Skip to main content

Advertisement

Log in

Effect of N-chlorotaurine mouth rinses on plaque regrowth and plaque vitality

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

The purpose of this 4-day plaque regrowth study was to assess the effect of N-chlorotaurine (NCT) mouth rinses on plaque inhibition and plaque vitality. Eighty volunteers participated in this investigator-blind, randomized, clinical controlled study in parallel groups. No oral hygiene was permitted except rinsing with a 2% or 3% NCT mouth rinse, a positive or a negative control. Primary parameters were the plaque index (Silness and Löe, Acta Odontol Scand, 22:121–135, 1964) and plaque vitality (Netuschil et al., J Clin Periodontol, 16:484–488, 1989) after the final rinse. In addition, another plaque index (Turesky et al., J Periodontol, 41:41–43, 1970), plaque area, and bleeding on probing were recorded. All parameters were taken at baseline and day 5. U test was applied on a 5% error level. No differences in plaque inhibition were found between the two NCT formulations and the negative control. However, a statistically significant reduction of plaque vitality compared to the negative and positive control was observed. Discoloration of the tongue and unpleasant taste were recorded in participants in the NCT groups. NCT mouth rinses did not inhibit plaque regrowth, but they did reduce the vitality of plaque bacteria. Methods of prolonging the substantivity of the NCT mouth rinses should be investigated to enhance the antibacterial properties of these formulations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Addy M, Willis L, Moran J (1983) Effect of toothpaste rinses compared with chlorhexidine on plaque formation during a 4-day period. J Clin Periodontol 10:89–99

    Article  PubMed  Google Scholar 

  2. Ainamo J, Bay I (1975) Problems and proposals for recording gingivitis and plaque. Int Dent J 25:229–235

    PubMed  Google Scholar 

  3. Arnitz R, Ott HW, Gstottner M, Nagl M, Scholtz AW, Neher A (2006) A novel N-chlorotaurine-corticosteroid combination as a preservative-free local disinfectant: influence on the ciliary beat frequency in vitro. Acta Otolaryngol 126:291–294

    PubMed  Google Scholar 

  4. Arweiler NB, Netuschil L, Reich E (2001) Alcohol-free mouthrinse solutions to reduce supragingival plaque regrowth and vitality. A controlled clinical study. J Clin Periodontol 28:168–174

    Article  PubMed  Google Scholar 

  5. Bae K, Jun EJ, Lee SM, Paik DI, Kim JB (2006) Effect of water-soluble reduced chitosan on streptococcus mutans, plaque growth and biofilm vitality. Clin Oral Investig 10:102–107

    Article  PubMed  Google Scholar 

  6. Binney A, Addy M, Newcombe RG (1993) The plaque removal effects of single rinsings and brushings. J Periodontol 64:181–185

    PubMed  Google Scholar 

  7. Chorazy-Massalska M, Kontny E, Kornatka A, Rell-Bakalarska M, Marcinkiewicz J, Maslinski W (2004) The effect of taurine chloramine on pro-inflammatory cytokine production by peripheral blood mononuclear cells isolated from rheumatoid arthritis and osteoarthritis patients. Clin Exp Rheumatol 22:692–698

    PubMed  Google Scholar 

  8. Davies JM, Horwitz DA, Davies KJ (1994) Inhibition of collagenase activity by N-chlorotaurine, a product of activated neutrophils. Arthritis Rheum 37:424–427

    Article  PubMed  Google Scholar 

  9. Gaffar A, Afflitto J, Nabi N (1997) Chemical agents for the control of plaque and plaque microflora: an overview. Eur J Oral Sci 105(5 Pt 2):502–507

    Article  PubMed  Google Scholar 

  10. Gehlen I, Netuschil L, Georg T, Reich E, Berg R, Katsaros C (2000) The influence of a 0.2% chlorhexidine mouthrinse on plaque regrowth in orthodontic patients. A randomized prospective study. Part II: Bacteriological parameters. J Orofac Orthop 61:138–148

    Article  PubMed  Google Scholar 

  11. Gerardu VA, Buijs MJ, ten Cate JM, van Loveren C (2007) Effect of an intensified treatment with 40% chlorhexidine varnish on plaque acidogenicity. Clin Oral Investig 11:77–81

    Article  PubMed  Google Scholar 

  12. Gottardi W, Hagleitner M, Nagl M (2005) N,N-dichlorotaurine: chemical and bactericidal properties. Arch Pharm (Weinheim) 338:473–483

    Article  Google Scholar 

  13. Gstottner M, Nagl M, Pototschnig C, Neher A (2003) Refractory rhinosinusitis complicating immunosuppression: application of N-chlorotaurine, a novel endogenous antiseptic agent. ORL J Otorhinolaryngol Relat Spec 65:303–305

    PubMed  Google Scholar 

  14. Klamt F, Shacter E (2005) Taurine chloramine, an oxidant derived from neutrophils, induces apoptosis in human B lymphoma cells through mitochondrial damage. J Biol Chem 280:21346–21352

    Article  PubMed  Google Scholar 

  15. Kontny E, Rudnicka W, Kowalczewski J, Marcinkiewicz J, Maslinski W (2003) Selective inhibition of cyclooxygenase 2-generated prostaglandin E2 synthesis in rheumatoid arthritis synoviocytes by taurine chloramine. Arthritis Rheum 48:1551–1555

    Article  PubMed  Google Scholar 

  16. Liu Y, Tonna-DeMasi M, Park E, Schuller-Levis G, Quinn MR (1998) Taurine chloramine inhibits production of nitric oxide and prostaglandin E2 in activated C6 glioma cells by suppressing inducible nitric oxide synthase and cyclooxygenase-2 expression. Brain Res Mol Brain Res 31:189–195

    Article  Google Scholar 

  17. Löe H (1967) The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol 38(Suppl):610–606

    PubMed  Google Scholar 

  18. Mainnemare A, Mégarbane B, Soueidan A, Daniel A, Chapple IL (2004) Hypochlorous acid and taurine-N-monochloramine in periodontal diseases. J Dent Res 83:823–81

    Article  PubMed  Google Scholar 

  19. Nagl M, Gottardi W (1992) In vitro experiments on the bactericidal action of N-chlorotaurine. Hyg Med 17:111–114

    Google Scholar 

  20. Nagl M, Hengster P, Semenitz E, Gottardi W (1999) The postantibiotic effect of N-chlorotaurine on Staphylococcus aureus. Application in the mouse peritonitis model. J Antimicrob Chemother 43:805–809

    Article  PubMed  Google Scholar 

  21. Nagl M, Hess MW, Pfaller K, Hengster P, Gottardi W (2000a) Bactericidal activity of micromolar N-chlorotaurine: evidence for its antimicrobial function in the human defense system. Antimicrob Agents Chemother 44:2507–2513

    Article  PubMed  Google Scholar 

  22. Nagl M, Larcher C, Gottardi W (1998a) Activity of N-chlorotaurine against herpes simplex-and adenoviruses. Antiviral Res 38:25–30

    Article  PubMed  Google Scholar 

  23. Nagl M, Lass-Florl C, Neher A, Gunkel A, Gottardi W (2001) Enhanced fungicidal activity of N-chlorotaurine in nasal secretion. Antimicrob Chemother 47:871–874

    Article  Google Scholar 

  24. Nagl M, Nguyen VA, Gottardi W, Ulmer H, Hopfl R (2003) Tolerability and efficacy of N-chlorotaurine in comparison with chloramine T for the treatment of chronic leg ulcers with a purulent coating: a randomized phase II study. Br J Dermatol 149:590–597

    Article  PubMed  Google Scholar 

  25. Nagl M, Pfausler B, Schmutzhard E, Fille M, Gottardi W (1998b) Tolerance and bactericidal action of N-chlorotaurine in a urinary tract infection by an omniresistant Pseudomonas aeruginosa. Zentralbl Bakteriol 288:217–223

    PubMed  Google Scholar 

  26. Nagl M, Teuchner B, Pottinger E, Ulmer H, Gottardi W (2000b) Tolerance of N-chlorotaurine, a new antimicrobial agent, in infectious conjunctivitis—a phase II pilot study. Ophthalmologica 214:111–114

    Article  PubMed  Google Scholar 

  27. Neher A, Fischer H, Appenroth E, Lass-Florl C, Mayr A, Gschwendtner A, Ulmer H, Gotwald TF, Gstottner M, Kozlov V, Nagl M (2005) Tolerability of N-chlorotaurine in chronic rhinosinusitis applied via yamik catheter. Auris, Nasus, Larynx 32:359–364

    Article  PubMed  Google Scholar 

  28. Neher A, Gstottner M, Nagl M, Scholtz A, Gunkel AR (2007) N-chlorotaurine—a new safe substance for postoperative ear care. Auris, Nasus, Larynx 34:19–22

    Article  PubMed  Google Scholar 

  29. 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 

  30. Netuschil L, Reich E, Unteregger G, Sculean A, Brecx M (1998) A pilot study of confocal laser scanning microscopy for the assessment of undisturbed dental plaque vitality and topography. Arch Oral Biol 43:277–285

    Article  PubMed  Google Scholar 

  31. Persson A, Lingström P, Bergdahl M, van Dijken JW (2006) Buffering effect of a prophylactic gel on dental plaque. Clin Oral Investig 10:289–295

    Article  PubMed  Google Scholar 

  32. Quigley GA, Hein JW (1962) Comparative cleansing efficiency of manual and power brushing. J Am Dent Assoc 65:26–29

    PubMed  Google Scholar 

  33. Schuller-Levis GB, Park E (2003) Taurine: new implications for an old amino acid. FEMS Microbiol Lett 226:195–202

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  35. Söderling E, Karjalainen S, Lille M, Maukonen J, Saarela M, Autio K (2006) The effect of liquorice extract-containing starch gel on the amount and microbial composition of plaque. Clin Oral Investig 10:108–113

    Article  PubMed  Google Scholar 

  36. Teuchner B, Nagl M, Schidlbauer A, Ishiko H, Dragosits E, Ulmer H, Aoki K, Ohno S, Mizuki N, Gottardi W, Larcher C (2005) Tolerability and efficacy of N-chlorotaurine in epidemic keratoconjunctivitis—a double-blind, randomized, phase-2 clinical trial. J Ocul Pharmacol Ther 21:157–165

    Article  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  38. Verdrengh M, Tarkowski A (2005) Inhibition of septic arthritis by local administration of taurine chloramine, a product of activated neutrophils. J Rheumatol 32:1513–1517

    PubMed  Google Scholar 

  39. Weiger R, Netuschil L, von Ohle C, Brecx M (1995) Microbial vitality of supragingival dental plaque during initial stages of experimental gingivitis in humans. J Periodontal Res 30:204–209

    Article  PubMed  Google Scholar 

Download references

Conflict of Interest Statement

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to K. Lorenz.

Additional information

This publication is given in honour of Professor emeritus Dr. Dr. h. c. Peter Gaengler.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lorenz, K., Mayer, D., Bruhn, G. et al. Effect of N-chlorotaurine mouth rinses on plaque regrowth and plaque vitality. Clin Oral Invest 13, 9–14 (2009). https://doi.org/10.1007/s00784-008-0207-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-008-0207-7

Keywords

Navigation