Production and Evaluation the Pharmacokinetic Effects of Probiotic Mouthwashes and Their Impacts on Periopathogenic Bacteria in Vitro
Effects of Probiotic Mouthwashes on Periopathogenic Bacteria
DOI:
https://doi.org/10.31661/gmj.v13iSP1.3655Keywords:
Lactobacillus Reuteri; Lactobacillus Rhamnosus; Aggregatibacter Actinomycetemcomitans; Porphyromonas Gingivalis MouthwashAbstract
Background: In this study, the pharmacokinetic effects of Lactobacillus rhamnosus (L.rh) and Lactobacillus reuteri (L.r) mouthwashes were investigated and the effects of these two bacteria on the Aggregatibacter actinomycetemcomitans (A.a) and Purofiromonas gingivalis (P.g) were compared. The results indicated which of the following probiotics has the inhibitoriest effect on priopathogens. Materials and Methods: Two types of mouthwash containing two probiotics; L. reuteri and L. rhamnosus, were produced. To evaluate the pharmacokinetics of each of the probiotic strains in the mouthwashes, tests for hydrogen peroxide resistance, lysozyme resistance, quantitative calculation of organic acids, and disk diffusion were performed. The Antipathogenic test was also performed to determine the extent of growth inhibition of the mouthwashes against the periopathogens of Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis. Results: L. rhamnosus probiotic was more resistant to hydrogen peroxide but less resistant to lysozyme enzyme than L. reuteri. The production of organic acids after 72 hours of incubation at 37 ͦ C in the L. reuteri strain was significantly higher than the L. rhamnosus. The amount of growth inhibition zone formed by the periopathogenes was detected. Both strains of lactobacilli used in the mouthwashes had good resistance to antibiotics. Conclusion: L. reuteri had a higher resistance to the enzyme lysozyme. However, due to the higher production of organic acids and the possibility of its negative impact on the structure of tooth enamel, the use of this bacteria is not ultimately desirable to maintain oral hygiene. According to the data of this study, due to the high resistance of L. rhamnosus to hydrogen peroxide and antibiotics and its greater effect on periopathogenic strains, the use of this bacteria in comparison with L. reuteri in the laboratory environment has more advantages.
References
Lang NP, Bartold PM. Periodontal health. Journal of Periodontology. 2018;89:S9-S16.
https://doi.org/10.1002/JPER.16-0517
PMid:29926938
Teles R, Sakellari D, Teles F, Konstantinidis A, Kent R, Socransky S, et al. Relationships among gingival crevicular fluid biomarkers, clinical parameters of periodontal disease, and the subgingival microbiota. Journal of Periodontology. 2010;81(1):89-98.
https://doi.org/10.1902/jop.2009.090397
PMid:20059421 PMCid:PMC2805280
Suzuki N, Yoneda M, Takeshita T, Hirofuji T, Hanioka T. Induction and inhibition of oral malodor. Molecular oral microbiology. 2019;34(3):85-96.
https://doi.org/10.1111/omi.12259
PMid:30927516
Hegde R, Awan K. Effects of periodontal disease on systemic health. Disease-a-Month. 2019;65(6):185-92.
https://doi.org/10.1016/j.disamonth.2018.09.011
PMid:30384973
Nakano K, Nemoto H, Nomura R, Inaba H, Yoshioka H, Taniguchi K, et al. Detection of oral bacteria in cardiovascular specimens. Oral microbiology and immunology. 2009;24(1):64-8.
https://doi.org/10.1111/j.1399-302X.2008.00479.x
PMid:19121072
Usin MM, Menso J, Rodríguez VI, González A, Tabares S, Parodi R, et al. Association between maternal periodontitis and preterm and/or low birth weight infants in normal pregnancies. The journal of maternal-fetal & neonatal medicine. 2016;29(1):115-9.
https://doi.org/10.3109/14767058.2014.987751
PMid:25394610
Ziebolz D, Pabel SO, Lange K, Krohn‐Grimberghe B, Hornecker E, Mausberg RF. Clinical periodontal and microbiologic parameters in patients with rheumatoid arthritis. Journal of periodontology. 2011;82(10):1424-32.
https://doi.org/10.1902/jop.2011.100481
PMid:21405936
Shrestha D, Choi YH, Zhang J, Hazlett LJ, Merchant AT. Relationship between serologic markers of periodontal bacteria and metabolic syndrome and its components. Journal of Periodontology. 2015;86(3):418-30.
https://doi.org/10.1902/jop.2014.140408
PMid:25415246
Kuula H, Salo T, Pirilä E, Tuomainen AM, Jauhiainen M, Uitto V-J, et al. Local and systemic responses in matrix metalloproteinase 8-deficient mice during Porphyromonas gingivalis-induced periodontitis. Infection and immunity. 2009;77(2):850-9.
https://doi.org/10.1128/IAI.00873-08
PMid:19029300 PMCid:PMC2632031
Bui FQ, Almeida-da-Silva CLC, Huynh B, Trinh A, Liu J, Woodward J, et al. Association between periodontal pathogens and systemic disease. Biomedical journal. 2019;42(1):27-35.
https://doi.org/10.1016/j.bj.2018.12.001
PMid:30987702 PMCid:PMC6468093
Fiorillo L, Cervino G, Laino L, D'Amico C, Mauceri R, Tozum TF, et al. Porphyromonas gingivalis, periodontal and systemic implications: a systematic review. Dentistry journal. 2019;7(4):114.
https://doi.org/10.3390/dj7040114
PMid:31835888 PMCid:PMC6960968
Garcia VG, Fernandes LA, de Almeida JM, Bosco ÁF, Nagata MJH, Martins TM, et al. Comparison between laser therapy and non-surgical therapy for periodontitis in rats treated with dexamethasone. Lasers in medical science. 2010;25(2):197-206.
https://doi.org/10.1007/s10103-009-0678-z
PMid:19440786
Tekce M, Ince G, Gursoy H, Dirikan Ipci S, Cakar G, Kadir T, et al. Clinical and microbiological effects of probiotic lozenges in the treatment of chronic periodontitis: a 1‐year follow‐up study. Journal of clinical periodontology. 2015;42(4):363-72.
https://doi.org/10.1111/jcpe.12387
PMid:25728888
Krayer JW, Leite RS, Kirkwood KL. Non-surgical chemotherapeutic treatment strategies for the management of periodontal diseases. Dental Clinics. 2010;54(1):13-33.
https://doi.org/10.1016/j.cden.2009.08.010
PMid:20103470 PMCid:PMC3086469
Zanatta FB, Antoniazzi RP, Rösing CK. The effect of 0.12% chlorhexidine gluconate rinsing on previously plaque‐free and plaque‐covered surfaces: A randomized, controlled clinical trial. Journal of Periodontology. 2007;78(11):2127-34.
https://doi.org/10.1902/jop.2007.070090
PMid:17970679
Morales A, Gandolfo A, Bravo J, Carvajal P, Silva N, Godoy C, et al. Microbiological and clinical effects of probiotics and antibiotics on nonsurgical treatment of chronic periodontitis: a randomized placebo-controlled trial with 9-month follow-up. Journal of Applied Oral Science. 2018;26:e20170075.
https://doi.org/10.1590/1678-7757-2017-0075
PMid:29364340 PMCid:PMC5777419
Sommer MO, Dantas G, Church GM. Functional characterization of the antibiotic resistance reservoir in the human microflora. science. 2009;325(5944):1128-31.
https://doi.org/10.1126/science.1176950
PMid:19713526 PMCid:PMC4720503
Bao GJ, Kari K, Tervahartiala T, Sorsa T, Meurman JH. Proteolytic activities of oral bacteria on ProMMP-9 and the effect of synthetic proteinase inhibitors. The open dentistry journal. 2008;2:96.
https://doi.org/10.2174/1874210600802010096
PMid:19088890 PMCid:PMC2581524
Mahasneh SA, Mahasneh AM. Probiotics: a promising role in dental health. Dentistry journal. 2017;5(4):26.
https://doi.org/10.3390/dj5040026
PMid:29563432 PMCid:PMC5806962
Kizerwetter-Swida M, Binek M. Assessment of potentially probiotic properties of Lactobacillus strains isolated from chickens. Polish journal of veterinary sciences. 2016;19(1):1505-1773.
https://doi.org/10.1515/pjvs-2016-0003
PMid:27096783
Zhang Z, Lv J, Pan L, Zhang Y. Roles and applications of probiotic Lactobacillus strains. Applied microbiology and biotechnology. 2018;102(19):8135-43.
https://doi.org/10.1007/s00253-018-9217-9
PMid:30032432
Teughels W, Durukan A, Ozcelik O, Pauwels M, Quirynen M, Haytac MC. Clinical and microbiological effects of Lactobacillus reuteri probiotics in the treatment of chronic periodontitis: a randomized placebo‐controlled study. Journal of clinical periodontology. 2013;40(11):1025-35.
https://doi.org/10.1111/jcpe.12155
PMid:24164569 PMCid:PMC3908359
Lima FLd, Farias FFd, Campos PC, Totola AH, Tavares CAP, Costa JEd, et al. Leukotoxic activity of Actinobacillus actinomycetemcomitans isolated from human and non-human primates. Brazilian Journal of Microbiology. 2001;32:250-6.
https://doi.org/10.1590/S1517-83822001000300018
Rurenga P, Raangs E, Singadji Z, Wekema‐Mulder G, Veloo A, Van Winkelhoff A. Evaluation of three selective media for isolation of A ggregatibacter actinomycetemcomitans. Journal of periodontal research. 2013;48(5):549-52.
https://doi.org/10.1111/jre.12037
PMid:23278666
Flichy‐Fernández A, Ata‐Ali J, Alegre‐Domingo T, Candel‐Martí E, Ata‐Ali F, Palacio J, et al. The effect of orally administered probiotic Lactobacillus reuteri‐containing tablets in peri‐implant mucositis: a double‐blind randomized controlled trial. Journal of periodontal research. 2015;50(6):775-85.
https://doi.org/10.1111/jre.12264
PMid:25712760
Bosch M, Nart J, Audivert S, Bonachera MA, Alemany AS, Fuentes MC, et al. Isolation and characterization of probiotic strains for improving oral health. Archives of oral biology. 2012;57(5):539-49.
https://doi.org/10.1016/j.archoralbio.2011.10.006
PMid:22054727
Hoque M, Akter F, Hossain K, Rahman M, Billah M, Islam K. Isolation, identification and analysis of probiotic properties of Lactobacillus spp from selective regional yoghurts. World J Dairy Food Sci. 2010;5(1):39-46.
Strus M, Kucharska A, Kukla G, Brzychczy-Włoch M, Maresz K, Heczko PB. The in vitro activity of vaginal Lactobacillus with probiotic properties against Candida. Infectious diseases in obstetrics and gynecology. 2005;13(2):69-75.
https://doi.org/10.1080/10647440400028136
PMid:16011996 PMCid:PMC1784560
Teanpaisan R, Piwat S, Dahlen G. Inhibitory effect of oral Lactobacillus against oral pathogens. Letters in Applied Microbiology. 2011;53(4):452-9.
https://doi.org/10.1111/j.1472-765X.2011.03132.x
PMid:21801186
Salminen MK, Rautelin H, Tynkkynen S, Poussa T, Saxelin M, Valtonen V, et al. Lactobacillus bacteremia, species identification, and antimicrobial susceptibility of 85 blood isolates. Clinical Infectious Diseases. 2006;42(5):e35-e44.
https://doi.org/10.1086/500214
PMid:16447101
Jansson H, Bratthall G, Söderholm G. Clinical outcome observed in subjects with recurrent periodontal disease following local treatment with 25% metronidazole gel. Journal of periodontology. 2003;74(3):372-7.
https://doi.org/10.1902/jop.2003.74.3.372
PMid:12710758
Mariotti A, Monroe PJ. Pharmacologic management of periodontal diseases using systemically administered agents. Dental Clinics of North America. 1998;42(2):245-62.
https://doi.org/10.1016/S0011-8532(22)00589-4
PMid:9597336
Arunachalam R, Rajeev V, Vedam V, Ganapathy S, Dhanavel J. Perioceutics in the management of Periodontal Disease. Journal of Young Pharmacists. 2017;9(1):08.
https://doi.org/10.5530/jyp.2017.9.3
Pejčić A, Kesić L, Obradović R, Mirković D. Antibiotics in the Management of Periodontal Disease. Acta facultatis medicae Naissensis. 2010;27(2):85-92.
Ardila C, Granada M, Guzmán I. Antibiotic resistance of subgingival species in chronic periodontitis patients. Journal of periodontal research. 2010;45(4):557-63.
https://doi.org/10.1111/j.1600-0765.2010.01274.x
PMid:20546113
Sagar S. Role of natural toothbrushes in containing oral microbial flora-A review. Asian Journal of Pharmaceutical and Clinical Research. 2015;8(4):29-33.
Wu CD, Darout IA, Skaug N. Chewing sticks: timeless natural toothbrushes for oral cleansing. Journal of periodontal research. 2001;36(5):275-84.
https://doi.org/10.1034/j.1600-0765.2001.360502.x
PMid:11585114
Morales A, Carvajal P, Silva N, Hernandez M, Godoy C, Rodriguez G, et al. Clinical effects of Lactobacillus rhamnosus in non‐surgical treatment of chronic periodontitis: a randomized placebo‐controlled trial with 1‐year follow‐up. Journal of Periodontology. 2016;87(8):944-52.
https://doi.org/10.1902/jop.2016.150665
PMid:26944407
Çaglar E, Kavaloglu Cildir S, Ergeneli S, Sandalli N, Twetman S. Salivary mutans streptococci and lactobacilli levels after ingestion of the probiotic bacterium Lactobacillus reuteri ATCC 55730 by straws or tablets. Acta Odontologica Scandinavica. 2006;64(5):314-8.
https://doi.org/10.1080/00016350600801709
PMid:16945898
Oda Y, Furutani C, Mizota Y, Nikawa H. Role of Lactobacillus rhamnosus in Oral Health of Disabled Individuals. Current Oral Health Reports. 2022;9(1):1-6.
https://doi.org/10.1007/s40496-022-00305-0
Food Organization A. Probiotics in food health and nutritional properties and guidelines for evaluation. Food and Agriculture Organization of the United Nations: World Health Organization, Rome; 2006.
Jiang Q. Probiotics in Oral Health Interactions between Probiotics and Oral Biofilms. University of Helsinki Open Repository. 2020; :318408.
Madhwani T, McBain AJ. Bacteriological effects of a Lactobacillus reuteri probiotic on in vitro oral biofilms. Archives of oral biology. 2011;56(11):1264-73.
https://doi.org/10.1016/j.archoralbio.2011.04.004
PMid:21570060
Chen L-J, Tsai H-T, Chen W-J, Hsieh C-Y, Wang P-C, Chen C-S, et al. In vitro antagonistic growth effects of Lactobacillus fermentum and Lactobacillus salivarius and their fermentative broth on periodontal pathogens. Brazilian Journal of Microbiology. 2012;43(4):1376-84.
https://doi.org/10.1590/S1517-83822012000400019
Terai T, Okumura T, Imai S, Nakao M, Yamaji K, Ito M, et al. Screening of probiotic candidates in human oral bacteria for the prevention of dental disease. PloS one. 2015;10(6):e0128657.
https://doi.org/10.1371/journal.pone.0128657
PMid:26053410 PMCid:PMC4459870
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