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. 2022 Aug 27;2022:7802334. doi: 10.1155/2022/7802334

Table 1.

Summary of measurement methods of saliva flow rate.

Type Methods Procedure Pros Cons
Unstimulated whole saliva [UWS] Draining method Allow the saliva to flow naturally down the lower lip and collect it in a graduated container [21] No effect of slow rate [25]
More representative of unstimulated secretion [25]
Good repeatability [11]
Easy use [11]
Time-consuming [26]
Unattractive [26]
Remaining saliva in oral [27]
Need good collaboration [25]
Spitting Method Allow the saliva to cumulate at the bottom of the mouth for a while and then spit into a graduated container [21] Less evaporation of saliva [25]
Good repeatability [11]
Easy use [11]
Time-consuming [26]
Unattractive [26]
Incomplete spit [27]
Stimulatory effects [25]
Need good collaboration [25]
Swab method Allow the saliva to be absorbed with pre-weighed cotton rolls and reweighed at the end of the collection period [21] Low cost [25]
Easy use [25]
Suitable for less- or non-collaborative patients [25]
Risk of swallowing [25]
Possible stimulatory effect [28]
Suction method Allow the saliva to be sucked into a graduated container by a negative pressure suction device in the closed or open suction method [21] High reliability [29]
Time-saving [29]
No strict demands for
Collaboration [29]
Require skilled personnel [29]
Possible stimulatory effect [28]
BokaFlo™ Place BokaFlo™ disposable device under the subject's tongue to collect saliva, then the device was removed and placed on the BokaFlo™ instrument for measurement [30] High sensitivity [30]
High specificity [30]
Comfortable [30]
Time-saving [30]
Underestimate saliva flow rate [30]

Stimulated whole saliva [SWS] Acid stimulation method Place a solution of 2% citric acid on each side of the tongue every 30 seconds for five minutes and collect saliva [21] Get more saliva in a short time [31] Change the composition of saliva [25]
Change salivary pH [25]
Need collaboration [25]
Chewing method Collect saliva after chewing an unflavored gum base or paraffin wax [21] Get more saliva in a short time [31] Change the composition of saliva [25]
Change salivary pH [25]
Uncontrollable chewing force and force duration [32]

Major salivary gland Parotid gland Place the Lashley cup at the mouth of the parotid gland catheter to collect saliva from the parotid gland [32] Not invasive [25] Time-consuming [33]
Complex procedure [33]
Required skilled personnel [33]
Submandibular gland and sublingual gland Use a Wolff saliva collector to collect saliva from the submandibular and sublingual gland [32] Not invasive [33] Time-consuming [33]
Complex procedure [33]
Require skilled personnel [33]
Minor salivary gland Iodine-starch filter paper method Place the iodine-starch filter paper on the lower lip for a period of time and then scan and digitize with an image scanner [34] Comfortable [34]
Easy use [34]
Larger area of lower lip [34]
No large volume collected [34]
Contain harmful iodine [34]
Not for people allergic to iodine [34]
Electronic sialometry device Measure the electrical resistance of a filter paper that has absorbed saliva, providing an estimate of saliva volume [35] Easy use [35]
Low cost [35]
Quick [34]
No large volume collected [35]
Standard filter paper Place a standard filter paper on the buccal mucosa to absorb saliva and weigh it [36] Not invasive [25]
Easy use [36]
No large volume collected [36]