Biomedicines,
Journal Year:
2023,
Volume and Issue:
11(6), P. 1694 - 1694
Published: June 12, 2023
(1)
There
are
limited
clinical
trials
to
support
the
effectiveness
of
mouth
rinses
when
used
as
a
preprocedural
rinse
against
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2).
This
systematic
review
aims
evaluate
efficacy
antiseptic
in
reducing
SARS-CoV-2
oral
viral
load
in-vivo.
(2)
Methods:
A
literature
search
was
conducted
through
November
2022
for
following
databases:
PubMed,
Web
Science,
Cochrane
Library,
and
Google
Scholar.
The
evaluated
outcomes
were
quantitative
changes
statistical
significance
that
change
after
using
rinses.
(3)
Results:
14
randomized
controlled
(RCT)
selected
risk
bias
assessment
data
extraction.
(4)
Conclusion:
Within
limits
this
review,
may
significantly
reduce
mouth,
thus,
particles
available
airborne
dispersion.
Preprocedural
be
an
effective
strategy
dispersion
environment.
Their
use
preventive
spread
COVID-19
medical
healthcare
facilities,
including
dental
clinics.
Potential
identified
integral
part
safe
practice
protocols.
registered
with
National
Institute
Health
Research,
international
prospective
register
reviews
(PROSPERO):
CRD42022315177.
Journal Of Oral Medicine And Dental Research,
Journal Year:
2021,
Volume and Issue:
2(1), P. 1 - 25
Published: April 20, 2021
Since
the
emergence
of
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
infections
in
late
2019,
world
has
faced
a
major
healthcare
challenge.There
remains
limited
understanding
reasons
for
clinical
variability
disease
2019
(COVID-19),
and
lack
biomarkers
to
identify
individuals
at
risk
developing
lung
disease.This
article
aims
present
hypothesis
on
vascular
route
transfer
SARS-CoV-2
from
oral
cavity
lungs.Saliva
is
reservoir
SARS-CoV-2,
thus
any
breach
immune
defenses
mouth
may
facilitate
entrance
virus
vasculature
through
gingival
sulcus
or
periodontal
pocket.From
vasculature,
would
pass
veins
neck
chest,
reach
heart,
being
pumped
into
pulmonary
arteries,
small
vessels
Journal of the Formosan Medical Association,
Journal Year:
2021,
Volume and Issue:
121(5), P. 879 - 885
Published: Oct. 9, 2021
The
COVID-19
pandemic,
caused
by
the
spread
of
SARS-CoV-2
infection
that
is
mainly
through
airborne
transmission,
a
worldwide
health
concern.
This
review
seeks
to
assess
potential
effectiveness
mouthwash
in
reducing
oropharyngeal
load
based
on
available
evidence.
Articles
related
and
PubMed
were
electronically
searched
July,
2021.
After
manually
excluding
articles
lacking
sufficient
scientific
evidence
or
validation
processes,
those
with
inaccessible
online
full
text,
did
not
test
against
SARS-CoV-2,
written
English,
17
original
13
chosen
for
this
review.
eligible
revealed
main
virucidal
mechanism
was
via
interactions
viral
envelope.
Povidone-iodine
(PVP-I),
cetylpyridinium
chloride
(CPC),
essential
oils
ethanol
showed
effects
vitro,
potentially
interfering
A
few
clinical
studies
demonstrated
PVP-I,
CPC,
hydrogen
peroxide,
chlorhexidine
reduced
SARS-CoV-2.
Although
limited,
containing
PVP-I
CPC
shows
thus
may
present
risk-mitigation
strategy
patients.
Oral Diseases,
Journal Year:
2021,
Volume and Issue:
28(S2), P. 2500 - 2508
Published: Nov. 27, 2021
This
study
aimed
to
evaluate
the
effect
of
0.12%
chlorhexidine
gluconate
on
salivary
load
SARS-CoV-2.A
randomized,
double-blind,
placebo-controlled
trial
was
performed
100
participants
positive
for
SARS-CoV-2.
In
test
group
(n
=
50),
volunteers
gargled
with
a
mouthwash
containing
15
ml
1
min,
while
control
50)
used
placebo.
Saliva
samples
were
obtained
before
(baseline)
and
5
60
min
after
using
solutions.
Real-time
reverse
transcription
polymerase
chain
reaction
assays
(qRT-PCR)
carried
out
cycle
threshold
(Ct)
computed.
The
chi-square
t-test
comparison
(p
≤
0.05).The
differences
in
Ct
values
between
5-min
evaluation
baseline
(test
group:
2.19
±
4.30;
control:
-0.40
3.87,
p
0.002)
2.45
3.88;
0.76
4.41,
0.05)
significantly
greater
group,
revealing
reduction
viral
load.
Furthermore,
there
SARS-CoV-2
72%
versus
30%
0.001).Chlorhexidine
(0.12%)
effective
reducing
at
least
min.
The Saudi Dental Journal,
Journal Year:
2022,
Volume and Issue:
34(3), P. 167 - 193
Published: Feb. 1, 2022
This
systematic
review
aimed
to
evaluate
the
antiviral
effect
of
mouthwashes
against
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2).
An
electronic
search
was
performed
on
PubMed,
Scopus,
Web
Science,
Cochrane
Library,
LILACS,
ProQuest,
and
Google
Scholar,
complemented
by
a
manual
search.
Both
clinical
in
vitro
studies
that
focused
SARS-CoV-2
were
included.
Risk
bias
assessment
only
using
RoB-2
ROBINS-I
tools.
A
total
907
records
found;
after
initial
selection
title
abstract,
33
full-text
articles
selected
be
evaluated
for
eligibility.
Finally,
27
included
qualitative
synthesis,
including
16
11
trials.
Antiviral
effects
separately
studies.
In
containing
hydrogen
peroxide,
chlorhexidine
digluconate,
povidone-iodine,
essential
oils,
cetylpyridinium
chloride,
other
compounds;
vivo
chlorine
dioxide,
β-cyclodextrin-citrox,
sorbitol
with
xylitol.
Povidone-iodine,
oils
effective
vitro,
while
xylitol
vivo.
Unclear
or
high
risk
found
almost
all
studies,
one
study
presented
low
bias.
No
further
quantitative
analysis
performed.
Although
may
an
alternative
reduce
viral
load
vivo,
more
are
needed
determine
real
these
different
SARS-CoV-2.
work
not
funded.
The
protocol
registered
PROSPERO
(identification
number:
CRD42021236134).
Scientific Reports,
Journal Year:
2022,
Volume and Issue:
12(1)
Published: Aug. 18, 2022
Cetylpyridinium
chloride
(CPC),
a
quaternary
ammonium
compound,
which
is
present
in
mouthwash,
effective
against
bacteria,
fungi,
and
enveloped
viruses.
This
study
was
conducted
to
explore
the
antiviral
effect
of
CPC
on
SARS-CoV-2.
There
are
few
reports
wild-type
SARS-CoV-2
at
low
concentrations
such
as
0.001%-0.005%
(10-50
µg/mL).
Interestingly,
we
found
that
suppressed
infectivity
human
isolated
strains
(Wuhan,
Alpha,
Beta,
Gamma)
even
saliva.
Furthermore,
demonstrated
shows
anti-SARS-CoV-2
effects
without
disrupting
virus
envelope,
using
sucrose
density
analysis
electron
microscopic
examination.
In
conclusion,
this
provided
experimental
evidence
may
inhibit
infection
lower
concentrations.
Emerging Microbes & Infections,
Journal Year:
2022,
Volume and Issue:
11(1), P. 1833 - 1842
Published: July 7, 2022
ABSTRACTBackground:
In
vitro
studies
have
shown
that
several
oral
antiseptics
virucidal
activity
against
SARS-CoV-2.
Thus,
mouthwashes
been
proposed
as
an
easy
to
implement
strategy
reduce
viral
transmission.
However,
there
are
no
data
measuring
SARS-CoV-2
viability
after
in
vivo.In
this
randomized
double-blind,
five-parallel-group,
placebo-controlled
clinical
trial,
salivary
load
(by
quantitative
PCR)
and
its
infectious
capacity
(incubating
saliva
cell
cultures)
evaluated
before
four
different
antiseptic
placebo
54
COVID-19
patients.Contrary
evidence,
was
not
affected
by
any
of
the
tested
mouthwashes.
Viral
culture
indicated
cetylpyridinium
chloride
(CPC)
significantly
reduced
infectivity,
but
only
at
1-hour
post-mouthwash.These
results
indicate
some
currently
used
infectivity
efficient
vivo
and,
furthermore,
effect
is
immediate,
generating
a
false
sense
security.Trial
registration:
ClinicalTrials.gov
identifier:
NCT04707742..