title: The impact of chlorhexidine gluconate on the relative cell surface hydrophobicity of oral Candida albicans.
abstract: OBJECTIVE
  Adherence of Candida albicans has been implicated as the first step in the pathogenesis of oral candidosis, and its relative cell surface hydrophobicity (CSH) a contributory physical force. Chlorhexidine gluconate is by far the commonest antiseptic mouthwash prescribed in dentistry. The intra-oral concentrations of the retained chlorhexidine mouthwash fluctuate considerably due to the dilution effect of saliva and the cleansing action of the oral musculature. Hence the objective of the present study was to investigate the effect of brief exposure to sub-therapeutic concentrations of chlorhexidine gluconate on the relative CSH of C. albicans.
  
  
  METHODS
  The CSH of the isolates was assessed by a biphasic aqueous-hydrocarbon assay.
  
  
  RESULTS
  A statistically significant reduction in CSH was observed following the exposure of Candida isolates to 0.005 and 0.0025% chlorhexidine gluconate.
  
  
  CONCLUSIONS
  These results elucidate additional mechanisms by which chlorhexidine gluconate suppress candidal pathogenicity despite a brief period of transient exposure within the oral environment.
authors.affiliation: Oral Bio-Sciences, Faculty of Dentistry, University of Hong Kong, Hong Kong.
authors.forename: S
authors.initials: S
authors.lastname: Anil
authors.forename: A N
authors.initials: AN
authors.lastname: Ellepola
authors.forename: L P
authors.initials: LP
authors.lastname: Samaranayake
mesh_terms: D000268:Adhesiveness; D000704:Analysis of Variance; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage / Q000494:pharmacology*; D002176:Candida albicans / Q000166:cytology / Q000187:drug effects*; D002462:Cell Membrane / Q000187:drug effects / Q000648:ultrastructure; D002710:Chlorhexidine / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000494:pharmacology*; D015169:Colony Count, Microbial; D006801:Humans; D006838:Hydrocarbons; D009055:Mouth / Q000382:microbiology*; D014867:Water; D017155:Wettability
chemical_list: D000891:Anti-Infective Agents, Local; D006838:Hydrocarbons; D014867:Water; C010882:chlorhexidine gluconate; D002710:Chlorhexidine