The Long‐Term Effect of a Mouthrinse Containing Essential Oils on Dental Plaque and Gingivitis: A Systematic Review

Stoeken, Judith E.; Paraskevas, S.P.; Weijden, G.A. van der

doi:10.1902/jop.2007.060269

Cited by 142 publications

(159 citation statements)

References 41 publications

(78 reference statements)

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“…15,16 It is possible to generalize this evidence indirectly from clinical trials with subjects not using fixed appliances to those using them. However, it is very important that welldesigned clinical trials be conducted to provide evidence regarding the efficacy of oral antiseptics in reducing plaque and gingivitis in orthodontic patients.…”

Section: Final Considerationsmentioning

confidence: 99%

“…13,14 Several clinical trials have been conducted in order to test the efficacy and safety of these products. Systematic reviews of these clinical trials have demonstrated the efficacy of mouthwashes containing chlorhexidine gluconate, 15 essential oils 15,16 and cetylpyridinium chloride. 17 A recent review of systematic reviews compared these three active principles, showing that mouthwashes containing chlorhexidine present higher anti-plaque and anti-gingivitis efficacy (mean reduction of 40% and 28%, respectively) followed by essential oils (mean reduction of 27% and 18%, respectively) and cetylpyridinium chloride (mean reduction of 15% and 13%, respectively).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians

et al. 2014

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Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians * abstract: Properly performed daily mechanical biofilm control is the most important prevention strategy for periodontal diseases. However, proper mechanical biofilm control is not performed effectively by the majority of the population, mainly due to lack of motivation and of manual dexterity. Local biofilm retention factors may aggravate home oral hygiene quality. For this reason, patients wearing fixed orthodontic appliances comprise a group that may benefit from the daily use of mouthwashes. The purpose of this review was to perform a systematic search in the literature on antiseptics used to control supragingival biofilm and gingivitis in orthodontic patients. Six studies investigating the effect of chlorhexidine and 5 studies evaluating the effect of the daily use of antiseptics were found. Chlorhexidine showed better results in reducing plaque and gingivitis. However, because of its adverse effects after continuous use, it should not be indicated for long-term periods. Among the agents considered for daily use, the fixed combination of essential oils was the only one evaluated in a clinical trial, in which a comparative group presented a statistically significant clinical impact. There is no direct evidence supporting the indication of antiseptic agents for orthodontic patients other than chlorhexidine and essential oils. It can be concluded that, for patients undergoing orthodontic treatment, chlorhexidine should be considered for treating acute gingival inflammation, whereas essential oils should be indicated for long-term daily use in controlling supragingival biofilm.

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Section: Final Considerationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians

et al. 2014

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“…8,74 EO has also been proven to provide significant effects against plaque and gingivitis. 36,80 Under specific clinical conditions, EO showed comparable results to those of CHX. 81 One important aspect that certainly contributes to this superiority is their ability to penetrate biofilms.…”

Section: Effectiveness and Expected Benefits Of Mouthrinsesmentioning

confidence: 80%

“…71 Moreover, its long-term use is also supported by the lack of adverse events. In a systematic review published by Stoeken et al 36 it was demonstrated that most studies agreed that EO did not produce more tooth-staining than the control products. Some manufacturers indicate CPC long-term use; however, published articles failed to support this indication.…”

Section: How To Use and When To Indicate Mouthrinsesmentioning

confidence: 98%

“…On the contrary, mouthrinses have been proving to be effective against plaque and gingivitis when considering interproximal sites, sometimes showing similar and even better efficacy levels than those provided by dental floss. 34,35,36 Most participants (82%) reported that their patients brushed from 2 to 3 times a day, and 64% reported that their patients flossed from 1 to 3 times a week. Brushing at least twice a day has been suggested as an appropriate frequency.…”

Section: Reasons For Mouthrinse Usementioning

confidence: 99%

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Self-performed supragingival biofilm control: qualitative analysis, scientific basis and oral-health implications

Cortelli

Aquino

et al. 2010

Braz. oral res.

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Patients frequently fail to achieve an optimal mechanical plaque control. However, many patients are not confident about using mouthrinses, and many professionals refuse to prescribe them for regular daily use. Aiming at achieving a better understanding of the use and prescription of mouthrinses in periodontics, 24 dentists with different dental educational levels were purposively chosen and interviewed in a qualitative research. Partial data was presented at the 15th Congress of the Brazilian Association for Oral Health Promotion (ABOPREV), and full data was presented at the 88th General Session and Exhibition of the International Association for Dental Research (IADR). The professionals' answers were confirmed or rejected through scientific data analysis. Additionally, scientifically supported answers were provided for the interviewees' most frequent unanswered questions. Around half of the participants (46%) reported that they recommended the use of mouthrinses, although a high percentage (64%) of the dentists answered that they knew very little about the efficacy of mouthrinses and also about the oral benefits (54%) provided by them. All interviewees reported that they were aware of the fact that their patients, and themselves, failed to floss and, less frequently, to brush their teeth, and all of them believed that oral health impacts overall systemic health. Seventy five percent answered that using mouthrinses was safe. Most participants (55%) did not declare themselves as mouthrinse users. We concluded that dentists with different levels of dental education have only partial knowledge related to mouthrinse use in periodontics. The use of effective mouthrinses on a daily basis is justified and can help patients achieve or maintain a healthier mouth. A healthier mouth will positively impact patients' quality of life and could also benefit their overall systemic health

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Topical herbal interventions for gingivitis

Leach

Thoms

2013

Cochrane Database of Systematic Reviews

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The Long‐Term Effect of a Mouthrinse Containing Essential Oils on Dental Plaque and Gingivitis: A Systematic Review

Abstract: When used as an adjunct to unsupervised oral hygiene, EO provides an additional benefit with regard to plaque and gingivitis reduction as compared to a placebo or control.

Cited by 142 publications

References 41 publications

Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians

Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians

Self-performed supragingival biofilm control: qualitative analysis, scientific basis and oral-health implications

Topical herbal interventions for gingivitis

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