Trend in the use of mouthwashes as a biosecurity measure in dental care in the post COVID-19 context: narrative review
Abstract
Objective: To know the trend in the use of mouthwashes as a biosafety measure for dental care for the post-COVID-19 context. Method: The bibliographic search was carried out in the EBSCO, Scopus, PubMed databases, in the Virtual Health Library, and in the Google Scholar search engine, some of the descriptors used were "mouthwashes", "COVID-19", “SARS-CoV-2”, “aerosols”, among others. Initially, 114 articles were selected, of which 19 were discarded in duplicate, 34 because they were not directly related to the objective of the study and 24 because they did not meet the inclusion criteria, to finally select 38 articles. Main results: Both povidone-iodine and cetylpyridinium chloride had a virucidal effectiveness against SARS-CoV-2 of 99.99%. Overall conclusion: The use of povidone-iodine such as cetylpyridinium chloride is recommended before any dental procedure in order to effectively reduce the viral and microbial load, thus preventing the transmission of any infectious disease.
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References
Ministerio de salud. Bioseguridad en Odontología. Dirección ejecutiva de atención integral de salud; 2005. 63p. Disponible en: https://bit.ly/3B2xff4
Huayanca I, Martínez J, Gamarra G, Mattos M. Bioseguridad en Odontología en el contexto de COVID-19. Odontoestomatología [Internet]. Jun de 2022 [citado el 20 de May de 2022]; 24(39): 1-16. Disponible en: https://bit.ly/3yOcsJP
Pedraza K, Villanueva C. Efectividad de enjuagues bucales en el tratamiento dental durante la pandemia COVID-19. Revista Odontológica Basadrina [Internet]. Jun de 2020 [citado el 11 de Jun de 2022]; 4(1):48–53. Disponible en: https://bit.ly/3PrgnTe
Carretero M, Esparza G, Figuero E, Cerero R. Colutorios con alcohol y su relación con el cáncer oral: Análisis crítico de la literatura. Med oral patol oral cir bucal [Internet]. Apr de 2004 [citado el 11 de Jun de 2022]; 9(2):116–123. Disponible en: https://bit.ly/3ObWYoo
Robalino S, Huaman L, Calle B, Vela M. Antisépticos orales en la reducción de la carga viral del SARS-COV-2 en la consulta odontológica. KIRU [Internet]. Jul de 2021 [citado el 11 de Jun de 2022]; 18(3):178–186. Disponible en: https://bit.ly/3zaPFt1
Urrútia G, Bonfill X. [PRISMA declaration: a proposal to improve the publication of systematic reviews and meta-analyses]. Med Clin (Barc) [Internet]. Oct de 2010 [citado el 11 de Jun de 2022]; 135(11):507–511. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20206945/
Garcia A, Peña J, Salgado A, Robles F, Ordonez E, Ruiz S, et al. Virucidal Activity of Different Mouthwashes against the Salivary Load of SARS-CoV-2: A Narrative Review. Healthcare (Basel) [Internet]. Mar de 2022 [citado el 11 de Jun de 2022]; 10(3):469-479. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35326947/
Reis I, do Amaral G, Mendoza A, das Graças Y, Mendes M, Romito G, ¿et al. Can preprocedural mouthrinses reduce SARS-CoV-2 load in dental aerosols? Medical Hypotheses [Internet]. Ene de 2021 [citado el 11 de Jun de 2022]; 146(1):1-6. Disponible en: https://www.sciencedirect.com/science/article/pii/S0306987720333272
Administración de seguridad y salud ocupacional. Riesgo de Exposición de los Trabajadores a COVID-19. OSHA; 2020. 1p. Disponible en: https://bit.ly/3PeHqS3
Samaranayake L, Fakhruddin K, Buranawat B, Panduwawala C. The efficacy of bio-aerosol reducing procedures used in dentistry: a systematic review. Acta Odontol Scand [Internet]. Ene de 2021 [citado el 11 de Jun de 2022]; 79(1):69–80. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33307917/
Bao L, Zhang C, Dong J, Zhao L, Li Y, Sun J. Oral Microbiome and SARS-CoV-2: Beware of Lung Co-infection. Front Microbiol [Internet]. Jul de 2020 [citado el 11 de Jun de 2022]; 11:1840. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7411080/
Brookes Z, Belfield L, Ashworth A, Casas P, Raja M, Pollard A, et al. Effects of chlorhexidine mouthwash on the oral microbiome. J Dent [Internet]. Oct de 2021 [citado el 11 de Jun de 2022]; 113:103768. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34418463/
Santos M, Jaque D, Fuentes E, González D. Mouthwashes and Nasal Sprays as a Way to Prevent the Spread of SARS-CoV-2. Int J Odontostomat [Internet]. Dic de 2020 [citado el 11 de Jun de 2022]; 14(4):513–518. Disponible en: https://bit.ly/3RxkteF
Vergara A, Castro C. Use of mouthwashes against COVID-19 in dentistry. British Journal of Oral and Maxillofacial Surgery [Internet]. Oct de 2020 [citado el 11 de Jun de 2022]; 58(8):924–927. Disponible en: https://bit.ly/3cok0eM
Garcia A, Peña J, Ordonez E, Montero M, Kewalramani N, Salgado A, et al. Povidone-Iodine as a Pre-Procedural Mouthwash to Reduce the Salivary Viral Load of SARS-CoV-2: A Systematic Review of Randomized Controlled Trials. Int J Environ Res Public Health [Internet]. Mar de 2022 [citado el 11 de Jun de 2022]; 19(5):2877. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8909935/
Eras J, Ramírez A. Enjuagues bucales efectivos en la COVID-19. RECIMUNDO [Internet]. Apr de 2021 [citado el 11 de Jun de 2022]; 5(2):46–53. Disponible en: https://www.recimundo.com/index.php/es/article/view/1038
Mezarina J, Trelles B, Salcedo G, Castañeda R, Herrera P, Padilla D, et al. Antiviral effect of mouthwashes against SARS-COV-2: A systematic review. Saudi Dent J [Internet]. Mar de 2022 [citado el 11 de Jun de 2022]; 34(3):167–193. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35125835/
Carrouel F, Gonçalves L, Conte M, Campus G, Fisher J, Fraticelli L, et al. Antiviral Activity of Reagents in Mouth Rinses against SARS-CoV-2. J Dent Res [Internet]. Feb de 2021 [citado el 11 de Jun de 2022]; 100(2):124–132. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33089717/
Chen M, Chang P. The effectiveness of mouthwash against SARS-CoV-2 infection: A review of scientific and clinical evidence. J Formos Med Assoc [Internet]. May de 2022 [citado el 11 de Jun de 2022]; 121(5):879–885. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34666923/
Mateos M, Mira A, Ausina V, Ferrer M. Oral antiseptics against coronavirus: in-vitro and clinical evidence. J Hosp Infect [Internet]. Jul de 2021 [citado el 11 de Jun de 2022];113(1):30–43. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8046704/
Seneviratne C, Balan P, Ko K, Udawatte N, Lai D, Hui Lin Ng D, et al. Efficacy of commercial mouth-rinses on SARS-CoV-2 viral load in saliva: randomized control trial in Singapore. Infection [Internet]. Dic de 2020 [citado el 11 de Jun de 2022]; 49(2):305–311. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7734110/
Espinoza K, Jara N. Enjuagues bucales y su efectividad sobre la carga viral del Covid-19. Artículo de revisión. Dominio de las Ciencias [Internet]. Apr de 2022 [citado el 11 de Jun de 2022]; 8(2):991–1000. Disponible en: https://www.dominiodelasciencias.com/ojs/index.php/es/article/view/2687
Chávez I, Li C. Uso de enjuagatorios bucales en la prevención de la transmisión del COVID-19. Artículo de revisión. | EBSCO Essentials. EBSCO [Internet]. Mar de 2021 [citado el 11 de Jun de 2022]; 18(1):48–54. Disponible en: https://bit.ly/3ATyb5z
Moosavi M, Aminishakib P, Ansari M. Antiviral mouthwashes: possible benefit for COVID-19 with evidence-based approach. J Oral Microbiol [Internet]. Jul de 2020 [citado el 11 de Jun de 2022]; 12(1):1794363. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7482897/
Cavalcante B, Miranda C, Bittencourt I, Deliga A, Guariza O, Cortz G, et al. Is there scientific evidence of the mouthwashes effectiveness in reducing viral load in Covid-19? A systematic review. J Clin Exp Dent [Internet]. Ene de 2021 [ citado el 11 de Jun de 2022]; 13(2):179–189. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33575003/
Yoon J, Yoon J, Song J, Yoon S, Lim C, Seong H, et al. Clinical Significance of a High SARS-CoV-2 Viral Load in the Saliva. J Korean Med Sci [Internet]. May de 2020 [citado el 11 de Jun de 2022]; 35(20):195. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246183/
American Dental Association. ADA Interim Guidance for Minimizing Risk of COVID-19 Transmission. 2020: 1-8. Disponible en: https://bit.ly/3yIyBcg
Guenezan J, Garcia M, Strasters D, Jousselin C, Lévêque N, Frasca D, et al. Povidone Iodine Mouthwash, Gargle, and Nasal Spray to Reduce Nasopharyngeal Viral Load in Patients With COVID-19: A Randomized Clinical Trial. JAMA Otolaryngology–Head & Neck Surgery [Internet]. Apr de 2021 [ citado el 11 de Jun de 2022]; 147(4):400–401. Disponible en: https://doi.org/10.1001/jamaoto.2020.5490
Anderson D, Sivalingam V, Kang A, Ananthanarayanan A, Arumugam H, Jenkins T, et al. Povidone-Iodine Demonstrates Rapid In Vitro Virucidal Activity Against SARS-CoV-2, The Virus Causing COVID-19 Disease. Infect Dis Ther [Internet]. Sep de 2020 [ citado el 11 de Jun de 2022]; 9(3):669–675. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7341475/
Jain A, Grover V, Singh C, Sharma A, Das D, Singh P, et al. Chlorhexidine: An effective anticovid mouth rinse. J Indian Soc Periodontol [Internet]. Ene de 2021 [citado el 11 de Jun de 2022]; 25(1):86. Disponible en: https://bit.ly/3PeOqhM
Martínez L, Diz P, Pérez M, Del Campo P, Cabrera J, López A, ¿et al. Is povidone‐iodine mouthwash effective against SARS‐CoV‐2? First in vivo tests. Oral Dis [Internet]. Jul de 2020 [citado el 11 de Jun de 2022]; 9(1):908-911. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362147/
Bidra A, Pelletier J, Westover J, Frank S, Brown S, Tessema B. Rapid In‐Vitro Inactivation of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS‐CoV‐2) Using Povidone‐Iodine Oral Antiseptic Rinse. J Prosthodont [Internet]. Jun de 2020 [citado el 11 de Jun de 2022]; 29(6): 1-5. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300649/
Hassandarvish P, Tiong V, Mohamed N, Arumugam H, Ananthanarayanan A, Qasuri M, et al. In vitro virucidal activity of povidone iodine gargle and mouthwash against SARS-CoV-2: implications for dental practice. Br Dent J [Internet]. Dic de 2020 [ citado el 11 de Jun de 2022];1–4. Disponible en: https://www.nature.com/articles/s41415-020-2402-0
Pelletier J, Tessema B, Frank S, Westover J, Brown S, Capriotti J. Efficacy of Povidone-Iodine Nasal and Oral Antiseptic Preparations Against Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2). Ear Nose Throat J [Internet]. Apr de 2021 [ citado el 11 de Jun de 2022]; 100(2):192–196. Disponible en: https://doi.org/10.1177/0145561320957237
Muñoz J, Perez D, León R, Blanc V, Raïch D, Cano M, et al. Mouthwashes with CPC Reduce the Infectivity of SARS-CoV-2 Variants In Vitro. J Dent Res [Internet]. Oct de 2021 [ citado el 11 de Jun de 2022]; 100(11):1265–1272. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34282982/
Eduardo F de P, Corrêa L, Heller D, Daep C, Benitez C, Malheiros Z, et al. Salivary SARS-CoV-2 load reduction with mouthwash use: A randomized pilot clinical trial. Heliyon [Internet]. Jun de 2021 [citado el 11 de Jun de 2022]; 7(6):1-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8222261/
Komine A, Yamaguchi E, Okamoto N, Yamamoto K. Virucidal activity of oral care products against SARS-CoV-2 in vitro. J Oral Maxillofac Surg Med Pathol [Internet]. Jul de 2021 [citado el 11 de Jun de 2022]; 33(4):475–477. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33643836/
Meyers C, Robison R, Milici J, Alam S, Quillen D, Goldenberg D, et al. Lowering the transmission and spread of human coronavirus. Journal of Medical Virology [Internet]. Sep de 2020 [ citado el 11 de Jun de 2022]; 93(3):1605–1612. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1002/jmv.26514
Ortega K, Rech B, El Haje G, Gallo C, Pérez M, ¿Braz P. Do hydrogen peroxide mouthwashes have a virucidal effect? A systematic review. Journal of Hospital Infection [Internet]. Dic de 2020 [ citado el 11 de Jun de 2022]; 106(4):657–662. Disponible en: https://www.sciencedirect.com/science/article/pii/S0195670120304631
Hernández A, Barrenechea A, Comandé D, Azañedo D. Mouthrinses and SARS-CoV-2 viral load in saliva: a living systematic review. Evid Based Dent [Internet]. May de 2022 [ citado el 11 de Jun de 2022]; 23(1):1–7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35610479/
Gottsauner M, Michaelides I, Schmidt B, Scholz K, Buchalla W, Widbiller M, et al. A prospective clinical pilot study on the effects of a hydrogen peroxide mouthrinse on the intraoral viral load of SARS-CoV-2. Clin Oral Invest [Internet]. Oct de 2020 [ citado el 11 de Jun de 2022];24(10):3707–3713. Disponible en: https://doi.org/10.1007/s00784-020-03549-1
Steinhauer K, Meister T, Todt D, Krawczyk A, Paßvogel L, Becker B, et al. Comparison of the in-vitro efficacy of different mouthwash solutions targeting SARS-CoV-2 based on the European Standard EN 14476. J Hosp Infect [Internet]. May de 2021 [ citado el 11 de Jun de 2022]; 111:180–183. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7876484/
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