Sains Malaysiana 49(1)(2020): 139-143

http://dx.doi.org/10.17576/jsm-2020-4901-17

 

Effectiveness of Pre-Procedural Rinsing with Essential Oils-Based Mouthrinse to Reduce Aerosol Contamination of Periodontitis Patients

(KeberkesananBerkumur menggunakan Bahan Kumur Berasaskan Minyak Pati untukMengurangkan Pencemaran Aerosol dalam Kalangan Pesakit Periodontitis)

 

A.S. SADUN1*, T.B. TAIYEB-ALI1,2, A.R. FATHILAH1,3, W.H. HIMRATUL-AZNITA1, R. SAUB4, S.H. SAFII5 & Z.A. CHE AB AZIZ5

 

1Department of Oral and Craniofacial Sciences, Faculty of Dentistry, University of Malaya, 50600 Kuala Lumpur, Federal Territory, Malaysia

 

2Department of Periodontology, Faculty of Dentistry, MAHSA University, Saujana Putra, 42610 Jenjarom, Selangor Darul Ehsan, Malaysia

 

3Faculty of Dental Medicine, Airlangga University, Surabaya , Indonesia

 

4Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, University of Malaya, 50600 Kuala Lumpur, Federal Territory, Malaysia

 

5Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50600 Kuala Lumpur, Federal Territory, Malaysia

 

Received: 26 February 2019/Accepted: 22 October 2019

 

ABSTRACT

This research aims to evaluate the effectiveness of pre-procedural rinsing using essential oils-mouthwash (Listerine®) in reducing bioaerosol contamination in a dental clinic. Thirty (30) subjects who consisted of those receiving treatment for periodontitis problems were randomly assigned to rinse with either 20 mL of Listerine® or 20 mL of placebo as control rinse. Every subject was instructed to gargle using the rinse for 1 min. Microbial samples of environmental air and saliva were collected before and after the rinse. All samples were further analyzed for total plate counts to measure the microbial level. Rinsing using Listerine® showed significant reduction in the level of microbial load in saliva compared to the control mouthrinses. Analysis done at three defined distance intervals from the operating site showed the level of bioaerosol contamination was highest at distance nearest to the treatment point of 1 ft. Based on counts of cfu, there was higher presence of microbial contaminant in bioaerosols of the control-rinsed group compared to the test-rinsed group using Listerine®. Therefore, it can be concluded that rinsing using Listerine® was effective towards reducing the microorganisms in saliva and oral cavity in general.

 

Keywords: Biolog; essential-oils; Listerine®; microorganisms; mouthrinse; saliva

 

ABSTRAK

Kajian ini bertujuan untuk menilai keberkesanan berkumur menggunakan bahan kumur berasaskan minyak pati (Listerine®) dalam mengurangkan pencemaran bioaerosol di klinik pergigian. Tiga puluh (30) subjek yang terdiri daripada penerima rawatan untuk masalah periodontitis dipilih secara rawak untuk berkumur menggunakan sama ada 20 mL Listerine® atau 20 mL plasebo sebagai kumuran kawalan. Setiap subjek diarahkan untuk berkumur selama 1 minit. Sampel mikrob pada persekitaran udara dan air liur dikumpulkan sebelum dan selepas berkumur. Semua sampel seterusnya dianalisis untuk menentukan tahap kandungan mikrobnya. Kumuran menggunakan Listerine®menunjukkan pengurangan ketara terhadap pencemaran mikrob dalam air liur berbanding dengan kumuran menggunakan plasebo sebagai kawalan. Analisis tahap pencemaran pada tiga jarak yang ditetapkan daripada punca rawatan menunjukkan pencemaran bioerosol paling tinggi pada jarak yang paling dekat kepada punca rawatan iaitu 1 kaki. Berdasarkan kiraan cfu, lebih banyak mikrob pencemar didapati dalam bioerosol terhasil daripada kumpulan kawalan daripada kumpulan ujian yang menggunakan Listerine®. Sebagai kesimpulan, kumuran sebelum prosedur menggunakan bahan kumur Listerine® adalah berkesan dalam mengurangkan penyebaran mikroorganisma dalam bioaerosol yang terhasil ketika prosedur rawatan, air liur dan kaviti oral keseluruhannya.

 

Kata kunci: Air liur; bahan kumur; biolog; Listerine®; mikroorganisma; minyak pati

 

REFERENCES

Akande, O., Alada, A., Aderinokun, G.A. & Ige, A.O. 2004. Efficacy of different brands of mouthrinses on oral bacterial load count in healthy adults. African Journal of Biomedical Research 7(3): 125-128.

Alshehri, F.A. 2018. The use of mouthwash containing essential oils (LISTERINE®) to improve oral health: A systematic review. Saudi Dent. J. 30(1): 2-6.

Checchi, L., Trombelli, L. & Nonato, M. 1992. Postoperative infections and tetracycline prophylaxis in periodontal surgery: A retrospective study. Quintessence International 23: 191-195.

Fine, D.H. 1998. Mouthrinses as adjuncts for plaque and gingivitis management. American Journal of Dentistry 1: 259-263.

Flötra, L., Gjermo, P., Rölla, G. & Waerhaug, J. 1971. Side effects of chlorhexidine mouth washes. IOSR Journal of Dental and Medical Sciences 79(2): 119-125.

Jenkinson, H.F. & Lamont, R.J. 2005. Oral microbial communities in sickness and in health. Trends in Microbiology 13(12): 589-595.

King, T.B., Muzzin, K.B., Berry, C.W. & Anders, L.M. 1997. The effectiveness of an aerosol reduction device for ultrasonic scalers. Journal of Periodontology 68(1): 45-49.

Marchetti, E., Mummulo, S., Marzo, G., Civisca, A., Di Pietro, C. & Marinelli, G. 2009. Effect of an essential-oil containing mouthrinse on the reduction of plaque and interproximal inflammation in comparison with an ethanol solution. Prev. Assist. Dent. 35(4): 123-127.

Marsh, P.D. & Martin, M.V. 2009. Mouth as a microbial habitat. In Oral Microbiology Textbook, edited by Lewis, M.A. Edinburgh: Churchill Livingstone Elsevier. pp. 8- 23.

Overholser, C.D., Meiller, T.F., DePaola, L.G., Minah, G.E. & Niehaus, C. 1990. Comparative effects of 2 chemotherapeutic mouthrinses on the development of supragingival dental plaque and gingivitis. Journal of Clinical Periodontology 17: 575-579.

Paster, B.J., Olsen, I., Aas, J.A. & Dewhirst, F.E. 2006. The breadth of bacterial diversity in the human periodontal pocket and other oral sites. Periodontology 42: 80-87.

Suresh, S., Manimegalai, M. & Sudhakar, U. 2011. Comparison of efficacy of preprocedural rinsing with chorhexidine and essential oil mouthwash in reducing viable bacteria in dental aerosols-A microbiological study. International Journal of Contemporary Dental and Medical Reviews 2: 6.

Tsai, H. & Bobek, L.A. 1998. Human salivary histatins: Promising anti-fungal therapeutic agents. Critical Reviews in Oral Biology and Medicine 9(4): 480-497.

Zemouri, C., de Soet, H., Crielaard, W. & Laheij, A. 2017. A scoping review on bio-aerosols in healthcare and the dental environment. PLoS ONE 2(5): 1-25.

 

*Corresponding author; email: asyrafulsabqisadun@gmail.com

 

 

 

 

 

previous