Xerostomia (Dry Mouth) Patient Handout
Contributors:
Dr. Rohit Nair, BDS, MDS – Clinical Assistant Professor, Department of Preventive and Community Dentistry
Dr. Robert Bowers, DDS – Assistant Professor, Department of Family Dentistry
previous contributor Dr. Cindy Marek, Pharm D - see older page: Management of Xerostomia (Dry Mouth)
Dr. Cindy Marek, PharmD – Emeritus Professor, Department of Oral Pathology, Radiology and Medicine
The University of Iowa College of Dentistry and Dental Clinics
Links: Pilocarpine / Salagen® and Cevimeline / Evoxac® for Dry Mouth (Xerostomia); Ultrasound in the Management of Xerostomia (Dry Mouth) Following Salivary Gland Irradiation; Xerostomia (Dry Mouth) and Salivary Swelling after Irradiation - Prevention and Treatment; I131 Sialadenitis (Radioiodine Sialadenitis); Long COVID and Salivary Glands (SARS-CoV-2 and Sialadenitis and Xerostomia)
COMMERCIALLY AVAILABLE XEROSTOMIA SPECIFIC PRODUCTS
Product active links click below to access | Form | Ingredients | Claimed Mechanism of Action | Manufacturer’s recommendations for use |
|---|---|---|---|---|
Lozenges / Rinse / Gum | (Lozenge) Isomalt, Xylitol, Glycerin, Water, Natural and Artificial Flavors, Sucralose, Beta-Carotene, FD&C Blue 1 | Provides symptomatic relief by stimulating saliva production | Dissolve lozenge in mouth to stimulate saliva production. Use as needed. | |
Gel / Spray | Xylitol, Water, Glycerin, Butylene Glycol, Flavor, Methylparaben, Sodium Polyacrylate, Propylparaben, Sucralose, Polyacrylic Acid, Sodium Hydroxide, Benzoic Acid, EDTA | Provides long-lasting moisture and relief by coating the mouth and stimulating saliva production | Spray directly into mouth whenever needed for relief. Shake well before use. | |
Spray | Oxidized glycerol triesters (TGO), silicon dioxide, aspartame, artificial flavoring | Forms a protective film over the oral mucosa that provides relief for 4 to 6 hours. | Shake gently. Spray 1 or 2 times into mouth whenever it feels uncomfortably dry. Spread products on dry areas with tongue. | |
Soft Chews | Arginine Bicarbonate, Calcium Carbonate, Xylitol, Other ingredients | Not specifically for dry mouth relief. Could be helpful in enhancing salivary buffering. Prebiotic and postbiotic technology to neutralize plaque acids and support enamel health | Chew to neutralize plaque acids and support enamel health. Use as needed. | |
Rinse | Water, Glycerin, Xylitol, Sorbitol, Propylene Glycol, Poloxamer 407, Sodium Benzoate, Hydroxyethyl Cellulose, Methylparaben, Propylparaben, Flavor, Sodium Phosphate, Disodium Phosphate | Combination of moisturizers and lubricants to provide immediate and dry mouth symptom relief for up to 4 hours | Rinse mouth with 15ml for 30 seconds, then spit out. Use up to 5 times a day. | |
Gel | Glycerin, Water, Sorbitol, Xylitol, Carbomer, Hydroxyethyl Cellulose, Sodium Hydroxide | Glycerol-based moisturizing system forms chemical bonds with water molecules to retain moisture in the mouth. | Apply directly to gums, tongue, and inside of cheeks. Use as needed. | |
Spray | Water, Xylitol, Glycerin, Maltitol, Potassium Sorbate, Natural Flavors, Sodium Bicarbonate, Sodium Benzoate, Sodium Hydroxide | Provides moisture and relief by coating the mouth and stimulating saliva production | Spray in mouth 2-3 times as often as needed, especially between and after meals and before bedtime. | |
Lozenges | Sorbitol, Gum Arabic, Natural Flavors, artificial colors | Salivary flow stimulation by sugar alcohols | Dissolve lozenge in mouth to stimulate saliva production. Use as needed. | |
Spray | Sodium carboxymethylcellulose, aloe vera gel, glycerin, dibasic sodium phosphate, potassium chloride, parabens | Moisturizes and lubricates the throat and mouth to relieve dryness | Spray into throat while saying "Ahh" or inhale sharply while spraying into mouth. Tilt head back, aim nozzle in nostril, and inhale sharply. | |
Gel | Polyglycerol (Diglycerol), Pure Water, Sodium Carboxymethyl Cellulose, Carrageenan, Sodium Citrate, Flavor, Ethyl P-Hydroxybenzoate | Provides a protective coating for teeth and oral tissue, easing the symptoms of dry mouth | Apply gel to tongue, oral mucosa, and/or teeth using finger or cotton swab. Use as often as required when mouth feels dry. | |
Powder | Water, Maltodextrin, Propylene Glycol, Polyvinylpyrrolidone (PVP), Sodium Hyaluronate, Potassium Sorbate, Sodium Benzoate, Hydroxyethyl cellulose, PEG-40 Hydrogenated Castor Oil, Disodium Edetate, Benzalkonium Chloride, Flavoring, Saccharin Sodium, Glycyrrhetinic Acid | Adheres to the mucosal surface of the mouth, soothing oral lesions and providing pain relief | Pour contents of sachet into glass, add 40ml of water, stir well, rinse around mouth for 1 minute, gargle and spit out. Use 3 times a day or as needed. | |
Spray | Water, Xylitol, Sodium Hyaluronate, Sodium Benzoate, Potassium Sorbate | Hydrates and lubricates oral tissues by forming a gel-like film that reduces water loss and restores the viscoelastic properties of the oral mucosa. | Spray directly into mouth whenever needed for relief. Shake well before use. | |
Gum, Lozenges, Spray, Rinse | Xylitol, Green Tea Extract, Aloe Vera, Raspberry Extract, Resveratrol, Calcium, Fluoride | Tea catechins stimulate saliva production | Chew gum, dissolve lozenge, spray, or rinse mouth to stimulate saliva production. Use as needed. | |
Spray | Water, Glycerin, Sodium carboxymethylcellulose, Methylparaben, Potassium Chloride, Dibasic Sodium Phosphate, Propylparaben, Calcium Chloride, Magnesium Chloride, Sodium Chloride, Flavors | Coats and protects the mouth, provides and replaces primary saliva electrolytes, aids in the retention of dentures, and lubricates the mucosa | Spray 1 or 2 times into mouth whenever it feels uncomfortably dry. Shake gently before each use. | |
Spray | Water, Xylitol, Sorbitol, Yerba Santa, Citric Acid, Natural Lemon-Lime Flavor, Ascorbic Acid, Sodium Benzoate | Moisturizes and protects the mouth naturally with Yerba Santa and xylitol | Spray directly into mouth and onto tongue. Use 3 to 5 times per day or whenever mouth feels dry and uncomfortable. | |
Adhering discs | Xylitol, Gum Arabic, Cellulose Gum, Calcium Carbonate, Magnesium Stearate | Adhere to the gums and slowly release xylitol, which stimulates saliva production and coats the mouth to relieve dryness | Place tan adhesive side on outside of molar and/or adjoining gums, white side touching cheek. Do not touch for 10 seconds. | |
Lozenges | Lemon Oil, Ethyl Cellulose Polymer, Xanthan Gum, Xylitol, Sucralose, Eucalyptus Oil, Wintergreen Oil, Sodium Bicarbonate, Glycerol, Zinc Gluconate, Thymol, Calcium Sulfate, Potassium Phosphate Dibasic | Provides symptomatic relief by stimulating saliva production | Dissolve lozenge in mouth to stimulate saliva production. Use as needed. | |
Powder | Supersaturated calcium phosphate | Creates a solution with a high concentration of electrolytes like natural saliva, providing moisture and relief | Dissolve one packet in one ounce of water, swish half of the solution in mouth for 1 minute, then spit out. | |
Lozenges | Xylitol, Malic Acid, Dibasic Calcium Phosphate, Sodium Citrate Dihydrate, Stearate Acid, Citric Acid, Magnesium Stearate, Silica Colloidal, Sodium carboxymethylcellulose | Increases saliva production through the stimulation of taste buds | Dissolve tablet in mouth to stimulate saliva production. Use as needed. | |
Rinse | Water, Xylitol, Aloe Vera, Vitamin E, Lysozyme, Lactoferrin, Lactoperoxidase, Glucose Oxidase, Mutanase, Dextranase | Supplements saliva's natural defenses with essential moisturizers and salivary enzymes which help to loosen plaque-biofilm and maintain oral comfort. | Rinse mouth with 15ml for 30 seconds, then spit out. Use up to 5 times a day. | |
Adhesive strip | Glycerin, Xylitol, Carboxymethyl Cellulose, Carrageenan, Natural Flavor (Wintergreen), Sucralose, FD&C Blue #1, FD&C Yellow #5 | The xylitol impregnated strip has a natural adhesive on both sides, allowing it to stay in place within the mouth. Dissolves into a sweet, gel-like consistency and stimulates saliva flow. Claimed to last up to 8 hours. | Place between cheek and gums in the back molar/premolar area. Then use the outside of the cheek to gently position the strip. Use 1-2 a day or as needed. |
DEFINITION & CAUSES
Hyposalivation ( a significant reduction in saliva production) and xerostomia (the feeling of dry mouth) are common conditions affecting 20-30% of people, especially older adults.
Saliva is essential for maintaining oral health as it keeps the mouth moist and comfortable by lubricating oral tissues. It enhances the perception of flavors and scents, aiding in taste and smell. Salivary enzymes help break down carbohydrates, starting the digestion process. Additionally, saliva protects the oral mucosa and esophagus from irritation and infection, and it provides tooth protection by buffering acids, offering antibacterial, antiviral, and antifungal effects, and aiding in wound healing. Reduced saliva production can increase the risk of dental caries.
There are three major salivary glands—the parotid, submandibular, and sublingual glands—and thousands of minor salivary glands that are distributed throughout the mouth. The parotid gland produces a watery secretion that helps with eating and swallowing and forms the bulk of saliva that is produced during meals. It is the primary source of stimulated saliva, which is produced in response to stimuli like taste, mechanical actions, medications, and smells, with a flow rate of 1.5 to 2 milliliters per minute. The submandibular, sublingual and minor salivary glands produce most of our unstimulated saliva and do so continuously at a flow rate of 0.3 to 0.4 milliliters per minute, to maintain taste and oral comfort. There is significant variability in saliva flow rates among individuals, and studies have shown that the sensation of dryness typically occurs when the unstimulated flow is reduced by more than half of its normal rate. Both unstimulated and stimulated salivation are important for oral health and comfort.
Dry mouth can be caused by various factors, including medications, dehydration, radiation therapy, chemotherapy, autoimmune diseases, infections, systemic diseases, stress, lifestyle factors, and aging. Many drugs, such as antihistamines, antidepressants, blood pressure medications, and opioid pain relievers, can cause xerostomia. Radiotherapy-induced hyposalivation results in irreversible damage to salivary glands, significantly reducing saliva flow and altering its composition.
Common symptoms of dry mouth include a dry, sticky feeling in the mouth, difficulty swallowing, and a burning sensation. Evaluation includes a review of the patient's medical history to include a focus on xerogenic (dryness-inducing) medications. The clinical examination may to identify a dry sticky mucosa to which a tongue depressor may adhere. Saliva flow measurements (sialometry) may quantify saliva production through assessments including a 'drip/drool' or spit approach to measuring stimulated and unstimulated flow during 5-to-15-minute intervals. Imaging with ultrasound, CT, MRI, sialography and salivary gland scintigraphy may be supplemented with blood tests and biopsies. Quuestionnaires such as the Xerostomia Inventory are employed to assess the impact on quality of life.
HELPFUL SUGGESTIONS
The lifestyle modifications listed below can help relieve dry mouth symptoms.
Avoid the following:
- Caffeine
- Daily high doses of caffeine can contribute to dry mouth. Limiting caffeine use (coffee, tea, colas) is likely to be helpful with many caffeine free alternatives available.
b. Alcohol and alcohol containing mouthwashes should be avoided (read labels carefully)
- Many commercial mouthwashes contain alcohol to enhance effectiveness, flavor, antiseptic properties and shelf life. However, it has a drying effect on the oral mucosa and can irritate the tissue.
- Biotène®, Oasis® and others make alcohol-free mouth rinses specifically for dry mouth. ACT® Total Care Dry Mouth rinse contains fluoride.
c. Acidic beverages and foods
- Carbonated beverages, vitamin waters, energy and sports drinks are very acidic. Without the neutralizing ability of saliva, these drinks erode the teeth and can make your mouth sore. Constant sipping of acidic beverages is especially problematic.
- Foods and candies high in acid content (citrus fruits, tomatoes, lemon drops, etc.) may cause dental erosion and may irritate the soft tissue of your mouth.
d. Gum, candy, cough drops and beverages that contain sugar
- Sugar, especially in retentive (sticky) form is very damaging to the teeth. Sucrose feeds bacteria that cause cavities.
- Look for products that contain xylitol (a sweetener that does not cause cavities). Xylitol gums (Spry®, Xyloburst®) when chewed frequently, may inhibit cavity causing bacteria.
- Avoid gums, candies and oral care products that contain cinnamon as it is a common irritant.
e. Toothpastes with harsh chemicals or strong flavoring agents
- Many toothpastes advertised for tartar control, whitening etc. contain pyrophosphates and other chemicals that can damage dry oral tissues.
- Sodium lauryl sulfate (SLS) is a foaming agent/detergent that is found in most toothpastes. This detergent is well-recognized as a cause of intraoral tenderness and ulceration. We recommend toothpastes that are SLS-free and contain no pyrophosphates (Squiggle Enamel Saver Toothpaste – may be purchased from Dental Pharmacy or online)
Try the following:
a. Hydration - inadequate hydration can be an important factor in having dry mouth symptoms
- Remain well hydrated but consider avoiding sipping water throughout the day as it may displaces your natural saliva. (in contrast, some feel that frequent sipping of water through the day may be helpful)
- Many people don’t drink enough fluids, and this will contribute to a dry mouth.
- Constant, daily hydration is important
b. Try drinking whole or 2% milk with meals.
- Milk containing fat has moisturizing properties that can aid in swallowing.
- Patients who cannot drink cow’s milk may find similar benefit in almond or soy milk
c. Use a cool air humidifier in the bedroom – clean and change water daily
- Start the humidifier 1-2 hours before bedtime and run continuously throughout the night. The extra humidity can help keep your mouth more comfortable and allow you to sleep through the night. This additional humidification may be of benefit even if you have a humidifier attached to your furnace.
d. For dry lips, highly purified lanolin products (Lansinoh®) are good lip moisturizers.
- Chronic use of petrolatum type products on dry lips can be counterproductive.
- Moisturizing lip balms we recommend include Blistex Herbal Answer®, Blistex Complete Moisture or Banana Boat with Aloe Vera and Vitamin E®.
- Many dry lip products contain chemicals that can cause irritation or dryness. The need to frequently reapply lip balm is an indicator that the product is not helpful.
e. If possible, sleep on your side to reduce mouth breathing.
f. See your dental practitioner regularly.
- People with dry mouth are much more prone to oral health problems including oral yeast infections and tooth decay. Good oral hygiene is necessary to prevent cavities and gum disease.
- Your dentist may use tooth sealants, prescription fluoride toothpastes and other interventions that will help prevent oral health problems.
- Report any unusual oral soreness or burning sensations to your dentist.
COMMERCIAL SALIVA SUBSTITUES, STIMULANTS AND MOISTURIZING GELS
Over-the-counter products intended to relieve dry mouth work on one or more of the following principles:
Stimulation: Several products are designed to mechanically or chemically stimulate the remaining salivary gland tissue to produce and secrete natural saliva. Products containing citric acid and malic acid stimulate saliva production by activating taste receptors that respond to sour stimuli. Similarly, xylitol and sorbitol, which are sugar alcohols, activate sweetness receptors on the tongue, sending signals to the salivary glands to produce more saliva.
Stimulation of one side of the mouth usually causes secretion from glands on that side only. Mechanical stimulation from chewing and taste is most likely to result in saliva secretion. When chewing gum, try to move it around so that both sides are working on it, maximizing the secretive effects on the glands. Sour taste induces twice as much secretion as salty tastes and even more than sweet tastes. Most dry mouth products contain either a sour or sweet component, and sometimes both in order to make them acceptable to consumers.
Salivary gland stimulation to produce salivary is a preferred method to enhance saliva secretion due to the caries-protective effect of natural saliva. However, increasing sour elements to the stimulation may add to the erosive potential of the product, especially in dry mouth situations where salivary buffering capacity is suboptimal. The effectiveness of mechanical stimulation depends on the patient’s masticatory ability, which may not be applicable to all patients or situations. For example, patients who experience dry mouth during sleep due to mouth breathing or the use of a CPAP machine will not be able to mechanically stimulate saliva flow by chewing action. In this case, it may be advantageous to choose a chemical stimulant that can be carried on an adhesive disk or strip attached to the oral mucosa. When stimulation is not feasible, alternative approaches may be needed.
Mucosal Coating: Several products contain gums, lipid molecules, and adhesive polymers that bond to the oral mucous membrane to form a protective coating. These emollients function to improve comfort by maintaining a moist film on oral tissues for an extended period. These products tend to offer the most relief to individuals with severely diminished salivary flow, as they are then less likely to be washed away quickly due to the reduced oral clearance of secreted saliva.
Substitution: Products are available in rinse, gel, or spray form and require frequent use to replace saliva volume, ensuring mucosal protection and oral comfort. Rinse formulations typically contain electrolytes and enzymes that help restore the buffering and antibacterial effects of saliva. Many such products also include fluoride to enhance tooth surface remineralization. Viscous gels can be used underneath partial or complete dentures to reduce tissue irritation and improve the denture-wearing experience.
Xerostomia/Dry Mouth Aids Through Dental Appliances
Artificial saliva products may be topically applied to the surfaces of teeth or your inner cheeks. To extend the release and therapeutic benefit of these products, they can alternatively also be applied to the underside of dental prosthetics. These prosthetics include orthodontic retainers, bleaching trays, occlusal guards, or partial/complete dentures. This method can particularly be useful after meals.
The products listed below are available without a prescription and can be found or ordered from many pharmacies. These products are often helpful in alleviating the discomfort of dry mouth. They can be used as often as needed and do not interfere or react with other medications. More information is available from links provided for each product. Please consult your dental / health care provider if you have questions.
COMMERCIAL OVER THE COUNTER (OTC) TOOTHPASTES
Avoid toothpastes that make claims on whitening or tartar control as they often contain ingredients that are irritating to the oral mucosa. Most OTC toothpastes contain detergents (sodium lauryl sulfate (SLS), cocamidopropyl betaine etc.) that irritate oral mucosa as mentioned above. Consider using a SLS-free mild detergent toothpaste such as:
- Squigle Enamel Saver Toothpaste –contains 36% xylitol and fluoride, detergent is a mild poloxamer. SLS free. (~$14 / 113.5 g tube)
Non-Pharmacological Interventions
- Acupuncture: Involves inserting thin needles into specific points on the body to stimulate nerves and increase blood flow. For dry mouth, acupuncture target points around the head, neck, and hands. Some studies have shown that acupuncture can significantly improve saliva production with regular treatments. This method has been reported to potentially be beneficial for cancer patients who experience dry mouth due to radiation therapy. There is only low quality evidence that acupuncture is better than a placebo to improve to dry mouth symptoms.
- Transcutaneous Electrical Nerve Stimulation (TENS): Uses a low-voltage electrical current to stimulate nerves and muscles may be applied to areas near the salivary glands in an effort to increase salivary flow. This method has been used in dental settings to help address oral pain and has been reported to address dry mouth by enhancing salivary gland function. Portable, low-cost devices such as AdvanTeq 2000 (Amrex-Zetron, CA) allow patients to control electrical impulses and customize delivery according to their needs. Caution is advised as there is insufficient evidence to determine the effects of these devices on dry mouth symptoms.
CLINICAL TRIALS
Excellent search engine for clinical trials - "ClinicalTrials.gov" - in "condition or disease" type in xerostomia or other relevant disorders such as Sjogren's
https://clinicaltrials.gov/ct2/home
Clinical trials for radiation induced xerostomia at the University of Iowa:
accruing patients: A Study of AAV2-hAQP1 Gene Therapy in Participants with Radiation-Induced Late Xerostomia
accruing patients: http://o SPRINX-1 Study CT.gov link: Study Details | Study of Circular RNA Treatment in Patients with Radiation Induced Xerostomia-1 | ClinicalTrials.gov
References
Brito-Zerón P, Retamozo S, Kostov B, Baldini C, Bootsma H, De Vita S, Dörner T, Gottenberg JE, Kruize AA, Mandl T, Ng WF, Seror R, Tzioufas AG, Vitali C, Bowman S, Mariette X, Ramos-Casals M. Efficacy and safety of topical and systemic medications: a systematic literature review informing the EULAR recommendations for the management of Sjögren's syndrome. RMD Open. 2019 Oct 28;5(2):e001064. doi: 10.1136/rmdopen-2019-001064. PMID: 31749986; PMCID: PMC6827762.
(abstract from poster): Supersaturated Calcium Phosphate Rinse on Oral Mucositis in Head and Neck Patiens Receiving Radiation and/or Chemoterehapy J Hamker; Cleveland Clinic Foundation, Cleveland OH cited in
Hamker J: Supersaturated Calcium Phosphate Rinse on Oral Mucositis in Head and Neck Patients Receiving Radiation and/or Chemotherapy RSS International Journal of Radiation Oncology, Biology, Physics, 2013-10-01, Volume 87, Issue 2, Pages S429-S429, Copyright © 2013
Wolff A, Joshi RK, Ekström J, Aframian D, Pedersen AM, Proctor G, Narayana N, Villa A, Sia YW, Aliko A, McGowan R, Kerr AR, Jensen SB, Vissink A, Dawes C. A Guide to Medications Inducing Salivary Gland Dysfunction, Xerostomia, and Subjective Sialorrhea: A Systematic Review Sponsored by the World Workshop on Oral Medicine VI. Drugs R D. 2017 Mar;17(1):1-28. doi: 10.1007/s40268-016-0153-9. PMID: 27853957; PMCID: PMC5318321.
Fortuna G, Whitmire S, Sullivan K, Alajbeg I, Andabak-Rogulj A, Pedersen AML, Vissink A, di Fede O, Aria M, Jager DJ, Noll J, Jensen SB, Wolff A, Brennan MT. Impact of medications on salivary flow rate in patients with xerostomia: a retrospective study by the Xeromeds Consortium. Clin Oral Investig. 2023 Jan;27(1):235-248. doi: 10.1007/s00784-022-04717-1. Epub 2022 Oct 21. PMID: 36269468.
Wolff A, Joshi RK, Ekström J, Aframian D, Pedersen AM, Proctor G, Narayana N, Villa A, Sia YW, Aliko A, McGowan R, Kerr AR, Jensen SB, Vissink A, Dawes C (2017) A guide to medications inducing salivary gland dysfunction, xerostomia, and subjective sialorrhea: a systematic review sponsored by the World Workshop on Oral Medicine VI. Drugs R D 17(1):1–28. https://doi.org/10.1007/s40268 016-0153-9
Toan NK, Ahn SG. Aging-Related Metabolic Dysfunction in the Salivary Gland: A Review of the Literature. Int J Mol Sci. 2021 May 29;22(11):5835. doi: 10.3390/ijms22115835. PMID: 34072470; PMCID: PMC8198609.
Peng LQ, Chen XH, Yang WJ, Huang WK, Ouyang ZM, Cai LY, Dai L, Mo YQ. Can unstimulated whole salivary flow objectively classify salivary gland secretory function in Sjögren's syndrome? Clin Rheumatol. 2024 Dec;43(12):3771-3780. doi: 10.1007/s10067-024-07132-x. Epub 2024 Oct 7. PMID: 39373809; PMCID: PMC11582221.
Chaffee BW. Associations of Current Cigarette, E-Cigarette, and Cannabis Use with Xerostomia. JDR Clin Trans Res. 2025 Sep 5:23800844251364158. doi: 10.1177/23800844251364158. Epub ahead of print. PMID: 40908802.
Morel SBA, Macias LH, Chopra R, Vorstenbosch J, Safran T. Aesthetic Submandibular Gland Resection: A Review of Complication Incidence and Prevention. Aesthet Surg J. 2025 Aug 18;45(9):869-874. doi: 10.1093/asj/sjaf096. PMID: 40421667; PMCID: PMC12451699.
On-line information for patients re:
AAV2-hAQp1 Gene Therapy information for patients for Radiation-Induced Late Xerostomia:https://meiragtx.com/patients-families/radiation-induced-xerostomia/
Circular RNA Aquaporin1 Information for Patients for Patients with Radiation Induced Xerostomia: http://www.riboxtx.com/sprinx-1
May 5 2023 Lecture " Saliva - Xerostomia, Hyposalivation, Hypersalivation" at Massachusetts Eye and Ear Infirmary, Boston Mass
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Other sources for oral emollients to address dry mouth
courtesy of Dr. Michael Brennan DDS, MHS
Atrium Health Carolinas Medical Center, Department Oral Medicine/Oral & Maxillofacial Surgery
PLEASE REFER TO YOUR PHYSICIAN WITH ANY QUESTIONS REGARDING THE USE OF THESE PRODUCTS
SALESE (Mfg: Nuvora Inc.) SalivaMax Oral Rinse (Mfg: Forward Science)
Customer Service: 1-877-530-9811 Customer Service: 1-855-696-7254
Website: www.nuvorainc.com Website: www.ForwardScience.com
Lozenges (last approximately 1-2 hours) Supersaturated Calcium Phosphate Oral Rinse
Available For Purchase: On-line Available For Purchase: Prescription Only
BIOTENE PRODUCTS (Mfg: GlaxoSmithKline) XYLIMELTS (Mfg: OraHealth Corp.)
Website: www.biotene.com Customer Service: 1-877-672-6541
Customer Service: 1-800-922-5856 Website: www.oracoat.com
Toothpaste, Oral Balance Gel, Mouthwash, Spray, Lozenges Lozenges (last approximately 1-2 hours), Xyligel
Available For Purchase: Over-the-counter, On-line Available For Purchase: Over-the-counter, On-line
MIGHTEAFLOW PRODUCTS (Mfg: Camellix) MOISYN (Mfg: Prisyna)
Customer Service: 1-888-483-7775 Customer Service: 1-855-774-7962
Website: www.camellix.com Website: www.prisyna.com
Gum, Lozenges, Spray, and Mouthwash Dry Mouth Spray, Rinse
Available For Purchase: On-line Available For Purchase: On-line
XeroStrip (Mfg: Oak Therapeutics Inc.) MEDACTIVE/MEDORAL (Mfg: Integrate Oral Care, LLC)
Customer Service: 1-913-946-0990 Customer Service: 1-866-887-4867
Website: www.XeroStrip.com Website: www.integrateoralcare.com
Dry Mouth Strips Oral Rinse, Oral Spray, Lozenges, Gel
Available For Purchase: On-line Available For Purchase: On-line
ACT mouth rinse (Mfg: Chattam) XEROSTOM (Mfg: Biocosmetics Laboratory)
Customer Service: 1-866-ACT-RINSE Customer Service: (+34)913 571 583 (Spain)
Website: www.actoralcare.com Website: www.biocosmetics.es
Dry Mouth Rinse, Lozenges, Gum Mouthwash, Spray, Gel, Toothpaste, Gum, Pastilles
Available For Purchase: Over-the-counter, On-line Available For Purchase: On-line
Colgate Hydris (Mfg: Colgate-Palmolive) EPIC (Mfg. Epic Dental)
Customer Service: 1-800-468-6502 Customer Service: 1-800-494-3742
Website: www.Colgate.com Website: www.epicdental.com
Dry Mouth Rinse Gum, Mints, Toothpaste, Rinse
Available for purchase: Over-the counter, On-line Available For Purchase: On-line
SalivaSure (Mfg: Scandiavian Formulas) TheraBreath Dry Mouth Products (Mfg: Therabreath)
Customer service: 1-800-688-2276 Customer Service: 1-800-643-3639
Website: www.scandinavianformulas.com Website: www.therabreath.com
Lozenges Toothpaste, Lozenges, Mouthwash, Gum
Available For Purchase: On-line Available For Purchase: Over-the-counter, On-line
Aquaphor Lip Care (Mfg: Beiersdorf, Inc.) Moi-stir Spray (Mfg: Kingswood Labs)
Customer Service: 1-800-227-4703 Customer Service: 1-866-343-2576
Website: www.aquaphorus.com Website: www.kingswood-labs.com/moi-stir
Dry Lip Ointment Spray
Available For Purchase: Over-the-counter, On-line Available For Purchase: On-line
Salivea Dry Mouth Care Products (Mfg: Laclede, Inc.) Lubricity (Mfg: Lubricity Innovations)
Customer Service: 1-877-522-5333 Customer Service: 1-716-204-7215
Website: www.saliveal.com Website: www.lubricityinnovations.com
Toothpaste, Mouthwash, Spray Oral Spray
Available For Purchase: On-line Available For Purchase: On-line