Review Article

The Use of Essential Oils and Their Isolated Compounds for the Treatment of Oral Candidiasis: A Literature Review

Table 6

Drug formulation from essential oils, study design, and outcomes of the randomized clinical trials included in this literature review.

Plant speciesEssential oilformulationStudy designSample sizeCountryAge (mean ± SD)/gender (Fem)Sample loss/reasonsControl groupDosing protocolAssessment check pointsAssessment instruments of interestOutcomeRef.

Pelargonium graveole nsGelPhase II, randomized, double-blind80 patients (40 treated with Pelargonium gel and 40 treated with placebo)Iran38 to 78 years (61.39 ± 9.038)/(51 women and 29 men)Treated with placebo (base gel 1% geranium essence)Application of the gel twice a day (morning and night) for 14 days2 weeksCollection and culture of mycological samples from the palatal mucosa at each visit and colony count+[37]

Zataria multiflora0.1% gelPhase II double-blind, open randomized and controlled24 patients (12 treated with miconazole gel and 12 treated with Zataria multiflora gel)Iran24 (15 women and 9 men) aged 45 to 83 years (average 60.83) yearsMiconazole gel (2%)The gel was applied to the base of the denture four times a day for 4 weeks4 weeksColony counting of samples from the palatal mucosa, erythematous lesion on the palatal surface and from the surface of the denture+/+[38]

Melaleuca alternifoliaAlcoholic and nonalcoholic solutionsPhase II randomized, single-center open clinical trial27 patients (13 treated with the alcoholic solution and 14 treated with the nonalcoholic solution)USAMen and women aged 18 to 65 years5 (two did not return to receive the study medication and three received the medication but never returned for follow-up)Group I: rinse using 15 mL of the solution for 30–60 s four times a day for 14 days; Group II: rinse using 5 mL of solution for 30–60 s, four times a day for 14 days2 and 4 weeksAssessment of signs and symptoms (thrush and erythema), extent of lesions, assessment of cure, improvement, change or worsening of oropharyngeal candidiasis+[39]

Melaleuca alternifóliaCreamPhase II, randomized clinical trial27 patients (3 groups of 9: control group, Melaleuca artenifolia group and , nystatin group)Chile50 to 77 years old/26 women and 1 manCream alone and cream + nystatinFor every 5 ml of cream, 1 ml was replaced by 1 ml of M. alternifolia cream and homogenized for 20 secondsCulture and CFU count of samples from the palate mucosa in all sessions+[40]

Melaleuca alternifóliaOral solutionPhase II, single-center open study13 patientsUSA18 and 65 years old/men and women1 (never returned)Rinse using 15 ml of the solution for 30–60 s four times a day for 14 days2 and 4 weeksAssessment of signs and symptoms of oropharyngeal candidiasis, mycological assessments included a KOH test, yeast quantification, and in vitro susceptibility studies+[41]

Note: statistically significant reduction (+) or not (−) in the CFU count and in the signs and symptoms of oral candidiasis in relation to the positive control or placebo. Good result.