Effects of Chlorine Dioxide on Oral Hygiene - A Systematic Review and Meta-analysis

Effective and selective oral rinses are required in the daily medical and dental practice. Currently used mouthwashes have substantial side effects.Our aim was to evaluate the efficacy of chlorine dioxide-containing mouthwashes in comparison with other previously established mouth rinses in healthy...

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Elmentve itt :
Bibliográfiai részletek
Szerzők: Kerémi Beáta
Márta Katalin
Borbásné Farkas Kornélia
Czumbel László Márk
Tóth Barbara
Szakács Zsolt
Csupor Dezső
Czimmer József
Rumbus Zoltán
Révész Péter
Németh Adrienn
Gerber Gábor
Hegyi Péter
Varga Gábor
Dokumentumtípus: Cikk
Megjelent: 2020
Sorozat:CURRENT PHARMACEUTICAL DESIGN 26 No. 25
doi:10.2174/1381612826666200515134450

mtmt:31315399
Online Access:http://publicatio.bibl.u-szeged.hu/19265
Leíró adatok
Tartalmi kivonat:Effective and selective oral rinses are required in the daily medical and dental practice. Currently used mouthwashes have substantial side effects.Our aim was to evaluate the efficacy of chlorine dioxide-containing mouthwashes in comparison with other previously established mouth rinses in healthy adults using oral hygiene indices.This work was registered in PROSPERO (CRD42018099059) and carried out using multiple databases and reported according to the PRISMA statement. The following search terms were used "chlorine dioxide" AND "oral", only randomised controlled trials (RCTs) were included. The primary outcome was the alteration of the plaque index (PI), while the secondary outcomes were the gingival index (GI) and bacterial counts. For the risk of bias assessment, the Cochrane Risk of Bias Tool was used. Statistical analysis for data heterogeneity was performed by Q-value and I2 -tests.364 articles were found in the databases. After the selection process, only five RCTs were eligible for meta-analysis. Data heterogeneity was low. There were no statistical differences in effectiveness between chlorine dioxide and the other effective mouth rinses in PI (0.720±0.119 vs 0.745±0.131; 95%; confidence intervals (CIs): 0.487-0.952 vs 0.489- 1.001, respectively) and GI (0.712±0.130 vs 0.745±0.131; 95% CIs: 0.457-0.967 vs 0.489- 1.001, respectively) and also in bacterial counts.Chlorine dioxide reduces both plaque and gingival indices and bacterial counts in the oral cavity similar to other routinely used oral rinses, however, the evidence supporting this is very limited. Therefore, further large scale RCTs are needed to decrease the risk of bias.
Terjedelem/Fizikai jellemzők:3015-3025
ISSN:1381-6128