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Effect of water-soluble reduced chitosan on Streptococcus mutans, plaque regrowth and biofilm vitality

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Abstract

The purpose of the present study was to examine the effects of a newly developed water-soluble reduced chitosan on Streptococcus mutans, plaque regrowth, and biofilm vitality. A 1.0%, water-soluble reduced chitosan, with pH ranging from 6.0 to 6.5, molecular weights between 3,000 and 5,000 Da, and 70% degree of deacetylation, was used. To determine antibacterial and antiplaque potency of chitosan, minimal inhibitory concentrations (MICs) for S. mutans and S. sanguinis (formerly S. sanguis), short-term exposure to S. mutans, and clinical trial of plaque regrowth and biofilm vitality were conducted. Twelve dental students volunteered to participate in the 6-week, double blind, randomized clinical trial using the classical 4-day plaque regrowth design. The MIC of water-soluble reduced chitosan for S. mutans was 1.25 g/l. While the cells exposed to distilled water (DW) grew rapidly, with a maximum turbidity reached by 16 h postinoculation, S. mutans exposed to chitosan (5.0 g/l) exhibited a substantial delay in growth and reached a maximum turbidity by 32 h postinoculation. The chitosan solution reduced the plaque index and the vitality of the plaque flora significantly when compared to DW, but this was less than the reductions found with the positive control of 0.1% chlorhexidine solution. The water-soluble reduced chitosan exhibited potent antibacterial effect on S. mutans, and displayed a significant antibacterial and plaque-reducing action during the 4-day plaque regrowth.

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References

  1. Addy M, Moran J, Griffiths AA, Wills-Wood NJ (1985) Extrinsic tooth discoloration by metals and chlorhexidine. I. Surface protein denaturation or dietary precipitation? Br Dent J 159:281–285

    Article  PubMed  Google Scholar 

  2. al-Delaimy KS, Ali SH (1970) Antibacterial action of vegetable extracts on the growth of pathogenic bacteria. J Sci Food Agric 21:110–112

    Article  PubMed  Google Scholar 

  3. Arweiler NB, Henning G, Reich E, Netuschil L (2002) Effect of an amine–fluoride–triclosan mouthrinse on plaque regrowth and biofilm vitality. J Clin Periodontol 29:358–363

    Article  PubMed  Google Scholar 

  4. Baker PJ, Coburn RA, Genco RJ, Evans RT (1987) Structural determinants of activity of chlorhexidine and alkyl bisbiguanides against the human oral flora. J Dent Res 66:1099–1106

    PubMed  Google Scholar 

  5. Binney A, Addy M, McKeown S, Everatt L (1996) The choice of controls in toothpaste studies. The effect of a number of commercially available toothpastes compared to water on 4-day plaque regrowth. J Clin Periodontol 23:456–459

    Article  PubMed  Google Scholar 

  6. Brecx M, Netuschil L, Reichert B, Schreil G (1990) Efficacy of Listerine, Meridol and chlorhexidine mouthrinses on plaque, gingivitis and plaque bacteria vitality. J Clin Periodontol 17:292–297

    Article  PubMed  Google Scholar 

  7. Brecx M (1997) Strategies and agents in supragingival chemical plaque control. Periodontol 2000 15:100–108

    Article  PubMed  Google Scholar 

  8. Choi BK, Kim KY, Yoo YJ, Oh SJ, Choi JH, Kim CY (2001) In vitro antimicrobial activity of a chitooligosaccharide mixture against Actinobacillus actinomycetemcomitans and Streptococcus mutans. Int J Antimicrob Agents 18:553–557

    Article  PubMed  Google Scholar 

  9. Choi HJ, Lee HS, Her S, Oh DH, Yoon SS (1999) Partial characterization and cloning of leuconocin J, a bacteriocin produced by Leuconostoc sp. J2 isolated from the Korean fermented vegetable Kimchi. J Appl Microbiol 86:175–181

    Article  PubMed  Google Scholar 

  10. Decker EM, von Ohle C, Weiger R, Wiech I, Brecx M (2005) A synergistic chlorhexidine/chitosan combination for improved antiplaque strategies. J Periodontal Res 40:373–377

    Article  PubMed  Google Scholar 

  11. Drake DR, Wefel JS, Dunkerson D, Hogle K (1993) The antimicrobial activity of Prevention mouthrinse. Am J Dent 6:239–242

    PubMed  Google Scholar 

  12. Flotra L, Gjermo P, Rolla G, Waerhaug J (1971) Side effects of chlorhexidine mouth washes. Scand J Dent Res 79:119–125

    PubMed  Google Scholar 

  13. Fujiwara M, Hayashi Y, Ohara N (2004) Inhibitory effect of water-soluble chitosan on growth of Streptococcus mutans. New Microbiol 27:83–86

    PubMed  Google Scholar 

  14. Holme KR, Perlin AS (1997) Chitosan N-sulfate. A water-soluble polyelectrolyte. Carbohydr Res 302:7–12

    Article  PubMed  Google Scholar 

  15. Ikinci G, Senel S, Akincibay H, Kas S, Ercis S, Wilson CG, Hincal AA (2002) Effect of chitosan on a periodontal pathogen Porphyromonas gingivalis. Int J Pharm 235:121–127

    Article  PubMed  Google Scholar 

  16. Järvinen H, Tenovuo J, Huovinen P (1993) In vitro susceptibility of Streptococcus mutans to chlorhexidine and six other antimicrobial agents. Antimicrob Agents Chemother 37:1158–1159

    PubMed  Google Scholar 

  17. Johnson MG, Vaughn RH (1969) Death of Salmonella typhimurium and Escherichia coli in the presence of freshly reconstituted dehydrated garlic and onion. Appl Microbiol 17:903–905

    PubMed  Google Scholar 

  18. Keene HJ, Shklair IL (1974) Relationship of Streptococcus mutans carrier status to the development of carious lesions in initially caries free recruits. J Dent Res 53:1295

    PubMed  Google Scholar 

  19. Kim JH (1995) Inhibition of Listeria monocytogenes by bacteriocin from lactic acid bacteria isolated from kimchi. Agric Chem Biotechnol 38:302–307

    Google Scholar 

  20. Kornman KS (1985) Antimicrobial agents. National Institute of Dental Research, Bethesda, pp 150–194

    Google Scholar 

  21. Löe H and Silness J (1963) Periodontal disease in pregnancy: I. Prevalence and severity. Acta Odontol Scand 21:533–551

    Article  PubMed  Google Scholar 

  22. Miyazaki S, Nakayama A, Oda M, Takada M, Attwood D (1994) Chitosan and sodium alginate based bioadhesive tablets for intraoral drug delivery. Biol Pharm Bull 17:745–747

    PubMed  Google Scholar 

  23. Moran J, Addy M, Newcombe RG, Marlow I (2000) A study to assess the plaque inhibitory activity of a new triclosan mouthrinse formulation. J Clin Periodontol 27:806–809

    Article  PubMed  Google Scholar 

  24. Netuschil L, Reich E, Brecx M (1989) Direct measurement of the bactericidal effect of chlorhexidine on human dental plaque. J Clin Periodontol 16:484–488

    Article  PubMed  Google Scholar 

  25. Netuschil L, Weiger R, Preisler R, Brecx M (1995) Plaque bacteria counts and vitality during chlorhexidine, meridol and listerine mouthrinses. Eur J Oral Sci 103:355–361

    Article  PubMed  Google Scholar 

  26. Newcombe RG (1992) Crossover trials comparing several treatments. J Clin Periodontol 19:785–787

    Article  PubMed  Google Scholar 

  27. Newcombe RG, Addy M, McKeown S (1995) Residual effect of chlorhexidine gluconate in 4-day plaque regrowth crossover trials, and its implications for study design. J Periodontal Res 30:319–324

    Article  PubMed  Google Scholar 

  28. Perneger TV (1998) What's wrong with Bonferroni adjustments. BMJ 316:1236–1238

    PubMed  Google Scholar 

  29. Reichart P, Gehring F (1984) Streptococcus mutans and caries prevalence in Lisu and Karen of northern Thailand. J Dent Res 63:56–58

    PubMed  Google Scholar 

  30. Rölla G, Kjærheim V, Waaler SM (1994) The role of antiseptics in primary prevention. In: Lang NP, Karring T (eds) Proceedings of the second European Workshop in Periodontology. Quintessence, London

    Google Scholar 

  31. Schiött CR, Loe H, Jensen SB, Kilian M, Davies RM, Glavind K (1970) The effect of chlorhexidine mouthrinses on the human oral flora. J Periodontal Res 5:84–89

    Article  PubMed  Google Scholar 

  32. Seo H, Shoji A, Itoh Y, Kawamura M, Sakagami Y (1994) Antibacterial fiber blended with chitosan. In: Karnicki ZS, Brzeski MM, Bykowski PJ, Wojtasz-Pajak A (eds) Chitin world. Wirtschaftverlag NV-Verlag für neue Wissenschaft GmbH, Germany, pp 623–631

    Google Scholar 

  33. Silness J, Löe H (1964) Periodontal disease in pregnancy (II). Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 22:121–135

    Article  PubMed  Google Scholar 

  34. Sugimoto M, Morimoto M, Sashiwa H, Saimoto H, Shigemasa Y (1998) Preparation and characterization of water-soluble chitin and chitosan derivatives. Carbohydr Polym 36:49–59

    Article  Google Scholar 

  35. Tarsi R, Muzzarelli RA, Guzman CA, Pruzzo C (1997) Inhibition of Streptococcus mutans adsorption to hydroxyapatite by low-molecular-weight chitosans. J Dent Res 76:665–672

    Article  PubMed  Google Scholar 

  36. Tarsi R, Corbin B, Pruzzo C, Muzzarelli RA (1998) Effect of low-molecular-weight chitosans on the adhesive properties of oral streptococci. Oral Microbiol Immunol 13:217–224

    Article  PubMed  Google Scholar 

  37. Tsai GJ, Zhang SL, Shieh PL (2004) Antimicrobial activity of a low-molecular-weight chitosan obtained from cellulase digestion of chitosan. J Food Prot 67:396–398

    PubMed  Google Scholar 

  38. Turesky S, Gilmore ND, Glickman I (1970) Reduced plaque formation by the chloromethyl analogue of victamin C. J Periodontol 41:41–43

    PubMed  Google Scholar 

  39. Yang TC, Chou CC, Li CF (2005) Antibacterial activity of N-alkylated disaccharide chitosan derivatives. Int J Food Microbiol 97:237–245

    Article  PubMed  Google Scholar 

Download references

Acknowledgement

The statistical advice of Choongrak Kim (Pusan National University, Busan, South Korea) is gratefully acknowledged.

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Correspondence to J. B. Kim.

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Bae, K., Jun, E.J., Lee, S.M. et al. Effect of water-soluble reduced chitosan on Streptococcus mutans, plaque regrowth and biofilm vitality. Clin Oral Invest 10, 102–107 (2006). https://doi.org/10.1007/s00784-006-0038-3

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  • DOI: https://doi.org/10.1007/s00784-006-0038-3

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