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Oral Care for Receding Gums: Choosing the Best Mouthwash

Written by Andrew Le, MD

UpdatedOctober 23, 2024

Gingivitis, the initial stage of periodontal disease, is a common and often painful condition characterized by inflamed and bleeding gums. In fact, a study found that 30.8% of preschoolers in community homes in Valle del Cauca, Colombia, were affected by gingivitis. Poor oral hygiene and low oral health knowledge among mothers were significant factors associated with this high prevalence.

Left untreated, it can lead to more severe oral health issues such as periodontitis, tooth loss, and systemic health problems. Managing gingivitis effectively is crucial for maintaining overall oral hygiene and preventing further complications.

Despite regular brushing and flossing, many people still struggle with gingivitis. The frustration of persistent gum inflammation, bad breath, and the threat of more serious dental issues can be overwhelming.

Fortunately, there are advanced mouth rinses designed specifically to address gingivitis. We have researched and selected the top 6 mouth rinses based on their effectiveness, quality, and user reviews. These mouth rinses offer targeted benefits to reduce gum inflammation, minimize plaque buildup, and promote overall oral health.

Mouth Rinses for Gingivitis

Gingivitis is characterized by inflammation of the gums. The use of a mouth rinse as an adjunct to mechanical oral hygiene measures, such as brushing and flossing, has been extensively studied to enhance oral health and reduce gingivitis.

Here are some findings from various studies on the effectiveness of different types of mouth rinses in managing gingivitis.

Hydrogen Peroxide and Hyaluronic Acid Mouth Rinse

One study evaluated the effectiveness of a novel mouth rinse containing hydrogen peroxide (H₂O₂) and hyaluronic acid (HA) on gingivitis.

The results indicated that the combination of H₂O₂ and HA was significantly more effective in reducing gingivitis compared to a placebo (p = 0.001). However, there was no significant difference in plaque accumulation between the test group and the placebo group (p = 0.084).

The study concluded that the H₂O₂ and HA mouth rinse could be a beneficial adjunctive treatment for gingivitis due to its effectiveness in reducing gum inflammation without adverse effects.

Ozonated Water vs. Chlorhexidine Mouth Rinse

Another study conducted a comparative clinical analysis to assess the efficacy of ozonated water versus chlorhexidine mouth rinse in patients with chronic gingivitis. The findings revealed that chlorhexidine was more effective than ozonated water in reducing plaque, gingival, and bleeding indices over 15 days.

The microbial culture results also showed a significant reduction in bacterial counts with chlorhexidine use. This study supports the superior effectiveness of chlorhexidine mouth rinse in managing chronic gingivitis but suggests that ozonated water could still serve as an alternative treatment option.

Adjunctive Rinsing with Various Mouthwashes

One research study explored the effects of different mouthwashes (bisbiguanides, triclosan, and phenolics) on gingival health in patients undergoing fixed partial denture treatment. The study randomly assigned participants to one of four groups: control (water), phenolics, chlorhexidine, and triclosan.

The results demonstrated significant improvements in gingival enhancement and plaque reduction in all groups, with the most notable effects observed in the chlorhexidine group, followed by triclosan and phenolics. This study highlights the varying degrees of effectiveness among different mouthwash formulations in enhancing gingival health during dental procedures.

Herbal Mouthwash: An Innovative Approach

Another study discussed the potential benefits of herbal mouthwashes, which use natural ingredients such as clove, peppermint, ajwain, green tea, neem, tulsi, and guava leaf. These mouthwashes aim to provide antimicrobial, anti-inflammatory, and analgesic effects while avoiding the toxicity associated with conventional mouth rinses containing alcohol and fluoride.

The study emphasized that herbal mouthwashes could effectively reduce plaque and gingivitis, offering a safer alternative for improving oral health.

Enteromorpha linza Extract Mouth Rinse

One study investigated the clinical and microbial effects of a mouth rinse containing Enteromorpha linza extract on gingivitis.

The results showed significant reductions in plaque index, gingival index, bleeding on probing, and levels of P. gingivalis and P. intermedia in the group using the E. linza extract mouth rinse. The findings suggest that E. linza extract is effective in improving gingival health and reducing bacterial presence, comparable to the effects of Listerine.

Pomegranate and Chamomile Plant Extracts

One randomized controlled trial examined the efficacy of mouth rinses containing pomegranate and chamomile extracts in reducing gingival bleeding compared to chlorhexidine 0.12%. It found that the herbal mouth rinses demonstrated similar antimicrobial and anti-inflammatory properties to chlorhexidine, effectively reducing gingival bleeding.

This study highlights the potential of herbal extracts as viable alternatives to traditional antiseptic mouth rinses.

Best Mouth Rinse For Gingivitis

We have researched the top 6 mouth rinses for gingivitis and selected them based on their effectiveness, quality, and user reviews. These mouth rinses enhance oral health by reducing gum inflammation, plaque accumulation, and providing overall antibacterial benefits.

TheraBreath Healthy Gums Mouthwash

TheraBreath Healthy Gums Mouthwash provides a comprehensive solution for oral hygiene, specifically targeting gingivitis and bad breath. Formulated by Dr. Harold Katz in 1993 to address his daughter's bad breath, this mouthwash stands out for its alcohol-free composition that begins working instantly without causing discomfort.

It promises 24-hour protection against gingivitis when used as directed, making it a reliable choice for maintaining gum health.

Pros

  • Effective against gingivitis and bleeding gums, backed by clinical studies and dentist recommendations.
  • Alcohol-free formula ensures a non-burning experience, suitable for those with sensitive mouths.
  • Contains CPC (Cetylpyridinium Chloride), an FDA-approved ingredient known for its antibacterial properties.
  • Promotes fresh breath that lasts for hours, contributing to overall oral hygiene.
  • Comes with a satisfaction guarantee, reflecting the brand's confidence in its efficacy.

Cons

  • The taste may not appeal to everyone due to its medicinal formulation.
  • Some users may experience temporary alterations in taste perception due to CPC.
  • Packaging design could be more user-friendly for pouring and measuring.
Listerine Gum Therapy Antiplaque & Anti-Gingivitis Mouthwash

Listerine Gum Therapy Antiplaque & Anti-Gingivitis Mouthwash offers comprehensive oral care with its 1-liter glacier mint-flavored solution. ADA-accepted, it targets early signs of gum disease like bleeding and inflammation, promoting gum health by cleaning below the gum line.

This mouthwash is recommended for maintaining oral hygiene and fresh breath by utilizing essential oils such as eucalyptol, menthol, methyl salicylate, and thymol.

Pros

  • Effective in promoting gum health, reducing early signs of gingivitis like bleeding and redness.
  • ADA-accepted, ensuring it meets rigorous standards for safety and effectiveness.
  • Clinically proven to provide four-times healthier gums in three weeks when used twice daily alongside brushing.
  • Contains essential oils that contribute to its antiseptic properties and help combat plaque buildup.
  • Convenient packaging and flavor make it user-friendly for daily oral care routines.

Cons

  • Strong mint flavor and sensation may not be preferred by everyone.
  • Contains alcohol, which may be a concern for individuals with sensitivity or specific health conditions.
  • While effective, regular and consistent use is necessary to maintain desired results.
Tom's of Maine Natural Wicked Fresh Alcohol-Free Mouthwash

Tom's of Maine Natural Wicked Fresh Alcohol-Free Mouthwash in Cool Mountain Mint offers a refreshing oral care solution with its unique blend of natural ingredients. Designed to combat bad breath effectively, this mouthwash is formulated without alcohol or artificial additives, making it a preferred choice for those seeking a more natural oral hygiene routine.

Each 16-ounce bottle contains a cooling mint flavor that leaves the mouth feeling fresh and clean after use, contributing to long-lasting oral freshness without the harsh burn of traditional mouthwashes.

Pros

  • Clinically proven to provide long-lasting fresh breath with its zinc formula.
  • Alcohol-free formulation, making it gentle on sensitive gums and suitable for daily use.
  • Contains no artificial dyes, sweeteners, or preservatives, aligning with natural and eco-conscious preferences.
  • Each bottle offers a generous 16 ounces, providing ample supply per purchase.
  • Cool Mountain Mint flavor enhances the oral hygiene experience with a refreshing taste.

Cons

  • The mint flavor may not appeal to those preferring alternative tastes.
  • Some users may find the consistency thinner compared to thicker mouthwash formulations.
  • Available primarily through select retailers, potentially limiting accessibility in certain regions.
CloSYS Sensitive Mouthwash

CloSYS Sensitive Mouthwash offers a gentle yet effective solution for maintaining oral hygiene, particularly suited for those with sensitive mouths. It comes in a Gentle Mint flavor and is formulated without alcohol, dyes, or sulfates. The pH-balanced formula is clinically proven to combat bad breath for up to 24 hours without causing irritation, making it suitable for daily use.

Pros

  • Clinically proven formula effectively fights bad breath and eliminates odor-causing bacteria.
  • Alcohol-free and sulfate-free, ensuring a gentle experience that doesn't cause burning or irritation, even for sensitive mouths.
  • pH balanced, mimicking the natural pH of saliva, promoting a healthy oral environment.
  • Comes in a large size pack (32 oz per bottle, 2 bottles in a pack), offering good value for money and long-lasting supply.
  • Formulated to be non-staining and non-burning, making it comfortable for prolonged swishing.
  • Suitable for all ages, including adults with specific oral sensitivities.

Cons

  • Some users may find the mint flavor too mild compared to stronger alternatives on the market.
  • The large bottle size may be bulky for travel or smaller bathrooms.
  • While effective, it may not provide the same intense freshness as mouthwashes containing alcohol for some users.
  • Users looking for specific additional benefits (like enamel protection) may need to supplement with other products.
ACT Restoring Zero Alcohol Fluoride Mouthwash

ACT Restoring Zero Alcohol Fluoride Mouthwash in Mint Burst flavor offers comprehensive oral care benefits in a 33.8 fluid ounce bottle. Designed by Chattem Inc., this alcohol-free mouthwash aims to strengthen tooth enamel, remineralize soft spots, prevent tooth decay, and freshen breath. It is part of ACT's lineup, known for its efficacy and dentist-recommended fluoride formula.

ACT Restoring Mouthwash provides a multi-action approach to oral hygiene. By delivering fluoride directly to teeth, it reinforces enamel and helps reduce cavities by up to 70% more effectively than brushing with fluoride toothpaste alone. The Mint Burst flavor ensures a refreshing experience without the harshness of alcohol, making it suitable for daily use.

Pros

  • Provides effective cavity protection, recommended by dentists for strengthening teeth and preventing tooth decay.
  • Alcohol-free formula ensures a gentle experience, suitable for those with sensitivity to alcohol-based products.
  • Freshens breath while enhancing oral hygiene with its mint burst flavor.
  • Economical in size, offering 33.8 fluid ounces per bottle, making it cost-effective for regular use.

Cons

  • Some users may find the mint burst flavor too intense.
  • The large bottle size might not be convenient for travel purposes.
  • Requires daily use for optimal results, which may be a consideration for users looking for a more occasional solution.
Biotène Oral Rinse Mouthwash

Biotène Oral Rinse Mouthwash offers a specialized solution for those suffering from dry mouth, providing immediate relief and ongoing care. Packaged in a generous 33.8 fluid ounce bottle, this mouthwash is formulated with a unique mouth moisturizing system designed to soothe and lubricate, effectively combating symptoms like bad breath, stickiness, dryness, and chapped lips.

It refreshes the mouth with a pleasant Fresh Mint flavor while maintaining a balanced pH to support oral health.

Pros

  • Provides up to four hours of relief from dry mouth symptoms, making it effective for extended periods.
  • Alcohol-free and sugar-free formulation ensures gentle care without causing irritation or discomfort.
  • Clinically proven to moisturize and soothe the mouth instantly, enhancing comfort throughout the day and night.
  • Suitable for nighttime use, helping users maintain oral hydration and comfort during sleep.
  • Trusted by dentists as the number one recommended dry mouth brand, ensuring reliability and effectiveness.

Cons

  • May require frequent use (up to five times daily) for optimal relief, which may be inconvenient for some users.
  • While effective, the mint flavor might not appeal to those sensitive to strong tastes.
  • Larger bottle size may not be travel-friendly for users needing portable dry mouth relief solutions.

Final Words

Among the top 6 mouth rinses for gingivitis, TheraBreath Healthy Gums Mouthwash stands out as the best choice.

TheraBreath Healthy Gums Mouthwash excels due to its clinically proven effectiveness against gingivitis and bleeding gums. Its alcohol-free formula, enriched with CPC (Cetylpyridinium Chloride), ensures a gentle yet powerful approach to combating gum inflammation without causing discomfort. Additionally, its long-lasting fresh breath and dentist recommendations make it a reliable option for maintaining optimal oral health.

Don't let gingivitis compromise your oral health any longer. Choose TheraBreath Healthy Gums Mouthwash to experience the benefits of a clinically effective, alcohol-free solution for healthier gums and fresher breath.

FAQs on Mouth Rinse For Gingivitis

Can mouth rinse replace brushing and flossing?

No, mouth rinse should be used as an adjunct to brushing and flossing. It helps to reduce bacteria in areas that brushing and flossing might miss, but it cannot remove plaque and food particles like mechanical cleaning does​.

Is there a risk of side effects from using mouth rinse for gingivitis?

Some mouth rinses, especially those containing chlorhexidine, can cause tooth staining, altered taste sensation, and increased tartar formation. It’s important to follow the instructions and consult with a dentist if you experience side effects.

Can mouth rinse help with bad breath caused by gingivitis?

Yes, mouth rinses with antibacterial properties can help reduce the bacteria that cause bad breath. Ingredients like zinc and essential oils are particularly effective in combating bad breath.

References

  • Corchuelo-Ojeda, J., & Soto-Llanos, L. (2018). Gingivitis and associated factors in preschoolers from community homes in Valle del Cauca. Revista Facultad de Odontología Universidad de Antioquia, 29(2). https://doi.org/10.17533/udea.rfo.v29n2a3
  • Boccalari, E., Tadakamadla, S. K., Occhipinti, C., Lanteri, V., & Maspero, C. (2022). Evaluation of the effectiveness of a novel mouth rinse containing hyaluronic acid and hydrogen peroxide on gingivitis: A randomized pilot controlled trial. Clinical and Experimental Dental Research. https://doi.org/10.1002/cre2.498
  • Talasani, R. R., Potharaju, S. P., Vijaya Lakshmi, B., Durga Bai, Y., Chintala, R. K., Mahankali, V., Koppolu, P., & AlGhamdi, A. R. S. (2022). Efficacy of ozonated water over chlorhexidine mouth rinse in chronic gingivitis patients – A comparative clinical study. The Saudi Dental Journal, 34(8), 738-743. https://doi.org/10.1016/j.sdentj.2022.09.004
  • Pandey, S. (2020). Comparative evaluation of effect of adjunctive rinsing with three mouthwashes on gingival enhancement in patients undergoing fixed partial denture treatment – An in vivo study. The Journal of Indian Prosthodontic Society, 20(Suppl 1), S6. https://doi.org/10.4103/0972-4052.306356
  • Shahidulla, S. M., Ghori, M. I., & Saleh, M. (2022). Herbal mouthwash: An innovative approach. International Journal of Pharmaceutical Sciences & Medicine, 7(11), 51-58. https://doi.org/10.47760/ijpsm.2022.v07i11.004
  • Cho, H.-B., Lee, H.-H., Lee, O.-H., Choi, H.-S., Choi, J.-S., & Lee, B.-Y. (2011). Clinical and microbial evaluation of the effects on gingivitis of a mouth rinse containing an Enteromorpha linza extract. Journal of Medicinal Food, 14(12). https://doi.org/10.1089/jmf.2011.171https://doi.org/10.1089/jmf.2011.171