Comparative Evaluation of Denture Disinfectant Potential of White Vinegar, Copper Water
and Chlorhexidine – an Invitro Study
Raahee Kiran1, Pradeep C Dathan2, Smitha Raveendran3, Shahin Ismail4,
Arya R Nair4, S Karthik5, Nimmy KJ6 and K Chandrasekharan Nair7*
1Specialist Prosthodontist and Implantologist, Thiruvananthapuram
2Professor and Head of the Department of Prosthodontics, Sri Sankara Dental
College, Akathumuri, Thiruvananthapuram, Kerala, India
3Assistant Professor Government Dental college, Thiruvananthapuram
4Reader Department of Prosthodontics, Sri Sankara Dental College, Akathumuri,
Thiruvananthapuram
5Prosthodontist, Chirayinkeezhu, Thiruvananthapuram
6Prosthodontist, Trudental Advanced Dental Care and Implant Center,
Thiruvananthapuram
7Professor Emeritus, Department of Prosthodontics, Sri Sankara Dental College,
Akathumuri, Thiruvananthapuram, Kerala, India
*Corresponding Author: K Chandrasekharan Nair, Professor Emeritus, Department of
Prosthodontics, Sri Sankara Dental College, Akathumuri, Thiruvananthapuram, Kerala,
India.
Received:
May 28, 2024; Published: June 28, 2024
Abstract
Objectives: To compare and evaluate the antimicrobial effect of White vinegar, Copper water and chlorhexidine when used as immersion
disinfectants for PMMA resin.
Materials and Methods: One hundred and sixty acrylic denture base resin specimens of dimensions 10 x 10 x 2 mm were made. Four
groups of cleansing treatments were carried out. Group 1 - Sterilized distilled water, Group 2 - White vinegar diluted with water (1:1),
Group 3 - Chlorhexidine mouth wash (2%), Group 4 – Copper water (sterile water stored in copper vessel for 24 hours). Candida
albicans and Staphylococcus aureus were used as reference organisms and used for inoculating the specimens. Viability of organisms
were assessed after immersing in the disinfectant media. Colony forming units were counted at the end of I hour and 6 hours. The
results were statistically analyzed using one way ANOVA and Tukey’s Post hoc multiple comparisons.
Results: CFU/mL values of S. aureus obtained at the end of one hour were as follows: Gr 1- 1.20 x 104, Gr 2- 0.21 x 104, Gr 3-0.57 x
104 and Gr 4-1.05x104. At the end of six hours the values were 2.46 x 105, 0.20 x 104, 0.37 x 104 and 0.19 x 104 respectively.
CFU/mL values of C. albicans obtained at the end of one hour were as follows: Gr. 1-8.43 x 104, Gr 2-0.62x104, Gr 3-1.39 x 104and
Gr 4-0.08 x 104. At the end of six hours the values were 4.60 x 105, 0.13 x 104, 0.08 x 104and 0.27 x 104 respectively.
Conclusions
• Copper water which is made by storing water in copper vessel for at least six hours can be used as an immersion disinfectant
medium for acrylic prostheses.
• White vinegar is a potent disinfectant medium which can be used as an overnight storage medium for dentures.
• The present study endorses the already established fact that Chlorhexidine gluconate has antimicrobial effect which can be
used as an overnight storage medium for dentures.
• All the three media mentioned above have antimicrobial effect against Candida albicans and Staphylococcus aureus which
were used as reference organisms.
Keywords: Denture Cleanser; Vinegar; Copper Water; Candida Albicans; Staphylococcus Aureus; Disinfectant Immersion Medium
References
- International Institute for Population Sciences and United Nations Population Fund. India Ageing Report. “Caring for Our Elders: Institutional Responses”. United Nations Population Fund, New Delhi (2023).
- Coulthwaite L and Verran J. “Potential pathogenic aspects of denture plaque”. British Journal of Biomedical Science 64 (2007): 180-189.
- Sumi Y., et al. “Colonisation of denture plaque by respiratory pathogens in dependent elderly”. Gerodontology 19 (2020): 25-29.
- Pradeep C Dathan., et al. “Denture Hygiene in the Context of the Increasing Elderly Population-A Review". Acta Scientific Dental Sciences 4 (2024): 18-25.
- Ryniewicz J., et al. “Assessment of Oral Hygiene in Patients Using Fixed and Removable Dentures Treated at the University Dental Clinic in Krakow”. International Journal of Environmental Research and Public Health 18 (2021):
- Budtz-Jorgensen E. “Oral mucosal lesions associated with the wearing of removable dentures”. Journal of Oral Pathology and Medicine 10 (1981): 65-80.
- Pereira-Cenci T., et al. “Can New Dentures Decrease Candida Levels?” The International Journal of Prosthodontics 26 (2013): 470-477.
- Nair VV., et al. “Microbial contamination of removable dental prosthesis at different interval of usage: An in vitro study”. The Journal of Indian Prosthodontic Society 16 (2016): 346-351.
- Redfern J., et al. “The denture microbiome in health and disease: an exploration of a unique community”. Letters in Applied Microbiology 75 (2022): 195-209.
- Gornitsky M., et al. “A clinical and microbiological evaluation of denture cleansers for geriatric patients in long-term care institutions”. Journal of the Canadian Dental Association 68 (2002): 39-
- Redfern J., et al. “The denture microbiome in health and disease: an exploration of a unique community”. Letters in Applied Microbiology 75 (2022): 195-209.
- Da Silva FC., et al. “Effectiveness of Six Different Disinfectants on Removing Five Microbial Species and Effects on the Topographic Characteristics of Acrylic Resin”. Journal of Prosthodontics 17 (2008): 627-633.
- Rodríguez Acosta EJ., et al. “Candida Albicans Adherence to Denture Base Material: Chemical Disinfection and the Effect of Acquired Salivary Pellicle Formation”. Journal of Prosthodontics 24 (2015): 200-206.
- Mohammadi Z and Abbott “The Properties and Applications of Chlorhexidine in Endodontics”. International Endodontic Journal 42 (2009): 288-302.
- Alfouzan AF., et al. “Efficacy of Denture Cleansers on Microbial Adherence and Surface Topography of Conventional and CAD/CAM-Processed Denture Base Resins”. Polymers 15 (2023):
- Dollwet HH. “Historic uses of copper compounds in medicine”. Journal of Trace Elements in Medicine 2 (1985): 80-87.
- Dollwet HHA and Sorenson JRJ. “Historic uses of copper compounds in medicine”. Journal of Trace Elements in Medicine 2 (1985): 80-
- Huang R., et al. “Anticancer metal compounds in NCI’s tumor-screening database: putative mode of action”. Biochemical Pharmacology 69 (2005): 1009-1039.
- https://www.healthline.com/nutrition/copper-water-benefits#what-it-is
- https://indianexpress.com/article/lifestyle/health/copper-water-health-benefits-ayurveda-
- Fu Y., et al. “Copper transport and trafficking at the host-bacterial pathogen interface”. Accounts of Chemical Research 47.12 (2014): 3605-36
- Warnes SL., et al. “Mechanism of copper surface toxicity in vancomycin-resistant enterococci following wet or dry contact”. Applied and Environmental Microbiology 77 (2011): 6049-6059.
- Weaver L., et al. “Potential for preventing spread of fungi in air-conditioning systems constructed using copper instead of aluminium”. Letters in Applied Microbiology 50 (2010): 18 -23.
- Quaranta D., et al. “Mechanisms of contact-mediated killing of yeast cells on dry metallic copper surfaces”. Applied and Environmental Microbiology 77 (2011): 416-
- Arendsen LP., et al. “The Use of Copper as an Antimicrobial Agent in Health Care Including Obstetrics and Gynaecology”. Clinical Microbiology Reviews 32.4 (2016): e00125-218.
- Wilson J. “The aetiology, diagnosis and management of denture stomatitis”. British Dental Journal 185 (1998): 380-384.
- Arendorf TM and Walker DM. “Denture stomatitis: a review”. Journal of Oral Rehabilitation 14 (1987): 217-227.
- Campos MS., et al. “Biofilm microbial communities of denture stomatitis”. Oral Microbiology and Immunology 23 (2008): 419-424.
- Felton D., et al. “Evidence based guide lines for the care and maintencnce of complete dentures-A publication of the American college of Prosthodontists”. Journal of Prosthodontics 20 (2011): S1-S12.
- Petros Mylonas., et al. “Denture cleanliness and hygiene: an overview”. British Dental Journal 233 (2022): 20-26.
- Shi B., et al. “The denture-associated oral microbiome in health and stomatitis”. mSphere6 (2016): e00215-216.
- https://go.drugbank.com/drugs/DB00878
- De Andrade IM., et al. “Effect of Chlorhexidine on Denture Biofilm Accumulation”. Journal of Prosthodontics 21 (2012): 2-6.
- Alfouzan AF., et al. “Efficacy of Denture Cleansers on Microbial Adherence and Surface Topography of Conventional and CAD/CAM-Processed Denture Base Resins”. Polymers 15 (2023):
- Alqarni H., et al. “Chlorhexidine as a Disinfectant in the Prosthodontic Practice: A Comprehensive Review”. Cureus10 (2022): e30566.
- https://davidsuzuki.org/living-green/does-vinegar-kill-germs/
- Rattiporn Kaypetch., et al. “Novel vinegar solution as denture-cleansing agent”. Journal of Oral Science 65 (2023): 117-120.
- Telma Maria Silva PINTO., et al. “Vinegar as an antimicrobial agent for control of candida spp. In complete denture wearers”. Journal of Applied Oral Science 6 (2008): 385-390.
- Dollwet HHA and Sorenson JRJ. “Historic uses of copper compounds in medicine”. Journal of Trace Elements in Medicine 2 (1985): 80-
- Grass G., et al. “Metallic copper as an antimicrobial surface”. Applied and Environmental Microbiology 77 (2011): 1541-
- Pyle BH., et al. “Efficacy of copper and silver ions with iodine in the inactivation of Pseudomonas cepacian”. Journal of Applied Bacteriology 72 (1992): 71-
- Vincent M., et al. “Contact killing and antimicrobial properties of copper”. Journal of Applied Microbiology 124 (2017): 1032-1046.
- https://pharmeasy.in/blog/13-benefits-of-drinking-water-from-copper-bottle-vessels/
- Emam HE., et al. “In-situ deposition of Cu2O micro-needles for biologically active textiles and their release properties”. Carbohydrate Polymers 165 (2017): 255-
- Esp_ırito Santo C., et al. “Bacterial killing by dry metallic copper surfaces”. Applied and Environmental Microbiology 77 (2011): 794-
- Sarsan S. “Effect of storage of water in different metal vessels on coliforms”. International Journal of Current Microbiology and Applied Sciences 11 (2013): 24-29.
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