Unit:
Speciality OrthodonticsΒιβλιοθήκη Οδοντιατρικής
Author:
Tsironi Konstantina
Supervisors info:
Σηφακάκης Ιωσήφ, Αναπληρωτής Καθηγητής, Τμήμα Οδοντιατρικής, Σχολή Επιστημών Υγείας, ΕΚΠΑ
Παπαϊωάννου Βασίλειος, Αναπληρωτής Καθηγητής, Τμήμα Οδοντιατρικής, Σχολή Επιστημών Υγείας, ΕΚΠΑ
Βασιλόπουλος Σπυρίδων, Επίκουρος Καθηγητής, Τμήμα Οδοντιατρικής, Σχολή Επιστημών Υγείας, ΕΚΠΑ
Original Title:
The effect of Chios’ mastic mouthwash on halitosis and oral hygiene in orthodontic patients: a randomized clinical trial.
Translated title:
The effect of Chios’ mastic mouthwash on halitosis and oral hygiene in orthodontic patients: a randomized clinical trial.
Summary:
The aim of this study was to investigate the effect of Mastic mouthwash on halitosis (Volatile Sulfur Compounds’ levels, VSCs) as well as plaque and gingival indexes in patients undergoing orthodontic treatment with fixed appliances. The study was a double-blinded, placebo-controlled, parallel group, randomized clinical trial. Thirty patients with fixed orthodontic appliances were randomly allocated at a 1:1 ratio, to either the mastic-mouthwash or the placebo-mouthwash group. Eligibility criteria included ages between 13 and 18, active orthodontic treatment with fixed appliances, good general health and total initial VSCs levels above the baseline level of 150ppb.The primary outcomes were: (a) their subjective perception of their own malodor via questionnaires, (b) their objective VSCs levels (hydrogen sulfide (H2S), methyl-mercaptan (CH3SH) and dimethyl sulfide [(CH3)2S] through the Oral ChromaTM device and (c) oral hygiene assessed with the use of the Modified Silness and Löe Plaque Index (PI-M) and the Silness and Löe Gingival Index (GI) at both baseline (T0) and after 2 weeks (T1). Stratification by gender randomization was implemented with two random sequences, one for each mouthwash, concealed in opaque numbered sealed envelopes. H2S level dropped from 221.00ppb (T0) to 125.00ppb (T1) and the difference between treatments was statistically significant and in favor of the mastic group (coef: 72.34, 95% CI: 8.48, 136.27, p=0.03). The reduction in the levels of the other VSCs did not differ between treatment arms. The oral hygiene indexes showed little differences in both groups whereas the subjective measurements of oral malodor did not show any differences. Mastic mouthwashes could be an alternative treatment for adolescent patient suffering from halitosis during the orthodontic treatment with fixed appliances.
Main subject category:
Health Sciences
Keywords:
Halitosis, Mouthwash, Chios’ mastic
