Assessment of oral malodor and tonsillar microbiota after gargling with benzethonium chloride

  • Iwamura Yuki
    Department of Periodontology, School of Dentistry, Aichi Gakuin University Division of Periodontal Health Promotion, Dental Hospital, Aichi Gakuin University
  • Hayashi Jun-ichiro
    Department of Periodontology, School of Dentistry, Aichi Gakuin University
  • Sato Takashi
    Division of Otolaryngology, Dental Hospital, Aichi Gakuin University
  • Sato Sota
    Department of Periodontology, School of Dentistry, Aichi Gakuin University
  • Murakami Taeko
    Division of Periodontal Health Promotion, Dental Hospital, Aichi Gakuin University Department of Preventive Dentistry and Dental Public Health, Aichi Gakuin University
  • Fujimura Takeki
    Department of Periodontology, School of Dentistry, Aichi Gakuin University Division of Periodontal Health Promotion, Dental Hospital, Aichi Gakuin University
  • Sasaki Yasuyuki
    Department of Periodontology, School of Dentistry, Aichi Gakuin University Division of Periodontal Health Promotion, Dental Hospital, Aichi Gakuin University
  • Okada Kosuke
    Department of Periodontology, School of Dentistry, Aichi Gakuin University
  • Takahashi Eri
    Department of Periodontology, School of Dentistry, Aichi Gakuin University Division of Periodontal Health Promotion, Dental Hospital, Aichi Gakuin University
  • Kikuchi Takeshi
    Department of Periodontology, School of Dentistry, Aichi Gakuin University
  • Aino Makoto
    Department of Periodontology, School of Dentistry, Aichi Gakuin University
  • Noguchi Toshihide
    Department of Periodontology, School of Dentistry, Aichi Gakuin University
  • Shimazaki Yoshihiro
    Department of Preventive Dentistry and Dental Public Health, Aichi Gakuin University
  • Mitani Akio
    Department of Periodontology, School of Dentistry, Aichi Gakuin University
  • Fukuda Mitsuo
    Department of Periodontology, School of Dentistry, Aichi Gakuin University Division of Periodontal Health Promotion, Dental Hospital, Aichi Gakuin University

抄録

The oropharyngeal area can be a source of halitosis. However, the relationship between healthy tonsillar microbiota and halitosis is poorly understood. We conducted a pilot clinical study to clarify the effect of gargling with an antiseptic agent on tonsillar microbiota in patients with halitosis. Twenty-nine halitosis patients who did not have otolaryngologic disease or periodontitis were assigned randomly to one of three groups: benzethonium chloride (BZC) gargle; placebo gargle; no gargle. Concentrations of volatile sulfur compounds (VSCs) in mouth air, the organoleptic score (ORS) and tongue-coating score (TCS) were measured before and after testing. Tonsillar microbiota were assessed by detection of periodontal pathogens, and profiling with terminal-restriction fragment length polymorphism (T-RFLP) analysis and sequencing of 16SrRNA clone libraries for taxonomic assignment. Gargling with BZC reduced the concentrations of methyl mercaptan and hydrogen sulfide and the ORS, but did not affect the TCS or prevalence of periodontal pathogens. T-RFLP analyses and 16SrRNA clone sequencing showed a tendency for some candidate species to decrease in the test group. Although gargling of the oropharyngeal area with an antiseptic agent can reduce oral malodor, it appears that tonsillar microbiota are not influenced greatly. (J Oral Sci 58, 83-91, 2016)

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