Curcumin mouthwashes for plaque and gingivitis

Tumeric

This review of the efficacy of curcumin mouthwash on plaque and gingivitis in comparison with chlorhexidine included 6 RCTs. While the findings suggest that curcumin mouthwashes have promising anti-plaque and anti-gingivitis properties 5 of the 6 studies were at high risk of bias.

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Oral hygiene for critically ill patients

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This Cochrane review updated assessing the impact of oral health measures on the incidence of ventilator associated pneumonia (VAP) in critically ill patients receiving mechanical ventilation in intensive care includes 40 RCTs and suggests that Chlorhexidine mouthwash or gel, as part of oral health measures, probably reduces the incidence of developing VAP.

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Chlorhexidine chip as adjunct to scaling and root planing in patients with chronic periodontitis

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This review of sub-gingival chlorhexidine chips as an adjunct to scaling and root planing in patients with chronic periodontitis included 15 RCTs involving 620 patients in total. Findings suggest an additional improvement with adjunctive use of chlorhexidine chips.

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Root canal disinfection: Sodium hypochlorite or chlorhexidine?

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This review comparing the antimicrobial efficacy of chlorhexidine (CHX) and sodium hypochlorite (NaOCl) in root canal disinfection included 8 small RCTs. While teh findings suggest that CHX and NaOCL have similar efficacy the certainty of teh availabel evidence is low.

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Propolis-based mouthwashes

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This review evaluating the evidence regarding the efficacy of propolis-based mouthwash on dental plaque and gingival inflammation included 9 RCTs. While the findings suggest potential benefit from propolis-based mouthwash the quality of the available evidence is very low and additional high quality studies are needed to assess any benefits.

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Triphala mouthwash for plaque-induced gingivitis

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This review of the efficacy of Triphala and chlorhexidine mouthwash in the treatment of plaque-induced gingivitis included 7 RCTs involving a total of 1270 patients. However most of the studies are of short duration at at high to medium risk of bias.

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Mouthwash; can it reduce levels of Covid-19 in the mouth?

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This latest rapid review from Mark-Steven Howe looks at the virucidal efficacy of commonly used oral mouthwashes. No high quality evidence was identified. Some demonstrate good virucidal properties but have poor substativity with the benefits being lost within a few minutes.

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Chlorhexidine gel as an adjunct to non-surgical periodontal treatment

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This review of the efficacy of adjunctive subgingival administration of chlorhexidine gel in nonsurgical periodontal treatment for chronic periodontitis included 17 RCTs only one of which was at low risk of bias for all domains. Findings suggest an improvement in pocket probing depth but not for clinical attachment.

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Herbal mouthwashes: Are they a useful oral hygiene adjunct?

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This review of the the effect of herbal mouthwashes as an adjuvant to oral hygiene measures in reducing plaque and gingival inflammation in adults included 20 RCTs suggesting that most agents performed better than placebo.

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Halitosis: What are the best methods of prevention and control?

According to this review, Venlafaxine, Pregabalin, Escitalopram, and Duloxetine are viable alternatives to traditional drug treatment for generalised anxiety disorder.

44 RCTs were included in this Cochrane review assessing interventions for the prevention and control of halitosis. Only low to very-low cetrainty evidence was identified so conclusions regarding the superiority of any intervention could not be drawn.

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