Mouthwash Formulation Research Articles

Designing mouthwash formulations with innovative molecular components to control initial dental erosion in vivo.

This study aimed to examine and compare the efficacy of mouthwashes containing different proteins and peptide on the prevention of enamel erosion in vivo, as well as to evaluate the participants' satisfaction with the formulations. Twelve participants were selected and underwent five cross-over mouthwash phases: Water (control); 0.1mg/mL CaneCPI-5; 0.5mg/mL MaquiCPI-3; 0.1mg/mL CsinCPI-2; and 0.037mg/mL Stn15pSpS. After prophylaxis, the participants rinsed (1min), followed by the acquired enamel pellicle (AEP) formation (2h). An erosive challenge was made (biopsy, citric acid 1%, 15s) on the buccal surface of the central maxillary incisors. The Relative Surface Reflection Intensity (%SRI) was assessed and analyzed by ANOVA/Tukey's tests. The calcium release in acid was measured by the Arsenazo method and verified by Kruskal-Wallis/Dunn's tests. The Spearman's correlation was used between analyses. A questionnaire evaluated the satisfaction of participants. For both analyses, the results showed that mouthwashes containing the proteins or peptide were significantly more effective in preventing enamel erosion compared to deionized water, with no significant differences among the active ingredients (p < 0.05). Also, there was a significant negative correlation between %SRI and calcium released (r=-0.5754). The questionnaire revealed that the volunteers were satisfied with the taste of the products. In addition, the experimental procedures were well tolerable, and no side effects were reported. All mouthwashes containing proteins or peptide were acceptable and effective in protecting enamel against initial dental erosion in vivo. This study highlights the potential of these pioneer organic components for the development of mouthwashes designed for people with risk of erosive tooth wear.

Utilization of Cinnamon Leaves (Cinnamomum burmannii, Blume) and Effectiveness Test as Mouthwash against Oral Microbes

Oral health is an important aspect to pay attention to because it is part of the digestive system. Disorders in oral health function can impact other bodily health. The use of mouthwash is necessary to improve the cleanliness and health of the mouth, especially when brushing alone is not optimal. The active compounds in mouthwash enhance cleanliness and effectively inhibit the growth of pathogenic oral microflora. Cinnamon leaves have not been widely utilized and are often left unused or discarded. Previous research has been conducted on the potential of the compounds in cinnamon leaves. This research was carried out by determining the best essential oil content of cinnamon leaves through several preliminary treatments and varying distillation times. Active compounds such as cinnamaldehyde, L-linalool, and cinnamyl acetate were found in the cinnamon leaves, making them a potential ingredient for mouthwash formulation. The aim of this study is to produce an effective mouthwash that reduces the growth of pathogenic oral microflora using underutilized local materials. The mouthwash preparation method was modified from several active ingredient mouthwash preparation methods by varying the concentration of cinnamon leaf essential oil at 5%, 10%, and 15%. The formulations were then evaluated for organoleptic properties, stability, homogeneity, and antibacterial activity against S. mutans using the disc diffusion method. The results showed that the preparations remained physically stable and homogeneous during 30 days of storage at room temperature. The cinnamon leaf mouthwash exhibited antibacterial activity against S. mutans, with average inhibition zones of 15.25 mm, 19.06 mm, and 24.34 mm for formulations I, II, and III, respectively. Based on these results, it can be concluded that the cinnamon leaf mouthwash has the potential to inhibit the growth of S. mutans bacteria."

Development of Thermosensitive Hydrogel Mouthwash Loaded with Zingiber zerumbet Extract for Enhanced Oral Thrush Treatment

BackgroundOral thrush, caused by Candida albicans, is currently treated under guidelines by using topical antifungal pharmaceutical formulations such as lozenges and liquid gargles. Using these drugs may cause irritation and adverse reactions. Moreover, there is a short exposure time to reach the lesion, which may result in low effectiveness of the treatment. Therefore, the research group aimed to develop mouthwash solutions that can form gel at oral temperature containing Zingiber zerumbet rhizome extracts, which work as an active substance inhibiting fungi. MethodsThe development process began with the extraction of substances from Zingiber zerumbet rhizome using hexane and the analysis of the active substance by HPLC. Antifungal and anti-inflammatory activities of the extracts were evaluated. Hydrogel mouthwash was prepared by varying the type and concentration of polymer, solvent, and mucoadhesive agent. The optimized formulation was then evaluated for its properties. ResultsZingiber zerumbet rhizome extracts, containing 16.29±0.39 % zerumbone, demonstrated both antifungal and anti-inflammatory activities against Candida albicans. The extract also had anti-inflammatory activity when tested by the proteinase inhibitory test, with a percentage inhibition of 86.15±10.96 %. Two thermosensitive hydrogels, poloxamer P407 and P188, were applied and compared as gel-forming agents. It was found that the optimized formulation is composed of 15 % (w/w) poloxamer P407, 0.05 % (w/w) carbopol as a mucoadhesive agent, and 5 % (v/v) ethanol. Transition time and transition temperature of the optimized thermosensitive hydrogel formula were 27.76±1.25 s and 36±1.00 °C, respectively. The viscosity at shear rate 1 S-1 and 25 °C of the optimized formulation was 0.13±0.06 Pa.s, which is suitable for pouring out of the bottle and gargling. ConclusionThis study demonstrates a novel approach to developing thermosensitive hydrogel mouthwash formulations, leveraging Zingiber zerumbet rhizome extracts for enhanced therapeutic efficacy against oral candidiasis. These formulations offer prolonged contact time with affected areas, potentially improving treatment outcome.

Optimizing Desmostachya bipinnata-derived platinum nanoparticles for enhanced antibacterial and biofilm reduction

This study presents the green synthesis and comprehensive characterization of platinum nanoparticles (PtNPs) using Desmostachya bipinnata (Db) extract, incorporated into two innovative mouthwash formulations (MW1 and MW2). UV–Vis spectroscopy confirmed the successful synthesis of PtNPs, with distinct absorption peaks between 250 and 600 nm. Fourier-transform infrared (FTIR) spectroscopy identified hydroxyl and carbonyl functional groups, critical for the bioreduction and stabilization of PtNPs. High-resolution transmission electron microscopy (HR-TEM) revealed uniformly dispersed, spherical nanoparticles with a size range of 10–20 nm, while dynamic light scattering (DLS) confirmed a hydrodynamic diameter of 10–30 nm and a low polydispersity index (PDI) of 0.238, indicating excellent stability. Both formulations exhibited robust antimicrobial, antibiofilm, and anti-plaque properties, with MW2 showing superior efficacy, particularly against Staphylococcus aureus and Escherichia coli, as well as a notable 70 % reduction in biofilm formation and a 60 % plaque reduction within 2 h of treatment. The study underscores the potential of Desmostachya bipinnata-derived PtNPs as a promising alternative to conventional mouthwash, offering enhanced antimicrobial efficacy, biofilm disruption, and plaque prevention, alongside excellent stability and biocompatibility for oral healthcare applications.

Antimicrobial and Cytotoxic Potential of Eucalyptus Essential Oil-Based Nanoemulsions for Mouthwashes Application.

Objective: An eucalyptus essential oil-based nanoemulsion was produced and evaluated for its antimicrobial properties against Streptococcus mutans and its cytotoxicity in the surface mucous cells of rabbits. Methods: The essential oil-based nanoemulsion was synthesized with two species of eucalyptus-Eucalyptus citriodora and Eucalyptus globulus-followed by physicochemical characterization and the determination of antimicrobial activity and cell viability. Subsequently, the mouthwash formulations (fluoride and fluoride-free) were functionalized with the nanoemulsion, and their in vitro antimicrobial actions were evaluated against S. mutans. Results: The nanoemulsion presented an average particle size of around 100 nm, a polydispersity index close to 0.3, a zeta potential between -19 and -30 mV, a pH close to 7, a spherical shape, and a cell viability above 50%. The antimicrobial activity analysis showed that the nanoemulsion was effective in the control of S. mutans. The mouthwashes functionalized with the nanoemulsion also presented bacteriostatic and bactericidal properties. Conclusions: The bio-based material produced with eucalyptus essential oil presented adequate physicochemical characteristics, with the potential to be used as an innovative material in preventive dentistry, contributing to the maintenance of oral and systemic health.

Formulation of Curcumin-based Polyherbal Nanoemulsion Mouthwash and Assessment of its Antioxidant and in-vitro Cytotoxic Properties

Formulation of Curcumin-based Polyherbal Nanoemulsion Mouthwash and Assessment of its Antioxidant and in-vitro Cytotoxic Properties

In vitro antimicrobial activity of chlorhexidine in combination with essential oils of Mentha x piperita L. & Thymus serpyllum L. & Pelargonium graveolens L’hér

ABSTRACT In this study, the antimicrobial potential of Mentha piperita & Thymus serpyllum &Pelargonium graveolens essential oil combinations was evaluated with Chlorhexidine. These species used ethnobotanically against throat infections. The commercial oils were analysed by GC-MS to confirm phytochemistry. Antimicrobial evaluation of the essential oils against Staphylococcus aureus and Streptococcus mutans were performed using in vitro microdilution assay. Binary combinations of Chlorhexidine-essential oils were evaluated using the checkerboard method. M. piperita essential oil contained 47% menthol as the major component, whereas the main component of T. serpyllum essential oil was 19% geraniol, and the main component of P. graveolens was 25% citronellol, respectively. The calculated fractional inhibition concentration index (FICI) of chlorhexidine-T. serpyllum combinations against S. mutans resulted as antagonistic (FICI 3.3643), while the FICI of chlorhexidine-P. graveolens essential oil combination resulted in synergistic (FICI 0.4326). Also, the FICI value = 0.252 of chlorhexidine-P. graveolens essential oil combinations against S. aureus were synergistic. To the best of our knowledge, combinations of these oils with Chlorhexidine were observed for the first time in this study with the potential application as mouthwash formulation.

THE EFFECTIVENESS OF CORN SILK EXTRACT AGAINST DENTAL CARIES-CAUSING BACTERIA AND ITS FORMULATION IN MOUTHWASH PREPARATION

Indonesia is undergoing a dental caries emergency with a prevalence of 51.1% (Riskesdas, 2018). This may cause tooth decay due to dental plaque bacteria such as Streptococcus mutans. Mouthwash can be a solution because it has antibacterial properties and reaches interspaces on the teeth. Unfortunately, the active ingredient of mouthwash, chlorhexidine, can cause cancer-related mutations if used continuously. Therefore, it requires alternatives to natural ingredients, such as corn silk. The research aims to determine the corn silk phytochemical profile and minimum inhibitory concentration (MIC) against Streptococcus mutans. The research started by macerating corn silk simplicia using 70% ethanol. Afterwards, thin layer chromatography (TLC) was conducted to determine its phytochemical profile. Disk-diffusion and broth microdilution methods were conducted using various concentrations of corn silk extract to determine its antibacterial activity and minimum inhibitory concentration (MIC) against Streptococcus mutans. Then, the MIC₅₀ was used as the minimum dose of corn silk extract concentration in mouthwash formulation which qualities controlled by pH and organoleptic tests. The yield of corn silk extracted was 16.17%w/w. The phytochemical profile from TLC showed that flavonoids, tannins, and terpenoids were present. Corn silk extract has antibacterial activities against Streptococcus mutans with MIC₅₀ of 7.2%w/v. Corn silk extract, tween 80, sorbitol, sodium benzoate, sodium metabisulfite, oleum menthae piperitae, and distilled water were used in four mouthwash formulas (F1-F4). The pH of all formulas was 5 and the organoleptic test showed that from 30 panelists, the majority chose F2 as the best in terms of taste, color, and smell.

The Antibacterial Activity of Bajakah Tampala Extracts (Spatholobus littoralis Hassk.) Mouthwash Formulation Inhibited Dental Plaque against Streptococcus mutans

The Antibacterial Activity of Bajakah Tampala Extracts (Spatholobus littoralis Hassk.) Mouthwash Formulation Inhibited Dental Plaque against Streptococcus mutans

Averrhoa bilimbi (Belimbing Wuluh) Leaves Extract Evaluation as Anti-Cariogenic Mouthwash

The practice of using mouthwash has become increasingly common as people have become more aware of the importance of oral hygiene in preventing dental issues. In order to mitigate any potential risks associated with alcohol-based mouthwashes, researchers are exploring natural sources of anti-cariogenic compounds. This study aimed to assess the effectivity of Averrhoa bilimbi leaf extract as an ingredient in mouthwash formulations, as the use of Averrhoa bilimbi leaves is still limited. The evaluation of the mouthwash included a thorough examination of its antibacterial activity, viscosity, density, pH, and organoleptic qualities. The results indicated that formula with 30 grams extract (F3) was the most effective, exhibiting more robust antibacterial properties, appropriate viscosity and density, and a pH level similar to that of a solution. F3 resulted in an effectiveness of 41.67%, 1.36 cPs for viscosity, 1.0785 mg/l for density, pH of 5.25+0.006, organoleptically liquid, mint odor, and blackish brown clear color. Based on these findings, it appears that Averrhoa bilimbi leaf extract could be a promising ingredient in mouthwash formulations.

Antibacterial and oral tissue effectiveness of a mouthwash with a novel active system of amine + zinc lactate + fluoride.

Reflecting the need for an effective support for the daily oral hygiene routine of patients experiencing (symptoms of) gum inflammation, a new mouthwash has been developed containing an amine + zinc lactate + fluoride system. The in vitro efficacy of this product was assessed using traditional laboratory methods, as well as novel experimentation. This mouthwash has been evaluated in a series of laboratory tests including two short interval kill tests (SIKTs), a 12-h (longer term) biofilm regrowth assay, a plaque glycolysis assay, and an aerobic, repeated exposure biofilm model, as well as tests for soft tissue uptake and LPS neutralization. Several laboratory studies demonstrate that a mouthwash containing an amine + zinc lactate + fluoride system provides short-term and long-term antibacterial activity. While the immediate efficacy of this formula has been shown to be driven by the presence of the amine, zinc lactate provides a long-term antibacterial effect, as well as is able to inhibit bacterial metabolism. This research provides the basis for understanding the mode of action of this new mouthwash formulation and explains the previously observed clinical efficacy of this formula against plaque and gingivitis.

Cytotoxic properties of Pelargonium graveolens leaf extract and its green-synthesized gold nanoparticles (in vitro study)

ObjectiveThis study aimed to assess the cytotoxic effects of an extract from Pelargonium graveolens leaves and green-synthesized gold nanoparticles (AuNPs) in a mouthwash when used as a substitute for commercial mouthwashes. Human dermal fibroblasts from neonates (HDFn) were used in this study that done in vitro, because their characteristics were nearly identical to those of human gingival fibroblasts. MethodIn this study, the green synthesis of AuNPs using extracts from P. graveolens leaves was investigated as a sustainable and economical method. Then, using a range of analytical techniques, the physicochemical properties were evaluated, such as transmission electron microscopy (TEM), X-ray diffraction (XRD), and ultraviolet visible absorption spectroscopy (UV–Vis), so the preparations and analytical techniques of P. graveolens gold nanoparticles (AuNPs) take little time is about 10 days. The current study used the 3-[4,5-dimethylthiazol-2-yl]-2,5 diphenyl-tetrazolium bromide Mosmann's Tetrazolium Toxicity (MTT) to study the cytotoxic effects of P. graveolens leaf extract with P. graveolens gold nanoparticles (AuNPs) utilizing a human fibroblast-derived standard cell line. ResultsVarious doses (1000, 500, 250, 100, 50, 25, 12.5, 6.25, and 3.125 μg/mL) of P. graveolens AuNPs were used to assess cytotoxicity, demonstrating little cytotoxic effects (approximately below 20% toxicity). A high level of biocompatibility was observed between the P. graveolens AuNPs and normal human fibroblasts. ConclusionThe mouthwash made using green synthetic AuNPs obtained from P. graveolens leaf extract show high level of biocompatibility and has low cytotoxicity. Therefore, herbal mouthwash formulations can serve as a viable substitute for chemical mouthwashes.

Are Mouthwashes Really Effective against Candida spp.?

Oral candidiasis is an opportunistic infection caused by fungi of the genus Candida. Nystatin, fluconazole, and miconazole are the most widely used antifungal drugs in dentistry, but in recent years, they have been shown to be less effective due to the increase in the resistance to antifungal drugs. The growing challenge of antifungal resistance emphasizes the importance of exploring not only alternative strategies in the fight against Candida spp. infections but also supportive treatment for pharmacological treatment for oral candidiasis. This review aims to evaluate and compare the in vitro reports on antifungal efficacy against Candida spp. exhibited by mouthwashes distributed on the European market. The research question was elaborated through the PEO framework recommended by PRISMA 2020. A bibliographic search strategy was developed for the scientific online databases Pubmed and ScienceDirect. According to the eligibility criteria, 21 papers were included in this study over a 27-year period. Mouthwashes containing chlorhexidine digluconate, cetylpyridinium chloride, hexetidine, and fluorine compounds among others, and natural antimicrobials, such as menthol, thymol, eucalyptol, and Glycyrrhiza glabra extracts, have demonstrated antifungal effectiveness. Nonetheless, the methodological variance introduces ambiguity concerning the comparative efficacy of distinct molecules or mouthwash formulations and complicates the evaluation and the comparison of results between studies. Some mouthwashes commercially available in Europe have the potential to be used in anti-Candida therapy and prevention since they have shown antifungal effect.

Efficacy of Lycium barbarum (Goji berry) mouthwash for managing periodontitis: a randomized clinical trial

Background Removal of the microbial deposits (plaque and calculus) by performing effective scaling and root planing (SRP) is the fundamental step for managing periodontal disease (gingivitis and periodontitis). Various adjuncts in the form of mouthwash, gels, and toothpaste are also being used as adjuncts to SRP for managing periodontitis. Recently, Lycium barbarum (L. barbarum), commonly known as goji berry or wolfberry, has gained popularity for managing chronic inflammatory and infectious diseases. However, its efficacy in managing periodontitis has never been explored. Hence the present study aims to evaluate the efficacy of goji berry mouthwash compared to chlorhexidine mouthwash for managing periodontitis. Methods 60 adult participants were divided randomly using computer-generated random sequences into two groups (case group: L. barbarum mouthwash (Males: 16; Female: 14); control group: 0.2% chlorhexidine gluconate mouthwash (Males: 14; Females: 16)). The changes in the gingival index (Gi), plaque index (Pi), bleeding on probing (BOP), clinical attachment loss (CAL), probing pocket depth (PPD), microbial load, and antioxidant levels (protein thiol) in saliva were noted at the baseline, at 15 days and one month. Results A significant reduction in the mean PPD, Pi, and Gi was seen from baseline to one month in both the control (P-value=0.006, 0.027, and 0.036 respectively) and test groups (P-value=0.035, 0.000, and 0.000 respectively). CAL was reduced significantly only in the control group. However, the antioxidant levels (protein thiol) in saliva were significantly increased only in the test group. Conclusion Goji berry mouthwash along with SRP reduced the Gi, Pi, BOP, and PPD in patients with periodontitis. However, no statistically significant difference was noted between the use of goji berry and chlorhexidine mouthwash. Goji berry mouthwash was more effective than chlorhexidine in increasing the antioxidant levels in saliva.

Effect of hydrogen peroxide and hyaluronic acid in mouth rinse after third molar extraction: a triple-blind parallel randomized controlled clinical trial.

The study aimed to investigate the potential beneficial role of hydrogen peroxide (H2O2) and hyaluronic acid (HA) combination formulation in socket healing after third molar surgery. Biomaterials, including mouthwash formulations, were hypothesized to contribute to improved socket healing and reduced post-operative complications. A triple-blinded parallel randomized controlled clinical trial was conducted at a single-center dental hospital in Milan, Italy. The trial included 114 patients who underwent extraction of impacted, partially erupted, and completely erupted third molars. Patients were randomly assigned to three parallel groups: Group 1 (H2O2 and HA), Group 2 (placebo), and Group 3 (0.2% chlorhexidine). The trial was registered at ClinicalTrial.gov (registration number NCT04438434). The main outcome measures included various parameters related to socket healing, such as pain, inflammation, swelling, plaque index, bleeding index, granulation tissue, suppuration, re-epithelialization, bleeding upon palpation, odor, and taste alteration. Patients were followed up for 7 days. All 114 enrolled patients completed the study, with no dropouts or loss to follow-up. The mean age of patients in the three groups differed (H2O2 and HA: 30.9±14.9; placebo: 27.6±13.1; 0.2% chlorhexidine: 23.05±10.16). Significant reductions (p<0.001) in visual analog scale (VAS) pain levels and other outcome measures were observed in the H2O2 and HA group compared to the placebo group. These findings suggest a positive effect of the H2O2 and HA combination on socket healing after the third molar surgery. The study concludes that the combination of hydrogen peroxide and hyaluronic acid can be considered a potential mouthwash with beneficial effects on socket healing following third molar surgery. However, additional clinical trials are recommended to validate its effectiveness further and provide additional evidence supporting its use in clinical settings. gov: NCT04438434.

Formulation of Mouthwash Using Combined Herbal Extracts to Control the Predominant Oral Pathogens and Biofilm

IntroductionGlobally, oral disease is a major health problem, which affects the quality of life. The role of oral microflora in the oral diseases is well established. However, with the increase in the frequency of oral disease, the development of antimicrobial drug resistance to the existing drugs has insisted on searching for alternative drugs from plant sources. Herein, herbal-based mouthwash is formulated to effectively control the dominant oral pathogens. MethodsThe antimicrobial activity of plant extracts was evaluated against oral pathogens by zone of inhibition test. Mouthwash was formulated with one gram of each plant extracts (Rosa damascena flower petals, Coleus amboinicus leaves, Psidium guajava leaves, and Phyllanthus acidus fruits) in 10% ethanol. Antimicrobial efficacy of the formulated mouthwash was assessed against Streptococcus mutans, Enterococcus faecalis, Staphylococcus aureus, Escherichia coli, and Candida albicans by standard protocol. Also, the antibiofilm effect of the formulated mouthwash was assessed against preformed S mutans biofilm and visualised using SEM and CLSM. ResultsThe formulated mouthwash exhibits excellent broad-spectrum antimicrobial activity. The minimum inhibitory concentration result indicates that the susceptibility of the pathogens was found as follows: S aureus <S mutans <C albicans <E faecalis <E coli. Also, it shows a great anti-inflammatory effect. SEM and CLSM images reveal that the formulated mouthwash has the potential to inhibit the oral biofilm of S. mutants. ConclusionsThis study concludes that the formulated herbal-based mouthwash might be useful in controlling multiple oral pathogens and biofilms.

Research on Formulation and Evaluation of Antibacterial Herbal Mouthwash

The objective of present work is to formulate and evaluate herbal mouthwash and to evaluate its effectiveness against microbial load of oral cavity. The plant materials were collected and extracted for water soluble ingredients. Prepared mouthwash was further evaluated for its physicochemical properties and antimicrobial activity. The present mouthwash possesses a good antibacterial property. The results of stability study also confirm the effectiveness of preparation. Present mouthwash is a liquid preparation which normally contains antibacterial and antiseptic agents. Commercially available mouthwash formulations are often medicated and contain chemicals that may elicit adverse effects to the users. A mouthwash may be recommended for its efficacy in preventing dental caries other oral conditions due to its antimicrobial, anti-inflammatory properties

Exploring the Antimicrobial Potential and Cytotoxic Effects of Different Brassica oleracea Varieties.

Dental caries has become a substantial global health burden, and many techniques have been used in dentistry to protect the tooth from decay. Brassica oleracea is a green cruciferous vegetable with a good source of vitamins C, K and E, which are also effective antibiotics and antioxidants. These characteristics will shield the oral cavity from pathogenic onslaught and can be considered during the formulation of antimicrobial mouthwash, toothpaste, or dental sealants. B.oleracea extract was prepared by heating and condensing the red and green cabbage. Both extracts were assessed for antimicrobial activity (antibacterial and antifungal activities) and cytotoxicity. After incubation, the zone of inhibition was calculated for antibacterial activity and the number of live nauplii for cytotoxicity. Results: The extract from red cabbage was found to have more effective antibacterial properties than that from green cabbage. The red B. oleracea extract formed the highest zone of inhibition against Candida albicans (20 mm), followed by Enterococcus faecalis (15 mm) and Streptococcus mutans (9 mm). In contrast, the green cabbage extract formed the highest inhibition against E. faecalis (12 mm). The cytotoxicity increases with increased concentration,with the highest toxicity at 20 µL for both extracts. Conclusion: The properties of B. oleracea can be utilized in dental products such as toothpaste, mouthwash, and dental sealants due to their antibacterial effects. By incorporating B. oleracea extracts into these products, oral health professionals may soon have additional tools to promote oral hygiene and prevent oral infections, offering a natural and effective alternative to traditional oral care ingredients.

Advancing oral health: Harnessing the potential of chitosan and polyphenols in innovative mouthwash formulation

This paper explores the therapeutic perspectives of polyphenols and chitosan as potential anticancer agents in the mouthwash formulations. Taking into account the high incidence of squamous cell carcinoma (SCC) among oral cancers, this discussion will concentrate on the potential advantages of these compounds in oral care, focusing on their impact on improving oral health and cancer prevention. According to the data, it appears that the mixture of BACs extract and chitosan may increase the efficiency of the apoptosis of cancer cells while reducing the undesired side effects. The cytotoxicity assays demonstrate a significant reduction in squamous carcinoma cell viability after incubation with BACs extract, with a marked decrease observed over 24–72 hours up to 76%. The anti-cancer properties of the BAC extract are related to luteolin, which is a predominant compound. The addition of 0.025% chitosan reduced the metabolic activity of cancer cells by 37.5%, suggesting a synergistic interaction between the compounds. This research highlights the potential of BACs and chitosan in modulating important molecular targets associated with cancer cell.

Evaluation of Antimicrobial and Cytotoxic Activity of Nanoformulated Chamomile and Green Tea-Based Mouthwash: An In Vitro Study.

Introduction Nanotechnology plays a significant role in the biomedical and dental fields, offering numerous benefits to humans. Particularly, nanoparticles synthesised through green methods involving herbal formulations present promising advantages. Zinc oxide nanoparticles (ZnONPs)demonstrate strong antibacterial properties. Utilising treatments incorporating chamomile tea and green tea may potentially reduce toxicity while enhancing antibacterial effectiveness against oral infections. This study aimed to develop a mouthwash containing ZnONPs, followed by an evaluation of both its cytotoxicity and antibacterial effectiveness. Materials and methods This study was conducted at Saveetha Dental College, Saveetha Institute of Medical and Technical Science, Chennai, India. In the synthesis of ZnONPs, a formulation consisting of chamomile tea and green tea was employed. Subsequently, these synthesised nanoparticles were used in the preparation of mouthwash. An antimicrobial test of the produced ZnONPs was carried out using the agar well diffusion technique for oral pathogens. For analysis ofcytotoxicity, brine shrimps were used in an assay, and comparisons were made with a commercially available mouthwash. Results The antimicrobial properties were assessed, and the formulated mouthwash demonstrated a zone of inhibition of Staphylococcus aureus (20 mm), Enterococcus faecalis (11 mm), Streptococcus mutans (15 mm)and Candida albicans (13 mm), when the agar welldiffusion assay was carried out.Furthermore, the formulated mouthwash exhibited lower cytotoxicity compared to the commercially available mouthwash when cytotoxicity was checked in brine shrimps. Conclusion In our study, the ZnONPsynthesis with chamomile tea and green tea showed notable antibacterial and antifungal effects. In addition,lower toxicity was observed compared to the commercially available mouthwash. These findings suggest that mouthwash formulated with green-synthesis ZnONPs could serve as a viable alternative to synthetic mouthwash options. As a result, it is suggested that ZnONPs could be employed in mouthwash formulations at concentrations of 40 µL.