49. THE MOUTHWASH CONTAINING CHLORHEXIDINE AND CHLORINE DIOXIDE: AN IN VITRO STUDY
Main Article Content
Abstract
Objective: To evaluate the effect of the mouthwash containing chlorhexidine and chlorine dioxide on human gingival fibroblasts.
Subject and method: The impact of mouthwash containing both chlorhexidine (concentrations from 0.01, 0.02, 0.05, 0.1, and 0.2%) and chlorine dioxide (0.05 and 0.1%) on human gingival fibroblasts after 24 hours of contact was assessed using the colorimetric assay MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide], in accordance with ISO10993-5:2009.
Results: After 24 hours of contact, the mouthwash containing chlorhexidine and chlorine dioxide showed toxicity grades 3 and 4 to the human gingival fibroblast.
Conclusion: The mouthwash containing chlorhexidine and chlorine dioxide was toxic to human gingival fibroblasts after 24 hours of exposure.
Article Details
Keywords
chlorhexidine, chlorine dioxide, human gingival fibroblast, mouthwash.
References
[2] Kerémi B, Márta K, Farkas K, et al. Effects of chlorine dioxide on oral hygiene - A systematic review and meta-analysis. Curr Pharm Des, 2020, 26(25): 3015-3025.
[3] Anna H, Barnabás P, Zsolt L, Romána Z, Tracking of the degradation process of chlorhexidine digluconate and ethylenediaminetetraacetic acid in the presence of hyper-pure chlorine dioxide in endodontic disinfection. J Pharm Biomed Anal, 2019, 164:360-364.
[4] ISO E 10993-5. Biological Evaluation of Medical Devices. Part 5: Tests for in vitro cytotoxicity. International Organization for Standardization: Geneva, Switzerland. 2009.
[5] Lessa FC, Aranha AM, Nogueira I, et al. Toxicity of chlorhexidine on odontoblast-like cells. J Appl Oral Sci 2010, 18(1): 50-58.
[6] Kőhidai Z, Takács A, Lajkó E, et al. The effects of mouthwashes in human gingiva epithelial progenitor (HGEPp) cells. Clin Oral Investig, 2022, 26(6): 4559-4574.
[7] Nishikiori R, Nomura Y, Sawajiri M, et al. Influence of chlorine dioxide on cell death and cell cycle of human gingival fibroblasts. J Dent, 2008, 36(12): 993-998.
[8] Soares LG, Guaitolini RL, Weyne Sde C, et al. The effect of a mouth rinse containing chlorine dioxide in the clinical reduction ofvolatile sulfur compounds. Gen Dent, 2012, 61(4): 46-49.
[9] Noszticzius Z, Wittmann M, Kály-Kullai K, et al. Chlorine dioxide is a size-selective antimicrobial agent. PLoS One, 2013, 8(11): e79157.
[10] Cabral C. T. and Fernandes M. H. (2007). In vitro comparison of chlorhexidine and povidone- iodine on the long-term proliferation and functional activity of human alveolar bone cells. Clin Oral Investig, 11(2): 64-155.