Evidence map›Paper›PMID 41221971›Full record

Trial reportBrazilian oral research2025

Extending regular oral hygiene reduces the incidence of upper respiratory symptoms.

Cassiano Kuchenbecker Rösing, Juliano Cavagni, Isadora Dos Santos Rotta, Lorena Lirio Sossai, Rodrigo de Oliveira Caetano, Gabrielle Pedroni, Stephanie Anagnostopoulos Friedrich, Bernal Stewart, Zilson Malheiros, Carlos Benítez and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian oral research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Cassiano Kuchenbecker RösingUniversidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Department of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0002-8499-5759
Juliano CavagniUniversidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Department of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0003-0062-6604
Isadora Dos Santos RottaUniversidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Department of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0003-2373-6160
Lorena Lirio SossaiUniversidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Department of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0003-3620-8076
Rodrigo de Oliveira CaetanoUniversidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Department of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0001-6486-9344
Gabrielle PedroniUniversidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Department of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0001-7640-2901
Stephanie Anagnostopoulos FriedrichUniversidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Department of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0003-2270-8934
Bernal StewartColgate-Palmolive Company, Piscataway, NJ, USA.ORCID http://orcid.org/0000-0002-3054-4098
Zilson MalheirosColgate-Palmolive Company, Piscataway, NJ, USA.ORCID http://orcid.org/0000-0003-0999-7217
Carlos BenítezLatin American Oral Health Association, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-8512-6176
Lyndsay SchaefferColgate-Palmolive Company, Piscataway, NJ, USA.ORCID http://orcid.org/0009-0002-6038-0634

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this randomized controlled clinical study, the effectiveness of two different modes of extending oral hygiene - either gargling or using an oral spray - on the self-reported incidence of upper respiratory symptoms were evaluated, to help with the prevention of respiratory symptoms. The study was conducted in Porto Alegre, Brazil. A total of 205 individuals were enrolled and assigned to one of three groups: Control Group: brushed twice daily for two minutes with a commercially available fluoride toothpaste; Gargling Group: brushed twice daily for two minutes with a commercially available fluoride toothpaste and then gargled with a mouthwash containing 0.075% CPC (cetylpiridinium chloride); and Oral Spray Group: brushed twice daily for two minutes with a commercially available fluoride toothpaste and instructed to use an oral spray containing 0.075% CPC (3 pumps of spray applied directly into their mouth) twice daily. All subjects were asked to complete the WURSS-21 Daily Symptom Report via a diary for the 3 months duration of the study. Based on analysis of the diaries, the use of regular oral hygiene with brushing, in addition to a type that extended to the entire oral cavity, reduced the incidence and severity of upper respiratory symptoms throughout the duration of the study. Data were statistically analyzed using ANOVA (α = 0.05). Individuals using either mouthwash or spray reported approximately 20% fewer days with respiratory symptoms compared with the control group. Regular oral hygiene that extended to the whole oral cavity with either a mouthwash or an oral spray may help to reduce the incidence of upper respiratory symptoms.

Indexed as

CetylpyridiniumMouthwashesOral HygieneRespiratory Tract InfectionsToothbrushingToothpastesAdultBrazilFemaleFluoridesHumansIncidenceMaleMiddle AgedOral SpraysTime FactorsCetylpyridiniumFluoridesMouthwashesOral SpraysToothpastes

Identifiers

PMID41221971
PMCPMC12594453

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Registered trials

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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.