Evidence map›Paper›PMID 41820203›Full record

SynthesisInternational journal of dental hygiene2026

The Effect of Chlorhexidine Mouthwash on Blood Pressure: A Systematic Review and Meta-Analysis.

Lars S J Toonen, Bregje W M Van Swaaij, Melissa L Vagevuur, Fridus G A Van der Weijden, Mark F Timmerman, Dagmar Else Slot

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International journal of dental hygiene, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Lars S J ToonenDepartment of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0001-6619-853X
Bregje W M Van SwaaijDepartment of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-7364-8612
Melissa L VagevuurDepartment of Dental Hygiene, Hogeschool Arnhem Nijmegen (HAN), University of Applied Sciences, Nijmegen, the Netherlands.ORCID https://orcid.org/0000-0001-6669-4971
Fridus G A Van der WeijdenDepartment of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-5075-8384
Mark F TimmermanDepartment of Dentistry, Section Implantology and Periodontology, Radboud University Medical Center (Radboud UMC), Nijmegen, the Netherlands.ORCID https://orcid.org/0000-0003-1432-6987
Dagmar Else SlotDepartment of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0001-7234-0037

Funding

HALEON CHX mouthwash a 360degree Clinical ViewInternational Federation of Dental Hygienists
6 · The paper itself

Abstract

aimThis study evaluated the effect of rinsing with a chlorhexidine containing mouthwash (CHX-MW) on blood pressure (BP), as compared to rinsing with a control MW or no MW, based on (randomised) controlled trials and observational studies in humans. PROSPERO CRD42020222495. MATERIALS AND

methodsThe PubMed-MEDLINE and COCHRANE-CENTRAL databases were searched to identify eligible studies that had been published as of December 2024. Studies evaluating the effect of CHX-MW on human BP were included. A descriptive analysis of the selected studies and a meta-analysis was performed.

resultsSearching identified 100 unique studies; five studies fulfilled all inclusion criteria and could be analysed. The descriptive analysis demonstrated that both systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly increased after the use of CHX-MW in two of the included studies. The meta-analysis (MA) showed no significant difference of means (DiffM) based on end scores between CHX-MW and controls for SBP (DiffM = 1.56, P=0.17; 95% CI [-0.67; 3.80]) and DBP (DiffM = -0.10, P=0.91; 95% CI [-1.99; 1.78]).

conclusionFor patients to whom the use of CHX-MW has been recommended, there is a moderate level of confidence that any change in BP due to the use of the antiseptic MW is insignificant or very small. The clinical importance of this BP elevation is estimated to be negligible.

Indexed as

Anti-Infective Agents, LocalBlood PressureChlorhexidineMouthwashesHumansAnti-Infective Agents, LocalChlorhexidineMouthwashesblood pressurechlorhexidinediastolic blood pressuremouthwashessystolic blood pressure

Identifiers

PMID41820203
PMCPMC13309218

What OpenQuestion holds

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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.