Clinical and Microbiological performance of propolis mouth wash in children with active caries
Keywords:
Própolis, Mouthwashes, FluorideAbstract
The objective of the present study was to assess the clinical and microbiological performance of propolis mouth wash in children with active caries. For this, a 0.2% sodium fluoride solution was used as a positive control. The antimicrobiana activity of the propolis extract was carried out in a solid culture medium to determine Minimum Inhibitory Concentration (MIC) using strains of S. mutans. From the extract’s MIC, a 6.25% propolis mouth wash was created. The sample was comprised of 30 children with active caries, between 8 and 10 years of age, divided randomly into: GF - Fluorine Group (Control) and PG - Propolis Group. Indices of dental biofilm (IHOS and PHP) and gengival illnesses (ISG, IG), as well as the S Mutans count from the saliva sample were collected. before (In-initial) and 24 hours after (Fn-end) the 15th application of the mouth washes. The results presented values for In and Fn: (1) for GF: IHOS 2.4/2.0; PHP 0.88/079; IG 0.34/0.11; ISG 13.22/9.15; and UFC/ml 5.05x10 ² /4.81x10 ² and (2) for GP: IHOS 2.0/1.86; PHP 0.77/0.65; IG 0.44/ 0.37; ISG 22.31/13.48; and UFC/ml 9.41x 10 ² /2.09x
10 ². The difference between In and Fn for GF obtained statistical significance by means of the t test for IG (p< 0.01), ISG (p<0.05), PHP (p<0.01), IHOS
(p<0.01), whereas for GP the same was obtained for ISG (p<0.05), PHP (p<0.05), UFC/ml (p<0.05).
In the crisscrossing of GF (Controle) with GP, only the UFC/ml (p<0,05) obtained a statistical significance. It could therefore be concluded that the isolated performance of the tested mouth washes was effective, observing a subsequent equivalence in the clinical markers. Furthermore, only the GP presented a significant reduction in the UFC/ml levels of S. mutans from saliva.
Downloads
References
Souza FB, Gil JN. Doença cárie: nem infecciosa, nem transmissível. RGO 2001; 49: 139-44.
Zárate PP. Análise da atividade de bochechos contendo fluoreto de sódio 0,05%; fluoreto de sódio 0,2% e própolis acrescida de fluoreto de sódio 0,05%, sobre níveis salivares de estreptococos do grupo mutans em pacientes cárie ativos [Dissertação]. São Paulo (SP): Faculdade de Odontologia da USP; 1999.
Ikeno K, Ikeno T, Miyazawa C. Effects of própolis on dental caries in rats. Caries Res 1991; 25:347-55.
Stookey GK. Caries prevention. J Dent Educ 1998; 62: 803-11.
Jardim PS, Jardim EGJ. Influência da remoção mecânica da placa bacteriana associada ao uso diário de solução fluoretada. RGO 1998; 46: 79-84.
Ribeiro SK, Bussadori SK. Comparação entre o gel de clorexidina e o verniz de flúor na contagem salivar de S.mutans. Rev Paul Odontol 2000; 22: 48-52.
Bernado PC, Paiva JAS, Takenaka IT, Rodrigues CRMD. Comparação entre soluções fluoretadas indicadas para bochecho na deposição de placa bacteriana. RPG Rev Pos-grad 1996; 3: 230-3.
Zárate PP. Estudo in situ sobre a ação da própolis de Apis mellifera no desenvolvimento da cárie dentária e na formação do biofilme dental [Tese]. São Paulo (SP): Faculdade de Odontologia da USP; 2003.
Santos CF, Santos RE, Tarzia O. Soluções fluoretadas para bochecho: influência do ph sobre o metabolismo da placa dentária humana. Rev Fac Odontol Bauru 1998; 6: 16-21.
Ferjerskov O, Thylstrup A, Larsen M.J. Rational use of fluorides in caries preventions: a concept based on possible cariostatic mechanisms. Acta Odontol Scand 1981; 39: 241-9.
Markis RE. Antimicrobial actions of fluoride for oral bacteria. Can J Microbiol 1999; 41: 955-64.
Carvalho J, Maltz M. Tratamento da doença cárie. In: Kriger L. Promoção de saúde bucal. São Paulo: Artes Médicas. 1997; 93-112.
Duarte CA, Kfouri LS. Ação da própolis sob forma de bochechos. RGO 1999; 47:82-4.
Santos VR. Própolis: antibiótico natural alternativo em Odontologia? RevCROMG 1999; 5:192-5.
Koo H, Rosalen PL, Cury JA, Park, YK, Bowen, WH. Effect of Apis mellifera propolis from two Brazilizan regions on caries development in desalivated rats. Caries Res 1999; 33: 393-400.
Koo MH, Park YK. Investigação do teor de flavonóides na própolis comerciais. Rev Bras Apicultura 1996; 6: 6-7.
Park YK, Koo MH, Abreu JA, Ikegaki M, Cury JA, Rosalen PL. Antimicrobial activity of própolis on oral microrganisms. Curr Microbiol 1998; 36:24-8.
Panzeri H, Pedrazzi V, Ogasawara MS, Ito MS, Lara EHG, Gabarra FR. Um dentifrício experimental contendo própolis: avaliações físicas, microbiológicas e clínicas. Rev ABO Nac 1999; 7: 26-30.
Lakatos EM, Marconi MA. Fundamentos da metodologia científica. 5 ed. São Paulo: Atlas, 2003.
Gold OG, Jordan HV, Van Houte JA. A selective medium for Streptococcus mutans. Arch Oral Biol 1973; 18: 1357-64.
Steinberg D, Kaine G, Gedalia I. Antibacterial effect of propolis and honey on oral bacteria. Am J Dent 1996; 9: 236-9.
Duarte S, Koo H, Bowen WH, Hayacibara MF, Cury JA, Ikegaki M. Effect a novel type of propolis and its chemical fractions on glucosyltransferases and on growth and adherence of mutans streptococci. Biol Pharm Bull 2003; 26: 527-31.
Koo H, Rosalen PL, Cury JA, Park YK, Bowen WH. Effects of compounds found in propolis o streptococcus mutans growth and on glucosyltransferase activity. Antimicrob Agents Chemothrer 2002; 46: 1302-9.
Ota C, Unterkircher CS, Jorge AOC, Khouri S, Shmizu MT. Atividade antibacteriana da Própolis sobre a microbiota bucal. In: 12ª Reunião Anual da Sociedade Brasileira de Pesquisa Odontológica - SBPqO; Águas de São Pedro. São Paulo: SBPqO; 1995. P.105, resumo 209.