Effectiveness of intracanal dressing protocols on Enterococcus faecalis biofilm in a bovine teeth model – an in vitro study
DOI:
https://doi.org/10.15448/1980-6523.2015.2.13630Keywords:
Biofilm, Enterococcus faecalis, Bovine teeth, Intracanal dressingAbstract
Aim: The purpose of study was to evaluate, in vitro, the effectiveness of intracanal dressing protocols in root canals infected with E.faecalis.
Methods: Eighty eight bovine incisors were contaminated with E. faecalis, remaining in culture for 30 days for biofilm formation. The teeth were divided into ten groups according to presence of disinfectant penetration (DP), intracanal dressing and medication placement site: G1 (CHX gel) – 2% chlorhexidine (CHX) gel (cervical third), G2 (CHX liq) – 2% CHX liquid (cervical third), G3 (TC) – tricresol formalin (canal entrance). In these groups (n=10), DP was not performed. G4 (DP+CHX gel) – 2% CHX gel (all thirds), G5 (DP+CHX liq) – 2% CHX liquid (all thirds), G6 (DP+TC) – tricresol formalin (canal entrance), G7 (DP+Ca(OH)2) – calcium hydroxide paste (all thirds). In these groups (n=10) DP with 2% NaOCl was performed. Groups G8 (DP NaOCl) – DP with 2% NaOCl, G9 (DP H2O) – DP with distilled water, and G10 – (no treatment) were considered controls (n=6). Microbiological test (CFUs counting) and scanning electron microscopy (SEM) were performed to evaluate and illustrate respectively the effectiveness of proposed treatments.
Results: Microbiological test demonstrated that groups G4 (DP+CHX gel), G5 (DP+CHX liq), G6 (DP+TC) and G7 (DP+Ca(OH)2) showed no bacterial growth, being statistically different from all other groups (p<0.05).
Conclusion: 2% chlorhexidine gel, 2% chlorhexidine liquid and calcium hydroxide paste in all root canal thirds, as well as tricresol formalin on root canal entrance, are effective intracanal dressings against E. faecalis, when associated to previous DP with 2% NaOCl.
References
Sundqvist G. Bacteriological studies of necrotic dental pulps [dissertation]. Umea (Sweden): University of Umea; 1976.
Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol. 1965;20:340-9.
Berber VB, Gomes BP, Sena NT, Vianna ME, Ferraz CC, Zaia AA et al. Efficacy of various concentrations of NaOCl and instrumentation techniques in reducing Enterococcus faecalis within root canals and dentinal tubules. Int Endod J. 2006;39:10-7.
Giardino L, Ambu E, Savoldi E, Rimondini R, Cassanelli C, Debbia EA. Comparative evaluation of antimicrobial efficacy of sodium hypochlorite, MTAD, and Tetraclean against Enterococcus faecalis biofilm. J Endod. 2007;33:852-5.
George S, Kishen A, Song KP. The role of environmental changes on monospecies biofilm formation on root canal wall by Enterococcus faecalis. J Endod. 2005; 31:867-72.
Sjögren U, Figdor D, Persson S, Sundqvist G. Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J. 1997;30:297-306.
Silva LAB, Nelson-Filho P, Leonardo MR, Rossi MA, Pansani CA. Effect of a calcium hydroxide on bacterial endotoxin in vitro. J Endod. 2002;28:94-8.
Leonardo MR, Hernandez ME, Silva LA, Tanomaru-Filho M. Effect of a calcium hydroxide-based root canal dressing on periapical repair in dogs: a histological study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:680-5.
Evans M, Davies JK, Sundqvist G, Figdor D. Mechanisms involved in the resistance of Enterococcus faecalis to calcium hydroxide. Int Endod J. 2002;35:221-8.
Siqueira JF Jr, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J. 1999;32:361-9.
Menezes MM, Valera MC, Jorge AOC, Koga-Ito CY, Camargo CHR, Mancini MNG. In vitro evaluation of the effectiveness of irrigants and intracanal medicaments on microorganisms within root canals. Int Endod J. 2004;37:311-9.
Gomes BPFA. Souza SFC, Ferraz CCR, Teixeira FB, Zaia AA, Valdrighi L, Souza-Filho FJ. Effectiveness of 2% chlorhexidine gel and calcium hydroxide against Enterococcus faecalis in bovine root dentine in vitro. Int Endod J. 2003;36:267-75.
Gomes BP, Vianna ME, Sena NT, Zaia AA, Ferraz CC, Souza Filho FJ. In vitro evaluation of the antimicrobial activity of calcium hydroxide combined with chlorhexidine gel used as intracanal medicament. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:544-50.
Krithikadatta J, Indira R, Dorothykalyani AL. Disinfection of dentinal tubules with 2% chlorhexidine, 2% metronidazole, bioactive glass when compared with calcium hydroxide as intracanal medicaments. J Endod. 2007;33:1473-6.
Carrilho MR, Carvalho RM, Sousa EN, Nicolau J, Breschi L, Mazzoni A, et al. Substantivity of chlorhexidine to human dentin. Dent Mater. 2010;26:779-85.
Gründling GL, Zechin JG, Jardim WM, Oliveira SD, Figueiredo JAP. Effect of ultrasonics on Enterococcus faecalis biofilm in a bovine tooth model. J Endod. 2011;37:1128-33.
Sedgley CM, Lennan SL, Appelbe OK. Survival of Enterococcus faecalis in root canals ex vivo. Int Endod J. 2005;38:735-42.
Chávez de Paz LE, Bergenholtz G, Svensäter G. The Effects of Antimicrobials on Endodontic Biofilm Bacteria. J Endod. 2010;36:70-7.
Soares JA, Carvalho MAR, Santos SMC, Mendonça RMC, Ribeiro- Sobrinho AP, Brito-Júnior M, Magalhães PP, Santos MH, Farias LM. Effectiveness of Chemomechanical Preparation with Alternating Use of Sodium Hypochlorite and EDTA in Eliminating Intracanal Enterococcus faecalis Biofilm. J Endod. 2010;36:894-8.
Evans MD, Baumgartner JC, Khemaleelakul S, Xia T. Efficacy of calcium hydroxide: chlorhexidine paste as an intracanal medication in bovine dentin. J Endod. 2003;29:338-9.
Orstavik D, Haapasalo M. Disinfection by endodontic irrigants and dressings of experimentally infected dentinal tubules. Endod Dent Traumatol. 1990;6:142-9.
Peters LB, Wesselink PR, Moorer WR. The fate and the role of bacteria left in root dentinal tubules. Int Endod J. 1995;28:95-9.
Krause TA, Liewehr FR, Hahn CL. The antimicrobial effect of MTAD, sodium hypochlorite, doxycycline, and citric acid on Enterococcus faecalis. J Endod. 2007;33:28-30.
Oliveira DP, Barbizam JV, Trope M, Teixeira FB. In vitro antibacterial efficacy of endodontic irrigants against Enterococcus faecalis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103:702-6.
Delgado RJ, Gasparoto TH, Sipert CR, Pinheiro CR, Moraes IG, Garcia RB, et al. Antimicrobial effects of calcium hydroxide and chlorhexidine on Enterococcus faecalis. J Endod. 2010;36:1389-93.
Lima RKP, Guerreiro-Tanomaru JM, Faria-Júnior NB, Tanomaru-Filho M. Effectiveness of calcium hydroxide-based intracanal medicaments against Enterococcus faecalis. Int Endod J. 2012 45:311-6.
Hill SD, Berry CW, Seale S, Kaga M. Comparison of antimicrobial and cytotoxic effects of glutaraldehyde and formocresol. Oral Surg Oral Med Oral Pathol. 1991;71:89-95.
Tanomaru JM, Leonardo MR, Tanomaru Filho M, Bonetti Filho I, Silva LA. Effect of different irrigation solutions and calcium hydroxide on bacterial LPS. Int Endod J. 2003;36:733-9.
Ramos ME, Cavalcanti BC, Lotufo LV, Moraes MO, Cerqueira M, Pessoa C. Evaluation of mutagenic effects of formocresol: detection of DNA-protein cross-links and micronucleus in mouse bone marrow. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105:398-404.
IARC, Formaldehyde, in: IARC Monographs on the evaluation of carcinogenic risk of chemicals to humans. Int Agency for Research on Cancer. 1982;29:345-89.
Ribeiro DA, Scolastici C, de Almeida PLA, Marques PLA, Marques MEA, Savadori MF. Genotoxicity of antimicrobial compounds by single cell gel assay in Chinese hamster ovary cells. Oral Sug Oral Med Oral Pathol Oral Radiol and Endod. 2005;99:637-40.
Carrilho MR, Carvalho RM, de Goes MF, di Hipólito V, Geraldeli S, Pashley DH et al. In vivo preservation of the hybrid layer by chlorhexidine. J Dent Res. 2007;86:529-33.
Cecchin D, Almeida JF, Gomes BP, Zaia AA, Ferraz CCR. Effect of chlorhexidine and ethanol on the durability of the adhesion of the fiber post relined with resin. J Endod. 2011;37:678-83.
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