Comparing The Antibacterial Efficacy of NaoCL, Chlorhexidine, NaOCL/MTAD Chlorhexidine/MTAD Against E. Faecalis

Authors: Karam Ahmed Thiab1 & Mohamed Salim2
1Conservative Department, Faculty of Dentistry, Tishk International University, Erbil, Iraq
2Conservative Department, Faculty of Dentistry, Tishk International University, Erbil, Iraq

Abstract: Aim of study: This study aims at comparing the anti-microbial efficacy of irrigation with Biopure MTAD against irrigation with 5.25 % NaOCl, CHX, NaOCl/MTAD, and CHX/MTAD in E. faecalis-root canals. Materials and Methods: Thirty (30) human single-rooted lower premolar teeth were extracted and de-coronated at the cemento-enamel junction (CEJ). Then, the roots were instrumented by k-file until the size is 40. Furthermore, these teeth were exposed to bacterial contamination in brain heart infusion (BHI) for 48 h. The contaminated samples were divided into 5 groups (MTAD, NaOCl, CHX, NaOCl / MTAD, and CHX / MTAD). The dentin chips in the canals of the samples were removed using a sterile low-speed handpiece round bur and transferred to BHI. The media was cultured, and the bacterial colonies were counted and recorded as CFU/mL. Results: NaOCl / MTAD showed a significantly higher antimicrobial activity compared to 5.25 % NaOCl, MTAD, CHX, and CHX / MTAD. Conclusion: The antimicrobial activity of a combined NaOCl and Biopure MTAD was strongest against E. faecalis compared to the other irrigant solutions.

Keywords: NaOCl, CHX, E. faecalis

Download the PDF Document

Doi: 10.23918/eajse.v9i1p204

Published: January 19, 2023

References

Blerim Kamberi, Donika Bajrami, Miranda Stavileci. (2012). The Antibacterial Efficacy of Biopure MTAD in Root Canal Contaminated with Enterococcus faecalis. J Endod, 34(1):55-58.

Clegg MS, Vertucci FJ, Walker C, Belanger M, Britto LR. (2006). The effect of exposure to irrigant solution on apical dentin biofilms in vitro. J Endod, 32, 434 –7.

Divya Gupta, Sharad Kamat, Santosh Hugar, Girish Nanjannawar, and Ravindra Kulkarni: A comparative evaluation of the antibacterial efficacy of Thymus vulgaris, Salvadora persica, Acacia nilotica, Calendula arvensis, and 5% sodium hypochlorite against Enterococcus faecalis: An in-vitro study2020 Oct 10. doi: 10.4103/JCD.JCD_48_20

Hatice Buyukozer Ozkan, Funda Kont Cobankara, Zafer Sayin, and Fusun Ozer (2020). Evaluation of the Antibacterial Effects of Single and Combined use of Different Irrigation Solutions Against Intracanal Enterococcus Faecalis doi: 10.15644/asc54/3/3, 54(3), 250–262.

Hu lsmann M, Peters OA, Dummer PMH. (2005). Mechanical preparation of root canals: shaping goals, techniques and means. J Endod Topics, 10(19), 30–76.

Kho P, Baumgartner JC. (2006). A comparison of antimicrobial efficacy of NaOCl/Biopure MTAD versus NaOCl/EDTA against Enterococcus faecalis. J Endod, 32, 652–5.

Kocak M, Saglam O, Yaman S. (2018). Apical Leakage of Epiphany Root Canal Sealer Combined with Different Master Cones. European Journal of Dentistry, 2, 91–95.

Kumar N, Gokul P, Shivanna V. (2008). A Comparison of the Relative Efficacies of Hand and Rotary Instruments in the Removal of Guttapercha from the Root Canal during Retreatment Using Stereomicroscope-An In Vitro Study-. Journal of Endodontology, 4, 5-11.

Madhya Pradesh. (2016). Comparative antimicrobial efficacy of herbal alternatives (Emblica officinalis, Psidium guajava), MTAD, and 2.5% sodium hypochlorite against Enterococcus faecalis: An in vitro study. J Oral Biol Craniofac Res. 6(1), 45-8.

Maryam Zare Jahromi, Arezoo Tahmoorespoor, Nadia Hemmat, Elham Moghadasi Broujeni, Parisa Ranjbarian. (2017). The comparison of antibacterial effect of propolis, sodium hypochlorite 5.25%, and chlorhexidine 2% as intracanal irrigants against enterococcus faecalis: an ex vivo study. Caspian J of Dent Res, 6(1), 29-35.

Mohamed El SayedNikta GhaneradFatemeh Rahimi (2020). Antibacterial Activity of Sodium Hypochlorite Gel versus Different Types of Root Canal Medicaments Using Agar Diffusion Test: An in Vitro Comparative Study. November 2020International Journal of Dentistry 2020(1):1-11

Mohammad Asna Ashari DDS, MS, Fariba Fayaz DDS, MS, Nahid Moezzi Ghadim. (2009). Evaluation of the antimicrobial effects of MTAD, NaOCl against selected endodontic pathogens IEJ, 4, 2.

Muhammad Sohail ZafarW.M. FaridGiath GazalGiath Gazal (2014). Assessment of Antimicrobial Efficacy of MTAD, Sodium Hypochlorite, EDTA and Chlorhexidine for Endodontic Applications: An In vitro Study. January 2014Middle East Journal of Scientific Research 21(2):353-357

Nehal Sharaf and Walaa A. Alshareef (2019). The Comparative Evaluation of the Post-Antimicrobial Effect of MTAD® and 2% Chlorhexidine against Enterococcus faecalis of Permanent Teeth with Necrotic Pulp. Vol. 7 No. 19 (2019): Oct 15 (OAMJMS)

Prabhakar J, Senthilkumar M, Priya MS. (2010). Evaluation of antimicrobial efficacy of herbal alternatives (Triphala and green tea polyphenols), MTAD, and 5% sodium hypochlorite against Enterococcus faecalis biofilm formed on tooth substrate: an in vitro study. J Endod,36(1):83-86.

Rakesh Mittal, Meenu G. (2013). Comparative evaluation of the antimicrobial efficacy of MTAD, oxytetracycline, sodium hypochlorite and chlorhexidine against Enterococcus faecalis: An ex‑vivo study. Saudi Endodontic Journal, 2 (2), 70-74.

Sandeep Dubey, Suparna Ganguly Saha, Balakrishnan Rajkumar, and Tapan Kumar Dhole. (2017). Comparative antimicrobial efficacy of selected root canal irrigants on commonly isolated microorganisms in endodontic infection. Eur J Dent, 11(1), 12–16.

Sarmad A. Hameed, Sana’a Abdulrazzaq Ibrahim, Suhad Al-Nasrawi (2020). Comparative Study to Evaluate the Antimicrobial Effect of MTAD, 17% EDTA, and 3% NaOCl- Against Enterococcus faecalis in Primary Teeth for Root Canals Therapy (in Vitro Study) DOI Number: 10.37506/v20/i1/2020/mlu/194348

Sheetal Basavraj Ghivari, Haimanti Bhattacharya, Kishore G Bhat, Madhu A Pujar. (2017). Antimicrobial activity of root canal irrigants against biofilm forming pathogens- An in vitro study. J of conservative dentistry, 20 (3) 147-151.

Shenoi PR, Morey ES, Makade CS, Gunwal MK, Khode RT, Wanmali SS. (2016). In vitro evaluation of the antimicrobial efficacy of chitosan and other endodontic irrigants against Enterococcus faecalis. Gen Dent. 64(5), 60-3.

Srikumar G., K. Ravi Varma, K. Harish (2007). Comparison of the antibacterial efficiency of MTAD,2.5% sodium hypochlorite and 2%chlorhexidine against enterococcus faecalis – An ex vivo study. J Endod, 32, 960-5.

Tay FR, Hiraishi N, Schuster GS, Pashley DH, Loushine RJ, Ounsi HF, Grandini S, Yau JY, Mazzoni A, Donnelly A, King NM. (2006). Reduction in antimicrobial substantivity of MTAD after initial sodium hypochlorite irrigation. J Endod, 32, 970-5.