The study on the effects of commonly used mouthwash solutions with different compositions on the oral environment
- VernacularTitle: Эмнэлзүйд өргөн хэрэглэгддэг ялгаатай найрлага бүхий ам зайлах зарим уусмалын амны орчинд үзүүлэх нөлөөг судалсан дүн
- Author:
Tsolmon А
1
;
Oyuntsetseg B
1
;
Tselmeg B
1
Author Information
1. Department of Pediatric and Preventive Dentistry, School of Dentistry, MNUMS
- Publication Type:Other Types
- Keywords:
Chlorhexidine gluconate;
Sodium bicarbonate;
Povidone-iodine
- From:
Mongolian Journal of Health Sciences
2025;88(4):226-230
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:Pre-procedural mouth rinsing has been shown to reduce pathogenic microorganisms, prevent secondary
infections, and shorten healing time prior to periodontal treatment, oral surgeries, and endodontic procedures. In Mongo
lia, most dental clinics routinely recommend mouth rinsing before treatment. Moreover, since the COVID-19 pandemic,
there has been a notable increase in the public’s use of various mouth rinses outside clinical settings. However, there is a
lack of comparative clinical studies assessing the efficacy of these commercially available rinses.
Aim:To clinically compare the effects of various commonly used mouth rinses with different active ingredients on the
oral environment.
Materials and Methods:A case-control study was conducted involving 210 participants with mixed dentition, receiving
care at the Pediatric and Preventive Dentistry Department of the Central Dental Hospital of Mongolian National Univer
sity of Medical Sciences. Participants completed a 17-question survey in three groups, followed by clinical examinations.
Oral pH, malodor, and bacterial counts were measured using a phase-contrast microscope (OMAX 40X-2500X, USA)
after collecting plaque and saliva samples. Ethical approval was obtained from the Research Ethics Committee of the
Mongolian National University of Medical Sciences. Data analysis was performed using STATA 14.
Results:A total of 210 children participated (mean age 9.04±1.2 year; 52.2% male, 47.8% female). The average DMFT
index was 6.3 DMF+df/t (high), and oral hygiene index was 1.53 score (moderate). The baseline oral pH was 6.3±0.5
score. After rinsing with sodium bicarbonate, the pH increased to 7.4±0.4 score, and remained at 6.61±0.31 score after 40
minutes. In contrast, the placebo group showed minimal change (6.06±0.45 to 6.09±0.31 score). Statistically significant
differences between groups were observed.
Baseline oral malodor averaged 80.8±1.4 ppb. After rinsing with povidone-iodine, it decreased to 76.1±3.4 ppb at 40
minutes, while in the placebo group it decreased from 74.2±4.9 ppb to 66.3±3.8 ppb. Bacterial count prior to rinsing was
18.85±0.77 score. Chlorhexidine gluconate reduced this to 11.06±0.68 score immediately after rinsing and to 8.8±3.8
score after 40 minutes, whereas the placebo group showed minimal reduction (15.21±2.02 to 17.6±2.2 score).
Conclusions:Pre-procedural mouth rinsing demonstrated a statistically significant positive impact on the oral environ
ment, including improvements in breath odor and a reduction in microbial load. The effectiveness of these outcomes was
found to vary depending on the specific composition of the mouthwash used. These findings suggest that selecting an
appropriate mouthwash based on the clinical setting can enhance treatment efficiency. Nonetheless, all evaluated solutions
contributed to maintaining or improving the balance of the oral environment.
- Full text:2025052215524876753226-230.pdf
