Abstract
Objectives
The aim of this study was to evaluate the effectiveness of a prototype photocatalytic device for bacterial decontaminations of the oral cavity.
Methods
Sixty-four subjects (18–65) were selected and randomly assigned to eight groups (n = 8), according to oral disinfection protocol: (G1): distilled water (control); (G2): 1.5% hydrogen peroxide (HP); (G3): 3.0% HP; (G4): 0.12% chlorhexidine (CHX); (G5): Germinator; (G6): 1.5% HP + Germinator; (G7): 3.0%HP + Germinator; (G8): 0.12% CHX + Germinator. Stimulated saliva was collected before and after a 3-min mouthwash and/or Germinator application. The patients were kept relaxed and retained saliva 5–10 min, spitting out into the tube for 3 min. The percentage bacterial reduction was checked by counting the colony-forming units (CFUs) after culturing on blood agar plates. Data were subjected to one-way ANOVA followed by Tukey’s post hoc test (α = 5%) for statistical significance.
Results
The highest bacterial reduction was observed in groups 3 (3.0% HP), 6 (1.5% HP + Germinator), and 7 (3.0% + Germinator), with no statistically significant difference between them (p > 0.05). Groups 6 (1.5% HP + Germinator) and 8 (0.12% CHX + Germinator) showed higher bacterial reduction than groups 2 (1.5% HP) and 4 (0.12% CHX) (p < 0.05). Finally, group 5 (Germinator) showed higher bacterial reduction than control group (DW) and group 4 (0.12% CHX) (p < 0.05).
Conclusions
The photocatalytic disinfection was effective against oral bacteria and improved the antimicrobial action of 1.5% HP and 0.12%.
Clinical significance.
The photocatalytic disinfection can be an alternative protocol to provide the oral decontamination.
Similar content being viewed by others
References
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
Campbell JB, Dimmick RL (1966) Effect of 3% hydrogen peroxide on the viability of Serratia marcescens. J Bacteriol 91:925–929
Clifford DP, Repine JE (1982) Hydrogen peroxide mediated killing of bacteria. Mol Cell Biochem 49:143–149
Dutta PK, Chakraborty S (2013) Light activated processes with zeolites: recent developments. New Future Dev Catal 1:49–62
Flötra L, Gjermo P, Rölla G, Waerhaug J (1971) Side effects of chlorhexidine mouth washes. Scand J Dent Res 79:119–125
Garcez AS, Hamblin MR (2017) Methylene blue and hydrogen peroxide for photodynamic inactivation in root canal - a new protocol for use in endodontics. Europ Endod J 2:29–29
Gralton J, Tovey E, McLaws ML, Rawlinson WD (2011) The role of particle size in aerosolised pathogen transmission: a review. J Infect 62:1–13
Gusberti FA, Sampathkumar P, Siegrist BE, Lang NP (1988) Microbiological and clinical effects of chlorhexidine digluconate and hydrogen peroxide mouthrinses on developing plaque and gingivitis. J Clin Periodontol 15:60–67
Harrel SK, Molinari J (2004) Aerosols and splatter in dentistry: a brief review of the literature and infectioncontrol implications. J Am Dent Assoc 135:429–437
Ikai H et al. Bactericidal effect of hydroxyl radical generated by photolysis of hydrogen peroxide. In: Sasaki K., Suzuki O., Takahashi N. (eds) Interface Oral Health Science 2011. Springer, Tokyo.
Ikai H, Nakamura K, Shirato M, Kanno T, Iwasawa A, Sasaki K, Niwano Y, Kohno M (2010) Photolysis of hydrogen peroxide, an effective disinfection system via hydroxyl radical formation. Antimicrob Agents Chemother 52:5086–5091
Ikai H, Nakamura K, Shirato M, Kanno T, Iwasawa A, Sasaki K, Niwano Y, Kohno M (2010) Photolysis of hydrogen peroxide, an effective disinfection system via hydroxyl radical formation. Antimicrob Agents Chemother 54:5086–5091
Keyes P, Wright W, Howard S (1978) The use of phase contrast microscopy and chemotherapy in the diagnosis and treatment of periodonlal lesions - an initial report. Quint Int 9:51–56
Kim S, Vogelpohl A (1998) Degradation of organic pollutants by the Photo-Fenton-process. Chem Eng Technol 21:187–191
Kumbargere Nagraj S, Eachempati P, Paisi M, Nasser M, Sivaramakrishnan G, Verbeek JH. Interventions to reduce contaminated aerosols produced during dental procedures for preventing infectious diseases Cochrane Database Syst Rev. 2020 Oct 12;10:CD013686.
Linley E, Denyer SP, McDonnell G, Simons C, Maillard JY (2012) Use of hydrogen peroxide as a biocide: new consideration of its mechanisms of biocidal action. J Antimicrob Chemother 67:1589–1596
Liochev SI, Fridovich I (2002) The Haber-Weiss cycle - 70 years later: an alternative view. Redox Rep 7(1):55–57
Menendez A, Li F, Michalek SM, Kirk K, Makhija SK, Childers NK (2005) Comparative analysis of the antibacterial effects of combined mouthrinses on Streptococcus mutans. Oral Microbiol Immunol 20:31–34
Sato H, Niwano Y, Nakamura K, Mokudai T, Ikai H, Kanno T, Egusa H (2016) Efficacy and safety of a therapeutic apparatus using hydrogen peroxide photolysis to treat dental and periodontal infectious diseases. J Toxicol Sci 41:793–799
Shirato M, Ikai H, Nakamura K, Hayashi E, Kanno T, Sasaki K, Niwano Y (2011) Synergistic effect of thermal energy on bactericidal action of photolysis of H2O2in relation to acceleration of hydroxyl radical generation. Antimicrob Agents Chemother 56:295–301
de Souza RA, Namen FM Jr, JG, Vieira C, Sedano HO. (2006) Infection control measures among senior dental students in Rio de Janeiro State. Brazil J Public Health Dent 66:282–284
Sreenivasan PK, Gittins E (2004) Effects of low dose chlorhexidine mouthrinses on oral bacteria and salivary microflora including those producing hydrogen sulfide. Oral Microbiol Immunol 19:309–313
Stamatacos C, Hottel TL (2014) The Advantages of the photolysis of hydrogen peroxide utilizing LED light as a hydroxyl radical-based disinfection methodology for photoeradication of dental plaque biofilms. Austin J Dent 1:1002
Tombes MB, Gallucci B (1993) The effects of hydrogen peroxide rinses on the normal oral mucosa. Nurs Res 42:332–337
Toki T, Nakamura K, Kurauchi M, Kanno T, Katsuda Y, Ikai H, Hayashi E, Egusa H, Sasaki K, Niwano Y (2015) Synergistic interaction between wavelength of light and concen- tration of H2O2 in bactericidal activity of photolysis of H2O2. J Biosci Bioeng 119:358–362
Wade AB, Mirza KB (1964) The relative effectiveness of sodium peroxyborate and hydrogen peroxide in treating acute ulcerative gingivitis. The Dent Pract Dent Rec U 14:185–187
Yamada Y, Mokudai T, Nakamura K, Hayashi E, Kawana Y, Kanno T, Sasaki K, Niwano Y (2012) Topical treatment of oral cavity and wounded skin with a new disinfection system utilizing photolysis of hydrogen peroxide in rats. J Toxicol Sci 37:329–335
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical approval
All applicable international, national, and/or institutional guidelines for the care and use of animals were followed.
Informed consent
Informed consent was obtained from all human participants included in the study.
Conflict of interest
Dr. Steier owns IP rights on the Germinator. The rest of the authors claim no conflicts of interest. The rest of the authors have no financial affiliation (e.g., employment, direct payment, stock holdings, retainers, consultantships, patent licensing arrangements, or honoraria) or involvement with any commercial organization with direct financial interest in the subject or materials discussed in this manuscript, nor have any such arrangements existed in the past 3 years. Any other potential conflict of interest is disclosed.
Additional information
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Souza, M.A., Corralo, D.J., Gabrielli, E.S. et al. Oral bacterial decontamination using an innovative prototype for photocatalytic disinfection. Clin Oral Invest 26, 3005–3010 (2022). https://doi.org/10.1007/s00784-021-04282-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00784-021-04282-z