Question · asked by 1 review

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
No studies found 0 · 0%GRADE not reported 2 · 50%Very low 0 · 0%Low 2 · 50%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE 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 participantsGRADE 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 studyGRADE 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 participantsLow
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 participantsLow

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental healthcare providers
2022 · Cochrane All outcomes
2022-02Not listedNot assessed

The same intervention and outcome, asked in another population or against another comparator.

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.