Evidence map›Paper›PMID 40810967›Full record

ArticleClinical oral investigations2025

In vitro effect of fluoride-free mouthwashes on Streptococcus mutans biofilm.

Astrid C Valdivia-Tapia, Frank Lippert, Peter F Castelluccio, Jaime A Cury, Antonio P Ricomini-Filho, Richard L Gregory

Abstract read
In one paragraph

Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Evaluation of the antimicrobial potential of fluoride-free mouthwashes against Scardovia wiggsiae.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    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

6 authors.

Astrid C Valdivia-TapiaDepartment of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA.
Frank LippertDepartment of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA.
Peter F CastelluccioDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Jaime A CuryPiracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
Antonio P Ricomini-FilhoPiracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
Richard L GregoryDepartment of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA. rgregory@iu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of commercially available, fluoride-free mouthwashes sold in Indianapolis, IN, on Streptococcus mutans biofilm. MATERIALS AND

methodsEighty-one different mouthwashes were purchased. A 16-h culture of S. mutans UA159 was treated with the mouthwashes in three dilutions (1:3, 1:6, and 1:12), prepared in Tryptic Soy broth supplemented with 1% sucrose. The minimum inhibitory concentrations (MIC), planktonic, and biofilm growth were evaluated using a spectrophotometer. In addition, the growth for minimum bactericidal concentration (MBC) was evaluated using five μL of the dilution and incubated on blood agar. For the analysis of the results, the mouthwashes were separated into six groups according to their active ingredients (cetylpyridinium chloride/CPC, n = 25; essential oils/EO n = 10; whitening/W (hydrogen peroxide/ sodium hexametaphosphate), n = 12; Natural-Derived Actives / NDA, n = 15; zinc chloride/ZC, n = 3; others/O, n = 16). ANOVA followed by the Tukey test was performed (p < 0.05).

resultsRegarding MIC, planktonic, and biofilm growth of S. mutans, there was a significant decrease for the W and CPC groups (p < 0.001). The EO and W groups had more inhibition on S. mutans biofilm compared to the CPC group (p < 0.05). For ZC, NDA, and O groups, there were different effects within the same group, presenting a large variability. About MBC, W and CPC groups presented the higher inhibition (W > CPC > EO > NDA/ZC/O).

conclusionThe mouthwashes demonstrated significant effect on S. mutans biofilm, especially in the 1:3 dilution. W and CPC groups had a more significant effect on S. mutans biofilm. CLINICAL RELEVANCE: S. mutans is an important bacterium in dental caries and periodontal diseases. Our study showed that non-fluoridated mouthwashes affect the initial stages of biofilm formation.

Indexed as

BiofilmsMouthwashesStreptococcus mutansCetylpyridiniumHumansHydrogen PeroxideIn Vitro TechniquesMicrobial Sensitivity TestsOils, VolatileZinc CompoundsCetylpyridiniumHydrogen PeroxideMouthwashesOils, VolatileZinc CompoundsAntibacterialBiofilmDental cariesMouthwashS. mutans

Identifiers

PMID40810967
PMCPMC12354505

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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.