A Preliminary Investigation on the Antimicrobial Activity of Listerine®, Its Components, and of Mixtures Thereof
C. Vlachojannis
Department of Operative Dentistry and Periodontology, Center for Dental Medicine, Albert-Ludwigs-University, Freiburg, Germany
Search for more papers by this authorS. Chrubasik-Hausmann
Institut für Rechtsmedizin, University of Freiburg, Freiburg, Germany
Search for more papers by this authorE. Hellwig
Department of Operative Dentistry and Periodontology, Center for Dental Medicine, Albert-Ludwigs-University, Freiburg, Germany
Search for more papers by this authorCorresponding Author
A. Al-Ahmad
Department of Operative Dentistry and Periodontology, Center for Dental Medicine, Albert-Ludwigs-University, Freiburg, Germany
Correspondence to: A. Al-Ahmad; Department of Operative Dentistry and Periodontology, Center for Dental Medicine, Albert-Ludwigs-University, Hugstetter Strasse 55, Freiburg, 79106, Germany.
E-mail: [email protected]
Search for more papers by this authorC. Vlachojannis
Department of Operative Dentistry and Periodontology, Center for Dental Medicine, Albert-Ludwigs-University, Freiburg, Germany
Search for more papers by this authorS. Chrubasik-Hausmann
Institut für Rechtsmedizin, University of Freiburg, Freiburg, Germany
Search for more papers by this authorE. Hellwig
Department of Operative Dentistry and Periodontology, Center for Dental Medicine, Albert-Ludwigs-University, Freiburg, Germany
Search for more papers by this authorCorresponding Author
A. Al-Ahmad
Department of Operative Dentistry and Periodontology, Center for Dental Medicine, Albert-Ludwigs-University, Freiburg, Germany
Correspondence to: A. Al-Ahmad; Department of Operative Dentistry and Periodontology, Center for Dental Medicine, Albert-Ludwigs-University, Hugstetter Strasse 55, Freiburg, 79106, Germany.
E-mail: [email protected]
Search for more papers by this authorAbstract
Listerine® is one of the most popular mouthwashes worldwide and claims to combat harmful bacteria. In the past century, its recipe was changed from an essential oil mouthwash to a five-component mixture (thymol, menthol, eucalyptol, and methyl salicylate dissolved in 27% ethanol). The aim of this study was to get preliminary information about the antimicrobial activities of individual Listerine® components and their mixtures. We tested the bacterial strains Streptococcus mutans, Enterococcus faecalis, and Eikenella corrodens and the yeast Candida albicans. The established minimum inhibitory concentration (MIC) assay and the minimum bactericidal/fungicidal concentration (MBC/MFC) assay were applied. None of the combinations of two phenols at the concentrations contained within Listerine® were associated with either an additive or synergistic effect. Thymol had lower MIC and MBC/MFC values than the other Listerine® components and Listerine® against E. corrodens and C. albicans. The mixtures consisting of eucalyptol, methyl salicylate, and thymol were the most effective against S. mutans and E. faecalis and more effective than Listerine®. Our results demonstrate that the phenols and their concentrations as contained within Listerine® could be further optimized in terms of selecting those which increase their general effectiveness, at concentrations that do not induce harm. Copyright © 2015 John Wiley & Sons, Ltd.
References
- Ahmad A, Khan A, Yousuf S, Khan LA, Manzoor N. 2010. Proton translocating ATPase mediated fungicidal activity of eugenol and thymol. Fitoterapia 81: 1157–1162.
- Ahmad A, Khan A, Akhtar F, et al.. 2011. Fungicidal activity of thymol and carvacrol by disrupting ergosterol biosynthesis and membrane integrity against. Candida Eur J Clin Microbiol Infect Dis 30: 41–50.
- Al-Ahmad A, Auschill TM, Braun G, Hellwig E, Arweiler NB. 2006. Overestimation of Streptococcus mutans prevalence by nested PCR detection of the 16S rRNA gene. J Med Microbiol 55: 109–113.
- Al-Ahmad A, Laird D, Zou P, Tomakidi P, Steinberg T, Lienkamp K. 2013. Nature-inspired antimicrobial polymers – assessment of their potential for biomedical applications. PLoS One 8: e73812.
- Bassolé IH, Juliani HR. 2012. Essential oils in combination and their antimicrobial properties. Molecules 17: 3989–4006.
- Bernstein ML, Carlish R. 1979. The induction of hyperkeratotic white lesions in hamster cheek pouches with mouthwash. Oral Surg Oral Med Oral Pathol 48: 517–522.
- Botelho MA, Nogueira NA, Bastos GM, et al. 2007. Antimicrobial activity of the essential oil from Lippia sidoides, carvacrol and thymol against oral pathogens. Braz J Med Biol Res 40: 349–356.
- Cristani M, D'Arrigo M, Mandalari G, et al. 2007. Interaction of four monoterpenes contained in essential oils with model membranes: implications for their antibacterial activity. J Agric Food Chem 25(55): 6300–6308.
- de Vasconcelos LC, Sampaio FC, Albuquerque Ade J, Vasconcelos LC. 2014. Cell viability of Candida albicans against the antifungal activity of thymol. Braz Dent J 25: 277–281.
- Didry N, Dubreuil L, Pinkas M. 1994. Activity of thymol, carvacrol, cinnamaldehyde and eugenol on oral bacteria. Pharm Acta Helv 69: 25–28.
- Dörsam B, Wu CF, Efferth T, Kaina B, Fahrer J. 2014. The eucalyptus oil ingredient 1,8-cineol induces oxidative DNA damage. Arch Toxicol 89: 797–805.
- Feng HS, Bernardo CC, Sonoda LL, et al. 2011. Subgingival ultrasonic instrumentation of residual pockets irrigated with essential oils: a randomized controlled trial. J Clin Periodontol 38: 637–643.
- Haffajee AD, Yaskell T, Socransky SS. 2008. Antimicrobial effectiveness of an herbal mouthrinse compared with an essential oil and a chlorhexidine mouthrinse. J Am Dent Assoc 139: 606–611.
- Jones D, Pell PA, Sneath PHA. 1991. Maintenance of bacteria on glass beads at −60°C to −76°C. In Maintenance of Microorganisms and Cultured Cells: A Manual of Laboratory Methods, 2nd edn, BE Kirsop, AE Doyle(eds). Academic Press, London, 45–50.
- Karygianni L, Cecere M, Skaltsounis AL, et al. 2014. Antimicrobial efficacy of representative Mediterranean natural plant extracts against oral microorganisms. Bio Med Res Int, 839019, doi:10.1155/2014/839019.
- Karpanen TJ, Worthington T, Hendry ER, Conway BR, Lambert PA. 2008. Antimicrobial efficacy of chlorhexidine digluconate alone and in combination with eucalyptus oil, tea tree oil and thymol against planktonic and biofilm cultures of Staphylococcus epidermidis. J Antimicrob Chemother 62: 1031–1036.
- Kasuga Y, Ikenoya H, Okuda K. 1997. Bactericidal effects of mouthrinses on oral bacteria. Bull Tokyo Dent Coll 38: 297–302.
- Kato T, Iijima H, Ishihara K, et al.. 1990. Antibacterial effects of Listerine on oral bacteria. Bull Tokyo Dent Coll 31: 301–307.
- Kijpornyongpan T, Sereemaspun A, Chanchao C. 2014. Dose-dependent cytotoxic effects of menthol on human malignant melanoma A-375 cells: correlation with TRPM8 transcript expression. Asian Pac J Cancer Prev 15: 1551–6.
- Kubert D, Rubin M, Barnett ML, Vincent JW. 1993. Antiseptic mouthrinse-induced microbial cell surface alterations. Am J Dent 6: 277–279.
- Kupisz K, Trebacz K, Gruszecki W. 2014. Menthol-induced action potentials in Conocephalum conicum as a result of unspecific interactions between menthol and the lipid phase of the plasma membrane. Physiol Plant.
- Lambert Pharmaceutial Company. 1912. J Med Surg Nashville 1912;106. [Available at: http://archive.org/stream/nashvillejourn106n11nashuoft/nashvillejourn106n11nashuoft_djvu.txt].
- Okuda K, Adachi M, Iijima K. 1998. The efficacy of antimicrobial mouthrinses in oral health care. Bull Tokyo Dent Coll 39: 7–14.
- Park JB, Lee G, Yun BG, Kim CH, Ko Y. 2014. Comparative effects of chlorhexidine and essential oils containing mouthrinse on stem cells cultured on a titanium surface. Mol Med Rep 9: 1249–1253.
- Pemmaraju SC, Pruthi PA, Prasad R, Pruthi V. 2013. Candida albicans biofilm inhibition by synergistic action of terpenes and fluconazole. Indian J Exp Biol 51: 1032–1037.
- Ribeiro DA, Marques ME, Salvador DM. 2006. In vitro cytotoxic and non-genotoxic effects of gutta-percha solvents on mouse lymphoma cells by single cell gel (comet) assay. Braz Dent J 17: 228–232.
- Shapiro S, Meier A, Guggenheim B. 1994. The antimicrobial activity of essential oils and essential oil components towards oral bacteria. Oral Microbiol Immunol 9: 202–208.
- Shapiro S, Guggenheim B. 1995. The action of thymol on oral bacteria. Oral Microbiol Immunol 10: 241–246.
- Sliepen I, Van Essche M, Quirynen M, Teughels W. 2010. Effect of mouthrinses on Aggregatibacter actinomycetemcomitans biofilms in a hydrodynamic model. Clin Oral Investig 14: 241–250.
- Smith K, Robertson DP, Lappin DF, Ramage G. 2013. Commercial mouthwashes are ineffective against oral MRSA biofilms. Oral Surg Oral Med Oral Pathol Oral Radiol 115: 624–629.
- Stammati A, Bonsi P, Zucco F, Moezelaar R, Alakomi HL, von Wright A. 1999. Toxicity of selected plant volatiles in microbial and mammalian short-term assays. Food Chem Toxicol 37: 813–23.
- Tsourounakis I, Palaiologou-Gallis AA, Stoute D, Maney P, Lallier TE. 2013. Effect of essential oil and chlorhexidine mouthwashes on gingival fibroblast survival and migration. J Periodontol 84: 1211–1220.
- Ulkur F, Arun T, Ozdemir F. 2013. The effects of three different mouth rinses in a 4-day supragingival plaque regrowth study. Eur J Dent 7: 352–358.
- Vlachojannis C, Winsauer H, Chrubasik S. 2013. Effectiveness and safety of a mouthwash containing essential oil ingredients. Phytother Res 27: 685–691.
- Wang W, Li N, Luo M, Zu Y, Efferth T. 2012. Antibacterial activity and anticancer activity of Rosmarinus officinalis L. essential oil compared to that of its main components. Molecules 17: 2704–2713.
- Website. 1996. [Available at: http://apps.who.int/medicinedocs/en/d/Jh2984e/].
- Website. 2001. Guidance document on using in-vitro data to estimate in-vivo starting doses for acute toxicity. [Available at: www.epa.gov/hpv/pubs/general/nih2001b.pdf].
- Website. 2010, [Available at: http://webarchive.nationalarchives.gov.uk/20121212135622/http://www.bis.gov.uk/assets/biscore/consumer-issues/docs/guide-to-cpsr.pdf].
- Website. 2014a. [Available at: www.listerine.ch/anwendung-von-mundspuelungen/mundspuelung-als-teil-der-taeglichen-mundpflege].
- Website. 2014b, [Available at: www.diagnosia.com/de/medikament/sangerol].
- Website 2014c, [Available at: www.bverwg.de/entscheidungen/entscheidung.php?ent=090414U3C10.13.0].
- Yamanaka A, Hirai K, Kato T, et al.. 1994. Efficacy of Listerine antiseptic against MRSA, Candida albicans and HIV. Bull Tokyo Dent Coll 35: 23–26.
- Zengin H, Baysal AH. 2014. Antibacterial and antioxidant activity of essential oil terpenes against pathogenic and spoilage-forming bacteria and cell structure-activity relationships evaluated by SEM microscopy. Molecules 19: 17773–17798.
- Zheng CY, Wang ZH. 2011. Effects of chlorhexidine, listerine and fluoride listerine mouthrinses on four putative root-caries pathogens in the biofilm. Chin J Dent Res 14: 135–140.