Evidence map›Paper›PMID 38973212›Full record

Trial reportClinical and experimental dental research2024

Oral Hygiene With Neutral Electrolyzed Water and Systemic Therapy Increases Gastric Helicobacter pylori Eradication and Reduces Recurrence.

Victor Hugo Urrutia-Baca, Brenda Astrid Paz-Michel, Alma Nidia Calderon-Porras, Jany Ariadne Jiménez-Del Valle, Wendy Jazmin Alvarez-Fernández, Nicolas Mervitch-Sigal, Mario Alfredo Rodríguez-León, Myriam Angelica De La Garza-Ramos

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental dental research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Site-stratified global oralJournal of oral microbiology · 2026
    Review
  2. Article
  3. Association ofMicroorganisms · 2025
    Review
  4. Article
  5. Therapeutics and clinical risk management · 2025
    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.

Victor Hugo Urrutia-BacaFacultad de Ciencias Biológicas, Universidad Autonoma de Nuevo Leon, San Nicolas de los Garza, Nuevo Leon, Mexico.ORCID 0000-0002-5929-5160
Brenda Astrid Paz-MichelDepartment of Research, Esteripharma S.A. de C.V., Atlacomulco, Estado de Mexico, Mexico.ORCID 0000-0001-7137-6505
Alma Nidia Calderon-PorrasEscuela de Estomatología, Universidad de Montemorelos, Montemorelos, Nuevo Leon, Mexico.
Jany Ariadne Jiménez-Del ValleEscuela de Estomatología, Universidad de Montemorelos, Montemorelos, Nuevo Leon, Mexico.
Wendy Jazmin Alvarez-FernándezEscuela de Estomatología, Universidad de Montemorelos, Montemorelos, Nuevo Leon, Mexico.
Nicolas Mervitch-SigalDepartment of Medical Administration, Esteripharma México S.A. de C.V., Mexico City, Mexico.
Mario Alfredo Rodríguez-LeónDepartment of Research, Esteripharma S.A. de C.V., Atlacomulco, Estado de Mexico, Mexico.ORCID 0000-0003-0621-2867
Myriam Angelica De La Garza-RamosFacultad de Ciencias Biológicas, Universidad Autonoma de Nuevo Leon, San Nicolas de los Garza, Nuevo Leon, Mexico.ORCID 0000-0003-0792-3695

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

objectivesHelicobacter pylori gastric infection strongly correlates with gastric diseases such as chronic gastritis, functional dyspepsia, and complications such as peptic ulcers and gastric cancer. In developing countries, systemic therapies are not usually successful due to elevated antibiotic resistance. Additionally, oral H. pylori infection and periodontal disease correlate with gastric treatment failures. This study aimed to explore the effect of an integral therapy, comprising oral hygiene and concomitant systemic treatment, to increase the eradication of gastric infection and recurrences. MATERIALS AND

methodsA prospective, randomized, four-arm, parallel-group, open-label clinical trial was conducted to investigate the efficacy of integral therapy to eradicate gastric H. pylori infection and avoid recurrences in double-positive (real-time PCR oral and gastric infection) patients. Oral hygiene involved mouthwash with neutral electrolyzed water (NEW), with or without periodontal treatment. One hundred patients were equally distributed into four groups: NS, NS-PT, NEW, and NEW-PT. All patients had concomitant systemic therapy and additionally, the following oral treatments: mouthwash with normal saline (NS), periodontal treatment and mouthwash with normal saline (NS-PT), mouthwash with NEW (NEW), and periodontal treatment and mouthwash with NEW (NEW-PT). Gastric and oral infection and symptoms were evaluated one and four months after treatments.

resultsIntegral therapy with NEW-PT increased gastric eradication rates compared with NS or NS-PT (84%-96% vs. 20%-56%; p < 0.001). Even more, a protective effect of 81.2% (RR = 0.1877; 95% CI: 0.0658-0.5355; p = 0.0018) against recurrences and 76.6% (RR = 0.2439; 95% CI: 0.1380-0.4310; p < 0.001) against treatment failure (eradication of infection and associated symptoms) was observed in patients from the NEW and NEW-PT groups.

conclusionsImplementation of oral hygiene and systemic treatment can increase the eradication of gastric infection, associated symptoms, and recurrences. NEW is recommended as an antiseptic mouthwash due to its efficacy and short- and long-term safety.

Indexed as

Anti-Bacterial AgentsHelicobacter InfectionsHelicobacter pyloriMouthwashesOral HygieneAdultAgedCombined Modality TherapyFemaleHumansMaleMiddle AgedProspective StudiesRecurrenceSecondary PreventionTreatment OutcomeAnti-Bacterial AgentsMouthwashesgastric cancerH. pylori infectionneutral electrolyzed wateroral hygiene

Identifiers

PMID38973212
PMCPMC11228356

What OpenQuestion holds

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LicenceCC BY
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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.