Evidence map›Paper›PMID 37867066›Full record

ReviewInternational dental journal2023

Mouthwashes: Alternatives and Future Directions.

Brett Duane, Tami Yap, Prasanna Neelakantan, Robert Anthonappa, Raul Bescos, Colman McGrath, Michael McCullough, Zoë Brookes

Open access · goldAbstract readReview
In one paragraph

Review in International dental journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.1field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Iranian journal of microbiology · 2026
    Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Foods (Basel, Switzerland) · 2024
    Review
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

8 authors at 6 institutions in 4 countries.

Brett DuaneDublin Dental School and Hospital, Trinity College Dublin, Dublin, Ireland.
Tami YapFaculty of Medicine, Dentistry & Health Sciences, Melbourne Dental School, University of Melbourne, Carlton, Australia.
Prasanna NeelakantanDepartment of Endodontics, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California, USA.
Robert AnthonappaDental School, University of Western Australia, Perth, Australia.
Raul BescosSchool of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK.
Colman McGrathApplied Oral Sciences & Community Dental Care, Hong Kong.
Michael McCulloughFaculty of Medicine, Dentistry & Health Sciences, Melbourne Dental School, University of Melbourne, Carlton, Australia.
Zoë BrookesPeninsula Dental School, Plymouth University, Plymouth, UK. Electronic address: zoe.brookes@plymouth.ac.uk.
The University of Melbourne · AUPeninsula College of Medicine and Dentistry · GBThe University of Western Australia · AUTrinity College Dublin · IEUniversity of Plymouth · GBUniversity of the Pacific · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This narrative review summarises "alternative" or "natural" over-the-counter (OTC) mouthwashes not covered elsewhere in this supplement and newly emerging products, as potential mouthwashes of the future. The "natural" mouthwashes reviewed include saltwater, baking soda, coconut oil, charcoal, propolis, seaweeds, and probiotics. Other than essential oils, it is apparent that their clinical effectiveness is still under debate, but there is some evidence to suggest that propolis reduces plaque and gingivitis. This review also covers the host immune response, via novel anti-inmmunomodulant mouthwashes, such as erythropoietin to reduce inflammation with oral mucositis (OM) after radiotherapy. The emerging concept of nanoparticle-containing mouthwashes, such as iron oxide, is further discussed for OM, this agent having the potential for more targeted delivery of chemical antimicrobials. Unfortunately, there are impacts on the environment of widening mouthwash use with more new products, including increased use of packaging, antimicrobial resistance, and possible detrimental effects on marine life. Further, there are roadblocks, relating to regularly approvals and side effects, that still need to be overcome for any OTC deivered immunomodulant or nanoformulation mouthwashes. Despite these caveats, there are many new mouthwashes under development, which could help manage major oral diseases such as caries, gingivitis, and periodontal disease.

Indexed as

Dental PlaqueGingivitisOils, VolatilePropolisHumansMouthwashesMouthwashesOils, VolatilePropolisBacteriaCariesGingivitisMouthwashNaturopathicNovel

Identifiers

PMID37867066
PMCPMC10690551
OpenAlexW4387710318

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.