Biotène Versus HydraSmile for Radiation‐Induced Xerostomia: Randomized Double‐Blind Cross‐Over Study
2025

Comparing Biotène and HydraSmile for Dry Mouth Relief

Sample size: 91 publication 10 minutes Evidence: moderate

Author Information

Author(s): Harley Randall J. MD, MS, Bowers Eve MD, Li Jinhong MS, Bisignani Mikayla BS, Nilsen Marci L. PhD, RN, FAAN, Johnson Jonas T. MD, FACS

Primary Institution: University of Pittsburgh

Hypothesis

This study aims to compare the effectiveness of 2 artificial saliva substitutes (Biotène vs HydraSmile) in the symptomatic management of radiation‐induced xerostomia.

Conclusion

Biotène and HydraSmile significantly improved oral dryness among patients with radiation‐induced xerostomia, but neither product demonstrated treatment superiority.

Supporting Evidence

  • Both products significantly improved overall xerostomia score compared to water alone.
  • Patients who preferred Biotène did not significantly benefit from HydraSmile.
  • HydraSmile showed a greater improvement in overall xerostomia score for those who preferred it.

Takeaway

This study tested two mouth sprays to help people with dry mouth from cancer treatment. Both sprays helped, but one wasn't better than the other.

Methodology

Randomized double‐blind cross‐over study involving adult patients with radiation‐induced xerostomia.

Potential Biases

Modified intention-to-treat design may have introduced bias due to reassigning patients who completed the wrong protocol.

Limitations

The sample size of 91 fell short of the 96 patients required for adequate power, and there may be attrition bias due to 38 patients not completing the study.

Participant Demographics

Mean age 63.0 years; 85.7% male; 97.8% White.

Statistical Information

P-Value

0.003

Confidence Interval

95% CI −2.35 to 4.81

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/oto2.70038

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