Commercial antimicrobials mouthrinses on caries and periodontitis-related biofilm control: a review of literature

Authors

  • Aline Braga Department of Biological Sciences - Bauru School of Dentistry - University of São Paulo - Bauru - SP - Brazil.
  • Juliana Pires Department of Biological Sciences - Bauru School of Dentistry - University of São Paulo - Bauru - SP - Brazil.
  • Ana Carolina Magalhães Department of Biological Sciences - Bauru School of Dentistry - University of São Paulo - Bauru - SP - Brazil.

DOI:

https://doi.org/10.14295/bds.2017.v20i3.1402

Abstract

This review aims to discuss the antimicrobial potential of different mouthrinses in respect to the control of dental caries and periodontal disease. The survey was conducted using PubMed and the following keywords: "antimicrobial agent " or "antiplaque agent," "dental biofilm" and "dental caries" or "periodontal disease" or "gingivitis". Only studies published in English, from 2011 to 2015, in journals with impact factor greater than 0.8, were selected. We found a total of 22 papers, 13 related to dental caries and 9 related to periodontal disease. Among the 13 studies involving cariogenic bacteria and/or biofilm, 6 were conducted in vitro, 3 in situ and 4 in vivo. Among 9 studies involving periodontal disease, 2 were in vitro and 7 in vivo. The main active agents tested were: CHX-Chlorhexidine, CPC-cetylpyridinium chloride and EO-Essential oils (alcohol/or alcohol-free). CHX was compared to EO in 6 studies, showing superiority in 3 studies, similarity in 1 study and inferiority in 2 studies. CPC has shown lower effect in plaque reduction compared to CHX and EO. There is still controversy about the effect of alcohol, but some studies have shown superiority for EO and CHX with alcohol on cariogenic and periodontopathogenic biofilms, respectively, when compared to alcohol-free version; for CPC, no difference was found. More clinical studies are needed for better understanding the mechanism of action and the differences in performance among the antiplaque agents.

Keywords

Antimicrobial agents; Dental biofilm; Dental caries; Oral diseases; Periodontitis.

Downloads

Additional Files

Published

2017-09-12

Issue

Vol. 20 No. 3 (2017): Jul. - Sep. / 2017 - Published September 2017

Section

Literature Review

License

COPYRIGHT TRANSFER AND RESPONSIBILITY STATEMENT
 (PDF)

For all articles published in the BDS journal, copyright is retained by the authors. Articles are licensed under an open-access Creative Commons CC BY 4.0 license, meaning that anyone may download and read the paper for free. In addition, the article may be reused and quoted, provided that the original published version is cited. These conditions allow for maximum use and exposure of the work while ensuring that the authors receive proper credit. All metadata associated with published articles is released under the Creative Commons CC0 Universal Public Domain Dedication.

Before the submission, authors must obtain permission to reproduce any published material (figures, schemes, tables, or any extract of a text) that does not fall into the public domain or for which they do not hold the copyright. Permission should be requested by the authors from the copyright holder (usually the Publisher, please refer to the imprint of the individual publications to identify the copyright holder).

The authors hereby attest that the study is original and does not present manipulated data, fraud, or plagiarism. All names listed made a significant scientific contribution to the study, are aware of the presented data, and agree with the final version of the manuscript. They assume complete responsibility for the ethical aspects of the study.

This text must be printed and signed by all authors. The scanned version should be submitted as supplemental file during the submission process.