains: functional limitation, physical pain, psychological discomfort, physical disability, psychologic disability, social disability and handicap each ranging from 0 to 14. In both questionnaires the total score is the result of the sum of the individual scores in each question. In both questionnaires the higher the score the worse the outcome. The before and after scores obtained are then compared.
Secondary Outcome Measures
- Salivary stimulant induced salivary flow [20 minutes]
While using one of the two products saliva is collected, weighed and salivary flow is determined at fixed times during 20 minutes.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
unstimulated whole saliva secretion rate < 0.1 ml/min
-
stimulated whole saliva secretion rate > 0.2 ml/min
-
above 18 years of age
-
Primary Sjogren Syndrome diagnostic according to the European-American Consensus Group
Exclusion Criteria:
-
wearer of complete dental prosthesis
-
those who were pregnant or lactating
-
non-speakers of Portuguese.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Grupo de Investigação em Bioquímica e Biologia Oral
- University of Lisbon
- Portuguese Institute of Rheumatology
- Dentaid SL
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- QL2015