Comparison of antimicrobial activity of thymol and carvacrol to chlorhexidine in surgery

Authors

DOI:

https://doi.org/10.33448/rsd-v10i7.16310

Keywords:

Oral surgery; Oral antiseptics; Phytochemical compounds.

Abstract

Currently, there is a constant search for new chemical compounds through plant extracts and phytochemical compounds that do not cause so many side effects in the oral cavity and that have good antimicrobial properties. Therefore, the present study evaluated the synergistic antimicrobial efficacy of mouthwashes containing thymol and carvacrol when compared with 0.12% chlorhexidine mouthwash after bilateral lower third molar extraction. Nineteen healthy (male and female) patients (n = 19) aged between 18 and 30 years, of both sexes, treated at the Faculty of Dentistry of Mato Grosso do Sul (UFMS, MS, Brazil) participated in this study. All patients were submitted to two different therapeutic treatments, divided into two groups: group 1 (control) - patient used 0.12% chlorhexidine mouthwash solution; group 2 (experimental) - patient used 0.05% thymol and 0.025% carvacrol solutions. The suture was removed at seven postoperative days and aseptically transferred to a tube containing sterile potassium buffer saline solution. Samples were submitted to microbiological analysis at the Microbiology Laboratory at UFMS. The mean and standard deviation of colony forming units/ml of isolate microorganisms in the suture grown in BHI agar obtained from the control and experimental groups were 4.766 x 106 ± 4.069 and 4.847 x 106 ± 3.971, respectively. In conclusion, the thymol and carvacrol based mouthwash showed antimicrobial effectivity in biofilm adherence of the silk thread after extraction of third molars.

References

Albuquerque, A. C. L., Pereira, M. S. V., Silva, D. F., Pereira, L. F., Viana, F. A. C., Higino, J. S. et al. (2013). The anti-adherence effect of Lippia sidoides Cham. Extract against microorganisms of dental biofilm. Rev Bras Pl Med, 15(1):41-6.

Botelho, M. A., Bezerra Filho, J. G., Correa, L. J., Fonseca, S. J. C., Montenegro, D., et al. (2007). Effect of a novel essential oil mouthrinse without alcohol on gingivitis: a doubleblinded randomized controlled Trial. J Appl Oral Sci, 15(3):175-80.

Bucci, M., Borgonovo, A., Bianchi, A., Zanellato, A., Re, D. (2017). Microbiological analysis of bacterial plaque on three different threads in oral surgery. Minerva Stomatol, 66(1):28-34.

Catalán, A., Pacheco, J. G., Martínez, A., Mondaca, M. A. (2008). In vitro and in vivo activity of Melaleuca alternifolia mixed with tissue conditioner on Candida albicans. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 105(3):327-32.

Cousido, M. C., Carmona, I. T., García-Caballero, L., Limeres, J., Álvarez, M., Diz, P. (2010). In vivo substantivity of 0.12% and 0.2% chlorhexidine mouthrinses on salivary bacteria. Clin Oral Invest, 14(4):397-402.

Cuffari, L., Siqueira, J. T. T. (2007). Suturas em cirurgia oral e implantodontia. Rev Bras Implant, 3(4):12-7.

Faria, R. L., Cardoso, L. M. L., Akisue, G.; Pereira, C. A., Junqueira, J. C., Jorge, Santos Júnior, A. O. C. (2011). Antimicrobial activity of Calendula officinalis, Camellia sinensis and chlorhexidine against the adherence of microorganisms to sutures after extraction of unerupted third molars. J Appl Oral Scl, 19(5):476-82.

Freires, I. A., Silva, I. C., Alves, L. A., Bezerra, L. M., Castro, R. D. (2012). Clinical applicability of natural product(s)-containing mouthwashes as adjunctive treatment of biofilm-induced gingivitis: A systematic review. Braz J Med Plants, 14(6), 700–11.

García-García, R., López-Malo, A., Palou, E. (2011). Bactericidal action of binary and ternary mixtures of carvacrol, thymol, and eugenol against Listeria innocua. J Food Sci, 76(6), 95-100.

Gebara, E. C. E., Zardetto, C. G. C., Mayer, M. P. A. (1996). Estudo in vitro da ação antimicrobiana de substâncias naturais sobre S. mutans e S. sobrinus. Revista de Odontologia da USP, 10(1):251-6.

Hartmann Atuá, R., Pereira, K. F. S., Gaetti Jardim, E. C., Zafalon, E. J., de Freitas Boscaine, E., & Silva, J. C. L. da. (2021). Emprego do Laser de baixa intensidade no pós-operatório de exodontia de terceiros molares. ArcHI, 10(3), 489-496.

Herrera, D., Santacruz, I., Santos, S., Masdevall, M., Sanz, M. (2003). Differences in antimicrobial activity of four commercial 0.12% chlorhexidine mouthrinse formulations: an in vitro contact test and salivary bacterial counts study. J Clin Periodontol, 30(4):307-14.

Kocat, M. M., Ozcanb, S., Kocakb, S., Topuzc, O., Ertend, H. (2009). Comparison of the Efficacy of Three Different Mouthrinse Solutions in Decreasing the Level of Streptococcus Mutans in Saliva. Eur J Dent, 3(1):57-61.

Kohlert, C., Van Rensen, I., März, R., Schindler, G., Graefe, E.U., Veit, M. (2000). Bioavailability and pharmacokinetics of natural volatile terpenes in animals and humans. Planta Med, 66(12):495–505.

Kwiecinski, J., Eick, S., Wójcikm, K. (2009). Effects of tea tree (Melaleuca alternifolia) oil on Staphylococcus aureus in biofilms and stationary growth phase. Int J Antimicrob Agents, 33(4):343-7.

Lauritano, D., Pazzi, D., Iapichino, A., Gaudio, R. M., Di Muzio, M., Lo Russo, et al. (2016). Evaluation of the efficacy of a new oral gel containing carvacrol and thymol for home oral care in the management of chronic periodontitis using pcr analysis: a microbiological pilot study. J Biologic Regulators & homeostatic agents, 30(2):129-34.

Lobo, P. L. D., Fonteles, C. S. R., Marques, L. A. R. V, Jamacaru, F. V. F., Fonseca, S. G. C., Moraes, M. E. A. (2014). The efficacy of three formulations of Lippia sidoides Cham. essential oil in the reduction of salivary Streptococcus mutans in children with caries: A randomized, double-blind, controlled study. Phytomedicine, 45(4);1043–7.

Löe, H., Schiött, C. R. (1970). The effect of mouth rinses and topical application of chlorhexidine on the development of dental plaque and gingivitis in man. J Periodontal Res, 5(2):79-83.

Malamed, S. F. (2013). Handbook of Local Anesthesia. 6th Edition. 432p.

Nogueira, M. N. M., Correia, M. F., Fontana, A., Bedran, T. B. L., Spolidorio, D. M. P. (2013). Avaliação Comparativa “In Vivo” da Eficácia do Óleo de Melaleuca, Clorexidina e Listerine sobre Streptococcus mutans e Microrganismos Totais na Saliva. Pesq Bras Odontoped Clin Integr, João Pessoa, 13(4):343-9.

Nunes, R. S., Lira, A. A. M., Lacerda, C. M., Silva, D. O. B., Silva, J. A., Santana, D. P. (2006). Obtention and evaluation of odontologic products made with the crude extract of Lippia sidoides Cham (Verbenaceae) over the dental biofilm. Rev Odontol UNESP, 35(4):275-83.

Peixoto-Neves, D., Silva-Alves, K. S., Gomes, M. D., Lima, F.C., Lahlou, S., Magalhães, P. J, et al. (2010). Vasorelaxant effects of the monoterpenic phenol isomers, carvacrol and thymol, on rat isolated aorta. Fundam Clin Pharmacol, 24(6):341-50.

Pelissaro, G. S., Silva, T. F. R. G. da., Herculano, A. B. de S., Santos, M. E. S. dos., Oliveira, B. C., Silva, J. C. L. da., Marion, J. J. de C., Faverani, L. P., Sandim, G. B., Souza, A. S., Jardim, E. C. G. (2021). Kinesio tape for edema control after bichectomy: A randomized trial study. RSD, 10(5): e33610514983.

Qin, Y., Wang, H., Karuppanapandian, T., Kim, W. (2010). Chitosan verde cura. Chin J Traumatol, 13(2):91-5.

Rodrigues, I. S. C., Tavares, V. N., Pereira, S. L. S., Costa, F. N. (2009). Antiplaque and antigingivitis effect of lippia sidoides. a double-blind clinical study in humans. J Appl Oral Sci, 17(5):404-7.

Santos, M. A. M., Machado, J. L. (2001). Colaboração ao estudo de fios utilizados em suturas alveolares, avaliação histológica e clinica do fio dental. Rev Fac Odontol UFBA, 23(2):28-32.

Downloads

Published

13/06/2021

How to Cite

MASOCATTO, D. C. .; MATSUMOTO, M. A. .; COELHO, T. M. K. .; JARDIM, E. C. G. .; GARCIA DE MENDONÇA, J. C. .; SILVA, J. C. L. da .; CAROLLO, C. A. .; CAROLLO, A. R. .; MARQUES, M. C. S. .; FERNANDES, S. M. .; HASSUMI, J. S. .; NOGUEIRA, M. G. .; FIGUEIREDO, F. T. .; OLIVA, A. H. de .; PELISSARO, G. S. . Comparison of antimicrobial activity of thymol and carvacrol to chlorhexidine in surgery. Research, Society and Development, [S. l.], v. 10, n. 7, p. e4310716310, 2021. DOI: 10.33448/rsd-v10i7.16310. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/16310. Acesso em: 23 nov. 2024.

Issue

Section

Health Sciences