Main Article Content

Abstract

Dental and oral problems experienced a significant increase from 2007 to 2018. Based on the results of basic health research, dental and oral problems increased from 23.2% to 57.6%. Dental caries is ranked sixth with a prevalence of 60% to 80%. The main cause of dental caries is Streptococcus mutans. The use of mouthwash with synthetic active ingredients can cause side effects. In addition, only a few mouthwashes were able to inhibit the growth of Streptococcus mutans bacteria. The purpose of this study was to make a mouthwash formulation from onion methanol extract and to determine its ability to inhibit the growth of Streptococcus mutans bacteria. Three mouthwash formulas were made with 10%, 20% and 30% extract concentrations respectively, then physical evaluation was carried out for 14 days on days 0, 7 and 14. Physical evaluation included stability tests (odor, taste, turbidity and precipitate), pH and diameter of inhibition. The results of the formula stability evaluation on day 14 there was a change in formulas 2 and 3 color, but not in formula 1. This was due to differences in the concentration of extracts and the sappans color stability in the formulas. The pH test results for each formula are in the range of 6.0-6.3. A good mouthwash has a pH close to neutral like the pH of the mouth, which is 6-7. The results of the diameter inhibition test ranged from 6-8 mm. A significant difference was seen between the positive controls with formulas 1 and 3, but there was no significant difference between formulas 1 and 3. The conclusion of this study was that the mouthwash of onion methanol extract had the ability to inhibit the growth of Streptococcus mutans bacteria with moderate strength and the best formula was mouthwash with 10% extract concentration.

Keywords

Dental Caries Mouthwash Allium cepa Streptococcus mutans

Article Details

References

  1. Aires, A. (2016). Phenolics in Foods: Extraction, Analysis and Measurements. IntechOpen. https://doi.org/10.5772/66889
  2. Anastasia, A., Yuliet, & Tandah, M. R. (2017). Formulasi Sediaan Mouthwash Pencegah Plak Gigi Ekstrak Biji Kakao ( Theobroma cacao L ) Dan Uji Efektivitas Pada Bakteri Streptococcus mutans. Galenika Journal of Pharmacy, 3(1), 84–92.
  3. Andersen, O. M., & Markham, K. R. (2006). Flavonoids Chemistry, Biochemistry and Applications (Ø. M. Andersen & K. R. Markham (eds.)). CRC Press Taylor & Francis Group.
  4. Awouafack, M. D., Tane, P., & Morita, H. (2017). Isolation and Structure Characterization of FlavonoidsFlavonoids - From Biosynthesis to Human Health, Goncalo C. Justino,. In IntechOpen. https://doi.org/10.5772/67881
  5. Brglez Mojzer, E., Knez Hrnčič, M., Škerget, M., Knez, Ž., & Bren, U. (2016). molecules Polyphenols: Extraction Methods, Antioxidative Action, Bioavailability and Anticarcinogenic Effects. Molecules, 21(901). https://doi.org/10.3390/molecules21070901
  6. Dewi, N. L. A., Adnyani, L. P. S., Pratama, R. B. R., Yanti, N. N. D., Manibuy, J. I., & Warditiani, N. K. (2018). Pemisahan, Isolasi, dan Identifikasi Senyawa Saponin dari Herba Pegagan (Centella asiatica L. Urban). In Jurnal Farmasi Udayana (Vol. 7, Issue 2).
  7. Do, Q. D., Angkawijaya, A. E., Tran-Nguyen, P. L., Huynh, L. H., Soetaredjo, F. E., Ismadji, S., & Ju, Y.-H. (2013). Effect of extraction solvent on total phenol content, total flavonoid content, and antioxidant activity of Limnophila aromatica. Journal of Food and Drug Analysis, 22, 296–302. https://doi.org/10.1016/j.jfda.2013.11.001
  8. Ergina, Nuryanti, S., & Dwi Pursitasari, I. (2014). Uji Kualitatif Senyawa Metabolit Sekunder Pada Daun Palado (Agave angustifolia) Yang Diekstraksi Dengan Pelarut Air Dan Etanol Qualitative Test of Secondary Metabolites Compounds in Palado Leaves (Agave Angustifolia) Extracted With Water and Ethanol. Jurnal Akademika Kimia, 3(3), 165–172.
  9. Fromm, M., Bayha, S., Carle, R., & Kammerer, D. R. (2012). Characterization and Quantitation of Low and High Molecular Weight Phenolic Compounds in Apple Seeds. Journal of Agricultural and Food Chemistry, 60, 1232−1242. https://doi.org/10.1021/jf204623d
  10. Gomaa, E. Z. (2017). Antimicrobial , antioxidant and antitumor activities of silver nanoparticles synthesized by Allium cepa extract : A green approach. Journal of Genetic Engineering and Biotechnology, 15(1), 49–57. https://doi.org/10.1016/j.jgeb.2016.12.002
  11. Handayani, F., Sundu, R., & Sari, R. M. (2017). Formulasi Dan Uji Aktivitas Antibakteri Streptococcus mutans Dari Sediaan Mouthwash Ekstrak Daun Jambu Biji ( Psidium guajava L .). Jurnal Sains Dan Kesehatan, 1(8), 422–433.
  12. Handayani, F., Warnida, H., Nur, S. J., & Samarinda, A. F. (2016). Formulasi Dan Uji Aktivitas Antibakteri Streptococcus mutans Dari Sediaan Mouthwash Ekstrak Daun Salam (Syzygium polyanthum (Wight) Walp.). Media Sains, 9(April), 74–84.
  13. Haryati, S. D., Darmawati, S., & Wilson, W. (2017). Perbandingan Efek Ekstrak Buah Alpukat (Persea americana Mill) Terhadap Pertumbuhan Bakteri Pseudomonas aeruginosa. Prosiding Seminar Nasional Publikasi Hasil-Hasil Penelitian Dan Pengabdian Masyarakat “Implementasi Penelitian Dan Pengabdian Masyarakat Untuk Peningkatan Kekayaan Intelektual.”
  14. Hasanah, D. F. (2013). Efek Hambat Berbagai Macam Obat Kumur Terhadap Pertumbuhan Bakteri Streptococcus. Universitas Islam Negri Syarif Hidayatullah Jakarta.
  15. Hatijah, S. (2013). Bioaktivitas Minyak Atsiri Umbi Lapis Bawang Merah Allium cepa L. Lokal Asal Bima Terhadap Bakteri Streptococcus mutans Penyebab Karies Gigi. Universitas Hasanuddin Makassar.
  16. Ika. (2017). Mahasiswa UGM Mengembangkan Permen Karet Antibakteri Gigi dari Ekstrak Kulit Bawang. https://ugm.ac.id/id/berita/14143-mahasiswa-ugm-mengembangkan-permen-karet-antibakteri-gigi-dari-ekstrak-kulit-bawang
  17. Jayashree, I., Geetha, D. H., & Rajeswari, M. (2016). Evaluation of Anti-Microbial Activity of Elaeocarpus tuberculatus Roxb . American-Eurasian J. Agric. & Environ. Sci, 16(11), 1726–1731. https://doi.org/10.5829/idosi.aejaes.2016.1726.1731
  18. Kaligis, F. R., Fatimawali, & Lolo, W. A. (2017). Identifikasi Bakteri Pada Plak Gigi Pasien Di Puskesmas Bahu Dan Uji Resistensi Terhadap Antibiotik Kloramfenikol Dan Linkosamida (Klindamisin). PHARMACON Jurnal Ilmiah Farmasi, 6(3), 223–232.
  19. Kasuma, N., Fajrin, fildzah nurul, Aldi, Y., & Fitri, H. (2016). Pengaruh obat kumur ekstrak morinda citrifolia l. sebagai antigingivitis. Dentika Dental Journal, 19(2), 102–109.
  20. Kementerian Kesehatan R.I. (2012). Formula Kosmetika Indonesia. Direktorat Bina Produksi Dan Distribusi Kefarmasian Direktoratjenderal Bina Kefarmasian Dan Alat Kesehatan.
  21. Kementerian Kesehatan RI. (2014). Situasi Kesehatan Gigi dan Mulut. Jakarta: Kemenkes RI, 1-3
  22. Kementerian Kesehatan RI. (2018). Hasil Utama Riskesdas 2018. Jakarta: Kemenkes RI
  23. Khusuma, A., Safitri, Y., Yuniarni, A., & Rizki, K. (2019). Uji Teknik Difusi Menggunakan Kertas Saring Media Tampung Antibiotik dengan Escherichia Coli Sebagai Bakteri Uji. Jurnal Kesehatan Prima, 13(2). https://doi.org/10.32.807/jkp.v13i2.257
  24. Kono, S. R., Yamlean, P. V. Y., & Sudewi, S. (2018). Formulasi Sediaan Obat Kumur Herba Patikan Kebo ( Euphorbia hirta ) Dan Uji Antibakteri Prophyromonas gingivalis. 7(1), 37–46.
  25. Kurniati, N., Prasetya, A. T., & Winarni. (2012). Ekstraksi Dan Uji Stabilitas Zat Warna Brazilein Dari Kayu Secang (Caesalpinia sappan L.). Indonesian Journal of Chemical Science, 1(1).
  26. Kusuma, A. P., & Taiyeb, A. M. (2020). Gambaran Kejadian Karies Gigi Pada Anak Kelas 2 Sekolah Dasar Negeri 20 Sungaiselan. Media Kesehatan Politeknik Kesehatan Makassar, 15(2), 238. https://doi.org/10.32382/medkes.v15i2.1823
  27. Millet, A., Lamy, E., Jonas, D., Stintzing, F., Mersch-Sundermann, V., & Merfort, I. (2012). Fermentation Enhances the Biological Activity of Allium cepa Bulb Extracts. Journal of Agricultural and Food Chemistry, 60, 2148−2156. https://doi.org/10.1021/jf2041643
  28. Mumpuni, E., Purwanggana, A., Mulatsari, E., & Pratama, R. (2019). Formulasi dan Evaluasi Larutan Pencuci Mulut dengan Bahan Antimikroba Senyawa 1,5-Bis (3’-Etoksi-4’-Hidroksifenil)-1,4-Pentadien-3-on. Jurnal Ilmu Kefarmasian Indonesia, 17(1), 87. https://doi.org/10.35814/jifi.v17i1.615
  29. Padmaningrum, R. T., Marwati, S., & Wiyarsi, A. (2012). Karakter Ekstrak Zat Warna Kayu Secang (Caesalpinia sappan L) Sebagai Indikator Titrasi Asam Basa. Prosiding Seminar Nasional Penelitian, Pendidikan Dan Penerapan MIPA, Fakultas MIPA.
  30. Phillips, B., Titz, B., Kogel, U., Sharma, D., Leroy, P., Xiang, Y., Vuillaume, G., Lebrun, S., Sciuscio, D., Ho, J., Nury, C., Guedj, E., Elamin, A., Esposito, M., Krishnan, S., Schlage, W. K., Veljkovic, E., Ivanov, N. V., Martin, F., Vanscheeuwijck, P. (2017). Toxicity of the main electronic cigarette components, propylene glycol, glycerin, and nicotine, in Sprague-Dawley rats in a 90-day OECD inhalation study complemented by molecular endpoints. Food and Chemical Toxicology, 109, 315–332. https://doi.org/10.1016/j.fct.2017.09.001
  31. Prayoga, E. (2013). Perbandingan Efek Ekstrak Daun Sirih Hijau (Piper betle L.) Dengan Metode Difusi Disk Dan Sumuran Terhadap Pertumbuhan Bakteri Staphylococcus aureus. Universitas Islam Negeri Syarif Hidayatullah Jakarta.
  32. Rachma, M. (2010). Formulasi Sediaan Obat Kumur Yang Mengandung Minyak Atsiri Temulawak (Curcuma xanthorriza) Sebagai Antibakteri Porphyromonas gingivalis Penyebab Bau Mulut. Universitas Indonesia.
  33. Radzki, D., Wilhelm-Węglarz, M., Pruska, K., Kusiak, A., & Ordyniec-Kwaśnica, I. (2022). A Fresh Look at Mouthwashes—What Is Inside and What Is It for? International Journal of Environmental Research and Public Health, 19(7). https://doi.org/10.3390/ijerph19073926
  34. Raini, M., & Isnawati, A. (2011). Kajian: Khasiat Dan Keamanan Stevia Sebagai Pemanis Pengganti Gula. In Media Litbang Kesehatan (Vol. 21, Issue 4).
  35. Rezki, S., & Pawarti. (2014). Pengaruh pH Plak Terhadap Angka Kebersihan Gigi Dan Angka Karies Gigi Anak Di Klinik Pelayanan Asuhan Poltekkes Pontianak Tahun 2013. ODONTO Dental Journal, 1(2), 13–18.
  36. Ristianti, N., Kusnanta W, J., & Marsono. (2015). Perbedaan Efektifitas Obat Kumur Herbal Dan Non Herbal Terhadap Akumulasi Plak Di Dalam Rongga Mulut. Media Dental Intelektual, 2(1), 31–36.
  37. Rodrigues, A. sofia, Almeida, D. P. F., Simal-gándara, J., & Pérez-gregorio, M. R. (2017). Onions: A Source of Flavonoids Chapter. In G. C. Justino (Ed.), IntechOpen (Flavonoids). https://doi.org/http://dx.doi.org/10.5772/intechopen.69896
  38. Rowe, R. C., Sheskey, P. J., & Quinn, M. E. (2009). Handbook of Pharmaceutical Excipients (R. C. Rowe, P. J. Sheskey, & M. E. Quinn (eds.); SIXTH EDIT). Pharmaceutical Press.
  39. Sari, R., & Suhartati. (2016). Secang (Caesalpinia sappan L.) : Tumbuhan Herbal Kaya Antioksidan. Info Teknis EBONI, 13(1), 57–67.
  40. Sheskey, P. J., Cook, W. G., & Cable, C. G. (2017). Handbookof Pharmaceutical Excipients Eighth edition (P. J. Sheskey, W. G. Cook, & C. G. Cable (eds.); Eighth edi). Pharmaceutical Press.
  41. Shukla, S., Tripathi, A. K., & Chauhan, U. K. (2013). Evaluation of Antimicrobial effect of Allium cepa and Zingiber officinale on Streptococcus mutans isolated from Dental Caries of humans Periodic. Periodic Research, 2(2), 20–26.
  42. Singh, V., Krishan, P., & Shri, R. (2017). Extraction of antioxidant phytoconstituents from onion waste. 6(1), 502–505.
  43. Suliyono, J. (2010). 6 Hari Jago SPSS 17 (Lucky (ed.); Pertama). Cakrawala.
  44. Talukdar, N., Dutta, A., Chakraborty, R., & Das, K. (2017). Screening Of Phytochemicals, Antioxidant And Inhibitory Effect On Alpha-Amylase By Ethanolic Extract Of Elaeocarpus Ganitrus (Bark). International Journal of Pharmaceutical Sciences and Research, 8(12), 5270–5275. https://doi.org/10.13040/IJPSR.0975-8232.8(12).5270-75
  45. Vivek, S., & Shwetha, R. (2015). Endogenous pH, titratable acidity of commercially available mouthwashes in Indian market. International Journal of Clinical Trials, 2(1), 20–24. https://doi.org/10.5455/2349-3259.ijct20150204
  46. Wang, W., Sun, C., Mao, L., Ma, P., Liu, F., Yang, J., & Gao, Y. (2016). The biological activities, chemical stability, metabolism and delivery systems of quercetin: A review. Trends in Food Science & Technology, 56, 21–38. https://doi.org/10.1016/j.tifs.2016.07.004