Xerostomia
Conditions
Brief summary
The purpose of this research study is to test the effectiveness of treating dry mouth through water rehydration using this extra oral water pump/irrigation device.
Detailed description
Dry mouth causes difficulty with chewing, swallowing, speech, and increases the risk dental cavities. It also can cause discomfort in the mouth, and a loss of general quality of life. The oral irrigation device supplies a small amount of water to participant's mouth through a small tube that is placed in the corner of the mouth throughout the time participants wear it. In this study, participants will be asked to: 1. Visit the dental school clinic two (2) times for study visits. 2. Wear the oral irrigation device as directed by the investigator. 3. Keep notes at home. 4. Answer survey questions during both dental visits about dry mouth symptoms. 5. Give permission for the researchers to collect information about medications or health conditions that contribute to dry mouth from participant's medical records.
Interventions
Participants will wear the Voutia System oral irrigation device continuously through the day and night, removing for cleaning and if otherwise necessary, but not for time extending beyond six-eight hours.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients who report xerostomia (dry mouth) and are diagnosed after testing with hypofunctioning salivary glands
Exclusion criteria
* Patient who after testing do not exhibit salivary hypofunction * Children * Patient with limited English proficiency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Oral Health Related Quality of Life (OHRQoL) | Baseline to 4 - 6 weeks | OHRQoL will be assess using the Oral Health Impact Profile (OHIP-14). The OHIP-14 scores can range from 0 to 56 and are calculated by summing the ordinal values for the 14 items on the scale. Higher OHIP-14 scores indicate worse and lower scores indicate better OHRQol |
| Change in Oral Health Related Quality of Life - Dry Mouth Specific (OHRQoL-XI) | Baseline to 4 - 6 weeks | OHRQoL-XI will be assessed using the Xerostomia Inventory (XI), an 11-item summated rating scale which combines the responses to 11 individual items into a single continuous scale score which represents the severity of chronic xerostomia. Scores range from 11 to 55 with higher scores represent more severe symptoms. |
| Change in Oral Dryness | Baseline to 4 - 6 weeks | Clinical Oral Dryness Score (CODS) conducted during the clinical exam assesses ten key features of dry mouth and allocates one point for each feature. The total score ranges from 0 to 10 with higher scores indicating more severe dry mouth. |
| Clinical Changes in Stimulated Saliva Flow | Baseline to 4 - 6 weeks | Data on routine stimulated saliva testing as performed as standard of care for patients suspected to have reduced salivary flow will be compared before and after use of the device. |
| Clinical Changes in Unstimulated Saliva Flow | Baseline to 4 - 6 weeks | Data on routine unstimulated saliva testing as performed as standard of care for patients suspected to have reduced salivary flow will be compared before and after use of the device. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| The Voutia System The Voutia System oral irrigation device
The Voutia System: Participants will wear the Voutia System oral irrigation device continuously through the day and night, removing for cleaning and if otherwise necessary, but not for time extending beyond six-eight hours. | 16 |
| Total | 16 |
Baseline characteristics
| Characteristic | The Voutia System |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 7 Participants |
| Age, Categorical Between 18 and 65 years | 9 Participants |
| CODS | 6.6 units on a scale STANDARD_DEVIATION 2.2 |
| OHIP | 33.1 units on a scale STANDARD_DEVIATION 14.05 |
| Race/Ethnicity, Customized Race Asian | 1 Participants |
| Race/Ethnicity, Customized Race Black/African American | 2 Participants |
| Race/Ethnicity, Customized Race White/Caucasian | 13 Participants |
| Region of Enrollment United States | 16 Participants |
| Sex: Female, Male Female | 10 Participants |
| Sex: Female, Male Male | 6 Participants |
| Xerostomia Inventory | 46.4 units on a scale STANDARD_DEVIATION 9.06 |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 16 |
| other Total, other adverse events | 0 / 16 |
| serious Total, serious adverse events | 0 / 16 |
Outcome results
Change in Oral Dryness
Clinical Oral Dryness Score (CODS) conducted during the clinical exam assesses ten key features of dry mouth and allocates one point for each feature. The total score ranges from 0 to 10 with higher scores indicating more severe dry mouth.
Time frame: Baseline to 4 - 6 weeks
| Arm | Measure | Value (MEAN) |
|---|---|---|
| The Voutia System | Change in Oral Dryness | 0.85 score on a scale |
Change in Oral Health Related Quality of Life - Dry Mouth Specific (OHRQoL-XI)
OHRQoL-XI will be assessed using the Xerostomia Inventory (XI), an 11-item summated rating scale which combines the responses to 11 individual items into a single continuous scale score which represents the severity of chronic xerostomia. Scores range from 11 to 55 with higher scores represent more severe symptoms.
Time frame: Baseline to 4 - 6 weeks
| Arm | Measure | Value (MEAN) |
|---|---|---|
| The Voutia System | Change in Oral Health Related Quality of Life - Dry Mouth Specific (OHRQoL-XI) | 13.2 score on a scale |
Change in Oral Health Related Quality of Life (OHRQoL)
OHRQoL will be assess using the Oral Health Impact Profile (OHIP-14). The OHIP-14 scores can range from 0 to 56 and are calculated by summing the ordinal values for the 14 items on the scale. Higher OHIP-14 scores indicate worse and lower scores indicate better OHRQol
Time frame: Baseline to 4 - 6 weeks
| Arm | Measure | Value (MEAN) |
|---|---|---|
| The Voutia System | Change in Oral Health Related Quality of Life (OHRQoL) | 10.2 score on a scale |
Clinical Changes in Stimulated Saliva Flow
Data on routine stimulated saliva testing as performed as standard of care for patients suspected to have reduced salivary flow will be compared before and after use of the device.
Time frame: Baseline to 4 - 6 weeks
| Arm | Measure | Value (MEAN) |
|---|---|---|
| The Voutia System | Clinical Changes in Stimulated Saliva Flow | 0.73 mL/min |
Clinical Changes in Unstimulated Saliva Flow
Data on routine unstimulated saliva testing as performed as standard of care for patients suspected to have reduced salivary flow will be compared before and after use of the device.
Time frame: Baseline to 4 - 6 weeks
| Arm | Measure | Value (MEAN) |
|---|---|---|
| The Voutia System | Clinical Changes in Unstimulated Saliva Flow | 5.7 mL/min |