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Hydrogel reservoir delivers artificial saliva to relieve xerostomia

Researchers have developed a reusable hydrogel reservoir that can be placed in the mouth to gradually release artificial saliva, offering a potential new therapy for patients with xerostomia. (Image: sebra/Adobe Stock)

Thu. 28. August 2025

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WEST LAFAYETTE, Ind., US: Xerostomia is frequently encountered in patients receiving haemodialysis, chemotherapy or radiotherapy and is strongly associated with polypharmacy, a growing concern in ageing populations. Despite a range of available treatments, achieving reliable and long-lasting relief has remained elusive. To address this need, researchers in the US have developed a reusable hydrogel reservoir that gradually releases artificial saliva in the mouth, potentially offering sustained relief for patients with dry mouth.

This small gel-like structure developed by Purdue University researchers can absorb and release artificial saliva. (Image: American Chemical Society)

According to co-author Prof. Georgia A. Malandraki, graduate programme director in the Department of Speech, Language, and Hearing Sciences at Purdue University in West Lafayette, the research was inspired by clinical experience in treating patients with swallowing disorders, including xerostomia, which can exacerbate such conditions. Current pharmacological treatments aim to stimulate natural saliva production, but they often only provide temporary relief and may cause side effects such as oral irritation or tooth erosion. Recognising these limitations, the research team collaborated with experts in hydrogel materials to explore an alternative approach.

To create the hydrogel, the researchers combined artificial saliva with the biocompatible polymer poly(hydroxyethyl methacrylate), which is commonly used in medical devices such as contact lenses. The resulting hydrogel is clear and coin-sized, small enough to be placed on the inner cheek or under the tongue.

“The material is essentially a hydrogel reservoir that can be loaded with artificial saliva. At this time, it can hold four times its volume in artificial saliva and then release that slowly over four hours at body temperature, 37 °C. We have also shown that one hydrogel reservoir could be reloaded at least five times, demonstrating its reusable and sustainable design,” lead author Dr Suman Debnath, postdoctoral research assistant at the university, told Dental Tribune International (DTI).

The study found that, when submerged in artificial saliva for 6 hours, the hydrogel expanded to up to 400% of its original volume, highlighting its high storage capacity. Release rates remained consistent across five consecutive uses, underscoring its potential as a reusable therapeutic option. Importantly, in vitro testing confirmed that the hydrogel did not affect cell survival or growth, supporting its biocompatibility.

Future research will aim to enhance the hydrogel’s durability and optimise release capacity per use before clinical application. The team is also investigating alternative materials to develop a fully dissolvable version. The ultimate goal is to provide an easy, affordable and effective treatment option for those with xerostomia.

“Ongoing testing will help us enhance key features such as volume and release rate, bringing this innovative delivery system closer to how natural saliva is released,” senior author Prof. Bryan Boudouris, vice president for research and economic development at the University of Alabama, told DTI.

The study, titled “Poly(hydroxyethyl methacrylate) saliva-gel: A polymer-based solution for xerostomia treatment”, was published online on 17 July 2025 in ACS Applied Polymer Materials.

Lead author Dr Suman Debnath. (Image: Dr Suman Debnath)

Lead author Dr Suman Debnath. (Image: Dr Suman Debnath)

Co-author Prof. Georgia A. Malandraki. (Image: Prof. Georgia A. Malandraki)

Co-author Prof. Georgia A. Malandraki. (Image: Prof. Georgia A. Malandraki)

Senior author Prof. Bryan Boudouris. (Image: Prof. Bryan Boudouris)

Senior author Prof. Bryan Boudouris. (Image: Prof. Bryan Boudouris)

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