Open research questions in Salivary Gland Disorders and Functions
191 unresolved questions extracted from the limitations and future-work sections of 1,234 Salivary Gland Disorders and Functions papers in our library. Each links back to the study that raised it.
What the literature leaves open
Explicit definition of the target quantity and temporal relationship is required, - Analytical and statistical evaluation of the saliva-to-circulating-insulin relationship is needed, - Assessment of fixed-model performance in independent data is required, - Characterization of individual prediction error is necessary, - Independent external validation is required
Salivary Versus Circulating Insulin in Humans: Quantitative Evidence and Validation Requirements · 2026 · DOIOne challenge is the lack of standardization in salivary biomarker measurement. Another challenge is the potential for substantial inter-individual variability in salivary biomarker levels. A third challenge is the need to evaluate the effect of age on the relationship between salivary and serum biomarker levels.
Salivary and serum levels of NT-proBNP, troponin, and high-sensitivity C-reactive protein in patients with heart failure · 2026 · DOIinvestigate the use of salivary biomarkers in other cardiovascular diseases, - compare the performance of different non-invasive methods for heart failure diagnosis, - explore the potential of salivary biomarkers for monitoring heart failure treatment
Salivary and serum levels of NT-proBNP, troponin, and high-sensitivity C-reactive protein in patients with heart failure · 2026 · DOIThe sample size was limited to three participants, - The study was a pilot feasibility study, - Emphasis was placed on functional validation rather than statistical generalizability
Development of a device for continuous salivary pH measurement at two locations in the oral cavity · 2026 · DOIFurther studies with larger sample sizes are needed to validate the results, - Investigation of the sensor system in different populations and environments, - Development of more advanced sensor systems for intraoral pH measurement
Development of a device for continuous salivary pH measurement at two locations in the oral cavity · 2026 · DOIheterogeneity in the study designs, populations, and outcome measures, - limited evidence from a single retrospective cohort study for fixed restorations, - case reports and case series with fewer than 10 cases were excluded, - studies not published in English were excluded
Dental prosthetic treatment outcomes in patients with xerostomia and hyposalivation: A scoping review · 2026 · DOIinvestigating histone lactylation in SjD salivary gland pathology, - examining how current and emerging SjD therapeutics may intersect with the metabolic-epigenetic pathways, - preclinical strategies targeting lactylation
Histone lactylation: a metabolic-epigenetic bridge linking glycolysis to salivary gland fibrosis in Sjögren’s disease · 2026 · DOIfurther studies are needed to investigate the association between xerostomia and/or hyposalivation and prosthetic treatment outcomes, - research on the effects of radiation dose at the implant site on implant survival is needed, - studies on the use of denture adhesives in patients with hyposalivation are required
Dental prosthetic treatment outcomes in patients with xerostomia and hyposalivation: A scoping review · 2026 · DOIdirect evidence in SjD is currently lacking, - no drug specifically designed to inhibit histone lactylation has yet entered clinical trials for SjD
Histone lactylation: a metabolic-epigenetic bridge linking glycolysis to salivary gland fibrosis in Sjögren’s disease · 2026 · DOIAlthough an immediate salivary response following CD insertion is biologically plausible, the magnitude and persistence of changes in salivary flow, pH, and biomarkers after treatment remain incompletely understood.
Salivary Parameters Before and After Removable Complete Denture Rehabilitation: A Systematic Review and Meta‐Analysis · 2026 · DOIAlthough BMS' impact on patients is documented, family member impact remains poorly understood.
Current evidence supports irradiation protocol standardization but remains insufficient to define an optimal protocol.
Photobiomodulation Irradiation Protocols for Burning Mouth Syndrome: A Systematic Review and Protocol-Level Meta-Analysis of Randomized Trials · 2026 · DOIAttributing CNS manifestations to direct SjD involvement or coexisting conditions remains unclear and cannot be assumed to be causally linked.
A Scoping Review and Meta‐Analysis of Proportions of Central Nervous System Manifestations Reported in Patients with Sjögren's Disease · 2026 · DOIOBJECTIVES: Topical capsaicin is widely used for managing peripheral neuropathies; however, its impact on gustatory perception following prolonged oral use remains unclear.
Effects of Oral Topical Capsaicin Gel on Taste Perception in Healthy Subjects: A Pilot Study · 2025 · DOIHowever, it remains unknown whether sex hormones contribute to changes in the nerve fiber density in the tongues of patients with BMS.
Effects of ovariectomy of rat on tongue neuropathy: Relevance to burning mouth syndrome · 2025 · DOIHowever, a detailed understanding of the single-cell transcriptional profiles and cell-cell communication networks in this context remains elusive.
Single-cell genomics reveals transcriptional heterogeneity and cellular crosstalk in salivary gland fibrosis · 2025 · DOIHowever, few studies have examined its association with dry mouth, salivary viscosity, and lifestyle factors.
Association Between Self-Perceived Oral Health, Stress, and Oral Symptoms in South Korean University Students: A Cross-Sectional Study · 2025 · DOIDespite its clinical importance, the underlying pathogenesis remains poorly understood, and effective therapeutic strategies are limited.
Despite increased researches and studies recently focusing on this area, it remains to be fully elucidated.
Genetic insight into dissecting the immunophenotypes and inflammatory profiles in the pathogenesis of Sjogren syndrome · 2025 · DOIHowever, few studies have investigated the association between the oral microbiome and orofacial pain, such as BMS.
Distinctive salivary oral microbiome in patients with burning mouth syndrome depending on pain intensity compared to healthy subjects · 2024 · DOIHowever, the type of oral care that can reduce the salivary bacterial load remains unclear.
Comparison of the inhibitory effects of tooth brushing and povidone-iodine mouthwash on salivary bacterial counts in patients undergoing surgery for malignant solid tumors other than head and neck cancers · 2024 · DOIThe underlying mechanisms that govern this sexual dimorphism, however, remain poorly understood.
BACKGROUND: The results of observational studies indicate a potential link between Helicobacter pylori infection and Sjogren's syndrome (SS), but the causal relationship between them remains unknown.
Causal association between Helicobacter pylori infection and Sjogren’s syndrome: a bidirectional Mendelian randomization analysis · 2024 · DOIDespite extensive studies, no single cause and treatment have been determined for burning mouth syndrome. Most researchers agree that there is a central and/or peripheral neuropathic underlying disturbance in BMS patients, however psychological component in these patients is also very present.
Extreme heterogeneity was observed for both primary diagnostic indices, - Limited to specific biomarker types in previous meta-analyses, - Study quality was assessed using QUADAS-2, - Potential publication bias was examined using Deeks' funnel plot asymmetry test
Diagnostic Accuracy and Clinical Utility of Salivary Biomarkers in Oral Squamous Cell Carcinoma: A Meta-Analysis · 2026 · DOI
Most-cited papers in Salivary Gland Disorders and Functions
- Sjögren's syndrome · The Lancet · 2005 · 1,366 citations
- Methods for Collecting Saliva · Annals of the New York Academy of Sciences · 1993 · 1,069 citations
- The Diagnostic Applications of Saliva— A Review · Critical Reviews in Oral Biology & Medicine · 2002 · 706 citations
- Exosomes from human saliva as a source of microRNA biomarkers · Oral Diseases · 2009 · 623 citations
- Saliva and gastrointestinal functions of taste, mastication, swallowing and digestion · Oral Diseases · 2002 · 589 citations
- Clinical Manifestations and Early Diagnosis of Sjögren Syndrome · Archives of Internal Medicine · 2004 · 583 citations
- Saliva Composition and Functions: A Comprehensive Review · The Journal of Contemporary Dental Practice · 2008 · 582 citations
- The physiology of salivary secretion · Periodontology 2000 · 2015 · 513 citations
- Health benefits of saliva: a review · Journal of Dentistry · 2004 · 504 citations
- Salivary secretion in health and disease · Journal of Oral Rehabilitation · 2018 · 461 citations
Most recent work
- ANXIETY AND DEPRESSION SCORES IN PATIENTS WITH BURNING MOUTH SYNDROME · Psychiatria Danubina · 2108
- Trueness and precision of direct-printed and thermoformed clear aligners after artificial saliva exposure: A comparative in vitro study · American Journal of Orthodontics and Dentofacial Orthopedics · 2026
- T cells co-expressing high levels of CD29 and CD99 show increased cytotoxic potential and are upregulated in Sjögren’s disease · The Journal of Immunology · 2026
- Diagnostic Accuracy and Clinical Utility of Salivary Biomarkers in Oral Squamous Cell Carcinoma: A Meta-Analysis · Cancers · 2026
- Assessment of a New Tool to Monitor Oral Hydration and Dry Mouth: FishburneTabs · Oral Diseases · 2026
- Dental Calculus Deposition: Correlation With Salivary Statherin and Calcium Levels · International Journal of Dentistry · 2026
- A Systematic Review and Meta‐Analysis of the Global Prevalence of Dry Mouth in Older Adults · Gerodontology · 2026
- Identification of a shared antigen linking CD4 + T and B cell pathology in Sjögren’s disease · Science Advances · 2026
- Morning vs. afternoon saliva: limited diurnal variation in ion composition of unstimulated whole saliva · Clinical Oral Investigations · 2026
- Ultrasonographic Evaluation of Salivary Gland Stiffness in Primary Sjögren's Disease and Idiopathic Xerostomia · Oral Diseases · 2026
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