Table 1.
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] |