Evidence map›Paper›PMID 40009628›Full record

Trial reportPloS one2025

Efficacy of regular gargling with a cetylpyridinium chloride plus zinc containing mouthwash can reduce upper respiratory symptoms.

Francisco Wilker Mustafa Gomes Muniz, Maísa Casarin, Natália Marcumini Pola, Cassiano Kuchenbecker Rösing, Taciane Menezes da Silveira, Francisco Hecktheuer Silva, Guilherme Azario de Holanda, Larissa Viana de Oliveira, Pedro Paulo de Almeida Dantas, Bernal Stewart and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06479226 (Efficacy of Cetylpyridinium Chloride and Zinc Mouthwash in Reducing the Occurrence of Symptoms Associated With the Flu and Cold Season - a Randomized Clinical Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06479226 phase3completednot on this map

Efficacy of Cetylpyridinium Chloride and Zinc Mouthwash in Reducing the Occurrence of Symptoms Associated With the Flu and Cold Season - a Randomized Clinical Trial

TypeinterventionalSponsorColgate PalmoliveRan2022 to 2022Enrolled150ConditionsHealthyArmscetylpyridinium chloride (0.075%) and zinc alcohol free mouthwash
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

13 authors.

Francisco Wilker Mustafa Gomes MunizDepartment of Periodontology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.ORCID 0000-0002-3945-1752
Maísa CasarinDepartment of Periodontology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Natália Marcumini PolaDepartment of Periodontology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Cassiano Kuchenbecker RösingDepartment of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Taciane Menezes da SilveiraGraduate Program in Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Francisco Hecktheuer SilvaGraduate Program in Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Guilherme Azario de HolandaGraduate Program in Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Larissa Viana de OliveiraSchool of Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Pedro Paulo de Almeida DantasGraduate Program in Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Bernal StewartColgate-Palmolive Company, Piscataway, New Jersey, United States of America.
Zilson MalheirosColgate-Palmolive Company, Piscataway, New Jersey, United States of America.
Carlos BenítezLatin American Oral Health Association, São Paulo, Brazil.
Lyndsay SchaefferColgate-Palmolive Company, Piscataway, New Jersey, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The posterior oral cavity serves as an entry point to both the digestive and respiratory systems. Optimal oral hygiene, particularly by means of gargling, has been shown to effectively reduce transmission and duration of respiratory illnesses (Clinical Trials registration: NCT06479226). Previous studies have demonstrated the effectiveness of gargling with an antimicrobial mouthwash in preventing the development of respiratory symptoms. To assess the impact of using an antimicrobial mouthwash for gargling in lowering the incidence of upper respiratory symptoms. A total of 150 individuals were recruited and randomly assigned to two groups: Control group: participants were requested to brush their teeth twice daily for two minutes using a commercially available fluoride toothpaste; and the Test Group, which also brushed their teeth twice daily for two minutes with a commercially available fluoride toothpaste and additional gargling twice a day with a mouthwash containing 0.075% Cetylpyridinium chloride and 0.28% Zinc Lactate (CPC+Zn). Individuals were asked to complete the WURSS-21 Daily Symptom Report over the course of the three-month study period using a diary. Regular gargling with the mouthwash containing CPC+Zn was efficacious in decreasing both the frequency (21.5% lower) and severity (11% lower) of respiratory symptoms throughout the study. Additionally, individuals that performed consistent cleansing of the posterior oral cavity with mouthwash had greater interference in daily activities, which should be further investigated. Adding gargling with a mouthwash containing 0.075% CPC + 0.28% Zn to a normal oral hygiene routine proves beneficial in lowering the incidence of upper respiratory symptoms commonly associated with cold and the flu. Trial registration: ClinicalTrials.gov NCT06479226.

Indexed as

CetylpyridiniumMouthwashesZincAdultFemaleHumansMaleMiddle AgedOral HygieneYoung AdultCetylpyridiniumMouthwashesZinc

Identifiers

PMID40009628
PMCPMC11864509

What OpenQuestion holds

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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.