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A systematic review of the effects of acupuncture on xerostomia and hyposalivation

BACKGROUND: Saliva is fundamental to our oral health and our well-being. Many factors can impair saliva secretion, such as adverse effects of prescribed medication, auto-immune diseases (for example Sjögren’s syndrome) and radiotherapy for head and neck cancers. Several studies have suggested a posi...

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Autores principales: Assy, Zainab, Brand, Henk S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811978/
https://www.ncbi.nlm.nih.gov/pubmed/29439690
http://dx.doi.org/10.1186/s12906-018-2124-x
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author Assy, Zainab
Brand, Henk S.
author_facet Assy, Zainab
Brand, Henk S.
author_sort Assy, Zainab
collection PubMed
description BACKGROUND: Saliva is fundamental to our oral health and our well-being. Many factors can impair saliva secretion, such as adverse effects of prescribed medication, auto-immune diseases (for example Sjögren’s syndrome) and radiotherapy for head and neck cancers. Several studies have suggested a positive effect of acupuncture on oral dryness. METHODS: Pubmed and Web of Science were electronically searched. Reference lists of the included studies and relevant reviews were manually searched. Studies that met the inclusion criteria were systematically evaluated. Two reviewers assessed each of the included studies to confirm eligibility and assessing the risk of bias. RESULTS: Ten randomized controlled trials investigating the effect of acupuncture were included. Five trials compared acupuncture to sham/placebo acupuncture. Four trials compared acupuncture to oral hygiene/usual care. Only one clinical trial used oral care sessions as control group. For all the included studies, the quality for all the main outcomes has been assessed as low. Although some publications suggest a positive effect of acupuncture on either salivary flow rate or subjective dry mouth feeling, the studies are inconclusive about the potential effects of acupuncture. CONCLUSIONS: Insufficient evidence is available to conclude whether acupuncture is an evidence-based treatment option for xerostomia/hyposalivation. Further well-designed, larger, double blinded trials are required to determine the potential benefit of acupuncture. Sample size calculations should be performed before before initiating these studies.
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spelling pubmed-58119782018-02-15 A systematic review of the effects of acupuncture on xerostomia and hyposalivation Assy, Zainab Brand, Henk S. BMC Complement Altern Med Research Article BACKGROUND: Saliva is fundamental to our oral health and our well-being. Many factors can impair saliva secretion, such as adverse effects of prescribed medication, auto-immune diseases (for example Sjögren’s syndrome) and radiotherapy for head and neck cancers. Several studies have suggested a positive effect of acupuncture on oral dryness. METHODS: Pubmed and Web of Science were electronically searched. Reference lists of the included studies and relevant reviews were manually searched. Studies that met the inclusion criteria were systematically evaluated. Two reviewers assessed each of the included studies to confirm eligibility and assessing the risk of bias. RESULTS: Ten randomized controlled trials investigating the effect of acupuncture were included. Five trials compared acupuncture to sham/placebo acupuncture. Four trials compared acupuncture to oral hygiene/usual care. Only one clinical trial used oral care sessions as control group. For all the included studies, the quality for all the main outcomes has been assessed as low. Although some publications suggest a positive effect of acupuncture on either salivary flow rate or subjective dry mouth feeling, the studies are inconclusive about the potential effects of acupuncture. CONCLUSIONS: Insufficient evidence is available to conclude whether acupuncture is an evidence-based treatment option for xerostomia/hyposalivation. Further well-designed, larger, double blinded trials are required to determine the potential benefit of acupuncture. Sample size calculations should be performed before before initiating these studies. BioMed Central 2018-02-13 /pmc/articles/PMC5811978/ /pubmed/29439690 http://dx.doi.org/10.1186/s12906-018-2124-x Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Assy, Zainab
Brand, Henk S.
A systematic review of the effects of acupuncture on xerostomia and hyposalivation
title A systematic review of the effects of acupuncture on xerostomia and hyposalivation
title_full A systematic review of the effects of acupuncture on xerostomia and hyposalivation
title_fullStr A systematic review of the effects of acupuncture on xerostomia and hyposalivation
title_full_unstemmed A systematic review of the effects of acupuncture on xerostomia and hyposalivation
title_short A systematic review of the effects of acupuncture on xerostomia and hyposalivation
title_sort systematic review of the effects of acupuncture on xerostomia and hyposalivation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811978/
https://www.ncbi.nlm.nih.gov/pubmed/29439690
http://dx.doi.org/10.1186/s12906-018-2124-x
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