The oral cavity is an attractive site for the delivery of drugs either locally or directly into the systemic circulation. Its attractiveness resides in the fact that the mucosal membranes, upon which drug delivery systems are located, are readily accessible to patients or their carers. This means that the delivery technology can be precisely placed on the specific oral cavity membrane that is chosen as the site of absorption. It also means that the delivery system can be removed in order to terminate delivery if signs of adverse reactions are observed during treatment. The oral cavity represents a challenging area to develop an effective drug delivery technology. This arises due to the various inherent functions of the oral cavity (eating, swallowing, speaking, chewing), as well as the presence of the fluid that is involved in all these activities, saliva. This fluid is continually secreted into, and then removed from, the mouth. There are many advantages and disadvantages associated with the oral cavity as a site for drug delivery. Overall, however, it remains a viable option as a route for drug administration and has been extensively studied for that purpose [1][2][3][4][5][6][7].In this chapter, the rationale behind companies pursuing the goal of developing oral mucosal drug delivery systems as well as the key considerations in the design and development of a drug delivery system intended for use in the oral cavity will be discussed. Finally, this chapter will briefly describe some of the formulation aspects of delivery systems that have been successfully developed to deliver drugs via this route.