Effect of Inhabitation Mouthwash Solution Containing Chlorine Dioxide (Pro Fresh<sup>®</sup>) on Oral Malodor

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.