In vitro antibacterial activity of an active oxygen mouthwash (blue®m) and 0.12% chlorhexidine against Porphyromonas gingivalis ATCC 33277
DOI:
https://doi.org/10.33448/rsd-v15i3.50632Keywords:
Porphyromonas gingivalis, Chlorhexidine, Active oxygen, Mouthwash, Antibacterial activity.Abstract
Objective: To compare in vitro the antibacterial activity of an active oxygen-based mouthwash (blue®m) and 0.12% chlorhexidine against Porphyromonas gingivalis ATCC 33277 by evaluating the diameter of the inhibition halo at different time intervals. Materials and methods: An in vitro experimental study with a 2×3 factorial design was conducted. The agar diffusion method was applied using supplemented Mueller–Hinton agar, with incubation under anaerobic conditions. Antibacterial activity was assessed at 4, 8, and 12 hours. Statistical analysis included descriptive statistics and two-way analysis of variance (ANOVA), followed by Tukey’s post hoc test, adopting a significance level of p < 0.05. Results: Both mouthwashes exhibited antibacterial activity against Porphyromonas gingivalis at all evaluated time points. No statistically significant differences were observed between the groups at 4 and 8 hours. However, at 12 hours, 0.12% chlorhexidine showed a significantly greater inhibitory effect compared to the active oxygen mouthwash (p = 0.033). Conclusion: The active oxygen-based mouthwash demonstrated antibacterial activity comparable to chlorhexidine during the initial evaluation periods; however, chlorhexidine showed greater persistence of the antimicrobial effect. These findings support the potential use of active oxygen as an adjunctive agent for the initial control of anaerobic periodontal pathogens.
References
Bescos, R., Ashworth, A., Cutler, C., Brookes, Z., Belfield, L., Rodiles, A., & White, D. (2020). Effects of chlorhexidine mouthwash on the oral microbiome. Scientific Reports, 10, 5254. https://doi.org/10.1038/s41598-020-61912-4
Brookes, Z., Teoh, L., Cieplik, F., & Kumar, P. S. (2023). Mouthwash effects on the oral microbiome. International Dental Journal, 73(Suppl. 1), S74–S81. https://doi.org/10.1016/j.identj.2023.02.007
Brookes, Z. L. S., Belfield, L. A., Ashworth, A., Wright, S., Bell, C., Satterthwaite, J. D., & White, D. A. (2021). Effects of chlorhexidine mouthwash on the oral microbiome. Journal of Dentistry, 113, 103768. https://doi.org/10.1016/j.jdent.2021.103768
Bui, F. Q., Almeida-da-Silva, C. L. C., Huynh, B., Trinh, A., Liu, J., Woodward, J., & Ojcius, D. M. (2019). Association between periodontal pathogens and systemic disease. Biomedical Journal, 42(1), 27–35. https://doi.org/10.1016/j.bj.2018.12.001
Custódio, C. P., de Freitas, R. M., Marcantonio Junior, E., & colaboradores. (2024). Oxygen-releasing mouthwash for peri-implant health: A clinical perspective. Revista de Odontologia da UNESP, 53, e20240021. https://doi.org/10.1590/1807-2577.02124
Deliberador, T. M., Weiss, S. G., Rychuv, F., & colaboradores. (2020). Comparative in vitro analysis of blue®m versus chlorhexidine on Porphyromonas gingivalis. Advances in Microbiology, 10, 194–201. https://doi.org/10.4236/aim.2020.103015
Jones, C. G. (1997). Chlorhexidine: Is it still the gold standard? Periodontology 2000, 15, 55–62. https://doi.org/10.1111/j.1600-0757.1997.tb00105.x
Mattei, B. M., Imanishi, S. A. W., Ramos, G. O., & colaboradores. (2021). Mouthwash with active oxygen reduces postoperative inflammation: A case report. Case Reports in Dentistry, 2021, 5535807. https://doi.org/10.1155/2021/5535807
Ngeow, W. C., Tan, C. C., Goh, Y. C., & colaboradores. (2022). Oxygenation and angiogenesis in oral wound healing. Bioengineering, 9(11), 636. https://doi.org/10.3390/bioengineering9110636
Oosterwaal, P. J. M., Mikx, F. H. M., van’t Hof, M. A., & Renggli, H. H. (1991). Comparison of antimicrobial gels on the clinical and microbiological effects in periodontal pockets. Journal of Clinical Periodontology, 18(4), 245–251. https://doi.org/10.1111/j.1600-051X.1991.tb00423.x
Pereira, A. S., et al. (2018). Metodologia da pesquisa científica. UFSM.
Risemberg, R. I. C., Wakin, M., & Shitsuka, R. (2026). A importância da metodologia científica no desenvolvimento de artigos científicos. E-Acadêmica, 7(1), e0171675.
Shaheen, M. Y., Abas, I., Basudan, A. M., & colaboradores. (2024). Local oxygen-based therapy (blue®m) for periodontal and peri-implant diseases. Medicina, 60(3), 447. https://doi.org/10.3390/medicina60030447
Shitsuka, R., et al. (2014). Matemática fundamental para tecnologia. Editora Érica.
Sy, K., Flamme, J., Macquet, H., & colaboradores. (2020). Antimicrobial effect of active oxygen gel on oral pathogens. American Journal of Dentistry, 33(6), 305–309.
Toassi, R. F. C., & Petry, P. C. (2021). Metodologia científica aplicada à área da saúde. Editora da UFRGS.
Vieira, S. (2021). Introdução à bioestatística. Guanabara Koogan.
Zimmer, S., Kolbe, C., Kaiser, G., Krage, T., Ommerborn, M., & Barthel, C. R. (2006). Clinical efficacy of flossing versus antimicrobial rinses. Journal of Periodontology, 77(8), 1380–1385. https://doi.org/10.1902/jop.2006.050362
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Annie de J. Rosales Leyva, Jhonny A. Montoya Alvarez, Lizbeth Rivero Paredes, Milena de la C. Sarmiento Balber; Wiliam A. Ramirez Mesias

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
