Anti-inflammatory potential of an essential oil-containing mouthwash in elderly subjects enrolled in supportive periodontal therapy: a 6-week randomised controlled clinical trial.

Jünger, Hendrik; Jaun-Ventrice, Anna; Guldener, Kevin; Ramseier, Christoph A.; Reissmann, Daniel R; Schimmel, Martin; Jünger, Hendrik (2020). Anti-inflammatory potential of an essential oil-containing mouthwash in elderly subjects enrolled in supportive periodontal therapy: a 6-week randomised controlled clinical trial. Clinical oral investigations, 24(9), pp. 3203-3211. Springer-Verlag 10.1007/s00784-019-03194-3

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OBJECTIVES

Essential oils and other plant extracts have evoked interest as sources of natural medicinal products. They have been proven to exert antibacterial, antifungal, antiviral and antioxidant properties, but the mechanism of action has not been fully elucidated.

AIM

This study aims to evaluate the potential of a sage-containing mouthwash to alleviate inflammatory signs of intra-oral mucosa and gingiva in comparison with a water/alcohol-based placebo.

MATERIAL AND METHODS

This study was conducted as a randomised, placebo-controlled, double-blind, parallel design clinical study. Forty-eight dentate subjects were randomly assigned to a test (sage-containing mouthwash) or a placebo group (water/alcohol-based solution). Subjects rinsed once daily for 30 s over a period of 6 weeks. Sulcus Bleeding Index (SBI), Plaque Index (PLI), tooth staining, xerostomia and degree of stomatitis were assessed at baseline and after 6 weeks.

RESULTS

Subjects' mean age was 77.5 ± 7.3 years. SBI was reduced from 1.3 ± 0.9 to 0.8 ± 0.7 (test, p = 0.0029) and 1.4 ± 0.9 to 1.1 ± 0.7 (placebo, p = 0.0105). Similarly, PLI was reduced from 1.2 ± 0.5 to 1.0 ± 0.3 (test, p = 0.0080) and 1.3 ± 0.4 to 1.1 ± 0.6 (placebo, p = 0.0087); no between-group differences were found (p > 0.05). Stomatitis, xerostomia and tooth staining revealed no change after 6 weeks.

CONCLUSION

The irrigation with a sage-containing mouthwash did not result in a superior beneficial effect on inflammatory parameters and plaque indices compared with the placebo. The expected contribution of the plant extracts to their potential impact on oral health may need further investigation.

CLINICAL RELEVANCE

The proposed mouthwash might be suitable for patients with inflammatory signs of the gingiva who prefer natural remedies.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology
04 Faculty of Medicine > School of Dental Medicine > Department of Reconstructive Dentistry and Gerodontology

UniBE Contributor:

Guldener, Kevin; Ramseier, Christoph Andreas and Schimmel, Martin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1432-6981

Publisher:

Springer-Verlag

Language:

English

Submitter:

Vanda Kummer

Date Deposited:

19 Feb 2020 10:59

Last Modified:

14 Sep 2020 10:51

Publisher DOI:

10.1007/s00784-019-03194-3

PubMed ID:

31916036

Uncontrolled Keywords:

Essential oils Gingival inflammation Mouthwash Mucosa Oral hygiene RCT

BORIS DOI:

10.7892/boris.139318

URI:

https://boris.unibe.ch/id/eprint/139318

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