The influence of chlorhexidine gluconate and povidone iodine on the minimum inhibitory cencentration and quantitative of streptococcus mutans

Authors

  • Anie Apriani Maranatha Christian University
  • Henry Yonatan Mandalas Maranatha Christian University
  • Calvin Kurnia Maranatha Christian University
  • Dicha Yuliadewi Rahmawati Maranatha Christian University
  • Thio Lison Maranatha Christian University
  • Nabila Mulyadi Maranatha Christian University

DOI:

https://doi.org/10.30659/odj.12.2.183-189

Keywords:

Dental caries, streptococcus mutans, minimum inhibitory concentration, chlorhexidine, povidone iodine

Abstract

Background: An imbalance in the normal flora of the oral cavity can cause dental caries. The prevalence of caries in primary teeth in Indonesia which experiences caries is 90.2%, which shows that the prevalence of caries is still quite high. One way to prevent bacterial activity is using mouthwash. Chlorhexidine gluconate and Povidone Iodine are antibacterial agents that are effective in inhibiting bacterial growth, through bacteriostatic and bactericidal actions. This study aims to determine whether there is an inhibitory effect of chlorhexidine gluconate and povidone iodine on the growth of Streptococcus mutans (quantity).

Method: This study used the broth microdilution method by treating Streptococcus mutans using  0.1 % chlorhexidine gluconate and  1% povidone iodine. The effect of inhibitory power was measured using the broth microdilution technique and the total plate count technique in the form of Colony Forming Units (CFU). Statistical calculations use the Shapiro-Wilk normality test, Levene's homogeneity test and Tukey's Post Hoc test to determine differences between treatments.

Result: The results of the research showed that the treatment group in the form of 0.1% chlorhexidine gluconate and 1% povidone iodine had a very significant effect on the growth of bacterial colonies, which was very significant for the growth of Streptococcus mutans bacterial colonies.

Conclusion: Chlorhexidine gluconate 0.1% and povidone iodine 1% were effective in reducing the growth of Streptococcus mutans bacteria.

Author Biographies

  • Anie Apriani, Maranatha Christian University
    Pediatric Dentistry
  • Henry Yonatan Mandalas, Maranatha Christian University
    Periodontic
  • Calvin Kurnia, Maranatha Christian University
    Periodontics
  • Dicha Yuliadewi Rahmawati, Maranatha Christian University
    Oral Biology
  • Thio Lison, Maranatha Christian University
    Undergraduate Student
  • Nabila Mulyadi, Maranatha Christian University
    Undergraduate Student

References

Garg N, Garg A, eds. Textbook of Operative Dentistry. Third edition. Jaypee. 2016.

Chen X, Daliri EBM, Kim N, Kim JR, Yoo D, Oh DH. Microbial Etiology and Prevention of Dental Caries: Exploiting Natural Products to Inhibit Cariogenic Biofilms. Pathogens. 2020;9(7):569.

Gao L, Xu T, Huang G, Jiang S, gu Y, Chen F. Oral Microbiome : More and More Importance in Oral Cavity and Whole Body. Protein Cell. 2018;9(5):488-500.

Samaranayake L. essential Microbiology for Dentistry. 4th ed. Churchill Livingstone, Elsevier. 2012.

Delfani S, Mohammadrezaei-Khorramabadi R, Ghamari S, et al. Systematic Review for Phytotherapy in. J Pharm Sci. 2017;9:11.

Lemos J, Palmer S, Zeng L, et.al. The Biology of Streptococcus mutans. Published online 2019:26.

Rao Arathi. Principles and Practice of Pedodontic. 3th ed. Jaypee. 2012.

Brookes ZLS, Bescos R, Belfield LA, Ali K, Roberts A. Current uses of chlorhexidine for management of oral disease: a narrative review. Journal of Dentistry. Published online 2020:10.

Bathla S. Periodontics Revisited. 1st ed. Jaypee Brothers Medical Publishers; 2011.

Lepelletier D, Maillard JY, Pozzetto B, Simon A. Povidone Iodine: Properties, Mechanisms of Action, and Role in Infection Control and Staphylococcus aureus Decolonization. Antimicrob Agents Chemother. 2020;64(9):e00682-20.

Szymanska J, Olejnik E. Active Ingredients of Mouthwashes. Acta Poloniae Pharmaceutica - Drug Research. 2021;77(6):825-832.

Gauba K, Goyal A, Lnu N, Gupta A, Sharda S. Comparing the Effectiveness of Topical Fluoride and Povidone Iodine with Topical Fluoride Alone for the Prevention of Dental Caries among Children: A Systematic Review and Meta-analysis. International Journal of Clinical Pediatric Dentistry. 2021;13(5):559-565.

Murphy PB, Bistas KG, Patel P, Le JK. Clindamycin. StatPearls Publ LLC. Published online 2024.

Gerung WHP, Fatimawali, Antasionasti I. Uji Aktivitas Antibakteri Ekstrak Daun Belimbing Botol (Averrhoa bilimbi L.) Terhadap Pertumbuhan Bakteri Propionibacterium acne Penyebab Jerawat. Pharmacon. 2021;10(4):1087-1093.

James P, Worthington HV, Parnell C, et al. Chlorhexidine mouthrinse as an adjunctive treatment for gingival health. Cochrane Database Syst Rev. 2017;3. doi:10.1002

Chairani S, Aisyah. Perbandingan Pengaruh Ekstrak Bawang Putih Dan Klorheksidin Terhadap Jumlah Candida albicans Pada Pengguna Ortodonti Cekat. J Kesehat Gigi Dan Mulut. 2022;4(2).

Scannapieco FA, Yu J, Raghavendran K, et al. A randomized trial of chlorhexidine gluconate on oral bacterial pathogens in mechanically ventilated patients. Crit Care. Published online July 2019.

Khan MM, Parab SR. Tolerability and Usability of 0.5% PVP-I Gargles and Nasal Drops in 6692 Patients: Observational Study. Am J Otolaryngol. 2021;42(2): 1-4.

Harshitha VR, Jeevitha M. Comparative Evaluation of Wettability of Chlorhexidine, Betadine, and Herbal Mouthwash: An In Vitro Study. World J Dent. 2023;14(7): 634-638.

Lestari D, Ananda LDD, Setiawan H, Prasetyorini T. The Decreased of Germs Number Before and After Gargling with Povidone - Iodine. J Ilmu Dan Teknol Kesehat. 2024;11(2): 268-278.

Downloads

Published

2025-12-18

Issue

Section

Original Article