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ANTIBACTERIAL ACTIVITY OF FERMENTED AND NON-FERMENTED VIRGIN COCONUT OIL
            (VCO)    AGAINST    PORPHYROMONAS        GINGIVALIS   AND     AGGREGATIBACTER
            ACTINOMYCETEMCOMITANS: AN IN VITRO STUDY


            Ayob Y, Al-Bayaty FH, Hidayat FH
            Objective: To determine the antibacterial effect of fermented and non-fermented VCO
            against  P. Gingivalis  (ATCC 33277) and  A. Actinomycetemcomitans  (ATCC 43718).
            Materials and methods:  The  antimicrobial susceptibility testing  (AST), minimum
            inhibitory  concentration (MIC) and minimum bactericidal concentration  (MBC), VCO
            cytotoxicity effect  and  SEM morphological changes were measured.  The selected
            concentrations of fermented and non-fermented VCO were 12.5%, 25% and 50%. The
            negative control was 10% dimethyl sulfoxide (DMSO), and the positive control was 0.12%
            chlorhexidine digluconate (CHX). After that, the MIC values obtained from the fermented
            (3.13%) and non-fermented VCO (1.56%) were used to investigate their safety on normal
            human gingival fibroblast cells (hgf) via cytotoxicity test using MTT assay for the duration
            of 12, 24 and 48 hours. Samples that exhibit MIC were observed under scanning electron
            microscope (SEM). Results: 50% of non-fermented VCO exhibit the highest AST with the
            inhibition zone diameter of 14.78±2.59 mm and 14.56±0.88 mm for P. Gingivalis and A.
            Actinomycetemcomitans, respectively. AST was observed at all concentrations for non-
            fermented VCO and  only  at a concentration of  50% for fermented VCO. The  highest
            bacteriostatic and bactericidal effects recorded non-fermented VCO with MIC of 1.56%
            on  P. Gingivalis  and  A. Actinomycetemcomitans, MBC of  3.13% on  A.
            Actinomycetemcomitans while fermented VCO showed MBC 3.13% for P. Gingivalis. The
            mics of fermented VCO were  3.13% and  6.25% for  P. Gingivalis  and  A.
            Actinomycetemcomitans, respectively. The cytotoxicity test showed the percentage of
            viable cells in hgf exposed with fermented VCO, this demonstrated more than 85% at the
            3.13% concentration for the duration of 12, 24 and 48 hours. Morphologic configurations
            of bacterial cells that were observed under SEM showed alteration in the bacterial cell’s
            configuration and cell shrinkage.  Conclusion:  VCO was proven to exhibit antibacterial
            activity against  A. Actinomycetemcomitans  and  P. Gingivalis  and would be an added
            benefit adjunct to SRD.

            Published in Journal of International Dental and Medical Research 13.3 (2020): 969-974

            Dr Yuliana binti Ayob
            Periodontic Specialist Unit
            Pusat Jantung Sarawak
            Kota Samarahan, Sarawak
            Ministry of Health

            Prof. Dr Fouad Hussain Al-Bayaty
            Dr Faizal Hafez Bin Hidayat
            Centre of Periodontology Studies
            Faculty of Dentistry
            University Teknologi MARA
            Sungai Buloh, Selangor






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