Evidence map›Paper›PMID 36634129›Full record

SynthesisPloS one2023

Daily use of chlorine dioxide effectively treats halitosis: A meta-analysis of randomised controlled trials.

Eszter Szalai, Péter Tajti, Bence Szabó, Péter Hegyi, László Márk Czumbel, Saghar Shojazadeh, Gábor Varga, Orsolya Németh, Beata Keremi

Registry-linked trialOpen access · goldAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06219226 (Hyperpure Chlorine Dioxide Versus Chlorhexidine in Intra-oral Halitosis), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06219226 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Hyperpure Chlorine Dioxide Versus Chlorhexidine in Intra-oral Halitosis (ODOR Trial)

TypeinterventionalSponsorSemmelweis UniversityRan2024 to 2025Enrolled60ConditionsHalitosisArmsChlorine dioxide mouthwash, Chlorhexidine mouthwash
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Review
  3. Biomaterial investigations in dentistry · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Eszter SzalaiDepartment of Restorative Dentistry and Endodontics, Semmelweis University, Budapest, Hungary.ORCID 0000-0003-2276-7109
Péter TajtiCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.ORCID 0000-0002-2204-0869
Bence SzabóCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.ORCID 0000-0001-6354-3545
Péter HegyiCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
László Márk CzumbelCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.ORCID 0000-0002-5915-0383
Saghar ShojazadehFaculty of Dentistry, Semmelweis University, Budapest, Hungary.
Gábor VargaCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Orsolya NémethCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Beata KeremiDepartment of Restorative Dentistry and Endodontics, Semmelweis University, Budapest, Hungary.ORCID 0000-0003-4000-9440
Semmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to conduct a systematic review on published data in order to investigate the efficacy of mouthwash products containing chlorine dioxide in halitosis. STUDY

designSystematic review and meta-analysis.

methodsOur search was conducted on 14th October 2021. We searched the following electronic databases: MEDLINE, Embase, Scopus, Web of Science, and CENTRAL. We analysed data on adults with halitosis, included only randomised controlled trials and excluded in vitro and animal studies. The interventional groups used chlorine dioxide, and the comparator groups used a placebo or other mouthwash. Our primary outcomes were changes in organoleptic test scores (OLS) and Volatile Sulfur Compound (VSC) levels from baseline to the last available follow-up.

resultsWe found 325 articles in databases. After the selection process, ten articles were eligible for qualitative synthesis, and 7 RCTs with 234 patients were involved in the meta-analysis. Our findings showed a significant improvement in the parameters of the chlorine dioxide group compared to the placebo group in OLS one-day data (mean difference (MD): -0.82; 95% confidence intervals (95% CIs): [-1.04 --0.6]; heterogeneity: I2 = 0%, p = 0.67); and one-week OLS data (MD: -0.24; 95% CIs: [-0.41 --0.07]; I2 = 0%, p = 0.52); and also changes in H2S one-day data (standardised mean difference (SMD): -1.81; 95% CIs: [-2.52 --1.10]); I2 = 73.4%, p = 0.02).

conclusionOur data indicate that chlorine dioxide mouthwash may be a good supportive therapy in oral halitosis without known side effects.

Indexed as

Chlorine CompoundsHalitosisHumansMouthwashesOxidesRandomized Controlled Trials as TopicChlorine Compoundschlorine dioxideMouthwashesOxides

Identifiers

PMID36634129
PMCPMC9836286
OpenAlexW4315754160

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.