Effect Of Using Povidone Iodine and Herbal Propolis Antibacterial Mouth on Blood Pressure
Main Article Content
Keywords
Nitrite Pathway, Nitric Oxide, nitrate reducing bacteria, blood pressure
Abstract
Oral bacteria have a key role in inorganic nitrate bioactivation as they catalyze the conversion of salivary nitrate to the more reactive nitrite anion. Recent studies have shown that blood pressure increases with prolonged use of antiseptic mouthwashes, and demonstrated that nitrates derived from endogenous NO-synthase are recycled to nitrites and NO, sufficient to modulate cardiovascular function.
Reduction of salivary nitrate by oral bacteria may contribute to preventing oral disease, as well as increasing systemic nitric oxide levels which may improve conditions such as hypertension and diabetes.
Nitric Oxide is a substance that has the task of relaxing blood vessels, while bacteria are tasked with the Nitrite Pathway process, so the elimination of these bacteria due to the use of mouthwash can affect blood pressure.
This study used 12 adult samples (n = 6 Povidone Iodine and n = 6 Herbal Propolis) with age criteria of 17-30 years, healthy body and no history of hypertension. effects on blood pressure from the use of Povidone Iodine and Herbal Propolis antibacterial mouthwash. The highest systolic increase occurred on day 3, with a Standard Deviation of PI = 5.05964 & HP = 3.76386. The sample experienced an increase in blood pressure of approximately <5 mmHg. These results indicate that Povidone Iodine and Herbal Propolis mouthwash have an effect on reducing the microbiome of oral bacteria, in this case nitrate reducing bacteria so that it can affect blood pressure.
References
2. Adam, A.M, Achmad, H. et. al. 2018. Efficacy of Mouthwash From Aloe Vera Juice After Scaling Treatment on Patient With Gingivitis: A Clinical Study. Pesquisa Brasiliera em Odontopediatria e Clinica Integrada (PBOCI journal). Vol. 18, No. (1) : 2018;e3959
3. Anggara, Febby HD and Prayitno, Nanang. 2013. Factors Associated with Blood Pressure at the Telaga Murni Health Center, West Cikarang in 2012. Scientific Journal of Health, vol 5 (1). East Jakarta: Kramat Jati
4. Bescos, Raul, et al. 2020. Effects of Chlorhexidone Mouthwash On The OralMicrobiome. English UK : University of Plymouth
5. Bondonno, Catherine P, et al. 2014. Antibacterial Mouthwash Blunts Oral Nitrate Reduction and Increases Blood Pressure in Treated Hypertensive Men and Women. American Journal of Hypertension, vol. 28 (5), 30 Oct, pp. 572–575, 10.1093/ajh/hpu192. Retrieved August 19, 2021.
6. Doel, Justin Johnston, et al. 2005. Evaluation of Bacterial Nitrate Reduction in the Human Oral Cavity. European Journal of Oral Sciences, vol. 113 (1), pp. 14–19, 10.1111/j.1600-0722.2004.00184.x. Retrieved August 10, 2021.
7. Handayani, Fitri, et al. 2016. Formulation and Antibacterial Activity Test of Streptococcus Mutans From Mouthwash Preparations of Bay Leaf Extract (Syzygium polyanthum (Wight) Walp.). Media Science, vol 9, (1).https://lldikti11.ristekdikti.go.id/jurnal/pdf/d3246b40-3092-11e8-9030-54271eb90d3b/. Retrieved August 20, 2021.
8. Joseph, Nova. 2019 “Propolis Melia: Benefits, Dosage, Side Effects, Etc. Hello Healthy, hellosehat.com/obat-supplement/propolis-melia/. Retrieved August 20, 2021.
9. Joshipura, Kaumudi, et al. 2019. Over-the-counter mouthwash use, nitric oxide and hypertension risk. Blood Pressure, vol. 29(2), Nov. 11. 2019, pp. 103–112, 10.1080/08037051.2019.1680270. Retrieved August 24, 2021.
10. Rosier T. Bob, Moya Eva, Escuin Paula. 2020.Isolation and Characterization of Nitrate-Reducing Bacteria as Potential Probiotics for Oral and Systemic Health. Front Microbiol. Vol.11, 15 September 2020, Available at:https://www.frontiersin.org/articles/10.3389/fmicb.2020.555465/full, accessed on March 23, 2022.
11. Mararu, Wahyu P, et al. 2017. Description of Dental and Oral Hygiene Status in Users of Fixed Orthodontic Appliance at SMA Negeri 7 Manado. E-GIGI, vol. 5 (2), 7 July 2017, 10.35790/eg.5.2.2017.17128. Accessed August 19, 2021.
12. Mervrayano, Jeanne, et al. 2015. Comparison of the Effectiveness of Mouthwash Containing Chlorhexidine with Povidone Iodine Against Streptococcus. Andalas Health Journal, vol. 4 (1), 10.25077/jka.v4i1.216. Retrieved 19 August. 2021.
13. Mitsui, Takahiro, Ryô Harasawa. 2017. The Effects of Essential Oil, Povidone-Iodine, and Chlorhexidine Mouthwash on Salivary Nitrate/Nitrite and Nitrate-Reducing Bacteria. Journal of Oral Science, vol. 59(4). pp. 597–601, 10.2334/josnusd.16-0593. Retrieved 8 February 2021.
14. Pardede, Elisabeth. 2018. Comparison of the Effectiveness of Administering Chlorhexidine Gluconate 0.2% Mouthwash and 1% Povidone Iodine as Asepsis in the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of North Sumatra. Medan : Faculty of Dentistry Department of Oral and Maxillofacial Surgery.
15. Prity, DJ Dewangga Yunico. 2014. The Effect of Gargling with Propolis Concentrations of 5%, 10%, & 15% in Inhibiting the Formation of Dental Plaque in Dental Students of the Muhammadiyah University of Surakarta Class of 2010. Surakarta: Scientific Journal of the Faculty of Dentistry, Muhammadiyah University of Surakarta.
16. Tribbel, Gena D, et al. 2019. Frequency of Tongue Cleaning Impacts the Human Tongue Microbiome Composition and Enterosalivary Circulation of Nitrate. Italy : Lorenzo Lo Muzio, University of Foggia.
17. Suparwi, Ajeng Destian. 2010. Differences in the Effectiveness of Chlorhexidine and Methylsalicylate Mouthwashes in Reducing the Number of Bacterial Colonies in the Oral Cavity. Surakarta: Thesis of the Faculty of Medicine, Sebelas Maret University, Surakarta.
18. Wijaya, KGR, etc. 2018. Differences in Levels of Oral Hygiene in Dentistry Students and General Medicine Students at the Faculty of Medicine, Udayana University, Bali Dental Journal, vol 2 (1).http://jkg-udayana.org/ojs/index.php/bdj/article/view/20/25. Retrieved August 20, 2021.
19. Alzahrani, H., Jackson, K. Hobbs, D. and Lovegrove, J. (2020) . The Role of Dietary Nitrate and The Oral Microbiome on Blood Pressure and Vascular Tone. Nutrition Research Reviews. Vol. 34. Issue2. Available at :https://www.cambridge.org/core/journals/nutrition-research-reviews/article/abs/role-of-dietary-nitrate-and-the-oral-microbiome-on-blood-pressure-and-vascular- tone/0052488F04342F8894B9E509029B22A7. accessed on 20 January 2023
20. Sundqvist L. Michaela, Lundberg O. Jon, Weitzberg Eddie. (2016). The Effect of Antiseptic Mouthwash on Resting Metabolic Rate: A Randomized, Double-Blind, Crossover Study. Nitric Oxide Vol. 61. Available at :https://www.sciencedirect.com/science/article/abs/pii/S1089860316300866?via%3Dihub. accessed on 20 January 2023