Evidence map›Paper›PMID 40698616›Full record

SynthesisOral diseases2026

Mucoadhesive Drug Delivery Systems for Oral Chronic Inflammatory Mucosal Diseases. The Future is Already Present. A Systematic Review.

M E Mauceri, M Coppini, V De Caro, G Di Prima, R Mauceri, V Panzarella, G Giuliana, G Campisi

Abstract readSystematic Review
In one paragraph

Synthesis in Oral diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

M E MauceriDipartimento di Scienze e Tecnologie Biologiche Chimiche e Farmaceutiche, Università degli Studi di Palermo, Palermo, Italy.
M CoppiniDipartimento di Medicina di Precisione in Area Medica, Chirurgica e Critica (Me.Pre.C.C.), Università degli Studi di Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0002-0834-1841
V De CaroDipartimento di Scienze e Tecnologie Biologiche Chimiche e Farmaceutiche, Università degli Studi di Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0002-5186-1244
G Di PrimaDipartimento di Scienze e Tecnologie Biologiche Chimiche e Farmaceutiche, Università degli Studi di Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0002-3240-2704
R MauceriDipartimento di Medicina di Precisione in Area Medica, Chirurgica e Critica (Me.Pre.C.C.), Università degli Studi di Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0002-4008-6502
V PanzarellaDipartimento di Medicina di Precisione in Area Medica, Chirurgica e Critica (Me.Pre.C.C.), Università degli Studi di Palermo, Palermo, Italy.
G GiulianaDipartimento di Medicina di Precisione in Area Medica, Chirurgica e Critica (Me.Pre.C.C.), Università degli Studi di Palermo, Palermo, Italy.
G CampisiUnità di Medicina Orale e Odontoiatria per Pazienti Fragili, Dipartimento di Riabilitazione, Fragilità e Continuità delle Cure, Azienda Ospedaliera Universitaria di Palermo, Palermo, Italy.

Funding

Ministero della Salute Project GENESIS-ATI, cod. T3-AN-11Ministero dell'Università e della Ricerca and European Union-Next Generation EU, cod. PNRR M4.C2.1.1-2022CLLMCP_002
6 · The paper itself

Abstract

backgroundOral lichen planus (OLP) and recurrent aphthous stomatitis (RAS) are considered the most painful oral inflammatory diseases, with high global prevalence and significant impacts on patients' quality of life. In the last decades, researchers have been exploring mucoadhesive drug delivery systems (MDDS) to improve drugs safety and efficacy through optimized formulations for enhancing patients compliance while addressing the limitations of semisolid products.

objectiveTo assess the clinical efficacy of different MDDS (e.g., tablets, films, and patches) in treating OLP or RAS by a revision of the literature.

methodsAccording to PRISMA guidelines, the study assessed the remission of signs and symptoms in terms of decreasing burning sensation, pain severity, and lesion size. The protocol was registered on the PROSPERO database (CRD42024603173) and records identified by Medline/PubMed/Scopus.

resultsThirteen observational studies involving humans affected by OLP or RAS were included. The absence of standardized therapies in terms of MDDS, drug, and dosing regimen was highlighted. All MDDS offered several benefits, including prolonged drug release, protection from mechanical irritation, and pain and inflammation reduction. MDDS improved patients' adherence by minimizing daily applications and systemic side effects.

conclusionsMDDS may represent a promising option for both OLP and RAS treatments, addressing key limitations of traditional formulations.

Indexed as

Drug Delivery SystemsLichen Planus, OralStomatitis, AphthousHumansMouth Mucosabuccal diseasebuccal tabletmucoadhesive filmmucoadhesive patchoral lichen planusrecurrent aphthous stomatitis

Identifiers

PMID40698616
PMCPMC13031419

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.