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NEWSLETTER - New Zealand Association of Orthodontists

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We would do well to remember this, for in the<br />

world that we live in surely there can be few more<br />

important goals than personal improvement.<br />

The current debate on alcohol in dental mouth rinses<br />

sent me scurrying into the bathroom to have a look at the<br />

concentrations <strong>of</strong> the products available in my household.<br />

The result was nil for the one recommended for my kids<br />

(Listerine Smart Rinse) and a heady 22% for the Listerine<br />

Teeth Defence used twice daily by the writer. Fortunately<br />

I could easily find this out as the figures were on the bottle,<br />

the same cannot be said for Colgate. The bottle <strong>of</strong> Colgate<br />

Plax Overnight also found in the bathroom cupboard<br />

states ‘alcohol’ and gives an Australian free call number,<br />

to which no individual seemed inclined to answer (probably<br />

aware that some heavy questioning was coming their<br />

way). Further investigation on their web site provides no<br />

clearer picture, as they fail to provide this information.<br />

The debate which has seen high pr<strong>of</strong>ile responses in<br />

numerous publications, centres on 2 recent studies<br />

which appear (on the surface <strong>of</strong> it) to purport a causal<br />

relationship between alcohol containing mouth rinses<br />

and oral cancer. The association between smoking,<br />

periodontal disease, alcohol and cancer is well established,<br />

and has been reaffirmed in a number <strong>of</strong> studies.<br />

However these more recent studies show causal<br />

relationships between cancer and daily mouthwash<br />

use, independent <strong>of</strong> periodontal disease and smoking.<br />

I was somewhat reassured when Pr<strong>of</strong>. Laurie Walsh<br />

rushed a response out criticizing the study design <strong>of</strong><br />

these two publications and referring to them as ”Casual<br />

Opinions.” I’m sure this would be disappointing<br />

reading for the 17 authors <strong>of</strong> one <strong>of</strong> these studies<br />

many <strong>of</strong> whom work in epidemiology. Indeed they<br />

read that ‘from the 1995 to 2003 systematic reviews<br />

there would now appear to be sufficient evidence to once<br />

and for all reject the proposition that alcohol containing<br />

mouth rinses can play any role in the development<br />

<strong>of</strong> oral cancer.’ Strong words, and some reassurance for<br />

someone who occasionally embalms his oral cavity in up<br />

to 65% alcohol in the guise <strong>of</strong> a single-malt. Determined<br />

as Pr<strong>of</strong>. Walsh’s interpretations are, I think I’ll keep an<br />

eye on the mouth rinses and perhaps choose alcoholfree<br />

next time and let the epidemiologists continue to<br />

battle it out, without me making an input to their statistics<br />

(other than by recreational use, you understand).<br />

David L. Healey<br />

1. Kean MR, Ackerman JL, Vig PS (2009): Malocclusion:<br />

Beyond the Wendell L. Wylie Legacy.<br />

Angle Orthodontist, 79 (1):200-201.<br />

2. McCullough MJ, Farah CS (2008): The role <strong>of</strong><br />

alcohol in oral carcinogenesis with particular reference<br />

to alcohol-containing mouthwashes. Australian<br />

Dental Journal, 53: 302-305.<br />

3.<br />

Guha N, B<strong>of</strong>fetta P, Wu¨nsch Filho V et al.<br />

(2007): Oral Health and Risk <strong>of</strong> Squamous Cell<br />

Carcinoma <strong>of</strong> the Head and Neck and Esophagus:<br />

Results <strong>of</strong> Two Multi-centre Case-Control Studies.<br />

American Journal <strong>of</strong> Epidemiology, Vol. 166 No.<br />

10: 1159-1173.<br />

Walsh LJ (2009):<br />

4. Are alcohol-containing dental<br />

mouthwashes safe? A critical look at the evidence.<br />

NZDA <strong>New</strong>s, 143 March: 18-20.<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009

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