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"Lemon and Glycerin swabs, which have been the mainstay of oral hygiene, have no mechanical or cleansing value and should not be used."
Beck S, Yasko J, Guidelines for Oral Care, 2nd Edition, 1993, p.33. |
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"Citric acid (lemon juice) is too irritating for patients receiving chemotherapy. The continual irritation further lowered the pH of the mouth facilitating opportunities for bacterial or fungal infections."
Walter J, Care of the patient using antineoplastic drugs, The Nursing Clinics of North America. Dec 1982;17(4):607-29. |
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"Lemon juice is an acid and an effective salivary stimulant; however, excessively frequent stimulation may cause reflex exhaustion."
Horwath H, SUNY Buffalo, Buffalo, NY, 1978. |
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"The findings from a five day period of use with each agent indicated that the lemon juice and glycerin did have a drying effect on oral tissues."
Van Drimmelen J, Rollins H, Evaluation of a commonly used oral hygiene agent. Nursing Research. Jul-Aug 1969;18(4):327-32. |
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"The suspensions of lemon juice and glycerol tested did not meet all the criteria for a safe, effective oral hygiene agent...."
Wiley SB, Why glycerol and lemon juice? American Journal of Nursing. Feb 1969:69(2):342-4. |
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"The lemon juice is a citric acid that can irritate the oral mucosa and decalcify the teeth….Although warnings about potential harmful effects of lemon and glycerine have been in the literature for two decades, they are part of a ritual of nursing practice that has been difficult to change. This resistance to change is due somewhat to the fact that, until recently, few alternatives were available."
Beck S, Prevention and management of oral complications in the cancer patient. Current Issues in Cancer Nursing Practice Updates. 1(6). |
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