Your mouthwash could be causing more harm than just treating bad breath.
Written by Susan Parker | Updated on May 28, 2025
Reviewed by Susan Parker
Key Takeaways
Beneficial bacteria support blood pressure and blood sugar.
Using mouthwash before exercise can reduce nitric oxide levels.
Avoid harmful mouthwash ingredients like Triclosan and chlorhexidine.
Frequently Asked Questions
Key Takeaways
Beneficial bacteria support blood pressure and blood sugar.
Using mouthwash before exercise can reduce nitric oxide levels.
Avoid harmful mouthwash ingredients like Triclosan and chlorhexidine.
Frequently Asked Questions
Is your daily routine of using mouthwash silently impacting your health? Despite its promise of fresh breath and cavity protection, research indicates a potential downside: it could be detrimental to your heart health. Let’s delve into the scientific evidence behind this unexpected connection and explore alternative options to safeguard both your oral and overall well-being.
The majority of individuals in the U.S. incorporate mouthwash into their daily oral hygiene routine to cleanse their mouths, eliminate oral bacteria for fresher breath, shield their teeth from cavities, and protect their gums from infections.
However, a significant portion of the estimated 200 million daily mouthwash users may be unknowingly compromising their health. A growing number of medical experts are cautioning that the eradication of bacteria by mouthwash could lead to serious adverse effects with long-term health implications.
Interestingly, many of the bacteria residing in your mouth, which are eliminated by mouthwash, are beneficial bacteria akin to probiotics. These bacteria assist in functions such as blood pressure regulation and blood sugar maintenance. It has also been observed that using mouthwash immediately before exercising might nullify the health benefits of physical activity.
Fortunately, not all types of mouthwash seem to pose the same level of harm.
A considerable number of bacteria present on your teeth and gums release substances that help keep your blood pressure in check.
In a three-year study conducted at Harvard involving over 500 individuals aged 40 to 65, investigating the use of mouthwash and the risk of high blood pressure, it was discovered that using mouthwash was significantly associated with an increased likelihood of hypertension.
The study revealed that individuals who used mouthwash twice daily had a higher risk of hypertension compared to those who used it less frequently. Moreover, those who used mouthwash twice a day had an 85% higher risk of developing high blood pressure than those who did not use mouthwash at all.1
Studies have established that the blood pressure-lowering effect is linked to the bacteria's role in nitric oxide production – a compound essential for proper artery function and blood pressure regulation.
Nitric oxide is a messenger molecule with various functions such as blood pressure regulation, immune cell effectiveness, inflammation control, and prevention of blood clots that could obstruct blood flow.2 Additionally, research suggests that regular use of mouthwash might elevate the risk of blood sugar irregularities and type-2 diabetes.3
If you are a mouthwash user, one critical time to refrain from its use is before engaging in physical exercise. Several researchers now caution that using over-the-counter mouthwash before working out could negate some of the key health benefits associated with physical activity.
A study conducted at the University of Plymouth in England revealed that while exercise typically dilates blood vessels, lowers blood pressure, and offers other cardiovascular advantages, using an antibacterial mouthwash before running on a treadmill reduced the blood pressure-reducing effects of exercise by 60% within the first hour post-workout. Two hours after completing the treadmill session, the blood pressure benefits of exercise were entirely nullified.4
If you wish to use mouthwash without compromising your health, researchers recommend adhering to a few guidelines:
Instead, consider using a natural mouthwash containing ingredients such as:6
Alternatively, you could opt for a povidone-iodine mouthwash or one containing essential oils, as recommended by researchers in Asia.8 Regardless of your choice, prioritizing dental health is crucial. Recent studies have linked poor dental hygiene to memory decline and Alzheimer’s disease.
Although mouthwash is a common oral hygiene product, studies suggest that it could have detrimental effects on health by eliminating beneficial oral bacteria essential for blood pressure regulation, blood sugar control, and nitric oxide production. Evidence links frequent mouthwash usage to a heightened risk of hypertension and diminished cardiovascular benefits from exercise. To strike a balance, avoid mouthwashes with harmful ingredients like Triclosan and chlorhexidine, and consider natural alternatives containing matcha, propolis, aloe vera, or tea tree oil.
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