Effect of alcohol consumption status and alcohol concentration on oral pain induced by alcohol-containing mouthwash

Alcohol exposure alters oral mucosa. Patient compliance with mouthwash use may be reduced by oral pain resulting from rinsing with alcohol-containing mouthwash. However, information regarding the effects of alcohol consumption and mouthwash alcohol concentration on oral pain is limited. In this doub...

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Published inJournal of Oral Science Vol. 55; no. 2; pp. 99 - 105
Main Authors Satpathy, Anurag, Das, Abhaya C., Kumar, Manoj, Porwal, Amit, Mukhopadhyay, Indranil, Ravindra, Shivamurthy
Format Journal Article
LanguageEnglish
Published Japan Nihon University School of Dentistry 2013
Subjects
Online AccessGet full text
ISSN1343-4934
1880-4926
1880-4926
DOI10.2334/josnusd.55.99

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Abstract Alcohol exposure alters oral mucosa. Patient compliance with mouthwash use may be reduced by oral pain resulting from rinsing with alcohol-containing mouthwash. However, information regarding the effects of alcohol consumption and mouthwash alcohol concentration on oral pain is limited. In this double-blind, randomized, controlled cross-over study, we investigated the effects of alcohol consumption status and mouthwash alcohol concentration on response to and perception of oral pain induced by alcohol-containing mouthwash. Fifty healthy men aged 33 to 56 years were enrolled and classified as drinkers and nondrinkers according to self-reported alcohol consumption. All subjects rinsed with two commercially available mouthwash products (which contained high and low concentrations of alcohol) and a negative control, in randomized order. Time of onset of oral pain, time of cessation of oral pain (after mouthwash expectoration), and pain duration were recorded, and oral pain intensity was recorded on a verbal rating scale. Drinkers had later oral pain onset and lower pain intensity. High-alcohol mouthwash was associated with earlier pain onset and greater pain intensity. In addition, oral pain cessation was later and pain duration was longer in nondrinkers rinsing with high-alcohol mouthwash. In conclusion, alcohol consumption status and mouthwash alcohol concentration were associated with onset and intensity of oral pain. (J Oral Sci 55, 99-105, 2013)
AbstractList Alcohol exposure alters oral mucosa. Patient compliance with mouthwash use may be reduced by oral pain resulting from rinsing with alcohol-containing mouthwash. However, information regarding the effects of alcohol consumption and mouthwash alcohol concentration on oral pain is limited. In this double-blind, randomized, controlled cross-over study, we investigated the effects of alcohol consumption status and mouthwash alcohol concentration on response to and perception of oral pain induced by alcohol-containing mouthwash. Fifty healthy men aged 33 to 56 years were enrolled and classified as drinkers and nondrinkers according to self-reported alcohol consumption. All subjects rinsed with two commercially available mouthwash products (which contained high and low concentrations of alcohol) and a negative control, in randomized order. Time of onset of oral pain, time of cessation of oral pain (after mouthwash expectoration), and pain duration were recorded, and oral pain intensity was recorded on a verbal rating scale. Drinkers had later oral pain onset and lower pain intensity. High-alcohol mouthwash was associated with earlier pain onset and greater pain intensity. In addition, oral pain cessation was later and pain duration was longer in nondrinkers rinsing with high-alcohol mouthwash. In conclusion, alcohol consumption status and mouthwash alcohol concentration were associated with onset and intensity of oral pain.
Alcohol exposure alters oral mucosa. Patient compliance with mouthwash use may be reduced by oral pain resulting from rinsing with alcohol-containing mouthwash. However, information regarding the effects of alcohol consumption and mouthwash alcohol concentration on oral pain is limited. In this double-blind, randomized, controlled cross-over study, we investigated the effects of alcohol consumption status and mouthwash alcohol concentration on response to and perception of oral pain induced by alcohol-containing mouthwash. Fifty healthy men aged 33 to 56 years were enrolled and classified as drinkers and nondrinkers according to self-reported alcohol consumption. All subjects rinsed with two commercially available mouthwash products (which contained high and low concentrations of alcohol) and a negative control, in randomized order. Time of onset of oral pain, time of cessation of oral pain (after mouthwash expectoration), and pain duration were recorded, and oral pain intensity was recorded on a verbal rating scale. Drinkers had later oral pain onset and lower pain intensity. High-alcohol mouthwash was associated with earlier pain onset and greater pain intensity. In addition, oral pain cessation was later and pain duration was longer in nondrinkers rinsing with high-alcohol mouthwash. In conclusion, alcohol consumption status and mouthwash alcohol concentration were associated with onset and intensity of oral pain.Alcohol exposure alters oral mucosa. Patient compliance with mouthwash use may be reduced by oral pain resulting from rinsing with alcohol-containing mouthwash. However, information regarding the effects of alcohol consumption and mouthwash alcohol concentration on oral pain is limited. In this double-blind, randomized, controlled cross-over study, we investigated the effects of alcohol consumption status and mouthwash alcohol concentration on response to and perception of oral pain induced by alcohol-containing mouthwash. Fifty healthy men aged 33 to 56 years were enrolled and classified as drinkers and nondrinkers according to self-reported alcohol consumption. All subjects rinsed with two commercially available mouthwash products (which contained high and low concentrations of alcohol) and a negative control, in randomized order. Time of onset of oral pain, time of cessation of oral pain (after mouthwash expectoration), and pain duration were recorded, and oral pain intensity was recorded on a verbal rating scale. Drinkers had later oral pain onset and lower pain intensity. High-alcohol mouthwash was associated with earlier pain onset and greater pain intensity. In addition, oral pain cessation was later and pain duration was longer in nondrinkers rinsing with high-alcohol mouthwash. In conclusion, alcohol consumption status and mouthwash alcohol concentration were associated with onset and intensity of oral pain.
Alcohol exposure alters oral mucosa. Patient compliance with mouthwash use may be reduced by oral pain resulting from rinsing with alcohol-containing mouthwash. However, information regarding the effects of alcohol consumption and mouthwash alcohol concentration on oral pain is limited. In this double-blind, randomized, controlled cross-over study, we investigated the effects of alcohol consumption status and mouthwash alcohol concentration on response to and perception of oral pain induced by alcohol-containing mouthwash. Fifty healthy men aged 33 to 56 years were enrolled and classified as drinkers and nondrinkers according to self-reported alcohol consumption. All subjects rinsed with two commercially available mouthwash products (which contained high and low concentrations of alcohol) and a negative control, in randomized order. Time of onset of oral pain, time of cessation of oral pain (after mouthwash expectoration), and pain duration were recorded, and oral pain intensity was recorded on a verbal rating scale. Drinkers had later oral pain onset and lower pain intensity. High-alcohol mouthwash was associated with earlier pain onset and greater pain intensity. In addition, oral pain cessation was later and pain duration was longer in nondrinkers rinsing with high-alcohol mouthwash. In conclusion, alcohol consumption status and mouthwash alcohol concentration were associated with onset and intensity of oral pain. (J Oral Sci 55, 99-105, 2013)
Author Satpathy, Anurag
Porwal, Amit
Mukhopadhyay, Indranil
Ravindra, Shivamurthy
Das, Abhaya C.
Kumar, Manoj
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Cites_doi 10.1093/carcin/18.9.1739
10.1016/0003-9969(95)00103-4
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10.1902/jop.2001.72.2.183
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10.1016/0030-4220(93)90044-5
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10.1111/j.1834-7819.2008.00070.x
10.1016/S1368-8375(98)00022-0
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References 2. Pitts G, Pianotti R, Feary TW, McGuiness J, Masurat T (1981) The in vivo effects of an antiseptic mouthwash on odor-producing microorganisms. J Dent Res 60, 1891-1896.
24. Haq MW, Batool M, Ahsan SH, Qureshi NR (2009) Alcohol use in mouthwash and possible oral health concerns. J Pak Med Assoc 59, 186-190.
27. Maier H, Weidauer H, Zöller J, Seitz HK, Flentje M, Mall G et al. (1994) Effect of chronic alcohol consumption on the morphology of the oral mucosa. Alcohol Clin Exp Res 18, 387-391.
25. Kuyama K, Yamamoto H (1997) A study of effects of mouthwash on the human oral mucosae: with special references to sites, sex differences and smoking. J Nihon Univ Sch Dent 39, 202-210.
1. DePaola LG, Minah GE, Overholser CD, Meiller TF, Charles CH, Harper DS et al. (1996) Effect of an antiseptic mouthrinse on salivary microbiota. Am J Dent 9, 93-95.
29. Fine DH, Furgang D, McKiernan M, Tereski-Bischio D, Ricci-Nittel D, Zhang P et al. (2010) An investigation of the effect of an essential oil mouthrinse on induced bacteraemia: a pilot study. J Clin Periodontol 37, 840-847.
7. Mandel ID (1988) Chemotherapeutic agents for controlling plaque and gingivitis. J Clin Periodontol 15, 488-498.
12. Sissons CH, Wong L, Cutress TW (1996) Inhibition by ethanol of the growth of biofilm and dispersed microcosm dental plaques. Arch Oral Biol 41, 27-34.
22. Wight AJ, Ogden GR (1998) Possible mechanisms by which alcohol may influence the development of oral cancer – a review. Oral Oncol 34, 441-447.
30. McCullough MJ, Farah CS (2008) The role of alcohol in oral carcinogenesis with particular reference to alcohol-containing mouthwashes. Aust Dent J 53, 302-305.
10. Lemos CA Jr., Villoria GE (2008) Reviewed evidence about the safety of the daily use of alcohol-based mouthrinses. Braz Oral Res 22, Suppl 1, 24-31.
4. Jenkins S, Addy M, Wade W, Newcombe RG (1994) The magnitude and duration of the effects of some mouthrinse products on salivary bacterial counts. J Clin Periodontol 21, 397-401.
11. Carretero Peláez MA, Esparza Gómez GC, Figuero Ruiz E, Cerero Lapiedra R (2004) Alcohol-containing mouthwashes and oral cancer. Critical analysis of literature. Med Oral 9, 116-123.
14. Tezal M, Grossi SG, Ho AW, Genco RJ (2001) The effect of alcohol consumption on periodontal disease. J Periodontol 72, 183-189.
3. Dahlén G (1984) Effect of antimicrobial mouthrinses on salivary microflora in healthy subjects. Scand J Dent Res 92, 38-42.
18. al-Damouk JD (1993) Oral epithelial response to experimental chronic alcohol ingestion in hamsters. Oral Surg Oral Med Oral Pathol 76, 736-741.
28. Bauroth K, Charles CH, Mankodi SM, Simmons K, Zhao Q, Kumar LD (2003) The efficacy of an essential oil antiseptic mouthrinse vs. dental floss in controlling interproximal gingivitis: a comparative study. J Am Dent Assoc 134, 359-365.
8. Siddappa K (2002) Cutaneous and mucosal pain syndromes. Indian J Dermatol Venereol Leprol 68, 123-130.
13. Reis SR, Sadigursky M, Andrade MG, Soares LP, Espirito Santo AR, Vilas Boas DS (2002) Genotoxic effect of ethanol on oral mucosa cells. Pesqui Odontol Bras 16, 221-225.
19. Tezal M, Grossi SG, Ho AW, Genco RJ (2004) Alcohol consumption and periodontal disease. The Third National Health and Nutrition Examination Survey. J Clin Periodontol 31, 484-488.
9. Bolanowski SJ, Gescheider GA, Sutton SV (1995) Relationship between oral pain and ethanol concentration in mouthrinses. J Periodontal Res 30, 192-197.
15. Pitiphat W, Merchant AT, Rimm EB, Joshipura KJ (2003) Alcohol consumption increases periodontitis risk. J Dent Res 82, 509-513.
20. Ogden GR, Wight AJ, Rice P (1999) Effect of alcohol on the oral mucosa assessed by quantitative cytomorphometry. J Oral Pathol Med 28, 216-220.
31. Paraskevas S, Danser MM, Timmerman MF, Van der Velden U, van der Weijden GA (2005) Optimal rinsing time of intra-oral distribution (spread) of mouthwashes. J Clin Peridontol 32, 665-669.
16. Dawson DA, Grant B, Chou PS (1995) Gender differences in alcohol intake. In: Stress, gender and alcohol-seeking behavior, Hunt WA, Zakhari S ed, Bethesda, 3-21.
26. Homann N, Jousimies-Somer H, Jokelainen K, Heine R, Salaspuro M (1997) High acetaldehyde levels in saliva after ethanol consumption: methodological aspects and pathogenetic implications. Carcinogenesis 18, 1739-1743.
5. Bailey L (1989) Direct plaque removal by a pre-brushing dental rinse. Clin Prev Dent 11, 21-27.
23. Howie NM, Trigkas TK, Cruchley AT, Wertz PW, Squier CA, Williams DM (2001) Short-term exposure to alcohol increases the permeability of human oral mucosa. Oral Dis 7, 349-354.
6. Mandel ID (1989) The mouthrinse wars. J Periodontol 60, 478-480.
17. Dufour MC (1999) What is moderate drinking? Defining “drinks” and drinking levels. Alcohol Res Health 23, 5-14.
21. Rumsby MG, Finean JB (1966) The action of organic solvents on the myelin sheath of peripheral nerve tissue. II. Short-chain aliphatic alcohols. J Neurochem 13, 1509-1511.
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References_xml – reference: 13. Reis SR, Sadigursky M, Andrade MG, Soares LP, Espirito Santo AR, Vilas Boas DS (2002) Genotoxic effect of ethanol on oral mucosa cells. Pesqui Odontol Bras 16, 221-225.
– reference: 31. Paraskevas S, Danser MM, Timmerman MF, Van der Velden U, van der Weijden GA (2005) Optimal rinsing time of intra-oral distribution (spread) of mouthwashes. J Clin Peridontol 32, 665-669.
– reference: 12. Sissons CH, Wong L, Cutress TW (1996) Inhibition by ethanol of the growth of biofilm and dispersed microcosm dental plaques. Arch Oral Biol 41, 27-34.
– reference: 19. Tezal M, Grossi SG, Ho AW, Genco RJ (2004) Alcohol consumption and periodontal disease. The Third National Health and Nutrition Examination Survey. J Clin Periodontol 31, 484-488.
– reference: 7. Mandel ID (1988) Chemotherapeutic agents for controlling plaque and gingivitis. J Clin Periodontol 15, 488-498.
– reference: 28. Bauroth K, Charles CH, Mankodi SM, Simmons K, Zhao Q, Kumar LD (2003) The efficacy of an essential oil antiseptic mouthrinse vs. dental floss in controlling interproximal gingivitis: a comparative study. J Am Dent Assoc 134, 359-365.
– reference: 2. Pitts G, Pianotti R, Feary TW, McGuiness J, Masurat T (1981) The in vivo effects of an antiseptic mouthwash on odor-producing microorganisms. J Dent Res 60, 1891-1896.
– reference: 20. Ogden GR, Wight AJ, Rice P (1999) Effect of alcohol on the oral mucosa assessed by quantitative cytomorphometry. J Oral Pathol Med 28, 216-220.
– reference: 9. Bolanowski SJ, Gescheider GA, Sutton SV (1995) Relationship between oral pain and ethanol concentration in mouthrinses. J Periodontal Res 30, 192-197.
– reference: 4. Jenkins S, Addy M, Wade W, Newcombe RG (1994) The magnitude and duration of the effects of some mouthrinse products on salivary bacterial counts. J Clin Periodontol 21, 397-401.
– reference: 3. Dahlén G (1984) Effect of antimicrobial mouthrinses on salivary microflora in healthy subjects. Scand J Dent Res 92, 38-42.
– reference: 29. Fine DH, Furgang D, McKiernan M, Tereski-Bischio D, Ricci-Nittel D, Zhang P et al. (2010) An investigation of the effect of an essential oil mouthrinse on induced bacteraemia: a pilot study. J Clin Periodontol 37, 840-847.
– reference: 11. Carretero Peláez MA, Esparza Gómez GC, Figuero Ruiz E, Cerero Lapiedra R (2004) Alcohol-containing mouthwashes and oral cancer. Critical analysis of literature. Med Oral 9, 116-123.
– reference: 24. Haq MW, Batool M, Ahsan SH, Qureshi NR (2009) Alcohol use in mouthwash and possible oral health concerns. J Pak Med Assoc 59, 186-190.
– reference: 1. DePaola LG, Minah GE, Overholser CD, Meiller TF, Charles CH, Harper DS et al. (1996) Effect of an antiseptic mouthrinse on salivary microbiota. Am J Dent 9, 93-95.
– reference: 16. Dawson DA, Grant B, Chou PS (1995) Gender differences in alcohol intake. In: Stress, gender and alcohol-seeking behavior, Hunt WA, Zakhari S ed, Bethesda, 3-21.
– reference: 15. Pitiphat W, Merchant AT, Rimm EB, Joshipura KJ (2003) Alcohol consumption increases periodontitis risk. J Dent Res 82, 509-513.
– reference: 30. McCullough MJ, Farah CS (2008) The role of alcohol in oral carcinogenesis with particular reference to alcohol-containing mouthwashes. Aust Dent J 53, 302-305.
– reference: 10. Lemos CA Jr., Villoria GE (2008) Reviewed evidence about the safety of the daily use of alcohol-based mouthrinses. Braz Oral Res 22, Suppl 1, 24-31.
– reference: 6. Mandel ID (1989) The mouthrinse wars. J Periodontol 60, 478-480.
– reference: 27. Maier H, Weidauer H, Zöller J, Seitz HK, Flentje M, Mall G et al. (1994) Effect of chronic alcohol consumption on the morphology of the oral mucosa. Alcohol Clin Exp Res 18, 387-391.
– reference: 18. al-Damouk JD (1993) Oral epithelial response to experimental chronic alcohol ingestion in hamsters. Oral Surg Oral Med Oral Pathol 76, 736-741.
– reference: 23. Howie NM, Trigkas TK, Cruchley AT, Wertz PW, Squier CA, Williams DM (2001) Short-term exposure to alcohol increases the permeability of human oral mucosa. Oral Dis 7, 349-354.
– reference: 21. Rumsby MG, Finean JB (1966) The action of organic solvents on the myelin sheath of peripheral nerve tissue. II. Short-chain aliphatic alcohols. J Neurochem 13, 1509-1511.
– reference: 17. Dufour MC (1999) What is moderate drinking? Defining “drinks” and drinking levels. Alcohol Res Health 23, 5-14.
– reference: 14. Tezal M, Grossi SG, Ho AW, Genco RJ (2001) The effect of alcohol consumption on periodontal disease. J Periodontol 72, 183-189.
– reference: 25. Kuyama K, Yamamoto H (1997) A study of effects of mouthwash on the human oral mucosae: with special references to sites, sex differences and smoking. J Nihon Univ Sch Dent 39, 202-210.
– reference: 8. Siddappa K (2002) Cutaneous and mucosal pain syndromes. Indian J Dermatol Venereol Leprol 68, 123-130.
– reference: 26. Homann N, Jousimies-Somer H, Jokelainen K, Heine R, Salaspuro M (1997) High acetaldehyde levels in saliva after ethanol consumption: methodological aspects and pathogenetic implications. Carcinogenesis 18, 1739-1743.
– reference: 22. Wight AJ, Ogden GR (1998) Possible mechanisms by which alcohol may influence the development of oral cancer – a review. Oral Oncol 34, 441-447.
– reference: 5. Bailey L (1989) Direct plaque removal by a pre-brushing dental rinse. Clin Prev Dent 11, 21-27.
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  doi: 10.1111/j.1600-0765.1995.tb01273.x
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  doi: 10.1111/j.1600-051X.2005.00731.x
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  doi: 10.1177/154405910308200704
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  doi: 10.1016/S1368-8375(98)00022-0
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Snippet Alcohol exposure alters oral mucosa. Patient compliance with mouthwash use may be reduced by oral pain resulting from rinsing with alcohol-containing...
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SubjectTerms Adult
alcohol
alcohol consumption
Alcohol Drinking - physiopathology
alcohol-containing mouthwash
Benzoates - adverse effects
Benzoates - analysis
Cross-Over Studies
Double-Blind Method
Drug Combinations
Ethanol - adverse effects
Ethanol - analysis
Humans
Male
Middle Aged
Mouth Mucosa - drug effects
mouthwash
Mouthwashes - adverse effects
Mouthwashes - analysis
oral pain
Pain - chemically induced
Pain Measurement
Pain Perception - drug effects
rinsing time
Salicylates - adverse effects
Salicylates - analysis
Sodium Dodecyl Sulfate - adverse effects
Sodium Dodecyl Sulfate - analysis
Solvents - adverse effects
Solvents - analysis
Terpenes - adverse effects
Terpenes - analysis
Time Factors
Title Effect of alcohol consumption status and alcohol concentration on oral pain induced by alcohol-containing mouthwash
URI https://www.jstage.jst.go.jp/article/josnusd/55/2/55_99/_article/-char/en
https://www.ncbi.nlm.nih.gov/pubmed/23748448
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Volume 55
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