The Effect of Thymus Vulgaris Essential Oil and Chlorhexidine on Candida Albicans Accumulated on Removable Orthodontic Appliance: A Clinical Trial

Statement of the Problem: Orthodontic removable appliances can facilitate the accumulation of certain microorganisms and microbial plaque on tooth surfaces and appliance components. Since long-term use of chemical agents is not recommended, an alternative option would be medicinal plants for disinfe...

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Main Authors: Navid Naseri, Arefe Kalantari Khandani, Tahereh Baherimoghadam, Azade Kalantari Khandani, Shahram Hamedani, Sadegh Nouripour-Sisakht, Roja Safaeian
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2022-06-01
Series:Journal of Dentistry
Subjects:
Online Access:https://dentjods.sums.ac.ir/article_48361_fa72a77206dd9c90fd6ba9b47432807e.pdf
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author Navid Naseri
Arefe Kalantari Khandani
Tahereh Baherimoghadam
Azade Kalantari Khandani
Shahram Hamedani
Sadegh Nouripour-Sisakht
Roja Safaeian
author_facet Navid Naseri
Arefe Kalantari Khandani
Tahereh Baherimoghadam
Azade Kalantari Khandani
Shahram Hamedani
Sadegh Nouripour-Sisakht
Roja Safaeian
author_sort Navid Naseri
collection DOAJ
description Statement of the Problem: Orthodontic removable appliances can facilitate the accumulation of certain microorganisms and microbial plaque on tooth surfaces and appliance components. Since long-term use of chemical agents is not recommended, an alternative option would be medicinal plants for disinfection of the oral cavity. Purpose: The aim of this study was to assess the efficacy of thymus vulgaris (T. vulgaris) essential oil to decrease the count of candida albicans (C. albicans) accumulated on removal orthodontic appliances Materials and Method: In this 2-arm parallel controlled clinical trial, forty-four patients whose removable orthodontic appliances were contaminated with C. albicans were randomly divided into two groups by electronic random sampling. In the first group, T. vulgaris essential oil spray and in the second group, 0.2% chlorhexidine (CHX) spray was applied to the appliances. Thereafter, the C. albicans colony count was measured at baseline (T0) and at 2 (T1) and 5 (T2) days after the intervention. Microbial samples were collected by a sterile swab from 3 spots on the internal surface of orthodontic appliances. The Friedman test was used for within-group comparisons and the Mann Whitney test was employed to compare the efficacy of T. vulgaris essential oil with CHX. Results: The results of this study revealed that continuous use of 2%T. vulgaris essential oil or 0.2% CHX significantly decreased the colony count of C. albicans on removable orthodontic appliances; Howevere, no significant difference was noted in the efficacy of 2% T. vulgaris essential oil and 0.2% CHX in decreasing the C. albicans colony count. Conclusion: T. vulgaris essential oil and CHX have favorable antimicrobial activity against C. albicans. Moreover, 2% T. vulgaris essential oil can be considered as an alternative to 0.2% CHX to eliminate fungal contamination of orthodontic appliances.
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spelling doaj.art-0d13d2c6c25d4283a122a736083884522022-12-22T03:30:42ZengShiraz University of Medical SciencesJournal of Dentistry2345-64852345-64182022-06-01Supplement-June-2022Supplement-June-202219019710.30476/DENTJODS.2021.89317.1404The Effect of Thymus Vulgaris Essential Oil and Chlorhexidine on Candida Albicans Accumulated on Removable Orthodontic Appliance: A Clinical TrialNavid Naseri 0Arefe Kalantari Khandani 1Tahereh Baherimoghadam 2Azade Kalantari Khandani 3Shahram Hamedani 4Sadegh Nouripour-Sisakht 5Roja Safaeian 6Dept. of Orthodontic, School of Dentistry, Shiraz Branch, Azad University, Shiraz, Iran. Dentist, School of Dentistry, Shiraz Branch, Azad University, Shiraz, Iran. Dept. of Orthodontic, School of Dentistry, Shiraz Branch, Azad University, Shiraz, Iran. PhD Student, Dept. of Drug and Food Control, School of Pharmacy, Kerman University of Medical Science, Kerman, Iran. Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.Medicinal Plants Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.Dept. of Natural Resources and Environmental Engineering, School of Agriculture, Shiraz University, Shiraz, Iran. Statement of the Problem: Orthodontic removable appliances can facilitate the accumulation of certain microorganisms and microbial plaque on tooth surfaces and appliance components. Since long-term use of chemical agents is not recommended, an alternative option would be medicinal plants for disinfection of the oral cavity. Purpose: The aim of this study was to assess the efficacy of thymus vulgaris (T. vulgaris) essential oil to decrease the count of candida albicans (C. albicans) accumulated on removal orthodontic appliances Materials and Method: In this 2-arm parallel controlled clinical trial, forty-four patients whose removable orthodontic appliances were contaminated with C. albicans were randomly divided into two groups by electronic random sampling. In the first group, T. vulgaris essential oil spray and in the second group, 0.2% chlorhexidine (CHX) spray was applied to the appliances. Thereafter, the C. albicans colony count was measured at baseline (T0) and at 2 (T1) and 5 (T2) days after the intervention. Microbial samples were collected by a sterile swab from 3 spots on the internal surface of orthodontic appliances. The Friedman test was used for within-group comparisons and the Mann Whitney test was employed to compare the efficacy of T. vulgaris essential oil with CHX. Results: The results of this study revealed that continuous use of 2%T. vulgaris essential oil or 0.2% CHX significantly decreased the colony count of C. albicans on removable orthodontic appliances; Howevere, no significant difference was noted in the efficacy of 2% T. vulgaris essential oil and 0.2% CHX in decreasing the C. albicans colony count. Conclusion: T. vulgaris essential oil and CHX have favorable antimicrobial activity against C. albicans. Moreover, 2% T. vulgaris essential oil can be considered as an alternative to 0.2% CHX to eliminate fungal contamination of orthodontic appliances. https://dentjods.sums.ac.ir/article_48361_fa72a77206dd9c90fd6ba9b47432807e.pdforthodontic appliances; essential oil; candida albicans; chlorhexidine
spellingShingle Navid Naseri
Arefe Kalantari Khandani
Tahereh Baherimoghadam
Azade Kalantari Khandani
Shahram Hamedani
Sadegh Nouripour-Sisakht
Roja Safaeian
The Effect of Thymus Vulgaris Essential Oil and Chlorhexidine on Candida Albicans Accumulated on Removable Orthodontic Appliance: A Clinical Trial
Journal of Dentistry
orthodontic appliances; essential oil; candida albicans; chlorhexidine
title The Effect of Thymus Vulgaris Essential Oil and Chlorhexidine on Candida Albicans Accumulated on Removable Orthodontic Appliance: A Clinical Trial
title_full The Effect of Thymus Vulgaris Essential Oil and Chlorhexidine on Candida Albicans Accumulated on Removable Orthodontic Appliance: A Clinical Trial
title_fullStr The Effect of Thymus Vulgaris Essential Oil and Chlorhexidine on Candida Albicans Accumulated on Removable Orthodontic Appliance: A Clinical Trial
title_full_unstemmed The Effect of Thymus Vulgaris Essential Oil and Chlorhexidine on Candida Albicans Accumulated on Removable Orthodontic Appliance: A Clinical Trial
title_short The Effect of Thymus Vulgaris Essential Oil and Chlorhexidine on Candida Albicans Accumulated on Removable Orthodontic Appliance: A Clinical Trial
title_sort effect of thymus vulgaris essential oil and chlorhexidine on candida albicans accumulated on removable orthodontic appliance a clinical trial
topic orthodontic appliances; essential oil; candida albicans; chlorhexidine
url https://dentjods.sums.ac.ir/article_48361_fa72a77206dd9c90fd6ba9b47432807e.pdf
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