J Korean Acad Oral Health.  2023 Jun;47(2):51-57. 10.11149/jkaoh.2023.47.2.51.

Effect of a mouthwash containing cetylpyridinium chloride and zinc acetate

Affiliations
  • 1Department of Oral Health, Graduate School, Dankook University, Cheonan, Korea
  • 2Department of Dental Hygiene, Andong Science College, Andong, Korea
  • 3Department of Preventive Dentistry, College of Dentistry, Dankook University, Cheonan, Korea

Abstract


Objectives
This study investigated the effects of mouthwashes containing cetylpyridinium chloride and zinc acetate on oral health.
Methods
A total of 60 participants were included in the study. Fifty-three participants (27 and 26 participants in the experimental and control groups, respectively) were retained, excluding seven candidates who dropped out. The mouthwash used for the study was spat out after 10-15 ml of mouth-washing for 3 s in the oral cavity after breakfast, lunch, and dinner. Oral examination indices included the gingival (gingival index, PMA index), the patient hygiene performance (PHP index, Turesky plaque index), and the bad breath (BB checker, Oral chroma) indices. Five measurements were taken after 2, 4, 6, 8, and 12 weeks and compared.
Results
Measurements of the gingival index showed a statistically significant difference between the experimental and the control groups after 4 weeks, and the PMA index from eight weeks (P<0.05). Measurements of the PHP and Turesky plaque indices showed a significant difference in the experimental and control groups after 4 weeks (P<0.05). Compared to the PHP index before the experiment, that of the experimental group showed a significant index decrease after 2 weeks (P<0.05). Results of measuring bad breath through a BB checker showed a statistically significant difference between the experimental and control groups after 4 weeks (P<0.05).
Conclusions
Oral mouthwash products containing cetylpyridinium chloride and zinc acetate relieves gingivitis, removes bacterial plaque, and reduces bad breath.

Keyword

Cetylpyridinium chloride; Mouthwash; Zinc acetate

Reference

References

1. Lee ES. 2011; Inhibitory effects of several commercial oral rinses on Streptococcus mutans biofilm formation. J Korean Acad Oral Health. 35:289–96.
2. Shin SC, Lee H. 1998; Clinical study of mouth rinse containing sodium fluoride, cetylpyridinium chloride and urusodesoxycholinic acid on dental plaque and gingivitis. J Korean Acad Dent Health. 22:121–34.
3. Kwon YR, Lee YS, Jeon JG, Han SK, Ahn JH, Chang KW. 2008; Preventive dentisty: Effect on biofilm formation of Streptococcus mutans and Streptococcus sobrinus by some mouth rinsing solution sold in Korea. J Korean Acad Dent Health. 32:1–9.
4. Song JH, Ban SH, Kim JB, Ahn JH, Kim JC, Ha WH. 2007; Antibacterial effect of some mouth rinsing solution on Korea. J Korean Acad Dent Health. 31:1225–388.
5. Kim SJ, Yoon JW, Paik DI. 1994; Effect of mouth rinses and Dentirices containin α - 1 , 3 Glucanse on the removal of the artificial Dental plaque. J Korean Acad Oral Health. 18:228–42.
6. Gunsolley , John C. 2010; Clinical efficacy of antimicrobial mouthrinses. Journal of dentistry. 38:S6–S10. DOI: 10.1016/S0300-5712(10)70004-X. PMID: 20621242.
Article
7. Chun JY, Choo JH, Lee MH. 2006; Anticariogenic activity of macelignan isolated from Myristica fragrans (nutmeg) against Streptococcus mutans. Phytomedicine. 3:261–6. DOI: 10.1016/j.phymed.2004.04.007. PMID: 16492529.
Article
8. Lee BJ. 2017; Contemporary Update of Mouth Rinse. The journal of the Korean dental association. 55:180–8.
9. Bames GP, Roberts DW, Katz RV, Woolridege ED. 1976; . Effects of two cetylpyridinium chloride-containing mouthwashes on bacterial plaque. Journal of periodontology. 47:419–422. DOI: 10.1902/jop.1976.47.7.419. PMID: 1065740.
Article
10. Bonesvoll P, GJERMO P. 1978; A comparison between chlorhexidine and some quaternary ammonium compounds with regard to retention, salivary concentration and plaque-inhibiting effect in the human mouth after mouth rinses. Archives of oral biology. 23:289–94. DOI: 10.1016/0003-9969(78)90021-3. PMID: 278566.
Article
11. Witt JJ, Walters P, Bsoul S, Gibb R, Dunavent J, Putt M. 2005; Comparative clinical trial of two antigingivitis mouthrinses. Am J Dent. 18:15A–17A.
12. Mankodi S, Bauroth K, Witt JJ, Bsoul S, He T, Gibb R, et al. 2005; A 6-month clinical trial to study the effects of a cetylpyridinium chloride mouthrinse on gingivitis and plaque. Am J Dent. 18:9A–14A.
13. Kim CY, Kang MS, Kim HG, Kwon HK. 1995; A study on the effects of cetylpyridinium chloride and bamboo salt containing mouthrinses on the inhibition of gingivitis. J Korean Acad Dent Health. 19:219–28.
14. Lim K, Mustapha A. 2007; Inhibition of Escherichia coli O157:H7, Listeria monocytogenes andStaphylococcus aureus on sliced roast beef by cetylpyridinium chloride and acidified sodium chlorite. Food Microbiol. 24:89–94. DOI: 10.1016/j.fm.2006.04.005. PMID: 16943099.
Article
15. Haps S, Slot DE, Berchier CE, Van der Weijden GA. 2008; The effect of cetylpyridinium chloride-containing mouth rinses as adjuncts to toothbrushing on plaque and parameters of gingival inflammation: a systematic review. International journal of dental hygiene. 6:290–303. DOI: 10.1111/j.1601-5037.2008.00344.x. PMID: 19138180.
Article
16. Mandel ID. 1988; Chemotherapeutic agents for controlling plaque and gingivitis. Journal of Clinical periodontology. 15:488. DOI: 10.1111/j.1600-051X.1988.tb01020.x. PMID: 3053790.
Article
17. Ramberg P, Furuichi Y, Volpe AR, Gaffar A, Lindhe J. 1998; The effects of antimicrobial mouthrinses on de novo plaque formation at sites with healthy and inflamed gingivae, J Clin Periodontol. 23:7–11. DOI: 10.1111/j.1600-051X.1996.tb00497.x. PMID: 8636459.
18. Kang JH, Jang YJ, Kim DJ, Park JW. 2015; Antimicrobial Effectiveness of Cetylpyridinium Chloride and Zinc Chloride-Containing Mouthrinses on Bacteria of Halitosis and Peri-implant Disease. International Journal of Oral &. Maxillofacial Implants. 30:1341–7. DOI: 10.11607/jomi.3824. PMID: 26478974.
19. Erovic Ademovski, Seida , LINGSTRÖM P, RENVERT Stefan. 2016; The effect of different mouth rinse products on intra-oral halitosis. International journal of dental hygiene. 14:117–23. DOI: 10.1111/idh.12148. PMID: 26031397.
Article
20. Fishman SL. 1973; et al. the inhibition of plque in humans by two exprimental oral rinses. J Periodontol. 44:100–2. DOI: 10.1902/jop.1973.44.2.100. PMID: 4566964.
21. Harrap GJ, Saxton CA, Best JS. 1983; Inhibition of plaque growth by zinc salts. Journal of Periodontal Research. 18:634–42. DOI: 10.1111/j.1600-0765.1983.tb00400.x. PMID: 6230435.
Article
22. Kim JB, Paik DI, Shin SC, et al. 2005. Clinical Preventive Dentistry. 4th ed. Seoul Komoonsa;p. 131–2.
23. Talbott K, Mandel ID, Chilton NW. 1977; Reduction of baseline gingivitis scores with repeated prophylaxes. J Prev Dent. 4:28–9. PMID: 275491.
24. Arlon GP, John VH. 1968; A method for evaluating oral hygiene performance. Public health reports. 83:259–65. DOI: 10.2307/4593265.
Article
25. Tureskey , Turesky S, Gilmore ND, Glickman I. 1970; Re-duced plaque formation by chloro methyanalogue of vitamin C. J Periodontal. 41:41–3. DOI: 10.1902/jop.1970.41.41.41. PMID: 5264376.
26. Heo HY, Shin SC, Cho JW, Park KS. 2005; A Study aboutthe relationship between worker'smouth-odorsurvey and factoranalysis. J Korean Acad DentHealth. 29:368–84.
27. Linka WA, Golenia E, Zgoda MM, Kołodziejczyk MK. 2014; The use of semi-synthetic polymers in the formulation of sucking and chewable tablets containing sage extract and zinc gluconate. Polimery w medycynie. 44:237–45.
28. Fardal O, Tumbull RS. 1986; A review of the lit-erature on use of chlorhexidine in dentistry. J Am Dent Assoc. 112. DOI: 10.14219/jada.archive.1986.0118. PMID: 2940282.
29. Llewelyn JA. 1980; Double blind cross-over trial on the effect of cetylpyridinium chloride 0.05%(Merocet) on plaque accmulation. British Dental journal. 148:103–4. DOI: 10.1038/sj.bdj.4804396. PMID: 6986884.
30. Addy M, Roberts WR. 1981; The use of poly-methylacrylate to compared the adsorption and staining reaction of some cationic anti-septics. Journal of Periodontology. 52:380. DOI: 10.1902/jop.1981.52.7.380. PMID: 6942154.
Article
31. Moran j, Addy M. 1981; In vitro studies of the adsorption and staining reactions of some cationic antiseptics. Journal of Dental Research. 60:1099.
32. Jenkins S, Addy M, Newcombe RG. 1994; A comparison of cetylpyridium chloride, tri-closan and chlorhexidine mouthrinse formula-tions for the effect on plaque regrowth. Journal of Clinical Periodontology. 21:441. DOI: 10.1111/j.1600-051X.1994.tb00743.x. PMID: 8089248.
Article
33. Jun HS, Ko YK, Ku Y, Rhyu IC, Choi SM, Chung CP. 1999; Effect of Cetylpyridinium Chloride on Gingival Inflammation and Plaque Accumulation. The Journal of the Korean Academy of Periodontology. 29:141–51. DOI: 10.5051/jkape.1999.29.1.141.
Article
34. Saxton CA, Harrap GJ, Lloyd AM. 1986; The effect of dentifrices containing zinc citrate on plaque growth and oral zinc levels. Journal of clinical periodontology. 13:301–6. DOI: 10.1111/j.1600-051X.1986.tb02226.x. PMID: 3458726.
Article
35. Pader Morton. 1974. Antiplaque and anticalculus dentifrices. Brit. Patent 1373001.
36. Moran J, Addy M. 1991; the effects of a Cetylpyridinium Chloride prebrushing rinse as an adjunct to oral hygiene and gingival health. J Periodontal. 60:562–4. DOI: 10.1902/jop.1991.62.9.562. PMID: 1941495.
Article
37. Mandel , Irwin D. 1988; Chemotherapeutic agents for controlling plaque and gingivitis. Journal of clinical periodontology. 15:488–98. DOI: 10.1111/j.1600-051X.1988.tb01020.x. PMID: 3053790.
Article
38. Renton-Harper P, Addy M, Moran J, Doherty FM, Newcombe RG. 1996; A comparison of chlorhexidine, cetylpyridinium chloride, triclosan, and C31G mouthrinse products for plaque inhibition. J Periodontol. 67:486–9. DOI: 10.1902/jop.1996.67.5.486. PMID: 8724706.
Article
39. Wilhelm D, Himmelmann A, Axmann EM, Wilhelm KP. 2012; Clinical efficacy of a new tooth and tongue gel applied with a tongue cleaner in reducing oral halitosis. Quintessence International. 43:709–18.
Full Text Links
  • JKAOH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr