Abstract | PURPOSE: PATIENTS AND METHODS: Patients scheduled to receive radiation therapy to include greater than one third of the oral cavity mucosa were selected for study. Following stratification, they were randomized in a double-blind manner to receive a chlorhexidine mouthwash or a placebo mouthwash. Both groups were then similarly evaluated for mucositis and mouthwash toxicity. RESULTS: Twenty-five patients were randomized to receive the chlorhexidine mouthwash, while 27 received the placebo mouthwash. Treatment arms were well balanced. There was a trend for more mucositis and there was substantially more toxicity (eg, mouthwash-induced discomfort, taste alteration, and teeth staining) on the chlorhexidine arm. CONCLUSION: In contrast to the prestudy hypothesis that a chlorhexidine mouthwash might provide benefit for patients receiving radiation therapy to the oral mucosa, this study provides strong evidence suggesting that a chlorhexidine mouthwash is detrimental in this clinical situation.
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Authors | R L Foote, C L Loprinzi, A R Frank, J R O'Fallon, S Gulavita, H H Tewfik, M A Ryan, J M Earle, P Novotny |
Journal | Journal of clinical oncology : official journal of the American Society of Clinical Oncology
(J Clin Oncol)
Vol. 12
Issue 12
Pg. 2630-3
(Dec 1994)
ISSN: 0732-183X [Print] United States |
PMID | 7989938
(Publication Type: Clinical Trial, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
- Mouthwashes
- Chlorhexidine
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Topics |
- Aged
- Chlorhexidine
(adverse effects, therapeutic use)
- Confidence Intervals
- Double-Blind Method
- Female
- Head and Neck Neoplasms
(radiotherapy)
- Humans
- Male
- Middle Aged
- Mouth Mucosa
(drug effects, radiation effects)
- Mouthwashes
(therapeutic use)
- Radiation Injuries
(drug therapy)
- Radiotherapy Dosage
- Stomatitis
(drug therapy, etiology)
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