Sir, we have read Dr Dagher and Dr Hannan's letter about mouthwash in the recent issue of your journal.1 They have suggested restriction of mouthwash advertisements or limiting mouthwash use with prescription only as use of mouthwash influences oral and general health.1
Dr Singh and colleagues have suggested that copper may help to prevent Streptococcus mutans infection in the oral cavity.2,3
Mouthwash use is also associated with a slight increase in blood pressure and risk of head and neck cancer.4,5 Copper present in drinking water stored in copper tanks kills bacteria and the copper content in drinking water stored in copper pots is within the permissible limits (177±16 ppb) of the World Health Organisation.6 Hence swishing of drinking water stored in a copper tank may be a help as a safe economical mouthwash which can be used by the general population.
References
Dagher A, Hannan N. Mouthwash: more harm than good? Br Dent J 2019; 226: 240.
Singh K, Senadheera D B, Levesque C M, Cvitkovitch D G. The copYAZ operon functions in copper efflux, biofilm formation, genetic transformation, and stress tolerance in Streptococcus mutans. J Bacteriol 2015; 197: 2545-2557.
Afseth J, Oppermann R V, Rølla G. Accumulation of Cu and Zn in human dental plaque in vivo. Caries Res 1983; 17: 310-314.
Kapil V, Haydar S M, Pearl V, Lundberg J O, Weitzberg E, Ahluwalia A. Physiological role for nitrate-reducing oral bacteria in blood pressure control. Free Radic Biol Med 2013; 55: 93-100.
Boffetta P, Hayes R B, Sartori S et al. Mouthwash use and cancer of the head and neck: a pooled analysis from the International Head and Neck Cancer Epidemiology Consortium. Eur J Cancer Prev 2016; 25: 344-348.
Sudha V B, Ganesan S, Pazhani G P, Ramamurthy T, Nair G B, Venkatasubramanian P. Storing drinking-water in copper pots kills contaminating diarrhoeagenic bacteria. J Health Popul Nutr 2012; 30: 17-21.
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Math, M., Kattimani, Y. & Khadkikar, R. Copper water swishing. Br Dent J 226, 718 (2019). https://doi.org/10.1038/s41415-019-0381-9
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DOI: https://doi.org/10.1038/s41415-019-0381-9