RT Journal Article T1 Ex vivo vs. in vivo antibacterial activity of two antiseptics on oral biofilm A1 Prada López, Isabel A1 Quintas González, Víctor A1 Casares de Cal, María de los Ángeles A1 Suárez Quintanilla, Juan A1 Suárez Quintanilla, David A1 Tomás Carmona, Inmaculada K1 Antiseptic K1 Chlorhexidine K1 Essential oils K1 Immersion K1 Mouthwash K1 PL-biofilm AB Aim: To compare the immediate antibacterial effect of two application methods (passive immersion and active mouthwash) of two antiseptic solutions on the in situ oral biofilm.Material and Methods: A randomized observer-masked crossover study was conducted. Fifteen healthy volunteers wore a specific intraoral device for 48 h to form a biofilm in three glass disks. One of these disks was used as a baseline; another one was immersed in a solution of 0.2% Chlorhexidine (0.2% CHX), remaining the third in the device, placed in the oral cavity, during the 0.2% CHX mouthwash application. After a 2-weeks washout period, the protocol was repeated using a solution of Essential Oils (EO). Samples were analyzed for bacterial viability with the confocal laser scanning microscope after previous staining with LIVE/DEAD® BacLight™.Results: The EO showed a better antibacterial effect compared to the 0.2% CHX after the mouthwash application (% of bacterial viability = 1.16 ± 1.00% vs. 5.08 ± 5.79%, respectively), and was more effective in all layers (p < 0.05). In the immersion, both antiseptics were significantly less effective (% of bacterial viability = 26.93 ± 13.11%, EO vs. 15.17 ± 6.14%, 0.2% CHX); in the case of EO immersion, there were no significant changes in the bacterial viability of the deepest layer in comparison with the baseline.Conclusions: The method of application conditioned the antibacterial activity of the 0.2% CHX and EO solutions on the in situ oral biofilm. The in vivo active mouthwash was more effective than the ex vivo passive immersion in both antiseptic solutions. There was more penetration of the antiseptic inside the biofilm with an active mouthwash, especially with the EO. Trial registered in clinicaltrials.gov with the number NCT02267239. URL: https://clinicaltrials.gov/ct2/show/NCT02267239. PB Frontiers Media YR 2015 FD 2015 LK http://hdl.handle.net/10347/23031 UL http://hdl.handle.net/10347/23031 LA eng NO Prada-López I, Quintas V, Casares-De-Cal MA, Suárez-Quintanilla JA, Suárez-Quintanilla D and Tomás I (2015) Ex vivo vs. in vivo antibacterial activity of two antiseptics on oral biofilm. Front. Microbiol. 6:655. doi: 10.3389/fmicb.2015.00655 NO This work was supported by project PI11/01383 from Carlos III Institute of Health (General Division of Evaluation and Research Promotion, Madrid, Spain), which is integrated in NationalPlan of Research, Development and Innovation (PN I+D+I 2008-2011). This project was cofinanced by European Regional Development Fund (ERDF 2007-2013) DS Minerva RD 2 may 2026