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I recently started using a mouthwash recently (Yes, I recently started taking care of my teeth more)

However, I've read that (I'll link when I find the article again) mouthwashing everyday doesn't really help as much as doing it everyday for 2 weeks, taking a break, then using it for another 2 weeks.

How often should I use mouthwash, and are there any consequences to doing it everyday?

  • 7
    I think a better question to ask first is "Does mouthwash provide any additional benefits to brushing your teeth and/or flossing?". The last time I checked (which was 10/15 years ago) I wasn't really convinced it does actually provide any benefits. – Martin Tournoij May 5 '15 at 16:58
  • @Carpetsmoker After spiting out mouthwash, I can see lot's of food remains that didn't get picked out with toothbrush. You could accomplish the same with water, but it definitely does have at least this benefit. – Tomáš Zato Jun 9 '16 at 13:01
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I think the comment made by Carpetsmoker is important in this context.

Some may find surprising (at least I did) that actually fluoride toothpaste is not clearly superior to fluoride containing mouth rinses according to a Cochrane Review published in 2009. Unfortunately all reviews are about children or adolescent patients.

Mark Gabriel wonders the intermittent use of mouth rinses. When one is planning of intermittent use it is only natural that mouth rinse is used alongside with regular brushing. Then were faced with the important aspect pointed out by Carpetsmoker. Of course one could use brushing and mouth rinse alternatively since they are equally effective preventing caries. I think one should use either one and not to alternate since usually the more complex routines one developed, more likely they fail.

As so, I think we should look at whether mouth rinses provide any additional benefit to brushing. Three most common active ingredients in mouth rinses are some form of alcohol, chlorhexidine and fluoride (Wikipedia).

The longer-term effects of any treatment should always be evaluated, especially in this case since the use is projected to last possible of life-time. Chlorhexidine containing mouth rinses may cause staining and affect oral flora. The are no specific guidelines how long to use chlorhexidine containing mouth rinses but one sources discourages using it more than 3-4 weeks (1,3).

There are some health concerns also regarding the alcohol containing mouth rinses. Currently it is controversial whether alcohol containing mouth rinses predispose to cancer (1,2,3). In general the possible adverse effects of long-term use are quite poorly established.

There is a 2004 Cochrane review investigating the effects of combining mouth rinse to regular brushing (Free review).

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The main outcome was caries increment measured by the change in decayed, missing and filled tooth surfaces (D(M)FS).

Five authors investigated brushing+mouth rinse versus brushing. There is some benefit from the combination treatment but it is very minimal. The same conclusion was drawn in two reviews by American Dental Association: "Based on his findings, the author said that mouthrinses made with CHX, essential oils, or CPC could help reduce plaque and gingivitis in people who brushed and flossed. He also said that using these rinses along with brushing and flossing reduced plaque and gingivitis more than brushing and flossing alone." (4).

After a long commentary I still did not answer the question in the topic. But, to conclude, there may be some benefit combining mouth rinse and brushing. Intermittent use may be better if mouth rinse contains alcohol or chlorhexidine. I am fairly certain that current literature does not include explicit answer to the OP´s question.

protected by Community Aug 12 '15 at 20:10

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