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The aim of this review is to assess the objective and subjective diagnosis, as well as symptomatic topical treatment of dry mouth conditions with a clear focus on textural perspective. We critically examine both the current practices as well as outline emerging possibilities in dry mouth diagnosis and treatment, including a patent scan for saliva substitutes. For diagnosis, salivary flow rates and patient‐completed questionnaires have proven to be useful tools in clinical practice. To date, objective measurements of changes in mechanical properties of saliva via rheological, adsorption, and tribological measurements and biochemical properties of saliva such as assessing protein, mucins (MUC5B) are seldom incorporated into clinical diagnostics; these robust diagnostic tools have been largely restricted to application in non‐clinical settings. As for symptomatic treatments of dry mouth, four key agents including lubricating, thickening, adhesive, and moisturizing agents have been identified covering the overall landscape of commercial saliva substitutes. Although thickening agents such as modified celluloses, polysaccharide gum, polyethylene glycol, and so forth are most commonly employed saliva substitutes, they offer short‐lived relief from dry mouth and generally do not provide boundary lubrication properties of real human saliva. Innovative technologies such as self‐assembly, emulsion, liposomes, and microgels are emerging as novel saliva substitutes hold promise for alternative approaches for efficient moistening and lubrication of the oral mucosa. Their adoption into clinical practice will depend on their efficacies, duration of relief, and ease of application by the practitioners and patient compliance. [ABSTRACT FROM AUTHOR]

Salivary pellicle, a spontaneously formed, intricate architecture in the human oral cavity, is a high‐performance bio‐lubricant that coats and protects biological surfaces with varying elastic modulus against frictional damage. Although salivary lubrication underpins the fundamentals of human feeding and speech, the peculiar molecular mechanism behind such lubrication properties remains elusive. For the first time, this work demonstrates a binary model comprised of salivary proteins, mucin, and lactoferrin (LF), forming an electrostatically driven, multilayered self‐assembly that exhibits a lubrication behavior closely resembling that of human saliva, from macro to nanoscale. The multiscale tribological analysis with applied forces ranging from 1 N to 1 nN, supported by real‐time self‐assembly monitoring on hydrophilic and hydrophobic substrates differentially resolves the distinct roles played by the salivary proteins of this proposed lubricating model. Evidences reveal that hydrated mucin controls the macromolecular viscous lubrication entrapping water molecules in the mucinous network and LF acts as a "molecular glue" between mucin–mucin and mucin–surface, latter aiding boundary lubrication. This study puts forward an unprecedented molecular model that explains the synergistic lubrication by salivary components. These results can aid into the design routes for synthesizing highly efficacious nature‐inspired aqueous lubricants for future biomedical applications and nutritional technologies. [ABSTRACT FROM AUTHOR]