Halitosis significantly impacts the quality of a patient's life. This randomized, double-blind crossover trial evaluates a mouthwash containing chlorhexidine (0.01%) and chlorine dioxide (0.05%) compared with placebo. Forty participants rinsed twice daily for 2 weeks, followed by a 2-week washout and crossover. The primary outcomes were volatile sulfur compounds (H₂S, CH₃SH), measured by OralChroma. Secondary outcomes included plaque index, gingival index, bleeding on probing, tongue coating, and salivary bacterial counts (Aa, Pg, Fn, Pi, and Ec).
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Change in Hydrogen sulfide (Hâ‚‚S) concentration in breath
Timeframe: baseline, immediate post-rinse, 2 weeks
Change in Methyl mercaptan (CH₃SH) concentration in breath
Timeframe: Baseline, immediate post-rinse, 2 weeks