Evidence map›Paper›PMID 41339855›Full record

Trial reportBMC oral health2025

Efficacy of 0.12% chlorhexidine mouthwash containing 0.001% EDTA versus commercially available chlorhexidine mouthwash in minimizing tooth staining: a randomized clinical trial.

Sirada Jindamporn, Sireerat Sooampon, Attawood Lertpimonchai, Athiyaan Vorapanya, Chavisa Wongdechakul, Waratsaran Markpaiboon, Kanoknadda Tavedhikul

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Sirada JindampornDepartment of Periodontology, Faculty of Dentistry, Chulalongkorn University, 34 Henri-Dunant Road, Pathumwan, Bangkok, 10330, Thailand.
Sireerat SooamponDepartment of Pharmacology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Attawood LertpimonchaiDepartment of Periodontology, Faculty of Dentistry, Chulalongkorn University, 34 Henri-Dunant Road, Pathumwan, Bangkok, 10330, Thailand.
Athiyaan VorapanyaDepartment of Periodontology, Faculty of Dentistry, Chulalongkorn University, 34 Henri-Dunant Road, Pathumwan, Bangkok, 10330, Thailand.
Chavisa WongdechakulDepartment of Periodontology, Faculty of Dentistry, Chulalongkorn University, 34 Henri-Dunant Road, Pathumwan, Bangkok, 10330, Thailand.
Waratsaran MarkpaiboonDepartment of Periodontology, Faculty of Dentistry, Chulalongkorn University, 34 Henri-Dunant Road, Pathumwan, Bangkok, 10330, Thailand.
Kanoknadda TavedhikulDepartment of Periodontology, Faculty of Dentistry, Chulalongkorn University, 34 Henri-Dunant Road, Pathumwan, Bangkok, 10330, Thailand. kanok.kanok@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChlorhexidine is the most effective plaque and gingivitis control mouthwash. However, it causes some undesirable adverse effects such as tooth staining, alteration in taste, and oral mucosal irritation. To reduce these side effects while maintaining the properties of the mouthwash, we have developed a new mouthwash formulation. Therefore, this study aimed to evaluate the efficacy of 0.001% EDTA containing chlorhexidine mouthwash (CHX + EDTA) in minimizing tooth stain forming, compared to the commercially available 0.12% chlorhexidine mouthwash (CHX). Additionally, dental plaque and gingival inflammation were compared between the two mouthwashes.

methodsA double-blind, crossover randomized clinical trial was conducted in 58 healthy participants to compare CHX + EDTA (test group) and CHX (control group). After professional cleaning at baseline, participants were assigned to use a mouthwash twice daily for 14 days, then switched after a 2-week washout. Each participant’s mouth was divided into two sides: one with regular oral hygiene and the other without. The plaque index, gingival index, percentage of sites with bleeding on probing, and staining index were evaluated.

resultsAmong the 58 participants, CHX + EDTA showed significantly less tooth staining than CHX in the extent and intensity of the staining index, on both brushing (1.05 vs. 1.29) and non-brushing sides (1.55 vs. 1.75). Both mouthwashes demonstrated similar efficacy in reducing plaque accumulation and resolving gingival inflammation (p < 0.05).

conclusionsThe 0.001% EDTA containing chlorhexidine mouthwash significantly minimizes tooth staining and is as efficient as chlorhexidine in reducing dental plaque and gingival inflammation.

trial registrationThai Clinical Trials Registry (TCTR20240830005) registered on 26 June 2024 (TCTR20240830005).

Indexed as

Anti-Infective Agents, LocalChlorhexidineEdetic AcidMouthwashesTooth DiscolorationAdultCross-Over StudiesDental PlaqueDental Plaque IndexDouble-Blind MethodFemaleGingivitisHumansMaleYoung AdultAnti-Infective Agents, LocalChlorhexidineEdetic AcidMouthwashesAdverse effectChlorhexidineEDTAMouthwashTooth discoloration

Identifiers

PMID41339855
PMCPMC12687519

What OpenQuestion holds

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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.