The purpose of this study was to investigate the antimicrobial effect of a Punica granatum Linn (pomegranate) phytotherapeutic gel and miconazole (Daktarin oral gel) against three standard streptococci strains (mutans ATCC 25175, sanguis ATCC 10577 and mitis ATCC 9811), S. mutans clinically isolated and Candida albicans either alone or in association. The effect of minimum inhibitory concentrations of the gels on the adherence of these microorganisms to glass was assessed in the presence of 5% sucrose, using increasing and doubled concentrations of the diluted solution of the gels ranging from 1:1 to 1:1024. The minimum inhibitory concentrations of adherence of Punica granatum L. gel against the test organisms were: 1:16 for S. mutans (ATCC), S. mutans (CI) and S. sanguis; 1:128 for S. mitis and 1:64 for C. albicans. The minimum inhibitory concentrations of adherence of miconazole against the same organisms were: 1:512, 1:64, 1:4, 1:128 and 1:16, respectively. In experiments with three and four associated microorganisms, the Punica granatum L. gel had greater efficiency in inhibiting microbial adherence than the miconazole. The results of this study suggest that this phytotherapeutic agent might be used in the control of adherence of different microorganisms in the oral cavity.
RESUMO:Nesta pesquisa foi avaliada a atividade antimicrobiana e a capacidade de inibição da síntese de glucano in vitro do extrato da casca do fruto da romã (Punica granatum Linn.) sobre linhagens bacterianas de Streptococcus mitis, Streptococcus mutans, Streptococcus sanguis, Streptococcus sobrinus e Lactobacillus casei. Os ensaios foram realizados pelas técnicas de ágar-difusão em placas para determinação da Concentração Inibitória Mínima (CIM) e técnica dos tubos inclinados para determinação da Concentração Inibitória Mínima de Aderência (CIMA) ao vidro, na presença de 5% de sacarose. Os mesmos procedimentos foram realizados com a clorexidina à 0,12%. As CIMs (mg/mL) do extrato da P. granatum frente ao S. mitis, S. mutans, S. sanguis, S. sobrinus e L. casei foram 1:32, 1:8, 1:8, 1:512, e 1:128, respectivamente. Para as CIMAs o extrato da P. granatum mostrou resultados melhores que a clorexidina, exceto para o S. mutans com achados semelhantes na diluição de 1:256. Os resultados mostram a potencialidade da P. granatum na inibição do crescimento bacteriano e síntese de glucano representada pela aderência ao vidro, sugerindo o emprego do extrato da romã, como meio alternativo, no controle desses microrganismos na formação do biofi lme.Unitermos: Punica granatum, atividade antimicrobiana, efeito antiaderente, biofi lme dental, Streptococcus.ABSTRACT: "In vitro antibacterial and antiadherence effect of the extract of the Punica granatum Linn. upon dental biofi lm microrganisms". In this study was evaluated the in vitro antibacterial activity and the inhibition of glucan sintesis of the fruit bark of Punica granatum Linn extract upon the following dental biofi lm bacteria: Streptococcus mitis, Streptococcus mutans, Streptococcus sanguis, Streptococcus sobrinus and Lactobacillus casei. The tests were carried out by inundation tecniques in Petri dishes to determine the Minimum Inhibitory Concentration (MIC) and inclined tubes techniques to determine the Minimum Inhibitory Concentration of Adherence to glass (MICA) at the presence of 5% sucrose. Tests with gluconate of chlorexidine (0.12%) were performed as controls. MICs of the P granatum extract dilutions (mg/mL) against S. mitis, S. mutans, S. sanguis, S. sobrinus e L. casei were 1:32, 1:8, 1:8, 1:512, and 1:128 respectively. For MICAs the P. granatum showed better results than chlorexidine, except for S. mutans with both substances showing similar results of 1:256. It can be concluded that the extract of the P. granatum has the potential to inhibit oral bacterial growth and glucan sintesis. The extract of the Punica granatum might be used as an effective antibacterial alternative agent against oral biofi lm bacteria.
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