Chlorhexidine vs Essential oils/herbal mouthwash: Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity
- Population
- Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them
- Intervention
- Chlorhexidine
- Comparison
- Essential oils/herbal mouthwash
- Outcome
- Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity
Chlorhexidine (CHX) led to lower reduction in level of contamination by particles >5 um (droplets) at… compared with essential oils/herbal mouthwash; GRADE not reported.
What each review found
Include earlier review versions| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Chlorhexidine (CHX) vs Essential oils/herbal mouthwash Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · 15 cm from mouth (essential oil mouthwash B) Chlorhexidine (CHX) led to lower reduction in level of contamination by particles >5 um (droplets) at… compared with essential oils/herbal mouthwash; GRADE not reported. Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane All outcomes | MD -44.1 [-59.12, -29.08] | 1 study · 20 participants | GRADE not reported |
Chlorhexidine (CHX) vs Essential oils/herbal mouthwash Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · pharynx level (patient level; not analysed) Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane All outcomes | Bay 1993 compared 0.12% CHX with essential oil mouthwash C (Listerine) at pharynx level (Andersen's level 2), which was considered patient level and hence was not analysed. No pooled estimate or GRADE rating. | 1 study | GRADE not reported |
Chlorhexidine (CHX) vs Essential oils/herbal mouthwash Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · assistant level Chlorhexidine (CHX) may leads to lower reduction in level of contamination by particles >5 um (droplets) at… compared with essential oils/herbal mouthwash (low certainty). Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane All outcomes | MD -12.21 [-15.58, -8.83] | 3 studies · 76 participants | Low |
Chlorhexidine (CHX) vs Essential oils/herbal mouthwash Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · operator level Chlorhexidine (CHX) may leads to lower reduction in level of contamination by particles >5 um (droplets) at… compared with essential oils/herbal mouthwash (low certainty). Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane All outcomes | MD -23.09 [-34.4, -11.78] | 3 studies · 76 participants | Low |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental healthcare providers 2022 · Cochrane All outcomes | 2022-02 | Not listed | Not assessed |
Related questions
The same intervention and outcome, asked in another population or against another comparator.
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- Chlorhexidine vs Water (distilled) · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental… · 1 review
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- Chlorhexidine vs povidone‐iodine · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental… · 1 review
- Chlorhexidine vs Normal saline · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental… · 1 review
- Chlorhexidine vs Ozonated water · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental… · 1 review
- Chlorhexidine vs No rinsing · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental… · 1 review
How reviews are matched to this question
Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.