RecruitingNot ApplicableNCT07425275

Integrated Oral Care Intervention for Xerostomia in Diabetes Patients

The Impact of Integrated Oral Care Intervention Provided by Endocrinologists on Oral Health and Well-being in Diabetes Patients

Sponsor

Khyber Medical University Peshawar

Enrollment

80 participants

Start Date

Feb 1, 2026

Study Type

INTERVENTIONAL

Conditions

Diabetes Mellitus Diabetic Neuropathies

Summary

Diabetes patients commonly experience dry mouth also known as xerostomia which can affect eating speaking oral health and overall quality of life. This study evaluates whether simple oral care actions delivered by endocrinologists during routine diabetes clinic visits can improve dry mouth symptoms and oral health related quality of life. Endocrinologists will be trained to screen for dry mouth provide brief counseling prescribe saliva substitutes and refer patients to dental services when needed. Adult patients with diabetes and symptoms of dry mouth will be followed before and after the intervention to assess changes in xerostomia severity and oral health outcomes. The study will also explore barriers and facilitators to integrating oral health care into routine diabetes management in Pakistan.

Eligibility

Max Age: 18 Years

Inclusion Criteria4

Presence of a single stone in the renal pelvis.
Age less than 18 years.
No congenital or acquired urinary tract abnormalities.
No pre-existing chest diseases (e.g., chronic lung disease, pleural effusion).

Exclusion Criteria4

Patients with multiple kidney stones.
Calyceal stones (stones located specifically in a calyx).
Pelviureteric junction obstruction (PUJO).
Pelvic kidney (renal ectopia).

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Interventions

PROCEDUREIntegrated Oral Care Intervention

The integrated oral care intervention consists of a structured set of oral health actions delivered by trained endocrinologists during routine diabetes clinic visits. The intervention includes screening for xerostomia using a brief screening question followed by the Xerostomia Inventory for participants who screen positive. A focused oral examination is performed to identify signs of oral dryness and related oral health problems. Participants receive brief counseling on oral hydration strategies oral hygiene practices use of fluoride products and lifestyle measures to relieve dry mouth symptoms. Topical saliva substitute products such as sprays or gels are prescribed when indicated. Participants are also referred to dental services for further evaluation and management when clinically required. The intervention is delivered to all participants and outcomes are assessed before and after the intervention.