Changes in salivary pH in patients with fixed orthodontics following the use of two types of mouthwashes
Keywords:
Stevia, saliva, fixed orthodontic appliances, mouthwash.Abstract
Introduction: Mouthwashes contribute to the inhibition of bacterial plaque formation and, therefore, may help to maintain salivary pH close to neutral.
Objective: To identify changes in salivary pH in patients with fixed orthodontics after using a Stevia rebaudiana Bertoni solution and a commercial essential oil mouthwash.
Methods: A clinical experiment with a mixed factorial design was carried out in patients with fixed orthodontic appliances. Once informed consent was signed, thirty-two patients were randomly assigned to one of 2 groups: 2 % S. rebaudiana B. solution or a commercial essential oil mouthwash. Fifteen ml of mouthwash was used for 60 s in all patients. Salivary pH was measured by two independent calibrated observers using pH-measuring paper before rinsing (basal measurement) and after rinsing, after 5 and 20 min. The data were analyzed by mixed ANOVA.
Results: A statistically significant interaction was found between the type of treatment and the time of pH measurement. The medium pH of the S. rebaudiana and essential oil groups were respectively as per basal measurement: 6.61 and 6.52 (p = 0.72); after 5 min: 7.61 and 7.77 (p = 0.40); and after 20 min: 7.72 and 6.82 (p < 0.001).
Conclusions: Both mouthwashes had the effect of increasing salivary pH to alkaline levels after 5 min, but only the 2 % S. rebaudiana B. mouthwash maintained the basic pH after 20 min.
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Humphrey SP, Williamson RT. A review of saliva: Normal composition, flow, and function. J Prosthet Dent. 2001 Feb;85(2):162-9. doi: 10.1067/mpr.2001.113778
Kubala E, Strzelecka P, Grzegocka M, Lietz-Kijak D, Gronwald H, Skomro P, et al. A review of selected studies that determine the physical and chemical properties of saliva in the field of dental treatment. Biomed Res Int [Internet]. 2018 [citado 2021 Abr 2021]; 2018:6572381:[13 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5966679/
Dodds M, Roland S, Edgar M, Thornhill M. Saliva A review of its role in maintaining oral health and preventing dental disease. BDJ Team. 2015 Set;2(1):11-3. doi: 10.1038/bdjteam.2015.123
Vanishree T, Panchmal GS, Shenoy R, Jodalli P, Sonde L, Kundapur N. Changes in the oral environment after placement of fixed orthodontic appliance for the treatment of malocclusion - A descriptive longitudinal study. Oral Health Prev Dent. 2017 Oct;15(5):453-9. doi: 10.3290/j.ohpd.a38776
Contaldo M, Lucchese A, Lajolo C, Rupe C, Di Stasio D, Romano A, et al. The oral microbiota changes in orthodontic patients and effects on oral health: An overview. J Clin Med. 2021 Feb;10(4). doi: 10.3390/jcm10040780
Arab S, Nouhzadeh Malekshah S, Abouei Mehrizi E, Ebrahimi Khanghah A, Naseh R, Imani MM. Effect of fixed orthodontic treatment on salivary flow, pH and microbial count. J Dent (Tehran). 2016 Ene;13(1):18-22.
Alshehri FA. The use of mouthwash containing essential oils (LISTERINE®) to improve oral health: A systematic review. The Saudi Dental Journal. 2018 Ene;30(1):2–6. doi: 10.1016/j.sdentj.2017.12.004
Dehghan M, Tantbirojn D, Kymer-Davis E, Stewart CW, Zhang YH, Versluis A, et al. Neutralizing salivary pH by mouthwashes after an acidic challenge. J Invest Clin Dent. 2017 May;8(2):e12198. doi: 10.1111/jicd.12198
Chughtai MFJ, Pasha I, Zahoor T, Khaliq A, Ahsan S, Wu Z, et al. Nutritional and therapeutic perspectives of Stevia rebaudiana as emerging sweetener; a way forward for sweetener industry. CyTA - Journal of Food. 2020 Ene;18(1):164-77. doi:10.1080/19476337.2020.1721562
Usha C, Ramarao S, M John B, E Babu M. Anticariogenicity of stevia rebaudiana extract when used as a mouthwash in high caries risk patients: Randomized controlled clinical trial. World J Dent. 2017; Set-Oct;8(5):364-9. doi: 10.5005/jp-journals-10015-1466
Cerroni S, Pasquantonio G, Condò R, Cerroni L. Orthodontic fixed appliance and periodontal status: An updated systematic review. Open Dent J. 2018; Set;12:614–22. doi:10.2174/1745017901814010614
Alves KM, Goursand D, Zenobio EG, Cruz RA. Effectiveness of procedures for the chemical-mechanical control of dental biofilm in orthodontic patients. J Contemp Dent Pract [Internet]. 2010 Mar;11(2):041-048. Disponible en: http://www.thejcdp.com/journal/view/volume11-issue2-alves.
Tufekci E, Casagrande ZA, Lindauer SJ, Fowler CE, Williams KT. Effectiveness of an essential oil mouthrinse in improving oral health in orthodontic patients. The Angle Orthodontist. 2008; Mar;78(2):294–8. doi:10.2319/040607-174.1
Donis, José H. Tipos de diseños de los estudios clínicos y epidemiológicos. Avances en Biomedicina [Internet] 2013 [Citado 2021 Oct 20];2(2):76-99. Disponible en: https://www.redalyc.org/pdf/3313/331327989005.pdf
Brambilla E, Cagetti MG, Ionescu A, Campus G, Lingström P. An in vitro and in vivo comparison of the effect of Stevia rebaudiana extracts on different caries-related variables: A randomized controlled trial pilot study. Caries Res. 2014;48(1):19-23. doi:10.1159/000351650
Siraj ES, Pushpanjali K, Manoranjitha BS. Efficacy of stevioside sweetener on pH of plaque among young adults. Dent Res J (Isfahan). [Internet] 2019; [Citado 2021 Oct 20] Mar-Abr;16(2):104-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364349/
Contreras MS. Anticariogenic properties and effects on periodontal structures of Stevia rebaudiana Bertoni. Narrative review. J Oral Res. 2013;2(3):158–66. doi:10.17126/joralres.2013.034
Razak FA, Baharuddin BA, Akbar EFM, Norizan AH, Ibrahim NF, Musa MY. Alternative sweeteners influence the biomass of oral biofilm. Arch Oral Biol. 2017; Ago;80:180–4. doi:10.1016/j.archoralbio.2017.04.014
Metheny NA, Gunn EM, Rubbelke CS, Quillen TF, Ezekiel UR, Meert KL. Effect of pH test-strip characteristics on accuracy of readings. Critical Care Nurse. 2017 Jun;37(3):50–8. doi: 10.4037/ccn2017199
Anu V, Madan Kumar PD, Shivakumar M. Salivary flow rate, pH and buffering capacity in patients undergoing fixed orthodontic treatment - A prospective study. Indian J Dent Res. 2019 Ago;30(4):527-30. doi: 10.4103/ijdr.IJDR_74_16
Barreto Sánchez E. Efecto de la aparatología ortodóntica fija sobre el flujo y la viscosidad salival. Rev Mex de Ortod. 2020 Jul-Set;3(3):186–90 doi: 10.1016/j.rmo.2016.03.049.
Julien KC, Buschang PH, Campbell PM. Prevalence of white spot lesion formation during orthodontic treatment. Angle Orthod. 2013; Jul83(4):641–7. doi:10.2319/071712-584.1
de Slavutzky SMB. Stevia and sucrose effect on plaque formation. J Verbr Lebensm. 2010 May;5(2):213-6. doi: 10.1007/s00003-010-0555-5
Belardinelli PA, Morelatto RA, Benavidez TE, Baruzzi AM. Effect of two mouthwashes on salivary pH. Acta Odontol Latinoam. 2014;27(2):66–71.
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