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Mint-flavored PSP sleeves improved chemosensory experience for dental students during bitewing radiographyMint-flavored dental X-ray sleeves improved taste and scent for dental students in study

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Key Takeaway
Consider mint-flavored PSP sleeves to improve sensory experience during bitewing radiography in select populations.

A double-blind, randomized crossover trial evaluated mint-flavored versus non-flavored photostimulable phosphor barrier sleeves for patient comfort and sensory perception during intraoral bitewing radiography. The study enrolled 74 dental students with a 15-minute washout period between interventions. Primary outcomes were not explicitly stated, but secondary outcomes included overall comfort, gagging, oral irritation, taste, aftertaste, scent, feel, overall procedure experience, and preference.

Flavored sleeves significantly enhanced chemosensory experience with a large effect size (Cohen's r > 0.5, p < 0.001). Order effects were noted for overall comfort, taste, aftertaste, and scent (p < 0.001), with carryover effects persisting for taste, scent, and aftertaste (p < 0.01). Overall, 58.7% of participants preferred the flavored sleeve (χ² = 11.70, p < 0.01). Safety and tolerability data were not reported.

Key limitations include the use of dental students rather than general or clinical patients, which may limit generalizability. The study design was robust with statistical testing, but the impact on procedural discomfort and gagging was limited. The findings are specific to chemosensory experience and perceived acceptability.

For practice, this presents a low-cost option to potentially enhance the intraoral radiography experience, particularly for first-time, anxious, or pediatric patients. However, clinicians should recognize that the evidence comes from a non-clinical student population and addresses sensory perception rather than procedural comfort.

Researchers wanted to see if adding a mint flavor to the plastic sleeves used during dental bitewing X-rays would make the experience better for patients. They tested this in a study with 74 dental students. Each student tried both a mint-flavored sleeve and a plain sleeve during their X-ray procedure, with a short break in between. The study was designed to be fair, with neither the student nor the person giving the X-ray knowing which sleeve was being used at the time.

The main finding was that the mint-flavored sleeves made the taste, scent, and aftertaste of the procedure much more pleasant. About 59% of the students said they preferred the flavored sleeve over the plain one. The study also found that the order in which students tried the sleeves mattered; if they tried the flavored one first, it seemed to affect how they rated the plain one afterward.

It's important to be careful with these results for a few reasons. First, the study was done with dental students, who are very familiar with dental tools and procedures. Their experience might be very different from a nervous patient or a child visiting the dentist. Second, while the flavor improved the sensory experience, it did not have a major impact on reducing gagging or overall physical discomfort during the X-ray. This suggests flavored sleeves might make the taste better but don't solve other common issues. The study presents a simple, low-cost idea that dentists could consider, especially for patients who are anxious or having X-rays for the first time.

What this means for you:
A small study found mint-flavored X-ray sleeves improved taste for students, but more research is needed with regular patients.

Study Details

Study typeRct
EvidenceLevel 2
PublishedApr 2026
View Original Abstract ↓
OBJECTIVES: To assess whether flavoured PSP barrier sleeves enhance patient comfort and sensory perception during intraoral radiography compared to non-flavoured sleeves. MATERIAL AND METHODS: In a double-blind, randomized, crossover study, 74 dental students underwent two molar bitewing placements in random order, with a 15-min washout period. Participants rated overall comfort, gagging, oral irritation, taste, aftertaste, scent, feel, and overall procedure experience. Ordinal outcomes used the Wilcoxon signed-rank test, and binary outcomes used McNemar's test. Sequence and carryover effects were examined with the Mann-Whitney U test. Significance was set at p < 0.05. RESULTS: Flavored sleeves scored higher for chemosensory experience (p < 0.001; Cohen's r > 0.5). Order effects were noted for overall comfort, taste, aftertaste, and scent (p < 0.001; moderate to large effect size). The carryover effect persisted for taste, scent, and aftertaste (p < 0.01). Preference for flavored sleeve was 58.7% and strongly linked to treatment order (χ = 11.70, p < 0.01). CONCLUSIONS: Flavored PSP barrier sleeves enhance chemosensory experience and perceived acceptability of bitewing radiography, with a limited impact on procedural discomfort and gagging. Their use may improve patient cooperation and experience in clinical settings. CLINICAL RELEVANCE: Bitewing radiography is commonly used, but it can be uncomfortable due to the film positioning, patient cooperation, and the taste and feel of the barrier sleeves used with photostimulable phosphor plates. In this randomized crossover study, mint-flavored barrier sleeves improved chemosensory experience and patient acceptability. These findings present a low-cost option to enhance the intraoral radiography experience, particularly for first-time, anxious, or pediatric patients.
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