A Fresh Look at Mouthwashes-What Is Inside and What Is It For?

Int J Environ Res Public Health. 2022 Mar 25;19(7):3926. doi: 10.3390/ijerph19073926.

Abstract

Mouthwashes are a very popular additional oral hygiene element and there are plenty of individual products, whose compositions are in a state of flux. The aim of our study was to investigate the compositions of mouthwashes and their functions, as well as to discuss their effectiveness in preventing and curing oral diseases and side effects. We searched for mouthwashes available on the market in Poland. We identified 241 individual mouthwash products. The extraction of compositions was performed and functions of the ingredients were assessed. Then, analysis was performed. The evaluation revealed that there are plenty of ingredients, but a typical mouthwash is a water-glycerine mixture and consists of additional sweetener, surfactant, preservative, and some colourant and flavouring agent, as well as usually having two oral health substances, anticaries sodium fluoride and antimicrobial essential oils. The effectiveness or side effects of several substances of mouthwashes were thoroughly discussed. We recommend not multiplying individual mouthwash products and their ingredients beyond medical or pharmaceutical necessity, especially without scientific proof.

Keywords: essential oils; ethanol; glycerine; mouthwashes; oral diseases; oral hygiene; sodium bicarbonate; stannous fluoride; zinc compounds.

MeSH terms

  • Anti-Infective Agents*
  • Mouthwashes / therapeutic use
  • Oils, Volatile*
  • Poland
  • Sodium Fluoride

Substances

  • Anti-Infective Agents
  • Mouthwashes
  • Oils, Volatile
  • Sodium Fluoride