Ex vivo vs. in vivo antibacterial activity of two antiseptics on oral biofilm

Aim: To compare the immediate antibacterial effect of two application methods (passive immersion and active mouthwash) of two antiseptic solutions on the in situ oral biofilm.Material and Methods: A randomized observer-masked crossover study was conducted. Fifteen healthy volunteers wore a specific...

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Main Authors: ISABEL ePRADA-LÓPEZ, VICTOR eQUINTAS, MARIA DE LOS ANGELES eCASARES-DE-CAL, JUAN ANTONIO eSUAREZ-QUINTANILLA, DAVID eSUÁREZ-QUINTANILLA, INMACULADA eTOMÁS CARMONA
Format: Article
Language:English
Published: Frontiers Media S.A. 2015-07-01
Series:Frontiers in Microbiology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fmicb.2015.00655/full
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author ISABEL ePRADA-LÓPEZ
VICTOR eQUINTAS
MARIA DE LOS ANGELES eCASARES-DE-CAL
JUAN ANTONIO eSUAREZ-QUINTANILLA
DAVID eSUÁREZ-QUINTANILLA
INMACULADA eTOMÁS CARMONA
author_facet ISABEL ePRADA-LÓPEZ
VICTOR eQUINTAS
MARIA DE LOS ANGELES eCASARES-DE-CAL
JUAN ANTONIO eSUAREZ-QUINTANILLA
DAVID eSUÁREZ-QUINTANILLA
INMACULADA eTOMÁS CARMONA
author_sort ISABEL ePRADA-LÓPEZ
collection DOAJ
description Aim: To compare the immediate antibacterial effect of two application methods (passive immersion and active mouthwash) of two antiseptic solutions on the in situ oral biofilm.Material and Methods: A randomized observer-masked crossover study was conducted. Fifteen healthy volunteers wore a specific intraoral device for 48 hours to form a biofilm in three glass disks. One of these disks was used as a baseline; another one was immersed in a solution of 0.2% Chlorhexidine (0.2% CHX), remaining the third in the device, placed in the oral cavity, during the 0.2% CHX mouthwash application. After a two-week washout period, the protocol was repeated using a solution of Essential Oils (EO). Samples were analysed for bacterial viability with the confocal laser scanning microscope after previous staining with LIVE/DEAD® BacLight™.Results: The EO showed a better antibacterial effect compared to the 0.2% CHX after the mouthwash application (% of bacterial viability= 1.16 ± 1.00% vs. 5.08 ± 5.79%, respectively), and was more effective in all layers (p<0.05). In the immersion, both antiseptics were significantly less effective (% of bacterial viability= 26.93 ± 13.11%, EO vs. 15.17 ± 6.14%, 0.2% CHX); in the case of EO immersion, there were no significant changes in the bacterial viability of the deepest layer in comparison with the baseline. Conclusions: The method of application conditioned the antibacterial activity of the 0.2% CHX and EO solutions on the in situ oral biofilm. The in vivo active mouthwash was more effective than the ex vivo passive immersion in both antiseptic solutions. There was more penetration of the antiseptic inside the biofilm with an active mouthwash, especially with the EO.
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spelling doaj.art-c9d5ee8366c04bd5969f9b183e151dcc2022-12-21T21:53:08ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2015-07-01610.3389/fmicb.2015.00655150550Ex vivo vs. in vivo antibacterial activity of two antiseptics on oral biofilmISABEL ePRADA-LÓPEZ0VICTOR eQUINTAS1MARIA DE LOS ANGELES eCASARES-DE-CAL2JUAN ANTONIO eSUAREZ-QUINTANILLA3DAVID eSUÁREZ-QUINTANILLA4INMACULADA eTOMÁS CARMONA5School of Medicine and DentistrySchool of Medicine and DentistrySchool of Medicine and DentistrySchool of Medicine and DentistrySchool of Medicine and DentistrySchool of Medicine and DentistryAim: To compare the immediate antibacterial effect of two application methods (passive immersion and active mouthwash) of two antiseptic solutions on the in situ oral biofilm.Material and Methods: A randomized observer-masked crossover study was conducted. Fifteen healthy volunteers wore a specific intraoral device for 48 hours to form a biofilm in three glass disks. One of these disks was used as a baseline; another one was immersed in a solution of 0.2% Chlorhexidine (0.2% CHX), remaining the third in the device, placed in the oral cavity, during the 0.2% CHX mouthwash application. After a two-week washout period, the protocol was repeated using a solution of Essential Oils (EO). Samples were analysed for bacterial viability with the confocal laser scanning microscope after previous staining with LIVE/DEAD® BacLight™.Results: The EO showed a better antibacterial effect compared to the 0.2% CHX after the mouthwash application (% of bacterial viability= 1.16 ± 1.00% vs. 5.08 ± 5.79%, respectively), and was more effective in all layers (p<0.05). In the immersion, both antiseptics were significantly less effective (% of bacterial viability= 26.93 ± 13.11%, EO vs. 15.17 ± 6.14%, 0.2% CHX); in the case of EO immersion, there were no significant changes in the bacterial viability of the deepest layer in comparison with the baseline. Conclusions: The method of application conditioned the antibacterial activity of the 0.2% CHX and EO solutions on the in situ oral biofilm. The in vivo active mouthwash was more effective than the ex vivo passive immersion in both antiseptic solutions. There was more penetration of the antiseptic inside the biofilm with an active mouthwash, especially with the EO.http://journal.frontiersin.org/Journal/10.3389/fmicb.2015.00655/fullChlorhexidineImmersionessential oilsantisepticMouthwashConfocal laser scanning microscope
spellingShingle ISABEL ePRADA-LÓPEZ
VICTOR eQUINTAS
MARIA DE LOS ANGELES eCASARES-DE-CAL
JUAN ANTONIO eSUAREZ-QUINTANILLA
DAVID eSUÁREZ-QUINTANILLA
INMACULADA eTOMÁS CARMONA
Ex vivo vs. in vivo antibacterial activity of two antiseptics on oral biofilm
Frontiers in Microbiology
Chlorhexidine
Immersion
essential oils
antiseptic
Mouthwash
Confocal laser scanning microscope
title Ex vivo vs. in vivo antibacterial activity of two antiseptics on oral biofilm
title_full Ex vivo vs. in vivo antibacterial activity of two antiseptics on oral biofilm
title_fullStr Ex vivo vs. in vivo antibacterial activity of two antiseptics on oral biofilm
title_full_unstemmed Ex vivo vs. in vivo antibacterial activity of two antiseptics on oral biofilm
title_short Ex vivo vs. in vivo antibacterial activity of two antiseptics on oral biofilm
title_sort ex vivo vs in vivo antibacterial activity of two antiseptics on oral biofilm
topic Chlorhexidine
Immersion
essential oils
antiseptic
Mouthwash
Confocal laser scanning microscope
url http://journal.frontiersin.org/Journal/10.3389/fmicb.2015.00655/full
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