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Antiseptic mouth rinses: an update on comparative effectiveness, risks and recommendations
1Full-time faculty member at the Community College of Denver Dental Hygiene Program.
Journal of Dental Hygiene : JDH
|February 26, 2013
Summary
Antiseptic mouth rinses, particularly those with chlorhexidine gluconate or essential oils, effectively reduce plaque and gingivitis. While generally safe, their long-term effects on dental restorations require further investigation.
Area of Science:
- Oral Health
- Periodontology
- Dental Therapeutics
Background:
- Antiseptic mouth rinses are commonly recommended for improving oral hygiene.
- Concerns exist regarding potential risks, including effects on salivary flow, oral cancer, and dental restorations.
Purpose of the Study:
- To compare the effectiveness of four commercial antiseptic mouth rinses in controlling plaque and gingivitis.
- To assess the risks associated with daily use of these mouth rinses.
Main Methods:
- Searched Google Scholar and PubMed for controlled clinical trials and systematic reviews.
- Included studies evaluating 0.12% chlorhexidine gluconate, essential oils, 0.7% cetylpyridinium chloride, and 20% aloe vera gel.
Main Results:
- Chlorhexidine gluconate and essential oil mouth rinses showed significant anti-plaque and anti-gingivitis benefits.
- Cetylpyridinium chloride offered limited benefits; aloe vera gel's effectiveness is unevaluated.
- Mouth rinses were found to be safe, with no significant impact on salivary flow. Data on restoration wear is limited.
Conclusions:
- Antiseptic mouth rinses are effective adjuncts to home care for reducing plaque and gingivitis.
- Insufficient evidence supports their role in preventing or slowing periodontitis progression.
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