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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=54108#.VO2BZSzQrzE
Author(s)
Masaki Sawa1,2*, Senichi Suzuki1, Masakazu Azuma1, Tomoko Yoshizawa1, Kaiho Otomi3, Takuji Yamaguchi4, Hiroyuki Kobayashi1,4
Affiliation(s)
1Department of Hospital Administration, Juntendo University Graduate School of Medicine, Tokyo, Japan.
2Sawa Dental Office, Aichi, Japan.
3Department of Emergency and Disaster Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
4Center for Advanced Kampo Medicine and Clinical Research, Juntendo University Graduate School of Medicine, Tokyo, Japan.
2Sawa Dental Office, Aichi, Japan.
3Department of Emergency and Disaster Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
4Center for Advanced Kampo Medicine and Clinical Research, Juntendo University Graduate School of Medicine, Tokyo, Japan.
ABSTRACT
Recently,
the interest in oral malodor has been grown and the number of people
having trouble with oral malodor is increasing year by year. Generally,
as the branch of medicine which deals with patients complaining about
oral malodor, dentistry is mostly chosen. On the current situation,
however, the dental office side typically finds it difficult to deal
with several kinds of oral malodor which show no improvement even though
cavities or periodontal disease is completely cured. Main components to
cause oral malodor are volatile sulfur compounds (methyl mercaptan,
dimethyl sulfide, hydrogen sulfide); in the present study, therefore,
the effect of mouthwash solution containing chlorine dioxide to relieve
oral malodor and increase saliva production was tested. The subjects
were 92 patients (Control group: 2 males, 3 females, age; 30.8 ± 4 years
old, Mouthwash group: 28 males, 59 females, age: 36.9 ± 1.3 years old)
who visited the hospital complaining about oral malodor. Intraoral gas,
exhaled gas, the saliva production at rest, the ability for salivation
and the buffering ability of saliva were examined twice, before the
subjects used the mouthwash solution every day for one month. The simple
chromatography oral chroma, which was insulated from the influence of
temperature and humidity and also was able to measure with a high degree
of accuracy, was used to measure odor as the device analysis method.
The control group did not change in VSCs, saliva production and the
buffering ability of saliva. After using mouthwash solution, the
concentration of the 3 major components gas of intraoral gas and exhaled
gas, i.e. methyl mercaptan, dimethyl sulfide, hydrogen sulfide,
were all decreased. As for hydrogen sulfide, intraoral gas (from 225.8 ±
28.1 ppb to 41.1 ± 8.8 ppb) and exhaled gas (from 212.0 ± 50.4 ppb to
34.6 ± 16.6 ppb) was significantly decreased. Also, saliva production at
rest (from 1.3 ± 0.1 ml to 1.7 ± 0.1 ml) and the ability to salivate
(from 4.5 ± 0.3 ml to 5.1 ± 0.3 ml) were both significantly increased.
As for the buffering ability of saliva, significant changes were not
detected on the change of salivary pH after using mouthwash solution,
and it did not have any effects on the buffering ability of saliva. In
conclusion, these results suggest that the mouthwash solution containing
chlorine dioxide has significant effects on inhibiting malodor.
Cite this paper
References
Sawa,
M. , Suzuki, S. , Azuma, M. , Yoshizawa, T. , Otomi, K. , Yamaguchi, T.
and Kobayashi, H. (2015) Effect of Inhabitation Mouthwash Solution
Containing Chlorine Dioxide (Pro Fresh®) on Oral Malodor. Health, 7, 211-219. doi: 10.4236/health.2015.72025.
| [1] | Kakuta, M., Kita, N., Kubo, N., Kakuta, H., Fukuda, M. and Honda, S. (2010) The Committee of the Japanese Academy of Malodor Syndrome Guideline Development. Journal of the Japanese Academy of Malodor Syndrome, 1, 28-29. |
| [2] | Okuda, K. (2013) Oral Malodor Caused by Dental Bilfilm Chronic Infectious Diseases. Journal of the Japanese Academy of Malodor Syndrome, 4, 3-8. |
| [3] | Ikeda, Y., Niikura, A., Yamamoto, K., Okamoto, M., Nakamura, S., Yashima, A., Kakuta, E., Maeda, N. and Nakagawa, Y. (2014) Significance of Performing Quantitative Analysis of Bacteria on the Dorsum of the Tongue. Journal of the Japanese Academy of Malodor Syndrome, 5, 29-34. |
| [4] | Bosy,
A., Kulkarni, G.V., Rosenberg, M. and McCulloch, C.A. (1994)
Relationship of Oral Malodor to Periodontitis: Evidence of Independence
on Discrete Subpopulations. Journal of Periodontology, 65, 37-46. http://dx.doi.org/10.1902/jop.1994.65.1.37 |
| [5] | De
Boever, E.H. and Loesche, W.J. (1995) Assessing the Contribution of
Anaerobic Microflora of the Tongue to Oral Malodor. The Journal of the
American Dental Association, 126, 1384-1393. http://dx.doi.org/10.14219/jada.archive.1995.0049 |
| [6] | Gochi, T., Tanaka, T. and Sato, T. (2004) Effect is of Tongue Cleaning and Mouthwash on Physiological Breath Odor Determined by Volatile Sulphur Compounds Concentrations in Mouth Air and Bacteria Counts in Tongue Goat. Journal of Dental Health, 54, 539-549. |
| [7] | Sato, S., Fukuda, M. and Mitani, A. (2011) The Relationship between Periodontopathic Bacteria and Tonsillitis in Oral or Pharynx of Halitosis Patients: The Aichi-Gakuin Journal of Dental Science, 49, 497-503. |
| [8] | Roldán, S.1., Herrera, D. and Sanz, M. (2003) Biofilms and the Tongue; Therapeutical Approaches for the Control of Halitosis. Clinical Oral Investigations, 7, 189-197. |
| [9] | van
den Broek, A.M., Feenstra, L. and de Baat, C. (2008) A Review of the
Current Literature on Management of Halitosis. Oral Diseases, 14, 30-39.
http://dx.doi.org/10.1111/j.1601-0825.2006.01350.x |
| [10] | Takeuchi, N., Tamaki, N., Esaki, M., Honda, S. and Morita, M. (2011) Effect of Long-Term Use of Commercial Mouthwash Solution Containing Chlorine Dioxide (ProFresh®) on Oral Malodor. Journal of the Japanese Academy of Malodor Syndrome, 2, 3-10. |
| [11] | Silwood,
C.J., Grootveld, M.C. and Lynch, E. (2001) A Multifactorial
Investigation of the Ability of Oral Health Care Products (OHCPs) to
Alleviate Oral Malodor. Journal of Clinical Periodontology, 28, 634-641. http://dx.doi.org/10.1034/j.1600-051x.2001.028007634.x |
| [12] | Shibuya, K. (2001) Constituents and Origins of Physiological Malodor. Journal of Dental Health, 51, 778-792. |
| [13] | Tonzetich,
J. (1971) Direct Gas Chromatographic Analysis of Sulphur Compounds in
Mouth Air in Man. Archives of Oral Biology, 16, 587-597. http://dx.doi.org/10.1016/0003-9969(71)90062-8 |
| [14] | Taegaki,
K. and Sanada, K. (1992) Volatile Sulfur Compounds in Mouth Air from
Clinically Healthy Subjects and Patients with Periodontal Disease.
Journal of Periodontal Research, 27, 233-238. http://dx.doi.org/10.1111/j.1600-0765.1992.tb01673.x |
| [15] | Setoguchi,
T., Makino, F., Kameyama, H., Seto, Y., Yotsumoto, Y., Izumi, Y. and
Sueda, T. (1999) Relationship between Volatile Sulfur Compounds in Mouth
Air and Clinical Status in Patients Complaining of Oral Malodor.
Journal of the Japanese Society of Periodontology, 41, 302-311. http://dx.doi.org/10.2329/perio.41.302 |
| [16] | Koshimune,
S., Awano, S., Gohara, K., Kurihara, E., Ansai, T. and Takehara, T.
(2003) Low Salivary Flow and Volatile Sulfur Compounds in Mouth Air.
Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and
Endodontology, 96, 38-41. http://dx.doi.org/10.1016/S1079-2104(03)00162-8 |
| [17] | Tonzetich, J. (1973) Oral Malodor: An Indicator of Health Status and Oral Cleanliness. International Dental Journal, 28, 309-319. |
| [18] | Yaegaki,
K. and Sanada, K. (1992) Biochemical and Clinical Factors Influencing
Oral Malodor in Periodontal Patients. Journal of Periodontology, 63,
783-789. http://dx.doi.org/10.1902/jop.1992.63.9.783 |
| [19] | Persson,
S., Claesson, R. and Carlsson, J. (1989) The Capacity of Subgingival
Microbiotas to Produce Volatile Sulfur Compounds in Human Serum. Oral
Microbiology and Immunology, 4, 169-172. http://dx.doi.org/10.1111/j.1399-302X.1989.tb00246.x |
| [20] | Ishikawa, M. and Shibuya, K. (2004) Influence Which Periodontosis Has on the Health of the Whole Body: Relevance of Bad Breath and Periodontosis. “New Health Science Construction a Bridge: The Health of Periodontosis and the Whole Body Is Considered” (The LION Foundation for Dental Health). Ishiyaku Publishers Inc., Tokyo, 216-225. |
| [21] | Kamoi, K., Hanada, N., Satou, T. and Nomura, Y. (2007) Preventive Periodontology. Ishiyaku Publishers Inc., Tokyo, 157-160. eww150225lx |
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