Use Of Mouthwash Research Articles

Use and efficacy of mouthwashes in elderly patients: A systematic review of randomized clinical trials

IntroductionA higher prevalence of oral problems has been observed in the elderly population. One of the treatment options for some of these pathologies is the administration of mouthwashes combined with mechanical removal techniques. Besides, each type of oral rinse treats certain oral diseases, and it should be selected for each specific situation. ObjectiveTo determine the use and efficacy of mouthwashes in the elderly as a treatment for various pathologies, to indicate the most common kinds of mouth-rinses used, the diseases treated with them, their efficacy in each treatment, and their effectiveness when they are combined with other treatments. Material and methodsThe review has been carried out following the PRISMA 2020 Statement. Individualized bibliographic searches were performed in five databases. Randomized clinical trials are included in patients over 60 years old where mouthwashes were administered to treat or prevent specific diseases. The PICO question aimed to assess what type of mouthwashes elderly patients use, what they use them for, and their efficacy. Study selection, data extraction, and quality analysis were achieved using the RoB-2 guide. ResultsThirteen articles were chosen to perform the qualitative analysis. The bibliometric analysis was carried out. We have eleven randomized controlled clinical trials and two uncontrolled. The mouthwash more used was chlorhexidine, followed by essential oils and fluorides. The most studied pathologies were a periodontal disease, caries, candidiasis, denture stomatitis, and xerostomia. Chlorhexidine used weekly is effective as antiplaque and antigingivitis. Fluorides effectively prevent and reverse caries; nystatin and essential oils to treat candidiasis; and pilocarpine rinse to manage xerostomia. ConclusionsThe included studies show that mouthwashes are widely extended in the elderly population, and each sort is specifically designed for treating a particular condition.

Factors associated with complications of submental intubation in 339 patients with facial fractures: A German retrospective cohort study

PurposeFor nearly four decades, submental intubation (SI) has been introduced and employed to avoid tracheostomy in facial trauma cases where nasal/oral intubation is infeasible or associated with possible risks. The purposes of this study were to estimate the frequency and to identify variables associated with complications of SI (CSI). MethodsThe authors organised a retrospective cohort study and enrolled a group of patients with facial trauma and SI during a seven-year interval at two German level one trauma centres where SI has routinely been used in complex facial trauma cases. The predictor variables included demographic, medical, dental, fracture-related, operative, and postoperative parameters. The outcome variable was CSI. We used descriptive, bivariate, and multivariate analyses at the 0.05 significant level. ResultsThe sample included 339 patients (24.5% females, 9.4% had complications) with an average age of 58.2 ± 12.0 years (range, 17–89). Bivariate analyses revealed nine significant variables. However, forward stepwise multiple logistic regression modelling identified three variables statistically associated with CSI: smoking (OR, 691.8; 95% CI, 75.9 to 6303.9; P < 0.0001; number needed to harm [NNH], 6), moderate to high gingival inflammation (OR, 786.7; 95% CI, 66 to 9378.9; P = 0.002; NNH, 12), and postoperative use of chlorhexidine mouthwash (OR, 0.03; 95% CI, 0.001 to 0.77; P = 0.0003; number needed to treat [NNT], 2). Conclusionssmokers and subjects with gingivitis were more likely to experience CSI. Postoperative chlorhexidine rinsing was the potentially modifiable, albeit low-OR, factor. These findings could help to draw an effective guideline against the CSI.

The effects of mouth rinsing and gargling with mouthwash containing povidone-iodine and hydrogen peroxide on the cycle threshold value of Severe Acute Respiratory Syndrome Coronavirus 2: A randomized controlled trial of asymptomatic and mildly symptomatic patients

Background: Coronavirus disease 2019 can spread rapidly. Surgery in the oral cavity poses a high risk of transmission of severe acute respiratory syndrome coronavirus 2. The American Dental Association and the Centers for Disease Control and Prevention recommend the use of mouthwash containing 1.5% hydrogen peroxide (H2O2) or 0.2% povidone iodine (PI) to reduce the viral load in the upper respiratory tract and decrease the risk of transmission. The aim of the present study was to analyze the effect of mouth rinsing and gargling with mouthwash containing 1% PI, 0.5% PI, 3% H2O2, or 1.5% H2O2 and water on the cycle threshold (CT) value obtained by real-time reverse transcription polymerase chain reaction (RT-PCR). Methods: This study is a randomized single blind controlled clinical trial which has been registered in the International Standard Randomized Controlled Trial Number (ISRCTN) registry on the 3rd February 2022 (Registration number: ISRCTN18356379). In total, 69 subjects recruited from Persahabatan General Hospital who met the inclusion criteria were randomly assigned to one of four treatment groups or the control group. The subjects were instructed to gargle with 15 mL of mouthwash for 30 s in the oral cavity followed by 30 s in the back of the throat, three times per day for 5 days. CT values were collected on postprocedural days 1, 3, and 5. Results: The results of the Friedman test significantly differed among the groups (n=15). The CT values increased from baseline (day 0) to postprocedural days 1, 3, and 5. Conclusions: Mouth rinsing and gargling with mouthwash containing 1% PI, 0.5% PI, 3% H2O2, or 1.5% H2O2 and water increased the CT value.

An update on the efficacy of mouthwash use

An update on the efficacy of mouthwash use

An update on the efficacy of mouthwash use

An update on the efficacy of mouthwash use

Effect of an herbal mouthwash on periodontal indices in patients with plaque-induced gingivitis: A cross-over clinical trial.

Background. Recent advances in alternative medicine have led to the introduction of various new herbal products for treating gingivitis as the most prevalent gingival disease. The present study clinically evaluated the effect of a herbal mouthwash consisting of 5 herbal extracts (Myrtus communis, Quercus brantii, Punica granatum, Portulaca olerace, and Boswellia serrata) on periodontal indices. Methods. Fifty patients with plaque-induced gingivitis were included in this randomized, dou-ble-blinded clinical trial and divided into two groups. Following scaling and root planing (SRP), they were prescribed 0.2% chlorhexidine (CHX) (group 1) and herbal mouthwash (group 2) twice a day for 14 days. Both groups received saline mouthwash for the subsequent 14 days (wash-out time). Then, they used the mouthwashes in a cross-over manner for an additional two weeks. Probing pocket depth (PPD), gingival index (GI), bleeding on probing (BOP), and plaque index (PI) were recorded at baseline and after each period of mouthwash use. The data were analyzed by SPSS software, using generalized estimating equation (GEE) linear regression and paired t-test. P<0.05 was considered sta-tistically significant. Results. Both groups exhibited statistically significant improvements in the periodontal indices compared to the baseline (P<0.05); however, there were no significant differences between the two study groups in this regard. Conclusion. The experimental herbal mouthwash improved the periodontal condition in plaque-induced gingivitis after two weeks, comparable to the effect of %0.2 CHX mouthwash in terms of PPD, BOP, PI, and GI.

THE DIFFERENCE IN SALIVARY pH ON REMOVABLE ORTHODONTIC APPLIANCE BEFORE AND AFTER IMMERSION WITH SORBITOL

Orthodontic treatment with removable orthodontic appliances requires the patient's commitment to use the appliance in the mouth at a certain time. It can lead to specific changes in the mouth, such as a decrease in the level of acidity or pH of the mouth, which may be associated with increased biofilm accumulation. The acidity level of saliva in the mouth is an important factor in several oral problems, such as dental caries and periodontal disease. The use of mouthwash is still one of the simple ways that are widely used to overcome these problems. Among the many types of mouthwash on the market, sorbitol mouthwash is an option that can be used to prevent changes in the acidity level of saliva from reaching a critical value of &lt; 5.5 and endangering the oral health of orthodontic patients. This study aims to determine the change in salivary pH of patients in orthodontic treatment with removable appliances before and after immersion with sorbitol mouthwash. The research method was an experimental laboratory study conducted with pre-test and post-test designs involving 33 samples divided into three groups, each consisting of 11 samples. Immersion time is divided into three categories, namely 15, 30, and 60 seconds. A pH indicator measures the level of saliva acidity. The results show that there are different changes in pH in each period of immersion. The conclusion was that immersion in sorbitol mouthwash resulted in changes in the pH level of saliva in removable orthodontic appliances, and the sufficient soaking time is 15 seconds.

Preventive Effect of Professional Fluoride Supplements on Enamel Demineralization in Patients Undergoing Fixed Orthodontic Treatment: A Systematic Review and Meta-Analysis.

The current study aimed to systematically review the randomized clinical trials assessing the preventive effect of professional fluoride interventions on enamel demineralization in patients undergoing fixed orthodontic treatment. The electronic search was performed in PubMed and Cochrane library in September 2021. No restriction was set on the publication date. Randomized clinical trials assessing the preventive effect of fluoride varnish, gel, mouthwash, and high-fluoride toothpaste on white spot lesions compared to the control group by clinical or radiographic methods in more than 10 patients were included. A total of 7 articles consisting of 1418 participants were included. In 4 articles, fluoride varnish (contained a range of 1000-50 000 ppm fluoride) was applied multiple times (4-20 times) in test groups. Their results indicated that the test groups significantly had lesser new white spot lesions or advanced white spot lesions. One study used fluoride varnish only once at the beginning of treatment and reported no significant difference in white spot lesions compared to the control group. Application of high-fluoride toothpaste as well as fluoride mouthwash, also, showed significantly lower white spot lesions. Three studies were included in the meta-analysis and revealed that the relative risk of white spot lesions was 0.64 (95% CI = 0.40 to 0.89; P < .01) in favor of fluoride varnish. Multiple applications (4-20 times) of fluoride varnish or daily use of fluoride mouthwash or high-fluoride toothpaste seem to reduce white spot lesions in patients undergoing orthodontic treatment. However, single use of fluoride varnish was not effective. Further research is needed to establish the required number of fluoride applications for the prevention of white spot lesions during orthodontic treatment.

Cymbopogon citratus Essential Oil Increases the Effect of Digluconate Chlorhexidine on Microcosm Biofilms.

The aim of this study was to evaluate the effect of the Cymbopogon citratus essential oil and its association with chlorhexidine on cariogenic microcosm biofilm composition and acidogenicity. Minimum inhibitory and bactericide concentrations from the essential oil and chlorhexidine were determined by broth microdilution assay. Microcosms (polymicrobial) biofilms were produced on glass coverslips, using inoculum from human saliva in McBain culture medium (0.5% sucrose exposure for 6 h/day) for 3 days in 24-well plates. The biofilms were treated twice a day and their composition was evaluated by microorganism quantification. The acidogenicity was evaluated by measuring the pH of the spent culture medium in contact with the biofilm. Overall, the association of C. citratus and chlorhexidine reduced total bacterial counts and aciduric bacteria (maximum reduction of 3.55 log UFC/mL) in microcosm biofilms. This group also presented the lowest acidogenicity even when exposed to sucrose-containing medium. C. citratus essential oil increases the effect of digluconate chlorhexidine on microcosm biofilms. Based on these findings, this study can contribute to the development of new formulations that might allow for the use of mouthwashes for a shorter period, which may reduce undesirable effects and increase patient compliance to the treatment.

Formulation and evaluation of antibacterial nanoemulsion mouthwash from active fraction of lemongrass stem (Cymbopogon Nardus)

Currently, the use of pharmaceutical preparations based on natural ingredients has begun to be in great demand by the public. This is because the use of synthetic drugs has weaknesses such as being able to cause resistance. Dental caries is one of the most common oral diseases in humans. One of the plants that has the potential to be used as an antibacterial in the oral cavity is Lemongrass (Cymbopogon Nardus L.). The use of emulsion mouthwash in the oral cavity is one of the treatments that is still being carried out. Mouthwash with nano size has advantages such as being able to enter the body more easily. This study aims to determine the physical properties of mouthwash nanoemulsion ethyl acetate extract of Serai Wangi (Cymbopogon Nardus L.) by evaluating the preparation. The nanoemulsion mouthwash was made with the composition of Palm Oil as the oil phase, 96% ethanol as the cosurfactant, Tween 80 as the surfactant, and phosphate buffer pH 6 as the water phase. Then the mixture was stirred at a speed of 1000 rpm and sonicated and then tested for evaluation of the preparation including pH test, homogeneity test, organoleptic test, centrifugation test and transmittance test using UV-Vis Spectrophotometer. The results of the analysis of the entire nanoemulsion formula showed that the more the mangosteen rind extract was incorporated into the oil phase, the more concentrated the color of the nanoemulsion formed and the smaller the percentage of transmittance produced.

Effects of mouthwash with essential oils on dental plaque and gingivitis

The advice for daily oral care is to brush teeth twice a day with toothpaste containing fluoride and to practice interdental cleaning. The use of mouthwash with essential oils is not part of this advice, but is sometimes recommended when daily oral care is insufficient, or if mechanical cleaning is temporarily difficult or impossible. The results of a systematic literature review show that there is sufficient evidence, of moderate methodological quality, mouthwash with essential oils can reduce dental plaque and gingivitis. Oral care professionals can recommend mouthwash with essential oils as an adjunct to daily oral care.

Clinical Prospective Assessment of Genotoxic and Cytotoxic Effects of Fluoride Toothpaste and Mouthwash in Buccal Mucosal Cells.

Background: Fluorides are an essential component of oral hygiene products used to prevent dental decay. Therefore, a question arises about the potential harms of joint use of fluoridated toothpaste and mouthwashes regarding the increased amount of fluoride in the oral mucosa. Methods: This prospective, double-blinded parallel randomized clinical trial was conducted using a buccal micronucleus cytome assay (BMCyt assay). Forty-one participants were randomly assigned to the two groups. All participants used the same kinds of toothpaste for 12 weeks, designed explicitly for this study (non-fluoride, 1050 ppm F, and 1450 ppm F each for 4 weeks). Simultaneously, during the 3 months of the research, one group used mouthwash with fluoride (450 ppm) and another without fluoride. The buccal mucosal sampling was taken before using the tested products and after 4, 8, and 12 weeks of their use. Results: The frequency of micronuclei and the majority of other scored endpoints from the BMCyt assay showed no statistically significant differences within and between the studied groups. Comparing two groups, only statistically significant increases in the number of cells with nuclear buds (p = 0.048) and karyorrhexis (p = 0.020) at four weeks of usage were observed in the group that used mouthwash with fluoride. Conclusion: On the basis of the results, it can be concluded that simultaneous application of fluoridated toothpaste and fluoride mouthwash does not lead to cytogenetic damage in buccal mucosal cells.

Randomised controlled trial comparing the clinical effectiveness of mouthwashes based on essential oils, chlorhexidine, hydrogen peroxide and prebiotic in gingivitis treatment.

The present clinical study aimed to investigate the clinical efficacy of 5 types of mouthwash based on different active substances. The study included 180 patients divided into 6 groups of 30 patients, each group rinsing with one of the following types of mouthwash based on: essential oils, combination of essential oils and 0.12% chlorhexidine, hydrogen peroxide (0.8%), prebiotic, 0.2% chlorhexidine, and placebo. All participants underwent professional mechanical plaque removal after which they were instructed to rinse with 15 ml mouthwash 2 times a day for 21 days. During the study period, patients were monitored at days 0, 14, and 21, examining oral hygiene index, gingival index, bleeding index, and presence of side effects. Gingival index, bleeding index, and oral hygiene index were reduced statistically significantly in all treatment groups. Adjunctive use of mouthwashes demonstrated better clinical effectiveness compared to mechanical plaque control (and placebo mouthwash). The gingival index and the plaque index were reduced most significantly in the group using mouthwash with hydrogen peroxide. The bleeding index decrease was most significant in the group using 0.2% chlorhexidine. All tested mouthwashes demonstrated significant clinical effectiveness in different degrees in gingivitis treatment. New formulas with prebiotic and combination of essential oils and chlorhexidine indicate promising effectiveness.

Effects of chlorhexidine use on periodontal health during fixed appliance orthodontic treatment: a systematic review and meta-analysis.

Proper oral hygiene and absence of periodontal inflammation is pre-requisite for orthodontic treatment. Chlorhexidine (CHX) is an established oral antiseptic used in the treatment of periodontal disease, but its role in orthodontic therapy is unclear. To assess the efficacy of adjunct use of CHX-containing products in maintaining gingival health among orthodontic patients with fixed appliances. Five databases were searched without limitations up to August 2021. Randomized clinical trials (RCTs) assessing Gingival Index (GI) (primary outcome), Plaque Index (PI), Bleeding Index (BI), or Pocket Probing Depth (PPD). Study selection, data extraction, and risk of bias assessment were done independently in duplicate. Random-effects meta-analyses of mean differences (MDs) or standardized mean differences (SMDs) with their 95% confidence intervals (CIs) were conducted, followed by sensitivity and Grades of Recommendations, Assessment, Development and Evaluation analysis. Twenty RCTs (1001 patients) were included assessing CHX-containing mouthwashes (n = 11), toothpastes (n = 2), gels (n = 3), or varnishes (n = 4) compared to placebo/control (n = 19) or sodium fluoride-products (n = 4). In the short-term, CHX-containing mouthwash was associated with lower GI (n = 9; MD = -0.68; 95% CI = -0.97 to -0.38; P < 0.001; high quality), lower PI (n = 9; MD = -0.65; 95% CI = -0.86 to -0.43; P < 0.001; high quality), lower BI (n = 2; SMD = -1.61; 95% CI = -2.99 to -0.22; P = 0.02; low quality), and lower PPD (n = 2; MD = -0.60 mm; 95% CI = -1.06 to -0.14 mm; P = 0.01; low quality). No considerable benefits were found from the use of CHX-gel or CHX-varnish in terms of GI, PI, or PPD (P > 0.05/low quality in all instances). Use of a CHX-containing toothpaste was more effective in lowering PI (Heintze-index) than adjunct use of fluoride-containing mouthwash (n = 2; MD = -5.24; 95% CI = -10.46 to -0.02; P = 0.04), but not GI (P = 0.68) or BI (P = 0.27), while sensitivity analyses indicated robustness. Adjunct use of CHX mouthwash during fixed-appliance treatment is associated with improved gingival inflammation, plaque control, and pocket depths, but caution is warranted and recommendations about CHX use during orthodontic treatment of children/adults should consider the heterogeneous patient response, cost-effectiveness, and potential adverse effects. PROSPERO registration (CRD42021228759).

Preparation and pharmaceutical properties of Hangeshashinto oral ointment and its safety and efficacy in Syrian hamsters with 5-fluorouracil-induced oral mucositis

Chemotherapy-induced oral mucositis (COM) is a common adverse effect of cancer chemotherapy. Several clinical studies reported that repetitive use of mouthwashes containing 2.5–6.25% Hangeshashinto (HST), a Kampo formula, relieves COM, but the effect is insufficient. To solve this problem, we produced an oral ointment of 12% HST extract (considered quantitatively equivalent to 20% commercially available HST), which will increase the local concentrations of its active ingredients and prolong the contact time with COM. In this study, we evaluated the pharmaceutical properties (spreadability and stability) of HST oral ointment. In addition, its safety (oral mucosal irritation) and therapeutic effects on 5-fluorouracil-induced oral mucositis were evaluated in male Syrian hamsters. The HST ointment showed good spreadability and stability for more than 8 weeks at 4 °C. In the oral mucosal irritation test, topical application of HST ointment (0.2 g) three times per day for 14 days had no adverse effect on the oral mucosa of hamsters. In hamsters treated with 5-fluorouracil (60 mg/kg) twice, COM was induced by a submucosal injection of 5% acetic acid into the cheek pouch. When HST ointment (50 µg) was topically applied to the mucositis area once per day for 12 days, the area and macroscopic score of mucositis were significantly decreased, and the depth of the wound tended to be reduced compared with the lactose ointment-treated control animals. These findings suggest that HST oral ointment shows good properties in spreadability, stability, and safety, and elicits a therapeutic effect in an animal model of COM.Graphical abstract

THE ASSOCIATION BETWEEN THE USE OF MOUTHWASH AND THE DEVELOPMENT OF HAIRY TONGUE: A CASE REPORT

A 60-year-old White female patient presented with the chief complaint of 3-month loss of taste while using an over-the-counter flask of mouthwash per day during this period. Her medical history was not contributory. Intraoral examination revealed that the dorsal surface of the tongue was covered by a soft layer of elongated filiform papillae, presenting a brownish coloration, which confirmed the diagnosis of hairy tongue associated with ageusia. Complementary exams were not necessary because the diagnosis was obtained through clinical examination. A few articles in the literature suggest that agents present in some mouthrinses may increase the risk of hairy tongue and cause dysgeusia. Therefore, in this case, the use of mouthwash was discontinued, and the patient received instructions about oral hygiene. In the follow-up, regression of the hairy tongue was observed, and the patient reported the return of the taste sensitivity. A 60-year-old White female patient presented with the chief complaint of 3-month loss of taste while using an over-the-counter flask of mouthwash per day during this period. Her medical history was not contributory. Intraoral examination revealed that the dorsal surface of the tongue was covered by a soft layer of elongated filiform papillae, presenting a brownish coloration, which confirmed the diagnosis of hairy tongue associated with ageusia. Complementary exams were not necessary because the diagnosis was obtained through clinical examination. A few articles in the literature suggest that agents present in some mouthrinses may increase the risk of hairy tongue and cause dysgeusia. Therefore, in this case, the use of mouthwash was discontinued, and the patient received instructions about oral hygiene. In the follow-up, regression of the hairy tongue was observed, and the patient reported the return of the taste sensitivity.

RECESSIVE DYSTROPHIC EPIDERMOLYSIS BULLOSA: A DENTAL CARE PROTOCOL TO IMPROVEMENT ON LIFE QUALITY

A 9-year-old female patient with recessive dystrophic epidermolysis bullosa (EB) complained of ulcerated intraoral lesions. Ulcerations in the oral mucosa, lip, and tongue; difficulty in moving the tongue; and carious lesions were observed. A panoramic radiograph was requested. Prior to restorative dental care, the use of mouthwash with 0.12% chlorhexidine 2 × /day was recommended. Bepantol lip balm was supposed to be applied on the lips. Atraumatic restorative treatment was performed using CIV-Ketac Molar. After the procedures, topical oral use of dexamethasone, nystatin, and artificial saliva gel were recommended. Prophylaxis, topical application of fluoride, and indication of sealant were performed after 4 months, and for 2 months, low-power laser therapy (100 mW, 2 J/cm², 20 seconds) was performed. There was a considerable improvement in the condition and the patient is still being monitored.

Walnut consumption as a cause of black tongue: A case report

Oral staining can be secondary to intrinsic or extrinsic environmental factors [1]. Extrinsic staining is recognized mostly on dental surfaces and is commonly associated with the use of chlorhexidine mouthwash [2,3,4], certain toothpastes [5], and frequent intakes of tea and/or coffee [6,7]. When the discoloration appears on a mucosal surface, the clinician should be careful to take a thorough history and build a differential diagnosis based on the findings.

Gender Differences in Oral Health Knowledge and Practices Among Adults in Jeddah, Saudi Arabia.

AimTo determine the knowledge and practices of adults regarding oral health and to determine the associated gender differences.MethodsA cross-sectional study design was used in Jeddah, Saudi Arabia, and a total of 1330 adults participated. Data were collected using self-administered validated questionnaire to gather information about sociodemographic data, oral health knowledge and practices. The scores of the oral health knowledge were calculated. Linear and logistic regressions were used to evaluate and compare the oral health knowledge and practices between males and females.ResultsFemales had a significantly higher mean oral health knowledge score (8.5 ± 1.5) than males (8.1 ± 1.7). Regarding oral health practices, female participants reported a higher frequency of tooth brushing and mouthwash use than males (p = 0.001). The percentage of females who visited the dentist for check-ups and cleaning was significantly higher compared to males (41.5% and 35.2%, respectively). Participants with a university-level education showed a significantly higher knowledge score (coefficient = 0.27; 95% CI: −0.46 to 0.46). Respondents who were less than 40 years old brushed their teeth more than twice a day compared to older individuals (OR = 1.51; 95% CI: 1.06 to 2.13). Nonsmokers had better knowledge, and brushing their teeth twice daily was more likely among them (OR = 0.76; 95% CI: 0.59 to 0.99).ConclusionAmong the adult population, females were more knowledgeable about their oral health and exhibited better practices than males.

Oral care and protocols in cancer patients

With the passage of time and new emerging techniques significant progression is seen in cancer treatment modalities. However, oral care of the cancer patients is of utmost importance since chemotherapy notably impacts the oral health of cancer patient’s majorly causing mucositis and various other infections. Oral problems are more common in cancer patients, and 80% of patients suffer from them. These oral problems have a profound effect on a patient's ability to eat, drink, and speak and are often accompanied by pain, which can lead to increased demand for systemic drugs, longer hospital stays, and an increased risk of life-threatening system infections. The aim of this research is to review the available information about the oral care and protocols in cancer patients. The dentist's role in the integrated care of oncology patient includes ongoing involvement from diagnosis to end. Various protocols are advised in literature which include the use of dental floss and mouthwash, prior to chemotherapy in oral hygiene procedures, requirement of comprehensive clinical and radiographic examinations when assessing oral health, antibiotic prophylaxis, extractions and certain other protocols. Basic oral care which refers to actions that should be included in a general patient care throughout cancer treatment to maintain good oral health and reduce the risk of local inflammation and infection, is essential for cancer patients. However, future clinical and comprehensive research into oral care protocols among cancer patients could further strengthen the literature and highlight the role of the dentist in this regard.