BMC Complementary and Alternative Medicine | |
Propolis - based chitosan varnish: drug delivery, controlled release and antimicrobial activity against oral pathogen bacteria | |
André AG Faraco1  Vagner R Santos3  Allyson N Moreira2  Rachel O Castilho1  Tatiana G Ribeiro1  Mariana P De Luca2  Juçara R Franca1  | |
[1] Pharmaceutical Science Post-Graduation Program, Faculty of Pharmacy, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil;Department of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil;Faculdade de Odontologia UFMG, Campus Pampulha, Av. Pres. Antonio Carlos, 6627, Pampulha, Belo Horizonte, MG 31270-901, Brasil | |
关键词: Oral microorganisms; Prevention; Cariogenic biofilm; Drug delivery; Varnish; Chitosan; Propolis; | |
Others : 1085047 DOI : 10.1186/1472-6882-14-478 |
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received in 2014-02-05, accepted in 2014-10-29, 发布年份 2014 | |
【 摘 要 】
Background
Dental caries is the most prevalent oral disease in several Asian and Latin American countries. It is an infectious disease and different types of bacteria are involved in the process. Synthetic antimicrobials are used against this disease; however, many of these substances cause unwarranted undesirable effects like vomiting, diarrhea and tooth staining. Propolis, a resinous substance collected by honeybees, has been used to control the oral microbiota. So, the objective of this study was to develop and characterize sustained-release propolis-based chitosan varnish useful on dental cariogenic biofilm prevention, besides the in vitro antimicrobial activity.
Methods
Three formulations of propolis - based chitosan varnish (PCV) containing different concentrations (5%, 10% and 15%) were produced by dissolution of propolis with chitosan on hydro-alcoholic vehicle. Bovine teeth were used for testing adhesion of coatings and to observe the controlled release of propolis associated with varnish. It was characterized by infrared spectroscopy, scanning electron microscopy, casting time, diffusion test in vitro antimicrobial activity and controlled release. Minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) were tested for the main microorganisms involved in the cariogenic biofilm through the microdilution test in 96-well plates.
Results
The formulations presented a tooth surface adherence and were able to form films very fast on bovine tooth surface. Also, propolis-based chitosan varnishes have shown antimicrobial activity similar to or better than chlorhexidine varnish against all oral pathogen bacteria. All microorganisms were sensitive to propolis varnish and chitosan. MIC and MBC for microorganisms of cariogenic biofilme showed better results than chlorhexidine. Propolis active components were released for more than one week.
Conclusion
All developed formulations turn them, 5%, 10% and 15% propolis content varnish, into products suitable for clinical application on dental caries prevention field, deserving clinical studies to confirm its in vivo activity.
【 授权许可】
2014 Franca et al.; licensee BioMed Central.
【 预 览 】
Files | Size | Format | View |
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20150113170258485.pdf | 967KB | download | |
Figure 3. | 34KB | Image | download |
Figure 2. | 96KB | Image | download |
Figure 1. | 44KB | Image | download |
【 图 表 】
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【 参考文献 】
- [1]Ismail AI, Sohn W, Tellez M, Willem JM, Betz J, Lepkowski J: Risk indicators for dental caries using the international caries detection and assessment system (ICDAS). Commun Dent Oral Epidemiol 2008, 36:55-68.
- [2]Wiener RC: Association of smokeless tobacco use and smoking in adolescents in the United States: An analysis of data from the Youth Risk Behavior Surveillance System survey, 2011. J Am Dent Assoc 2013, 44:930-938.
- [3]Nelson S, Albert JM, Geng C, Curtan S, Lang K, Miadich S, Heima M, Malik A, Ferretti G, Eggertsson H, Slayton RL, Milgrom P: Increased enamel hypoplasia and very low birthweight infants. J Dent Res 2013, 92:788-794.
- [4]Teanpaisan R, Piwat S: Lactobacillus paracasei SD1, a novel probiotic, reduces mutans streptococci in human volunteers: a randomized placebo-controlled trial. Clin Oral Investig 2013, 18:857-862. Jul 28. PMID: 23892501[PubMed]
- [5]Mafuvadze BT, Mahachi L, Mafuvadze B: Dental caries and oral health practice among 12year old school children from low socio-economic status background in Zimbabwe. Pan Afr Med J 2013, 14:164-170.
- [6]Diouf M, Boetsch G, Tal-Dia A, Tavitian P, Bonfil JJ: Digestive pathology and oral condition in the rural populations of the Ferlo in Senegal. Odontostomatol Trop 2013, 36:43-48.
- [7]Zouaidi K, Chala S, Ameziane R, Chhoul H: First permanent molar caries: a case study of Moroccan children between 6 and 15 year-old. Odontostomatol Trop 2012, 35:5-10.
- [8]Chou R, Cantor A, Zakher B, Mitchell JP, Pappas M: Preventing dental caries in children <5 years: systematic review updating USPSTF recommendation. Pediatrics 2013, 132:332-350.
- [9]Bagherian A, Sadeghi M: Association between dental caries and age-specific body mass index in preschool children of an Iranian population. Indian J Dent Res 2013, 24:66-70.
- [10]Bhoomika W, Ramakrishna Y, Munshi AK: Relationship between severe early childhood caries and body mass index. J Clin Pediatr Dent 2013, 37:235-242.
- [11]Naidu R, Nunn J, Kelly A: Socio-behavioural factors and early childhood caries: a cross-sectional study of preschool children in central Trinidad. BMC Oral Health 2013, 13:30-37. BioMed Central Full Text
- [12]Richards D: Limited evidence available for the impact of school-based behavioural interventions on oral health. Evid Based Dent 2013, 14:42-43.
- [13]Liberio SA, Pereira ALA, Araujo MJAM, Dutra RP, Nascimento FRF, Monteiro-Neto V, Ribeiro MNS, Goncalves AG, Guerra RNM: The potential use of propolis as a cariostatic agent and its actions on mutans group streptococci. J Ethnopharmacol 2009, 125:1-9.
- [14]Youravong N, Teanpaisan R, Chongsuvivatwong V: Salivary lead in relation to caries, salivary factors and cariogenic bacteria in children. Int Dent J 2013, 63:123-129.
- [15]Liu H, Chen B, Mao Z, Gao C: Chitosan nanoparticles for loading of toothpaste actives and adhesion on tooth analogs. J Appl Polymer Sci 2007, 106:4248-4256.
- [16]Arendás K, Herczegh A, Kerémi B, Tóth Z: Complete attendance of a caries risk patient. Fogorv Sz 2013, 106:17-21.
- [17]Colak H, Dülgergil CT, Dalli M, Hamidi MM: Early childhood caries update: a review of causes, diagnoses, and treatments. J Nat Sci Biol Med 2013, 4:29-38.
- [18]Takahashi Y, Urano-Tashiro Y, Konishi K: Adhesins of oral streptococci. Nihon Saikingaku Zasshi 2013, 68:283-293.
- [19]Kidd E, Fejerskov O: Changing concepts in cariology: forty years on. Dent Update 2013, 40:277–278, 280–282, 285–286.
- [20]Hayacibara MF, Koo H, Rosalen PL, Duarte S, Franco EM, Bowen WH, Ikegaki M, Cury JA: In vitro and in vivo effects of isolated fractions of Brazilian propolis on caries development. J Ethnopharmacol 2005, 101:110-115.
- [21]Selwitz RH, Ismail AI, Pitts NB: Dental caries. Lancet 2007, 369:51-59.
- [22]Biradar B, Devi P: Quorum sensing in plaque biofilms: challenges and future prospects. J Contemp Dent Pract 2011, 12:479-485.
- [23]Jeon JG, Rosalen PL, Falsetta ML, Koo H: Nat Prod Caries Res. 2009, 45:243-263.
- [24]Sajjan PG, Nagesh L, Sajjanar M, Reddy SK, Venktesh UG: Comparative evaluation of chlorhexidine varnish and fluoride varnish on plaque Streptococcus mutans count-an in vivo study. Int J Dent Hyg 2013, 11:191-197.
- [25]Plonka KA, Pukallus ML, Holcombe TF, Barnett AG, Walsh LJ, Seow WK: Randomized controlled trial: a randomized controlled clinical trial comparing a remineralizing paste with an antibacterial gel to prevent early childhood caries. Pediatr Dent 2013, 35:8-12.
- [26]Sforcin JM, Bankova V: Propolis: is there a potential for the development of new drugs? J Ethnopharmacol 2011, 133:253-260.
- [27]Ramalingam K, Amaechi BT, Rawls HR, Lee VA: Antimicrobial activity of nanoemulsion on cariogenic Streptococcus mutans. Arch Oral Biol 2011, 56:437-445.
- [28]Pereira EM, da Silva JL, Silva FF, De Luca MP, Ferreira EF, Lorentz TC, Santos VR: Clinical evidence of the efficacy of a mouthwash containing propolis for the control of plaque and gingivitis: a phase II study. Evid Based Complement Alternat Med 2011, 2011:750249. doi:10.1155/2011/750249
- [29]Park YK, Alencar SM, Aguiar CL: Botanical origin and chemical composition of Brazilian propolis. J Agric Food Chem 2002, 50:2502-2506.
- [30]Montero JC, Mori GG: Assessment of ion diffusion from a calcium hydroxide-propolis paste through dentin. Braz Oral Res (São Paulo) 2012, 26:318-322.
- [31]de Carvalho Duailibe SA, Goncalves AG, Mendes Ahid FJ: Effect of a propolis extract on Streptococcus mutans counts in vivo. J Appl Oral Sci 2007, 15:420-423.
- [32]Illum L: Chitosan and its use as a pharmaceutical excipient. Pharm Res 1998, 15:1326-1331.
- [33]Bae K, Jun EJ, Lee SM, Paik DI, Kim JB: Effect of water-soluble reduced chitosan on Streptococcus mutans, plaque regrowth and biofilm vitality. Clin Oral Inv 2006, 10(2):102-7. doi:10.1007/s00784-006-0038-3
- [34]Costa EM, Silva S, Pina C, Tavaria FK, Pintado MM: Evaluation and insights into chitosan antimicrobial activity against anaerobic oral pathogens. Anaerobe 2012, 18(3):305-9. doi:10.1016/j.anaerobe.2012.04.009
- [35]Rodriguez-Garcia A, Galan-Wong LJ, Arevalo-Niño K: Development and in vitro evaluation of biopolymers as a delivery system against periodontopathogen microorganisms. Acta Odontol Latinoam 2010, 23:158-163.
- [36]Sano H, Shibasaki K, Matsukubo T, Takaesu Y: Comparison of the activity of four chitosan derivatives in reducing initial adherence of oral bacteria onto tooth surfaces. Bull Tokyo Dent Coll 2001, 42(4):243-9.
- [37]Carlson RP, Taffs R, Davison WM, Stewart PS: Anti-biofilm properties of chitosan-coated surfaces. J Biomater Sci Polymer Ed 2008, 19:1035-1046.
- [38]Strohmenger L, Brambilla E: The use of fluoride varnishes in the prevention of dental caries: a short review. Oral Dis 2001, 7:71-80.
- [39]Salatino A, Teixeira EW, Negri G, Message D: Origin and chemical variation of Brazilian propolis. Evid Based Complement Alternat Med 2005, 2:33-38.
- [40]Koo H, Rosalen PL, Cury JA, Park YK, Ikegaki M, Sattler A: Effect of Apis mellifera propolis from two Brazilian regions on caries development in desalivated rats. Caries Res 1999, 33:393-400.
- [41]Clinical and Laboratory Standards Institute: Performance standards for antimicrobial susceptibility testing. In twentieth informational supplement, CLSI document M 100-S20. PA, USA: Wayne; 2010.
- [42]Funari CS, Ferro VO: Analise de propolis 1. Cienc Tecnol Aliment 2006, 26:171-178.
- [43]Marinho VC, Worthington HV, Walsh T, Clarkson JE: Fluoride varnishes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2013, 7:CD002279. doi:10.1002/14651858.CD002279.pub2
- [44]Broffitt B, Levy SM, Warren J, Cavanaugh JE: Factors associated with surface-level caries incidence in children aged 9 to 13: the Iowa Fluoride Study. J Public Health Dent 2013, 73:304-310. doi:10.1111/jphd.12028
- [45]Kuriakose S, Sundaresan C, Mathai V, Khosla E, Gaffoor F: A comparative study of salivary buffering capacity, flow rate, resting pH, and salivary Immunoglobulin A in children with rampant caries and caries-resistant children. J Indian Soc Pedod Prev Dent 2013, 31:69-73.
- [46]Lopes RM, Domingues GG, Junqueira SR, Araujo ME, Frias AC: Conditional factors for untreated caries in 12-year-old children in the city of Sao Paulo. Braz Oral Res 2013, 27:376-381.
- [47]Ijaz S, Croucher RE, Marinho VCC: Systematic reviews of topical fluorides for dental caries: a review of reporting practice. Caries Res 2010, 44:579-592.
- [48]Alvarez JA, Rezende KMPC, Salazar Marocho SM, Alves FBT, Celiberti P, Ciamponi AL: Dental fluorosis: exposure, prevention and management. Med Oral Patol Oral Cirurgia Bucal 2009, 14:E103-E107.
- [49]Pessani JP, Al-Ibrahim NS, Rabelo Buzalap MA, Toumba KJ: Slow-release fluoride devices: a literature review. J Appl Oral Sci 2008, 16:238-246.
- [50]Sheiham A, Sabbah W: Using universal patterns of caries for planning and evaluating dental care. Caries Res 2010, 44:141-150.
- [51]Zhang Q, van Palenstein Helderman WH, van't Hof MA, Truin GJ: Chlorhexidine varnish for preventing dental caries in children, adolescents and young adults: a systematic review. Eur J Oral Sci 2006, 114:449-455.
- [52]Autio-Gold J: The role of chlorhexidine in caries prevention. Oper Dent 2008, 33:710-716.
- [53]de Paula AMB, Gomes RT, Santiago WK, Dias RS, Cortés ME, Santos VR: Susceptibility of oral pathogenic bacteria and fungi to brazilian green propolis extract. Pharmacologyonline 2006, 3:467-473.
- [54]Novick SJ: A simple test for synergy for a small number of combinations. Stat Med 2013, 32:5145-5155.
- [55]Rodriguez MV, Sortino MA, Ivancovich JJ, Pellegrino JM, Favier LS, Raimondi MP, Gattuso MA, Zacchino AS: Detection of synergistic combinations of Baccharis extracts with Terbinafine against Trichophyton rubrum with high throughput screening synergy assay (HTSS) followed by 3D graphs. Behavior of some of their components. Phytomedicine 2013, 20:1230-1239.