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Effect of a tea tree oil mouthwash on plaque-induced gingivitis when comparing to chlorhexidine: an exploratory randomised clinical trial

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorMenat, Alfred
dc.contributor.authorRozan, Cecília
dc.contributor.authorBarroso, Helena
dc.contributor.authorProença, Luís
dc.contributor.authorSalema-Oom, Madalena
dc.contributor.authorBotelho, João
dc.contributor.authorZhiri, Abdesselam
dc.contributor.authorManso, Ana Cristina
dc.date.accessioned2026-07-01T15:56:44Z
dc.date.available2026-07-01T15:56:44Z
dc.date.issued2026-06
dc.description.abstractGingivitis, the most common periodontal disease, is an inflammatory condition of the gingiva resulting from bacterial biofilm accumulation without periodontal attachment loss. Chlorhexidine (CHX) is the gold standard for chemical plaque control, yet its prolonged use is associated with undesirable side effects. Tea tree essential oil (TTO, Melaleuca alternifolia), with documented antimicrobial and anti-inflammatory properties, has emerged as a potential natural alternative. This exploratory randomized, controlled, triple-blind clinical trial evaluated the antimicrobial, cytotoxic, and clinical effects of a 1% TTO-based mouthwash compared with 0.12% CHX in 30 adults with plaque-induced gingivitis. Both mouthwashes significantly reduced plaque and gingival indices as well as bacterial counts after 15 days (p < 0.001), with no significant intergroup differences in clinical outcomes. CHX achieved a greater reduction in bacterial load, while TTO presented fewer adverse effects, limited to mild taste alteration and transient increase in salivary flow. Both formulations exhibited in vitro cytotoxicity, though clinical tolerance was high. These results suggest that, under the tested conditions, TTO formulation at 1% (v/v) exerts an antibacterial effect comparable to CHX, while displaying a dose-dependent pattern.eng
dc.identifier.citationMenat A, Rozan C, Barroso H, Proença L, Salema-Oom M, Botelho J, Zhiri A and Manso AC (2026) Effect of a tea tree oil mouthwash on plaque-induced gingivitis when comparing to chlorhexidine: an exploratory randomised clinical trial. Front. Oral Health 7:1727735. doi: 10.3389/froh.2026.1727735
dc.identifier.doi10.3389/froh.2026.1727735
dc.identifier.issn2673-4842
dc.identifier.urihttp://hdl.handle.net/10400.26/63689
dc.language.isoeng
dc.peerreviewedyes
dc.publisherFrontiers Media
dc.relation.hasversionhttps://doi.org/10.3389/froh.2026.1727735
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectchlorhexidine
dc.subjectgingivitis
dc.subjectperiodontal disease
dc.subjectpreventive dentistry
dc.subjectstreptococcus mutans
dc.subjecttea tree
dc.titleEffect of a tea tree oil mouthwash on plaque-induced gingivitis when comparing to chlorhexidine: an exploratory randomised clinical trialeng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.startPage1727735
oaire.citation.titleFrontiers in Oral Health
oaire.citation.volume7
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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