Background: Halitosis (oral malodour) is known as an indicator for oral disease. Halitosis is caused by the accumulation of volatile sulfur compounds (VSCs) produced by oral microbial activities, including Streptococcus sanguinis. Bacteria producing sulphur compounds may produce biofilm promotion of caries formation. Caries formation is caused by the acid produced by bacteria may lead to tooth demineralization in low pH condition. Syzygium aromaticum or clove belongs to one of tropical spices in Indonesia and is also known as the queen of spice due to its unique taste and aroma. Essential oil extracted from the flower and leaf of S. aromaticum has been used for traditional medicines for preventing inflammation and infection caused by microorganisms. Methods & Materials: The aim of this study was to test whether Syzygium aromaticum essential oils (SAEO) at various concentrations (20-100 μg/mL) has anti-halitosis activity through several systems, including prevention the formation of S. sanguinis biofilm, eradicating the established S. sanguinis biofilm, inhibiting production of VSCs using optical density assay, and reducing acid production using pH-stat assay in vitro. SAEO was isolated using solvent extraction and identified using pyrolysis gas chromatography-mass spectrometry (py/GC-MS). Results: The py-GC/MS chromatogram showed that SAEO consisted of eugenol (22.10%) and aceteugenol (13.31%). For biofilm system, SAEO at lowest dose (20 μg/mL) effectively inhibited S. sanguinis biofilm formation up to 60% and killed the established S. sanguinis biofilm up to 52%. Furthermore, SAEO at 60 μg/mL also showed a significant inhibition of VSCs production up to 58%. S. sanguinis was able to produce acid in 20 minutes, and SAEO effectively reduced acid production rate by increasing terminal pH. At 60 μg/mL, SAEO increased the terminal pH from 5.66 to 6.3 with inhibition of acid production up to 54%. Conclusion: These results suggest that SAEO may be applied for combating bad breath in management of oral diseases.
Read full abstract