Abstract

Volatile sulphur compounds (VSC) are the gases mainly responsible for halitosis (bad breath). The aim of this research was to evaluate the effects of medicinal plants on halitosis control. Two commonly used plants were tested: Curcuma zedoaria and Camellia sinensis (green tea). These plants were prepared as an aqueous solution and used as mouthwashes, compared with a standard mouthwash of 0.12% chlorhexidine gluconate and a placebo (water). The experiment was conducted with 30 volunteers from the School of Dentistry of São Jose dos Campos, Univ. Estadual Paulista - UNESP, SP, Brazil. Each volunteer tested the four mouthwashes. The Cysteine Challenge Method, modified for this study, was used for initial breath standardization. Four breath assessments were conducted after volunteers rinsed orally with acetylcysteine: one before the test mouthwash was used; the second, one minute after its use; a third 90 minutes later; and the last 180 minutes later. The results showed that chlorhexidine gluconate lowered VSC production immediately, and that this effect lasted up to 3 hours, while the tested plants had immediate inhibitory effects but no residual inhibitory effects on VSC. We concluded that Curcuma zedoaria and Camellia sinensis, prepared as infusions and used as mouthwashes, did not have a residual neutralizing effect on VSC.

Highlights

  • Halitosis is a condition frequently characterized by a disagreeable odor emanating from the oral cavity

  • The bacteria metabolize amino acids such as methionine, cystine, and cysteine,[5] resulting in the production of sulphur-containing gases, known as Volatile Sulphur Compounds (VSC), hydrogen sulfide (H2S) and methyl mercaptan (CH3SH), which are mainly responsible for bad breath.[1,6]

  • The results of this study showed that, 1 minute after subjects rinsed with the test mouthwash, there was a reduction in the concentration of VSC

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Summary

Introduction

Halitosis is a condition frequently characterized by a disagreeable odor emanating from the oral cavity. It mainly affects the adult population,[1] where its source is intra-oral (90% of cases)[2] or extra-oral (10% of cases), and treatment for the latter is much more complicated than that for intra-oral halitosis. Rigorous oral hygiene is recommended for all patients, especially those with halitosis, since its primary origin is oral, and the control of bacteria in the mouth is an important tool to combat halitosis. If halitosis persists even after oral hygiene, it is possible that bacterial control is insufficient, in which case patients are advised to gargle and rinse with mouthwashes.[7,8]

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