Evidence map›Paper›PMID 42230427›Full record

ReviewOdontology2026

Chlorhexidine-based protocols for complete denture disinfection: a systematic review and meta-analysis.

Artur Ferronato Soto, Maria Eduarda Broering da Silva, Henrique Souza Dos Santos, Adriana Pinto Bezerra, Otavio Marino Dos Santos Neto, Cristiane Machado Mengatto, Edilaine Braschi Moretti, Rafael Guerra Lund, Juliana Silva Ribeiro de Andrade, Maurício Malheiros Badaró

Abstract readReview
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In one paragraph

Review in Odontology, 2026. 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

10 authors.

Artur Ferronato SotoDepartment of Dentistry, Federal University of Santa Catarina (UFSC), Florianopolis, SC, Brazil.
Maria Eduarda Broering da SilvaDepartment of Dentistry, Federal University of Santa Catarina (UFSC), Florianopolis, SC, Brazil.
Henrique Souza Dos SantosDepartment of Dentistry, Federal University of Santa Catarina (UFSC), Florianopolis, SC, Brazil.
Adriana Pinto BezerraDepartment of Dentistry, Federal University of Santa Catarina (UFSC), Florianopolis, SC, Brazil.
Otavio Marino Dos Santos NetoDepartment of Dentistry, Federal University of Santa Catarina (UFSC), Florianopolis, SC, Brazil.
Cristiane Machado MengattoFaculty of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Edilaine Braschi MorettiIndependent Researcher, São Paulo, SP, Brazil.
Rafael Guerra LundFaculty of Dentistry, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil.
Juliana Silva Ribeiro de AndradeDepartment of Dentistry, Federal University of Santa Catarina (UFSC), Florianopolis, SC, Brazil.
Maurício Malheiros BadaróDepartment of Dentistry, Federal University of Santa Catarina (UFSC), Florianopolis, SC, Brazil. mauricio.badaro@ufsc.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review aimed to evaluate the effectiveness of chlorhexidine-based protocols for the disinfection of complete dentures. A comprehensive search was conducted in the Embase, PubMed, Scopus, Web of Science, EBSCO, Cochrane, LILACS databases, and in gray literature sources (ProQuest and Google Scholar) up to September 2024. Clinical studies evaluating the reduction of microbial load (CFU) on complete dentures after chlorhexidine use across different concentrations, vehicles, and application protocols were included. Study selection and data extraction were performed by two independent reviewers. Risk of bias of included studies was assessed with the Joanna Briggs Institute checklist. Meta-analysis was conducted to compare the antimicrobial efficacy of different protocols (RevMan). The certainty of evidence was assessed using GRADEpro-GDT. A total of twenty-two studies were included (κ = 0.877), and five met the criteria for inclusion in the meta-analysis. Interventions included immersion, mouth rinses, sprays, and topical application, with chlorhexidine concentrations ranging from 0.12% to 4%. Chlorhexidine showed a significant reduction in CFU counts, with mean differences of -1.11 (95% CI: -1.57 to -0.64; p < 0.00001) for 0.12% up to 7 days, and - 2.50 (95% CI: -4.57 to -0.43; p = 0.02) for 0.2% up to 30 days. The pooled analysis of both concentrations also revealed a significant microbial reduction (CFU/mL) over time of -1.66 (95% CI: -2.75 to -0.57; p < 0.003). Chlorhexidine demonstrated effectiveness in disinfecting complete dentures regardless of concentration and mode of use. However, despite the favorable outcomes, further standardized clinical studies are needed to establish optimized and reproducible protocols for dental practice.

Indexed as

BiofilmsChlorhexidineColony CountDenture BasesDisinfectionMicrobialTherapeutic Uses

Identifiers

PMID42230427

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.