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 |
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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 |