Comparative Evaluation of the Effects of Black Tea Extract Mouthrinse and Chlorhexidine Mouthwash on Salivary Streptococcus Mutans Load

Background- Dental caries is one of the most frequent oral health problems. The present study shows the antibacterial effect of black tea extract on salivary Sterptococcus Mutans load. Materials & Methods- The study was conducted on 125 individuals. The differences in the Colony Forming Units and count-scores of S.mutans were analyzed in salivary samples collected from individuals before and after administration of 2% black tea extract mouth-rinse and chlorhexidine mouthwash(CM). Results- There was a statistical difference in mean salivary S. mutans colony count and mean count- score before and after administration of black tea extract mouth-rinse (p = 0.0003) and chlorhexidine mouthwash (p = 0.0002) respectively. Hence, it was found that there is no statistically significant difference in the fall of S.mutans load due to black tea mouth-rinse and chlorhexidine mouthwash. Conclusions- A 2% black tea extract mouth-rinse significantly reduces salivary S.mutans load, irrespective of age and gender. Also, it is an effective natural anti-cariogenic agent with no known implicated side effects.

Rinsing solutions containing natural extracts and fluoride prevent enamel erosion in vitro

Abstract Polyphenols interact with salivary proteins and thus can improve the pellicle's erosion protective properties. This effect could be exploited to create rinsing solutions with polyphenols as active ingredients for erosion prevention. Different from the current gold standard for erosion protective rinsing solutions, these rinses would not rely on stannous ions. This would offer alternatives for patients with concerns regarding the composition of rinsing solutions and preferring bio-products. Objective To develop an erosion-preventive rinsing solution containing natural polyphenol-rich extracts. Methodology Solutions were prepared with polyphenols from either grapeseed extract or cranberry extract, 500 ppm fluoride added, and additionally flavors and sweeteners. Controls were deionized water, 500 ppm fluoride solution, and the gold standard rinse in the field (Sn2+/F-). In total, 135 enamel specimens (n=15/group) were subjected to five cycles of salivary pellicle formation (30 min, 37°C), modification with the solutions (2 min, 25°C), further salivary pellicle formation (60 min, 37°C), and erosive challenge (1 min, 1% citric acid, pH 3.6). Relative surface microhardness (rSMH), surface reflection intensity (rSRI), and amount of calcium release (CaR) were investigated. Data were analyzed with Kruskal-Wallis and Wilcoxon rank sum tests (α=0.05). Results The polyphenol solutions containing fluoride, as well as additional flavors, protected enamel better than fluoride alone, and similar to the Sn2+/F- solution, when investigating both rSMH and CaR. When measuring rSRI, Sn2+/F- showed the best protection, while the polyphenol solutions were similar to fluoride. Conclusion For two of the three assessed parameters (rSMH and CaR), both developed polyphenol-rich rinsing solutions were able to protect enamel from erosion, improving/potentializing the effect of fluoride and matching the protection offered by the current gold standard rinsing solution.

Effect of 4.7% Stevia Solution Mouth Rinsing on Salivary pH: An In Vivo Randomized Controlled Trial

Background: Stevia is a natural, non-caloric sweetener with antimicrobial, antioxidant and anti-cariogenic properties. Aim was to assess and compare the effect of 4.7% stevia solution, 4.7% sucrose solution and distilled water mouth rinsing on salivary pH. Methods: Randomized controlled trial with latin square design was followed involving 15 female participants aged 20-23 years. Participants were randomly allocated to three interventional groups; Group A: 4.7% stevia mouth rinse, Group B: 4.7% sucrose mouth rinse and Group C: distilled water mouth rinse. Salivary pH assessments were done at baseline and 1, 20 and 60 minutes post intervention using salivary pH indicator strips. For statistical analysis, significance level was fixed at p<0.05. One way and repeated measures ANOVA followed by Tukey’s post Hoc tests were used for data analysis Results: There was a significant (p<0.05) increase in salivary pH post rinsing with stevia solution (at 1, 20 and 60 minutes respectively) compared to sucrose solution and distilled water mouth rinsing Conclusion: Stevia solution mouth rinsing showed significant increase in salivary pH at one hour from baseline compared to sucrose and distilled water mouth rinsing. Hence, it may serve as an anti-cariogenic sugar substitute.

The Clinical Efficacy of Minocycline Mouth Rinse on Recurrent Aphthous Stomatitis—A Randomized Controlled Trial

Introduction: Recurrent aphthous stomatitis (RAS) is one of the most common ulcerative diseases affecting the general population. The present study aimed to evaluate the clinical efficiency of 0.5% minocycline mouth rinse prescribed along with the topical anesthetic gel and vitamin supplement over the topical anesthetic gel and vitamin supplement prescribed alone for treating RAS. Materials and Methods: A total of 60 participants were randomly divided into two groups—experimental group: 0.5% minocycline mouth rinse prescribed along with vitamin supplement and topical anesthetic gel; and control group: vitamin supplement and topical anesthetic gel alone. The pain symptoms were evaluated using the VAS scores at baseline and first follow?up visits. The data were analyzed using Student’s t test. Results: A significant reduction in the pain scores was observed in participants using the 0.5% minocycline mouth rinse prescribed along with vitamin supplement and topical anesthetic gel on the first follow?up visit (P = < 0.001). Conclusion: The 0.5% minocycline mouth rinse prescribed along with vitamin supplement and topical anesthetic gel had shown more reduction in the pain symptoms when compared to topical anesthetic gel and vitamin supplement prescribed alone for the treatment of RAS.

Comparison of the Streptococcus mutans colony count changes in plaque following chlorhexidine (0.12%) mouth rinse and green tea extract (0.5%) mouth rinse in 8–12-year-old children

Background: Mouth rinses are solutions or liquids used to rinse the mouth to have a therapeutic effect by relieving infection or preventing dental caries due to their antimicrobial properties. Aims: This study was carried out to compare the effect of 0.12% chlorhexidine mouth rinse and 0.5% green tea extract mouth rinse on the colony-forming units (CFUs) of Streptococcus mutans in plaque in children. Materials and Methods: The sample for the study consisted of fifty schoolchildren aged 8–12 years with four or more (decay component) of decayed, missing, and filled teeth index. Children were divided randomly into two groups and were asked to rinse with the prescribed mouth rinse twice daily for 2 weeks under supervision. The plaque samples were collected at baseline (prerinsing) and postrinsing and tested for the CFUs of S. mutans. Results: The results of the study indicate that there was a statistically significant reduction (pre- and postrinsing) in S. mutans colony count in both the study groups. There was no statistically significant difference in the reduction of S. mutans colony count between 0.12% chlorhexidine mouth rinse group and 0.5% green tea mouth rinse group. Conclusion: Green tea mouth rinse is effective against S. mutans – one of the major dental plaque microorganisms.

The effect of carbohydrate mouth rinse in isometric hand grip performance / 体力科学

This study aimed to clarify the effects of carbohydrate mouth rinse on exercise performance. We examined the effect of mouth rinse on fatigability. Thirty healthy male college students completed three trials with non mouth rinse (CON), mouth rinse intervention of 6% glucose (GMR), and artificial sweetener (PLA). Handgrip exercise was performed as a fatigue task. The subjects performed a 10-seconds maximal voluntary contraction (MVC) followed by a 40% MVC rhythmic grasping movement for 14 per minutes, followed by a 4-seconds rest. This set of exercises was performed for a total of ten sets. Mouth rinse was performed from the 5th set to the 10th set. The subjects were divided into three groups: L, M, and S, according to the degree of decrease in MVC due to fatigue in CON. The effect was evaluated using the rate of change in MVC after the mouth rinse. The evaluation was performed for each trail and group. In the L group, mouth rinse significantly improved the rate of change of MVC compared with the other trials (GMR vs. CON: P = 0.002; PLA vs. CON: P = 0.042). A significant trend was observed in the M (GMR vs. CON: P = 0.062), but not in the S. In conclusion, the effects of mouth rinse differed depending on fatigability in isometric hand grip performance, with mouth rinse inhibiting the decrease of motor fatigue. In addition, it was suggested that the sweetness of carbohydrates may have an effect on mouth rinse.

An In Vivo Study to Evaluate the Efficacy of Aloe-Vera and 0.2% Chlorhexidine Digluconate as Preprocedural Mouth Rinses for Disinfecting Alginate Impression

A total of thirty subjects was selected. For each individual subject, 3 impressions of maxillary arch were made using alginate. Impressions were divided into three categories. First impression (Group 1) was made without using any preprocedural mouth rinse. After the impression was made, a sterile cotton swab was wiped over the impression surface and sent for culture sensitivity test. This swab acted as the control group. The swab was then run over the Blood Agar culture medium. The incubation of culture-medium plates was done for 24 hrs. at 37 °C. From the culture plate, smear was taken to examine bacterial growth and the colony forming units were counted on the slide. 24 hours after initial impression, the second impression (Group 2) was made after making the subject rinse with aloe vera for 30 seconds. After 48 hours after Group 1, third impression (Group 3) of the same subject was made, making the subject rinse with 0.2% chlorhexidine digluconate solution for 30 seconds. Rest of the steps were same for both the impressions as the first impression.Data was recorded and analysis for difference in the bacterial count between Group 1, Group 2 and Group 3 was done using ANOVA with post-hoc Bonferroni test from SPSS version 18. ResultsThe result showed an overall significant difference in the mean CFU among the three groups. Post-hoc test showed that group 1 had significantly higher mean CFU (7.54) than group 2 (2.98) and 3 (1.82). The least bacterial count was seen in the samples in which chlorhexidine digluconate was used as a mouth rinse before making the impression. The mean percentage reduction in bacterial count was 60.33 in the group for which aloe vera was used and 75.81 in the chlorhexidine digluconate group. Conclusions0.2 % chlorhexidine digluconate when used as preprocedural mouth rinse for 30 seconds markedly reduces the bacterial growth of aerobic culture. Although Aloe vera does have an antibacterial effect when used as preprocedural mouth rinses when compared with 0.2 % chlorhexidine digluconate, it is a weaker disinfectant. The antibacterial activity of 0.2 % chlorhexidine digluconate is more effective than aloe vera (99.9 %) when used as preprocedural mouth rinse.

The Effectiveness of Red Pomegranate (Punica granatum Linn) Extract Mouthwash Against the Number of Oral Bacteria Colony

@#Introduction: The percentage of Indonesian population experiencing oral and dental diseases based on the 2007 and 2013 RISKESDAS data, rise from 23.2% to 25.9%. People need to maintain healthy teeth and mouth by brushing their teeth and using mouthwash. Chlorhexidine is mouthwash that has been proven to be effective in reducing the number of plaque microorganisms attached to teeth and oral mucosa, but its long-term use can cause tooth stain, allergies, tissue desquamation and resistance. Red pomegranate can be used as an alternative because it contains flavonoids and tannins which are thought to have antibacterial ability. Therefore, this study aims to prove that red pomegranate extract mouthwash can reduce the number of oral bacteria colonies. Methods: 25 subjects were divided into 5 groups, namely K1: gargle aquades; K2: Chlorhexidine mouth rinse; K3, K4, K5 each rinse with 0.02%, 0.2% and 2% red pomegranate extract mouthwash. Saliva is collected before and after gargling, then planted in Petri dish using BHIA media with a spread plate method. Calculation of the amount of bacterial colony done 24 hours after the media was incubated. Counting the number of bacterial colonies using a colony counter. Data were analyzed by Anova and LSD tests. Result: There were significant difference between all group on decreased of number of oral bacteria colony (p= 0.00). Conclusion: Red pomegranate extract mouthwash effective decreased of number of oral bacteria colony and the most effective was 2% concentration.

Simultaneous determination of gallic acid，methyl gallate and ellagic acid in mouth rinse residues and the effect of residue-drying methods on their content / 国际药学研究杂志

Objective: To establish a method for the simultaneous determination of gallic acid(GA),methyl gal- late(MG)and ellagic acid(EA)in the residue of a gingival consolidation liquid(a mouth rinse preparation),and inves- tigate the effect of different residue-drying methods on the GA,MG and EA content in the residues. Methods: High per- formance liquid chromatography(HPLC)switching walvelength method was used to determine the GA,MG and EA con- tents. The column was Agilent Zorbax SB-C18(250 mm×4.6 mm,5 μm). The mobile phase was methanol(A)-0.05% phosphoric acid aqueous solution(B)in a gradient elution. The detection wavelength was 272 nm for GA/MG and 255 nm for EA. The flow rate was 1 ml/min,and the injection volume was 3 μl. Meanwhile,the residues were dried with the methods of sun drying,blast drying,vacuum drying and microwave vacuum drying,respectively and the GA,MG and EA contents in the residues were determined by the established HPLC method. Results: The linear ranges for GA,MG and EA were 1.280-4.608(r=0.9998),0.560-2.016(r=0.9998),0.1145-0.4122 μg(r=0.9997),respectively. The aver- age recoveries for GA,MG and EA were 99.97%,99.93% and 100.20%,with the RSD of 0.34%,2.30% and 0.93%,re- spectively. The contents of GA,MG and EA varied in quite a large range in the residues dried by different methods. Con- clusion: The established method is fast,simple and practicable,which could be used for the determination of GA,MG and EA in the residue of a gingival consolidation liquid. The drying methods could significantly affect the contents of GA, MG and EA in the residues,and the related results provide a reference for future studies.

Evaluation of the effects of whitening mouth rinses combined with conventional tooth bleaching treatments

OBJECTIVES: The aim of the present study was to evaluate the effect of whitening mouth rinses alone and in combination with conventional whitening treatments on color, microhardness, and surface roughness changes in enamel specimens. MATERIALS AND METHODS: A total of 108 enamel specimens were collected from human third molars and divided into 9 groups (n = 12): 38% hydrogen peroxide (HP), 10% carbamide peroxide (CP), 38% HP + Listerine Whitening (LW), 10% CP + LW, 38% HP + Colgate Plax Whitening (CPW), 10% CP + CPW, LW, CPW, and the control group (CG). The initial color of the specimens was measured, followed by microhardness and roughness tests. Next, the samples were bleached, and their color, microhardness, and roughness were assessed. Data were analyzed through 2-way analysis of variance (ANOVA; microhardness and roughness) and 1-way ANOVA (color change), followed by the Tukey post hoc test. The Dunnett test was used to compare the roughness and microhardness data of the CG to those of the treated groups. RESULTS: Statistically significant color change was observed in all groups compared to the CG. All groups, except the LW group, showed statistically significant decreases in microhardness. Roughness showed a statistically significant increase after the treatments, except for the 38% HP group. CONCLUSIONS: Whitening mouth rinses led to a whitening effect when they were used after conventional treatments; however, this process caused major changes on the surface of the enamel specimens.

Sodium bicarbonate: A review and its uses in dentistry

Denture stomatitis, periodontitis, and peri-implantitis are the growing problems in restorative dentistry. Chemicals play an important role as an adjuvant to mechanical cleaning of teeth, implants, surrounding tissues, and prostheses. Current mouth rinses are reported to affect the tissues and prostheses if used on a long-term basis. Sodium bicarbonate, the common baking soda, has been reported to be versatile. A search of the resources through Medline and Google Scholar was made to understand the current status of the mouth rinses and the use of sodium bicarbonate. Different MeSH and search criteria were used for the different search engines. Baking soda, being a common household item, with its ready availability, safety, minimal abrasivity, and bactericidal property makes it a patient-friendly mouthwash, component in the dentifrice, or chewing gum, which can be used on a long-term basis as an adjunct virtually free of any side effects.

Improvement effect of Shuanghuangbu combined with Xipayi Mouth Rinse on periodontal inflammation of peri-implantitis patients and its clinical significance / 吉林大学学报(医学版)

Objective:To investigate the effect of Chinese traditional medicine-Shuanghuangbu combined with Xipayi Mouth Rinse on the periodontal indexes of the peri-implantitis patients,and to detect the curative effect of Shuanghuangbu combined with Xipayi Mouth Rinse in the treatment of peri-implantitis.Methods: A total of 40 patients diagnosed as peri-implantitis were randomly divided into control group and Chinese traditional medicine group (n=20).All of the patients received supragingival scaling and subgingival scaling,and then the peri-implant pocket of the patients in Chinese traditional medicine group were washed with Xipayi Mouth Rinse,while the fine probe slided slowly along the inner wall of peri-implant pocket into the bottom and retained the Shuanghuangbu,and retreated gently and made the medicine overflow the gingival margin.The patients in control group were given 3% hydrogen peroxide and 0.9% sodium chloride injection washed by turns.The indexes of covering modified plaque index (mPLI),probing pocket depth (PPD),modified sulcular bleeding index (mSBI)of the patients in two groups at baseline and after treatment were detected;Whatman# 1 was applied to aspirate the peri-implant sulcus fluid (PISF)which were weighed at baseline and after treatment,and the level of interleukin-1β (IL-1β)in PISF was analyzed by ELISA method.Results:No differences were observed in age,sex,periodontal indexes, weights of PISF and IL-1βlevels of the patients in two groups before treatment (P >0.05).Compared with before treatment,the indexes including PPD,mSBI,mPLI,weight of PISF and IL-1βlevel in PISF of the patients in two groups were decreased after treatment (P < 0.05).After treatment,the differences in mSBI,mPLI,weight of PISF and IL-1β level in PISF of the patients between control group and Chinese traditional medicine group were significant (P <0.05).Compared with control group,the PPD level of the patients in Chinese traditional medicine group was decreased,but the difference was not significant (P >0.05).Conclusion:The curative effect of Chinese traditional medicine-Shuanghuangbu combined with Xipayi Mouth Rinse is obsious,and the treatment can improve the periodontal status and reduce the level of IL-1βin PISF.

A Meta-analysis of randomized controlled trials on Xipayi Mouth Rinse for the treatment of halitosis / 实用口腔医学杂志

Objective:To evaluate the effectiveness of Xipayi Mouth Rinse in the treatment of halitosis.Methods:PubMed/MEDLINE,China National Knowledge Infrastructure (CNKI) (1979-2015) and Weipu Database for Chinese Technical Periodicals (1989-2013) were systemically searched.The methodological quality of the included trials was assessed based on the Jadad scale and the available data were analyzed with RevMan software (version 5.3).Results:8 studies involving 608 participants satisfied the minimum criteria for Meta-analysis.The evidence showed that the Organoleptic Score (OS) of Xipayi Mouth Rinse compared with placebo for treatment of halitosis was [WMD =-0.43,95％ CI (-0.57,-0.29)],plaque index (PLI) [WMD =-1.59,95％ CI (-1.67,-1.51)];the OS of Xipayi Mouth Rinse compared with western medicine [WMD =0.16,95％ CI (0.05,0.28)],PLI [WMD =0.10,95％ CI(0.03,0.18)];the total efficiency of Xipayi Mouth Rinse compared with normal saline was[RR:1.64,95％ CI(1.11,2.42)].Conclusion:The current clinical evidence showed that the effectiveness of Xipayi Mouth Rinse in the treatment of halitosis is higher than the Placebo,but lower than western medicine.

Evaluation Of Efficacy Of 0.2% Chlorohexidine Mouthwash As A Pre-Procedural Rinse In Reduction Of Streptococcal Colonies Following Ultrasonic Scaling: A Pilot Study.

Objectives: To evaluate the efficacy of chlorohexidine mouthrinse as a pre-procedural rinse in reducing streptococcal bacterial colonies.Study Design: A single-centre, double-masked, placebo-controlled randomised clinical trial conducted over a period of 15 days. 6 patients were included in the study, patients were first asked to rinse with the placebo (distilled water) for 1 minute before the scaling of control site followed by test site rinsing with chlorhexidine mouthwash for 1 minute. The microbial contamination was checked in the operatory, operator’s mouth mask, the patient’s chest, the operator’s chest and the patient’s breath with the help of agar plates. Results: The results revealed that there was statistically significant reduction in the Colony Forming Units (CFU's) formation. Paired sampled t test was used for checking the statistical significance, confidence interval (CI) was 95% and (p<0.05).There was statistical reduction in CFU's in breath sample, 30 minutes after scaling and less number of CFU’s were formed on the operator’s mask after the scaling of the patients with the use of chlorhexidine as the pre-procedural rinse compared to distilled water. Conclusion: The 0.2% chlorohexidine mouth rinse as a pre-procedural rinse has comparatively greater efficacy than distilled water in reduction of streptococcal colony forming units, however this finding was not statistically significant.[Sachit A NJIRM 2016; 7(5):46-52]

Short Term Effects of Magnetised Water and Chlorhexidine on Plaque Accumulation and Gingival Inflammation- A Randomised Clinical Study.

Background: The beneficial uses of magnetized water in medical sciences has been tried but its application in the field of dentistry is still at its infancy. Magnetized water can be a cheaper alternative to adjuncts used for chemical plaque control. The aim of the study was to evaluate the efficacy of conventionally prepared magnetized water and 0.2% Chlorhexidine on gingival and plaque status among children attending a Government Dental College. Methods: The present double blinded randomized control clinical study was carried out in Department of Pedodontics, Govt. Dental College, Srinagar. A total of 75 children between 12-15 years were randomly allocated into 3 groups A, B and C, each comprising of 25 subjects who were asked to rinse with Mint Water (Control Group), Magnetized water and 0.2% Chlorhexidine respectively. Examination was carried on day 0 (Baseline), 14 days (2 weeks) and 21 days (3 weeks) whose Turesky- Gilmore Modification of Quigley Hein Plaque Index and Gingival Index were assessed. Results: There was a significant difference in the mean PI and GI scores of magnetized water and Chlorhexidine groups when compared with that of Control group, both at 14 days (2 weeks) and at 21 days (3 weeks). Conclusion: It was concluded that both Magnetized water and 0.2% Chlorhexidine showed less plaque accumulations as well as improvement in the gingival status as compared to the control group.

The growth inhibitory effect of some vegetable oils on Streptococcus mutans and Lactobacillus casei / 대한구강보건학회지

OBJECTIVES: The purpose of this study was to evaluate the growth inhibitory effects of some vegetable oils on Streptococcus mutans (S. mutans) and Lactobacillus casei (L. casei). METHODS: Two bacterial strains and 5 kinds of test solutions (3 experimental groups: orange essential oil, olive oil, soybean oil; 1 positive control group: chlorhexidine solution; 1 negative control group: broth medium) were used in this study. S. mutans and L. casei pellets were exposed to 1 ml of one of the test solutions for 1 minute. Then, the treated bacterial cells were incubated in fresh broth medium for 0, 4, 8, 16, and 24 hours. The optical density of the broth medium was measured using an ELISA reader at 620 nm. A nonparametric Kruskal-Wallis test (with Mann-Whitney U tests) was performed to compare the change in optical density between different groups at different time points. RESULTS: Bacterial growth was significantly inhibited in all experimental groups compared to the negative control group. The growth of L. casei was less affected by experimental oils than that of S. mutans. Orange essential oil had the maximum growth inhibitory effect on S. mutans up to 8 hours, similar to that in the positive control group (P<0.01). Experimental oils had greater growth inhibitory effect on L. casei than chlorhexidine solution. CONCLUSIONS: This in vitro study confirmed the growth inhibitory effect of some vegetable oils on S. mutans and L. casei. Rising of the mouth using these vegetable oils is expected to have an anti-plaque effect, but additional clinical studies are needed to confirm this.

Evaluation of antimicrobial efficacy of Triphala (an Indian Ayurvedic herbal formulation) and 0.2% chlorhexidine against Streptococcus mutans biofilm formed on tooth substrate: An in vitro study.

Background: Streptococcus mutans is one of the most important cariogenic species of the human oral microbial flora. Biofilm style of microbial growth thought to resist the actions of antimicrobials. Aim: The purpose of this study was to evaluate the antimicrobial efficacy of Triphala, and 0.2% chlorhexidine against S. mutans biofilm formed on tooth substrate. Settings and Design: Randomized control trial. Methods: Extracted human mandibular premolars sectioned below the cemento‑enamel junction were placed in the tissue culture wells exposing the crown surface to S. mutans to form a biofilm. At the end of 3rd and 7th day, all groups were treated for 10 min with the test solutions and control and were analyzed qualitatively and quantitatively. Statistical Analysis Used: One‑way ANOVA. Results: Qualitative assay with 3 days biofilm showed complete inhibition of bacterial growth with Triphala, but 0.2% chlorhexidine and saline showed the presence of bacterial growth. In quantitative analysis, 0.2% chlorhexidine and Saline treated tooth samples have shown 1052 × 104 ± 15.1 × 104 CFU/ml, 141.3 × 109 ± 2.1×109 CFU/ml, respectively. Qualitative assay with 7 days biofilm on crown portion showed dense growth when treated with 0.2% chlorhexidine and saline, whereas Triphala has shown minimal growth. In Quantitative analysis, Triphala showed statistically significant result when compared with 0.2% chlorhexidine and saline. Conclusion: Triphala showed statistically significant antibacterial activity against S. mutans biofilm formed on tooth substrate. The incorporation of Triphala in mouth rinse could prove to be effective in reducing S. mutans count in the oral cavity.

A Systematic Review of Randomized Controlled Trials for Clinical Efficacy and OS on Xi-Pa-Yi Mouth Rinse for Simple Gingivitis / 世界科学技术-中医药现代化

This study was aimed to evaluate the clinical efficacy of Xi-Pa-Y i (XPY) Mouth Rinse in the treatment of simple gingivitis and improved value for halitosis. Related literatures were systematically searched in the China Na-tional Knowledge Infrastructure (CNKI, 1979-2012), Weipu Database for Chinese Technical Periodicals (1989-2013), PubMed and Cochrane Library. The methodological quality of included trials was assessed based on the Jadad scale. And the available data were analyzed with RevMan software (version 5.2.0). The results showed that a total of 4 stud-ies involving 360 participants satisfied the minimum criteria for meta-analysis. The evidences showed that the XPY Mouth Rinse was compared with saline or western medicine for treatment of the OS of simple gingivitis WMD (95%confidence interval) were -0.48 (-0.81, -0.16), 0.04 (-0.15, 0.22), respectively; the XPY Mouth Rinse was com-pared with saline or western medicine for treatment of simple gingivitis clinical efficacy's RR (95% confidence inter-val) were 1.67 (1.29, 2.15), 1.22 (0.35, 4.20), respectively. It was concluded that the current clinical evidence showed that the effectiveness of XPY Mouth Rinse in the treatment of simple gingivitis was higher than the saline. It had similar effects with western medicine, which can reduce the OS, and with no significant side effects and easy to take. However, due to the low quality studies and small sample amount, it is still need to be confirmed by the high-quality, multi-center, large sample, randomized, double-blind clinical controlled trials.

Enxágue bucal com carboidrato: recurso ergogênico capaz de otimizar o desempenho físico / Carbohydrate mouth rinse: an ergogenic aid able of optimizing the performance

Alguns estudos têm demonstrado que a simples presença de carboidrato na boca humana pode favorecer a ativação de algumas regiões cerebrais específicas com impacto positivo para a melhoria do desempenho físico. Assim, recentemente, a estratégia de enxágue bucal com carboidrato tem sido adotada com sucesso em exercícios físicos intensos (>70%VO2max) com duração de, aproximadamente, 60 min. Nesse sentido, o propósito deste estudo foi discutir, com base nas informações disponíveis na literatura, a eficácia ou não da estratégia de enxágue bucal com carboidrato para a melhoria do desempenho físico, bem como os possíveis mecanismos envolvidos. Os resultados produzidos, embora ainda preliminares, são bastante promissores, o que nos leva a acreditar que o enxágue bucal com carboidrato possa ser uma estratégia bastante interessante, sobretudo, pela fácil aplicabilidade, baixo custo e boa eficácia para a melhoria do desempenho físico em esforços físicos intensos e prolongados.

Studies have shown that the mere presence of carbohydrate in the human mouth promotes the activation of some specific brain regions, with a positive impact on physical performance. Thus, the strategy of carbohydrate mouth rinse has been recently adopted with success in strenuous exercise (> 70% VO2max) lasting approximately 60 min. In this respect, the objective of this study was to discuss, based on literature data, the efficacy of this strategy to improve physical performance, as well as the possible mechanisms involved. The results produced, although still preliminary, are promising and led us to believe that carbohydrate mouth rinse is an interesting strategy, especially because of its easy application, low cost and good efficacy in improving physical performance during intense and prolonged physical exercise.

Treatment of recurrent aphthous ulcer with Xipayi mouthwash / 实用口腔医学杂志

100 patients with recurrent aphthous ulcer (RAU) were randomly divided into two groups, 50 in each group. The patients in test group were treated with Xipayi mouthwash, those in control were given Chlorhexidine mouthwash. All the patients were treated for 7 days. The efficacy of Xipayi mouthwash is superior to Chlorhexidine in the treatment of RAU.