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"Latar Belakang: Temulawak (Curcuma xanthorrhiza Roxb.) merupakan salah satu tanaman obat unggul Indonesia yang memiliki potensi untuk menghambat pembentukan biofilm C. albicans. Faktor virulensi yang dapat menyebabkan C. albicans menjadi fungi patogen diantaranya adalah pembentukan biofilm dan sekresi enzim hidrolitik. Fosfolipase merupakan salah satu enzim hidrolitik yang dapat merusak membran sel inang. Tujuan: Menganalisis aktivitas fosfolipase pada biofilm C. albicans ATCC 10231 fase awal, menengah, dan maturasi yang terhambat ekstrak etanol temulawak (Curcuma xanthorrhiza Roxb.). Metode: Nilai Kadar Hambat Biofilm Minimal (KHBM50) C. albicans ditentukan dengan uji MTT-assay. Ekstrak etanol temulawak dengan konsentrasi sesuai KHBM50 dipaparkan pada biofilm fase awal, menengah, dan maturase. Kontrol negative tidak dipaparkan apapun, kontrol positif dipaparkan Nystatin 100.000 IU. Aktivitas fosfolipase biofilm C. albicans dianalisis dengan mengukur proporsi antara diameterzona presipitasi dengan diameter koloni C. albicans pada medium Egg Yolk Agar (EYA). Hasil: Nilai KHBM50 ekstrak etanol temulawak terhadap biofilm C. albicans ATCC 10231 pada fase awal, fase menengah, dan fase maturasi berturut-turut adalah 25%, 30%, dan 35%. Pada kontrol positif, aktivitas fosfolipase biofilm C. albicans fase awal, fase menengah, dan fase maturasi bernilai 1. Aktivitas fosfolipase biofilm C. albicansfase awal, fase menengah, dan fase maturasi yang terhambat ekstrak etanol temulawak berturut-turut 0.84, 0.80, dan 0.83. Pada kontrol negatif, aktivitas enzim fosfolipase biofilm C. albicans fase awal, fase menengah, dan fase maturasi berturut-turut 0.59, 0.57, dan 0.57. Kesimpulan: Terdapat kecenderungan penurunan aktivitas enzim fosfolipase pada biofilm C. albicans yang terhambat > 50% ekstrak etanol temulawak.

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Background: Javanese turmeric (Curcuma xanthorrhiza Roxb.) is one of medical plant from Indonesia that has potency to inhibit biofilm formation of C. albicans. Biofilm formation and hydrolyticenzymes are two among manyvirulence factors of C. albicans. Phospholipaseisone of hydrolyticenzymesthat could degrade the hostcell membrane.

Objective: To observe the activities ofphospholipase in early phase, intermediate phase, and maturation phase of biofilm C. albicans ATCC 10231 that has been inhibited by Javanese turmeric ethanolic extract.

Method: MTT-assay wasused to measure the minimum biofilm inhibitory concentration (MBIC50) of C. albicans ATCC 10231in three phases of C. albicans biofilm. Those concentrations were used to observe phospholipase activities of biofilm in the relevant phases. The negative control were not exposed to anything, while the positive control were exposed to Nystatin 100.000 IU. Phospholipase activities were determined bymeasuring the proportion of precipitation zone diameter and C. albicans colony diameter onan egg yolk-agar medium.

Results: The MBIC50of Javanese turmeric ethanolic extract towards formation of C. albicans biofilm ATCC 10231 in early phase, intermediate phase, and maturation phase were 25%, 30%, and 35%, respectively. Phospholipase activities value in early phase, intermediate phase, and maturation phase of C. albicans biofilm exposed by Nystatin were 1. Phospholipase activities value in early phase, intermediate phase, and maturation phase of C. albicans biofilms exposed by Javanese turmeric ethanolic extract were 0.84, 0.80, and 0.83, respectively. Phospholipase activities value in early phase, intermediate phase, and maturation phase of unexposed C. albicans biofilm were 0.59, 0.57, and 0.57, respectively.

Conclusion: There istendency of decreased phospholipase activity in early phase, intermediate phase, and maturation phase of biofilm C. albicans that has been inhibited by Javanese turmericethanolic extract."

"Latar belakang: Temulawak adalah tanaman obat asli Indonesia yang mengandung zat aktif xanthorrhizol dan memiliki efek antifungal. Dengan membentuk biofilm, Candida albicans menjadi virulen dan semakin virulen ketika mencapai fase maturasi. Tujuan: Mengetahui potensi ekstrak etanol temulawak dalam menghambat biofilm C. albicans isolat klinis dan C. albicans ATCC 10231 pada fase maturasi. Metode: Pemaparan ekstrak etanol temulawak berbagai konsentrasi pada biofilm C. albicans dimulai pada 1.5 jam setelah inkubasi dan dilanjutkan selama 48 jam. MTT assay digunakan untuk mengukur persentase viabilitas sel C. albicans pada biofilm yang kemudian dikonversi menjadi persentase inhibisi biofilm oleh ekstrak temulawak. Hasil: Terhadap C. albicans isolat klinis, Kadar Hambat Minimum KHM dan Kadar Bunuh Minimum KBM ekstrak etanol temulawak adalah 15 dan 30, sedangkan terhadap C. albicans ATCC 10231 adalah 20 dan 35. Nilai Kadar Hambat Biofilm Minimum KHBM50 ekstrak etanol temulawak adalah 35 terhadap C. albican isolat klinis dan 40 terhadap C. albicans ATCC 10231. Dibutuhkan konsentrasi ekstrak etanol temulawak yang lebih tinggi untuk menghambat C. albicans ATCC 10231 daripada untuk menghambat C. albicans isolat klinis. Kesimpulan: Baik terhadap C. albicans isolat klinis maupun C. albicans ATCC 10231, ekstrak etanol temulawak berpotensi menghambat biofilm C. albicans fase maturasi.

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Background: Javanese turmeric is an Indonesian medicinal plant which contains xanthorrhizol had been reported to have antifungal effect. By forming biofilms, C. albicans becomes virulent and more virulent as it reaches the maturation phase.

Objective: To investigate the capability of Javanese turmeric ethanol extract in inhibiting the formation of maturation phase C. albicans biofilm both of clinical isolate and ATCC 10231.

Methods: The Exposure of various concentrations of Javanese turmeric ethanol extract to C. albicans biofilm started at 1.5 hours after incubation and continued for 48 hours. MTT assay was used to measure the percentage viability of C. albicans cells on the biofilm which was then converted into the percentage of biofilm inhibition.

Results: Against C. albicans clinical isolate, Minimum Inhibition Concentration MIC and Minimum Fungicidal Concentration MFC of javanese turmeric ethanol extract was 15 and 30 whereas against C. albicans ATCC 10231 was 20 and 35. Minimum Biofilm Inhibition Concentration MBIC50 of javanese turmeric ethanol extract was 35 against C. albicans clinical isolate and 40 against C. albicans ATCC 10231 biofilm. Higher concentration of the extract was required to inhibit C. albicans ATCC 10231 compared to the concentration to inhibit C. albicans clinical isolate.

Conclusion: Both against C. albicans clinical isolat and C. albicans ATCC 10231, javanese turmeric ethanol extract has potential in inhibiting mature phase of C. albicans biofilm."

"Pendahuluan: Salah satu faktor virulensi utama yang mempengaruhi perubahan Candida albicans(C. albicans) dari flora komensal menjadi patogen adalah pembentukan biofilm. Pada biofilm fase maturasi, C. albicansmenjadi lebih resisten terhadap agen antifungal. Telah dibuktikan efek inhibisi ekstrak etanol temulawak (Curcuma xanthorrhiza Roxb.) terhadap pertumbuhan biofilm C. albicans. Tujuan: Menganalisis gambaran TEM sel C. albicans ATCC 10231pada biofilm fase maturasi yang terinhibisi ekstrak etanol temulawak (EET). Metode: Penelitian ini dibagi dua kelompok yaitu kelompok perlakuan dan tanpa perlakuan. Sebanyak 100μL suspensi C. albicans ATCC 10231dalam 96-well-plate diinkubasi selama 1.5 jam pada 370C,kemudian diaspirasi dan dibilas menggunakan PBS. Pada kelompok perlakuan dipapar 100μLEET dengan konsentrasi KHBM50(35%), sedangkan kelompok tanpa perlakuan tidak dipapar EET. Kedua kelompok di inkubasi kembali hingga 48 jam, kemudian dipindahkan ke Eppendorf tube untuk difiksasi dalam 2.5% glutaraldehyde dan dilakukan pemeriksaan TEM. Kontrol positif dipapar nystatin oral suspension. Hasil: Pemeriksaan TEM pada kelompok perlakuan, sel C. albicansATCC 10231 pada biofilm fase maturasi yang terpapar ekstrak etanol temulawak terlihat perubahan gambaran ultrastruktur yang berupa perubahan bentuk sel, penebalan dinding sel, pembesaran vakuola, dan iregularitas sitoplasma berikut organel-organel di dalamnya seperti disorganisasi pada nukleus, mitokondria, dan retikulum endoplasma. Sedangkan pada kelompok tanpa perlakuan menunjukan gambaran sel C. albicans ATCC 10231 normal. Kesimpulan: Pemeriksaan TEM dapat menunjukkan perubahan sel C. albicans ATCC 10231 pada biofilm fase maturasi yang terinhibisi ekstrak etanol temulawak.

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Introduction: One of main virulence factor that influence the alteration of Candida albicans (C. albicans) from commensal flora into pathogenic flora is biofilm formation. At the maturation phase, C. albicans ismore resistant to antifungal agent. It has been proven that there is an inhibition effect of Javanese turmeric (Curcuma xanthorrhiza Roxb) on the growth of C. albicans biofilm.

Objective: To analyze the TEM image of C. albicans cell on the maturation phase of biofilm inhibit by Javanese turmeric ethanol extract.

Method: This research divided into two groups, there were treated group and untreated group. A 100μLC. albicans ATCC 10231 suspension on a 96-well-plate incubated for 1.5 hour at 370C, and then aspirated and washed by phosphate buffer saline (PBS). The treated group was exposed to 100μL Javanese turmeric ethanol extract as MBIC50 concentration (35%), while the untreated group was not exposed to Javanese turmeric ethanol extract. Both groups were incubated until 48 h, and then moved into the Eppendorf tube and fixed with glutaraldehyde 2.5% to examine using TEM. The positive control was exposed to nystatin oral suspension.

Result: Compared to the negative control, C. albicans cell on biofilm maturation phase treated by Javanese turmeric extract ethanol extract shows the alteration on the its ultra structure. The alteration showed in shape, the thickness of cell wall, the enlargement of vacuole, and irregularity of cytoplasm include the organelles in it such as disorganization on nucleus, cytoplasm, and endoplasmic reticulum.

Conclusion: TEM examination showed the alteration of C. albicans ATCC 10231 cell on maturation phase biofilm inhibited by Javanese turmeric ethanol extract."

"Pendahuluan: Perubahan sistem pertahanan pejamu atau kondisi rongga mulut dapat menyebabkan infeksi Candida albicans (C. albicans) yang disebut kandidiasis oral. Xanthorrhizol adalah komponen aktif Temulawak (Curcuma xanthorrhiza Roxb.) yang memiliki efek antijamur. Gambar Scanning Electron Microscope (SEM) sel C. albicans yang terpapar xanthorrhizol menunjukkan penonjolan sitoplasma dan adhesi antar sel. Tidak diketahui bagaimana perubahan ultrastruktural pada sel C. albicans. Tujuan: Menggunakan TEM untuk menganalisis perubahan ultrastruktur sel C. albicans pada biofilm fase pematangan pasca-inhibisi dengan Ekstrak Etanol Temulawak (EET). Metode: Biofilm C. albicans ATCC 10231 yang ditumbuhkan pada kawat selama 1,5 jam dihambat dengan 25% EET selama 48 jam. Kelompok kontrol positif tidak diberi nistatin sedangkan kelompok kontrol negatif tidak diberi apa-apa. Sampel difiksasi dengan 2,5% glutaraldehid, didehidrasi dengan etanol, dan dibenamkan dalam resin spurr sebelum diamati dengan TEM. Hasil: Terlihat distorsi dinding sel, membran plasma, dan organel serta invaginasi membran plasma. Kesimpulan: Penghambatan biofilm C. albicans ATCC 10231 oleh 25% EET menyebabkan kerusakan pada ultrastruktur sel C. albicans ATCC 10231.

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Changes of hosts defense system or oral condition causing infection of Candida albicans (C. albicans) is called oral candidiasis. Xanthorrhizol is an active component of javanese turmeric (Curcuma xanthorrhiza Roxb.) which has antifungal effect. C. albicans cells Scanning Electron Microscope (SEM) image exposed to xanthorrhizol showed cytoplasm protrusion and clumping. The ultrastructure changes inside the C. albicans cell is not known yet. Objective: Using TEM to analyse the ultrastructure image of C. albicans ATCC 10231 cells in maturation phase of biofilm inhibited by 25% EET. Methods: C. albicans ATCC 10231 biofilm which had been cultured on wire for 1.5 hours was inhibited by 25% EET. Group of positive control was exposed by nystatin whereas group of negative control was exposed to nothing. Sampel was being fixated with glutaraldehyde 2.5%, dehydrathed by ethanol, and embedded inside spurrs resin before being observed with TEM. Results: Cell wall, plasma membrane, and organelles distortion, along with plasma membrane invagination. Conclusion: C. albicans ATCC 10231 biofilm inhibition with 25% EET caused damages in C. albicans ATCC 10231 cells ultrastructure."

"Latar Belakang: Terdapat berbagai spesies bakteri yang berkoloni di dalam rongga mulut antara lain S.mutans merupakan bakteri penyebab utama karies gigi dan begitu pula C.albicans. Perkembangan kedua mikroorganisme ini saling berinteraksi berperan pada pembentukan karies gigi dan memiliki hubungan sinergisme. Terdapat S.sanguinis dapat pembentukan plak gigi mengakibatkan karies dan gingivitis. S.sanguinis memiliki efek antagonis terhadap S.mutans. Adapun hubungan S.sanguinis meningkatkan biomassa dan aktivitas metabolik pada biofilm C.albicans. Belum ada penelitian yang membuktikan apakah S.sanguinis dapat memberikan efek antagonis (menghambat) yang sama terhadap interaksi S.mutans dan C.albicans yang memiliki hubungan sinergistik. Dapat digunakan cell free-spent medium yang merupakan medium sisa hasil kultur bakteri yang telah disentrifugasi dan filter sehingga hanya tersisa produk ekskresi S.sanguinis sebagai intervensi untuk melihat pengaruh konsentrasi protein Streptococcus sanguinis terhadap dual-spesiesS.mutans dan C.albicans. Tujuan: Mengetahui efek cell-free spent media S.sanguinis terhadap interaksi mixed species biofilm C.albicans dan S.mutans.Metode Digunakan uji Bradford untuk menetapkan total konsentrasi protein, uji Crystal Violet untuk menetapkan pembentukan massa biofilm, dan uji Total Plate Count untuk menetapkan viabilitas spesies. Masing-masing perlakuan dibedakan berdasarkan konsentrasi spent medium 100%, 10%, dan 1%, serta waktu inkubasi 3 jam, 24 jam, dan 48 jam. Hasil: Analisis dari uji statistik terdapat perbedaan bermakna pada pembentukan massa biofilm dual-spesies S. mutans dan C.albicans berdasarkan konsentrasi protein dan waktu inkubasinya.Serta tidak terdapat perbedaan bermakna pada viabilitas biofilm S.mutans dan C.albicans berdasarkan konsentrasi protein dan waktu. Kesimpulan: Konsentrasi protein dan waktu inkubasi dapat mempengaruhi pembentukan massa biofilm pada dual-spesies S.mutans dan C.albicans, yang didukung secara statistik karena terdapat perbedaan bermakna. Sedangkan pada uji viabilitas biofilm, baik berdasarkan konsentrasi protein maupun waktu inkubasi dapat mempengaruhi viabilitas biofilm S.mutans dan C.albicans, namun tidak didukung secara statistik karena tidak terdapat perbedaan bermakna. Terdapat efek cell-free spent media S.sanguinis yaitu menghambat pembentukan massa biofilm pada kombinasi biofilm S.mutans dan C.albicans.

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Background: There are various species of bacteria that colonize in the oral cavity, including S.mutans is the main bacteria causing dental caries and C.albicans. The development of these two interacting microorganisms plays a role in the formation of dental caries and has a synergistic relationship. There is S.sanguinis bacteria forming dental plaque resulting in caries and gingivitis. S.sanguinis has an antagonistic effect against S.mutans. The relationship between S.sanguinis increased biomass and metabolic activity in C.albicans biofilms. There has been no research that proves whether S.sanguinis can provide the same antagonistic effect on the interaction of S.mutans and C.albicans which has a synergistic relationship. Cell free-spent medium can be used which is the remaining medium from filtered bacterial culture so that only S.sanguinis excretion products remain as an intervention to see the effect of protein concentration. S.sanguinis against dual-species S.mutans and C.albicans

Objective: To determine the effect of cell-free spent media S.sanguinis on the interaction of mixed species biofilm C.albicans and S.mutans.

Methods: The Bradford test was used to determine the total protein concentration, the Crystal Violet test to determine the mass formation of the biofilm, and the Total Plate Count test to determine the viability of the species. Each treatment was differentiated based on protein concentration spent medium 100%, 10%, and 1%, as well as incubation time of 3 hours, 24 hours, and 48 hours.

Results: From analysis statistic test there was a significant difference in the mass formation of dual-species S.mutans and C.albicans biofilms based on protein concentration and incubation time. And there was no significant difference in the viability of S.mutans and C.albicans biofilms based on protein concentration and incubation time.

Conclusion: Protein concentration and incubation time can affect the formation of biofilm mass in dual-species S.mutans and C.albicans, which is supported statistically because there is a significant difference. Meanwhile, the biofilm viability test, both based on protein concentration and incubation time, could affect the biofilm viability of S.mutans and C.albicans, but it was not statistically supported because there was no significant difference. There is an effect of cell-free spent media S.sanguinis which inhibits the formation of biofilm mass in the combination of S.mutans and C.albicans biofilms."

"Latar Belakang: Kandidiasis Oral adalah infeksi pada rongga mulut yang terutama disebabkan oleh jamur C. albicans. C. albicans dalam bentuk biofilm bersifat virulen. Pembentukan biofilm C. albicans diawali dengan proses adhesi sel diikuti dengan proliferasi dan pembentukan biofilm. Temulawak Curcuma Xanthorrhiza Roxb. merupakan tanaman obat asli Indonesia yang mengandung zat aktif xanthorrhizol yang memiliki efek antijamur. Tujuan: Menganalisis efek hambat ekstrak etanol temulawak terhadap biofilm C. albicans pada fase awal. Metode: Paparan ekstrak etanol temulawak diberikan pada kultur C. albicans isolate klinis dan ATCC 10231 usia 1.5 jam selama 6 jam untuk mencapai fase awal. Viabilitas C. albicans diuji dengan MTT assay. Hasil: KHM Ekstrak etanol temulawak terhadap C. albicans isolat klinis dan ATCC 10231 secara berturut-turut adalah 15 dan 20 . KHBM50 ekstrak etanol temulawak terhadap biofilm C. albicans isolat klinis dan ATCC 10231 pada fase awal secara berturut-turut adalah 20 dan 25. Kesimpulan: Hasil penelitian ini menunjukkan bahwa Ekstrak Etanol Temulawak dapat menghambat biofilm C. albicans pada fase awal.

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Background: Oral Candidiasis is an oral cavity infection caused by C. albicans. C. albicans in the form of biofilm is virulent. C. albicans biofilm formation initially starts with the fungal cell adhesion followed by the proliferation and the formation of biofilm. Javanese Turmeric Curcuma Xanthorrhiza Roxb. is an Indonesian medicinal plant that contains xanthorrhizol as the active substance which has antifungal effects.

Objective: To investigate the inhibitory effect of Javanese turmeric ethanol extract on C. albicans biofilm in the initial phase.

Methods: exposing Javanese Turmeric ethanol extract was given to C. albicans culture aged 1.5 hours for 6 hours to achieve initial phase of biofilm. The viability of C. albicans was assesed by MTT assay.

Result: The MIC Minimum Inhibitory Concentration of Javanese turmeric ethanol extract against C. albicans clinical isolated and ATCC 10231 were 15 and 30 , respectively. The concentration of temulawak ethanol extract which had MBIC50 value on C. albicans clinical isolated and ATCC 10231 in the adhesion phase were 20 and 25, respectively.

Conclusion: The results showed Javanese turmeric ethanol extract could inhibit C. albicans biofilm in initial phase."

"Latar belakang: Propolis memiliki efek antifungal. Universitas Indonesia sedang mengembangkan permen mengandung propolis yang diduga dapat menghambat pertumbuhan C.albicans. Tujuan: Penelitian ini bertujuan untuk mengetahui efek ekstrak propolis dan permen propolis terhadap pertumbuhan C.albicans. Metode: Kadar Hambat Minimum (KHM) dan Kadar Bunuh Minimum (KBM) ekstrak propolis diuji menggunakan metode spektrofotometri serta jumlah koloni C.albicans pasca pemaparan ekstrak dan permen propolis dihitung secara langsung. Hasil: Nilai KHM dicapai pada konsentrasi 10%, nilai KBM dicapai pada konsentrasi 15%; serta terdapat penurunan jumlah koloni jamur pasca pemaparan ekstrak dan permen propolis. Kesimpulan: Ekstrak dan permen propolis terbukti efektif menghambat pertumbuhan C.albicans.

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Background: Propolis has antifungal effect. Universitas Indonesia has been developing propolis candy which can inhibit C.albicans growth.

Objective: This research was aimed to analyze effect of propolis extract and candies to C.albicans growth.

Methods: After C.albicans were exposed to propolis extract and candies, Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) were determined by spectrophotometry and post-exposure colonies of C.albicans were counted.

Result: MIC of propolis extract against C.albicans were determined at 10% and MBC at 15%, also the amount of C.albicans colonies were decreased after propolis extract and candies exposure.

Conclusion : Propolis extract and candies were effective to inhibit C.albicans growth."

"Latar Belakang: Hubungan sinergistik antara bakteri etiologi karies Streptococcus mutans dan jamur patogen Candida albicans merupakan salah satu faktor yang berperan dalam memperparah penyakit karies. Selain itu, bakteri komensal Streptococcus salivarius telah dilaporkan dapat mempengaruhi pembentukan biofilm Streptococcus mutans dan Candida albicans ketika dikultur bersama-sama. Streptococcus salivarius telah diobservasi mampu menganggu sistem quorum sensing dari Streptococcus mutans dan mencegah perubahan morfologi Candida albicans dari ragi menjadi hifa. Tujuan: Menganalisis pengaruh keberadaan whole protein Streptococcus salivarius terhadap pertumbuhan biofilm Streptococcus mutans dan Candida albicans dalam berbagai konsentrasi dan waktu. Metode: Dilakukan uji pembentukan biofilm Streptococcus mutans ATCC 25175 dan Candida albicans ATCC 10231 yang dipaparkan whole protein hasil metabolit Streptococcus salivarius ATCC 9222 dalam konsentrasi yang bervariasi (1%, 10%, 100%). Kemudian biofilm diinkubasi dengan durasi 3 jam, 24 jam, dan 48 jam untuk melihat efek keberadaan protein terhadap fase pembentukkan biofilm. Uji massa biofilm dilakukan dengan menggunakan crystal violet assay. Pengamatan dengan mikroskop cahaya dilakukan untuk mengobservasi morfologi biofilm. Perbandingan jumlah sel viabel Streptococcus mutans dan Candida albicans diuji dengan metode total plate count.Kesimpulan: Terdapat indikasi jika whole protein hasil metabolit Streptococcus salivarius menghambat pertumbuhan biofilm Streptococcus mutans dan Candida albicans bergantung pada konsentrasi protein dan waktu inkubasi biofilm.

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Background: Commensal bacteria Streptococcus salivarius has been reported to influence Streptococcus mutans or Candida albicans when cultured together.

Objective: To analyze the effect of the presence of Streptococcus salivarius whole protein on the growth of Streptococcus mutans and Candida albicans dual-species biofilms in various concentrations and at various times representing the stage of biofilm formation.

Method: Biofilm formation assay was conducted for biofilm consisting of Streptococcus mutans ATCC 25175 and Candida albicans ATCC 10231. The exposure to whole protein from the metabolite of Streptococcus salivarius ATCC 9222 was done by infusing the spent medium in varying protein concentrations. Then the biofilm was incubated with varying duration to see the effect of the protein on different phase of biofilm formation. Biofilm mass measurement was carried out using crystal violet assay. Microscope observations were done to observe the morphology of the biofilm. Comparison of the number of viable cells between Streptococcus mutans and Candida albicans was done with total plate count method.

Conclusion: There is an indication that the whole protein metabolite of Streptococcus salivarius inhibits the growth of Streptococcus mutans and Candida albicans dual species biofilms depending on protein concentration and biofilm phase."