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. 2014 Sep 18;2014:1305.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Adverse effects

RCT
40 people Mean change in tongue discoloration score from baseline (assessed using the Winkel tongue discoloration index [measured in 6 tongue areas; range 0 = no discoloration to 12 = severe discoloration]) 2 weeks
+2.8 with mouthwash containing chlorhexidine plus cetylpyridinium chloride plus zinc lactate
+0.3 with placebo mouthwash

P <0.002
Effect size not calculated placebo mouthwash

RCT
40 people Tooth staining 2 weeks
with mouthwash containing chlorhexidine plus cetylpyridinium chloride plus zinc lactate
with placebo mouthwash
Absolute results not reported

Reported as non-significant
P value not reported
Not significant

RCT
4-armed trial
99 people Adverse effects 4 weeks
with mouthwash containing cetylpyridinium chloride
with chlorine dioxide plus zinc mouthwash
with essential oil mouthwash
with placebo mouthwash
Absolute results not reported

4 people were excluded or withdrew after randomisation
Analysis not by intention-to-treat

RCT
4-armed trial
174 people Discoloration of at least 1 upper anterior or incisor tooth day 21
8/44 (18%) with amine fluoride/stannous fluoride, zinc lactate, oral malodour counteractives mouthwash
10/44 (23%) with chlorhexidine, cetylpyridinium chloride, and zinc lactate mouthwash
13/44 (30%) with chlorhexidine mouthwash
5/44 (11%) with placebo mouthwash (tap water)

Reported as not significant
Not significant