Department of O&MFS and Diagnostic Sciences, Faculty of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia.
Eur Rev Med Pharmacol Sci. 2022 Aug;26(15):5466-5475. doi: 10.26355/eurrev_202208_29415.
The aim of the study was to determine the bacterial-adherence to the experimental pellicle pretreated with commercially available oral-rinse/ photosensitizer (mimicking use of oral-rinse/ photosensitizer before meals).
An artificial mouth (NAM) system was used for the development of single-species biofilm (Actinomyces viscosus, Streptococcus mitis and Streptococcus sanguinis respectively). Two commercially available oral-rinses containing active ingredients [Essential oils (EO) and Chlorhexidine gluconate (CHX) were used. Curcumin photosensitizer (PS) was used as a photosensitizer against the microbes. For the adherence study, the experimental pellicle on the beads (in the capillary tubes of the NAM system) was pretreated with the oral-rinse and photosensitizer before the inoculation of bacteria; this would resemble the use of rinse/ photosensitizer before meal. The bacterial population of the biofilm was determined using serial dilution assay and expressed as colony forming unit per ml. Deionized distilled water was used in place of oral-rinse/photosensitizer and served as a negative-control. For the qualitative study, bacterial population viewing was carried out using Scanning Electron Microscope (SEM).
It was observed that on treatment with the oral-rinses the bacterial population of S.mitis, S.sanguinis and A.viscosus (adherence) was significantly reduced where the reduction was less for EO-based oral-rinse compared with that of CHX and curcumin PS in the following sequence EO<CHX<PS (p<0.05).
From the results, it appears that curcumin photosensitizer and oral-rinses contain CHX to be preferably used before-meal and EO after-meal.
本研究旨在确定经市售漱口水/光敏剂预处理(模拟用餐前使用漱口水/光敏剂)后的实验性牙菌斑的细菌黏附情况。
采用人工口腔(NAM)系统分别培养单种生物膜(黏性放线菌、米氏链球菌和血链球菌)。使用两种含有活性成分的市售漱口水[精油(EO)和葡萄糖酸氯己定(CHX)]。姜黄素光敏剂(PS)被用作针对微生物的光敏剂。为了进行黏附研究,在接种细菌前,用漱口水和光敏剂预处理珠上的实验性牙菌斑(在 NAM 系统的毛细管中);这类似于在用餐前进食前使用漱口水/光敏剂。使用连续稀释法测定生物膜中的细菌数量,并表示为每毫升形成菌落的单位数。以去离子蒸馏水代替漱口水/光敏剂作为阴性对照。为了进行定性研究,使用扫描电子显微镜(SEM)观察细菌数量。
观察到,在用漱口水处理后,米氏链球菌、血链球菌和黏性放线菌的细菌数量(黏附)明显减少,其中基于 EO 的漱口水的减少程度小于 CHX 和姜黄素 PS,顺序为 EO<CHX<PS(p<0.05)。
从结果来看,姜黄素光敏剂和含有 CHX 的漱口水似乎更适合在用餐前使用,而含有 EO 的漱口水则适合在用餐后勤漱口。