Objective: This study aims to evaluate and compare the antimicrobial efficacy of three selected root canal irrigants (BioPure MTAD, metronidazole, aztreonam) against microbes commonly isolated from polymicrobial microbiota of root canal infection.
Materials And Methods: This study was designed with four experimental groups (Group I - , Group II - , Group III - , Group IV - ) based on the microbes selected for the study. Group I and Group II bacteria were used to compare and evaluate antimicrobial effect of BioPure MTAD, metronidazole, aztreonam, and normal saline. Group III and Group IV bacteria were used to compare and evaluate antimicrobial efficacy of BioPure MTAD, aztreonam, and normal saline. Normal saline was used as a control irrigant in this study. Agar disc diffusion method was applied to assess and compare the antimicrobial action of selected irrigants.
Results: Metronidazole was found to be the most effective root canal irrigant against and among the tested irrigants. Mean zone of inhibition against has been shown to be maximum by BioPure MTAD, followed by aztreonam. Antifungal effect against was only shown by BioPure MTAD.
Conclusions: Overall, BioPure MTAD is the most effective root canal irrigant as it has shown an antibacterial effect against all the tested microorganisms. However, metronidazole showed maximum antibacterial effect against obligate anaerobes. Aztreonam also showed an antibacterial effect in the present study, raising its possibility to be used as a root canal irrigant in the future.
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http://dx.doi.org/10.4103/ejd.ejd_141_16 | DOI Listing |
West Afr J Med
September 2024
Department of Restorative Dentistry, University College Hospital, Ibadan, Oyo State, Nigeria. Email: Phone Number: +2348033890679.
Negotiation of the intricate pulp canal space may pose a challenge in endodontic treatment. Consequently, appropriate diagnosis and thorough knowledge of the pattern and distribution of root canal systems are imperative for a more predictable outcome in the treatment of pulp diseases. Accordingly, cone beam computed tomography (CBCT) is deemed appropriate as an adjunctive diagnostic tool in endodontics.
View Article and Find Full Text PDFWest Afr J Med
September 2024
.Department of Preventive Dentistry, Lagos State University, College of Medicine, Faculty of Dentistry, Ikeja, Lagos, PMB 21266, Nigeria.
Background: Indirect pulp capping is the main treatment modality for reversible pulpitis.
Objective: To evaluate the efficacy of Biodentine® and Calcium hydroxide in the formation of dentin bridge.
Materials And Methods: A double blinded, randomized clinical control trial involving 50 consenting subjects, aged 16 to 55 years with deep carious vital teeth.
Clin Oral Investig
January 2025
Department of Restorative Dentistry, Dental Materials, and Endodontics, Bauru School of Dentistry, University of São Paulo, Rua Siqueira Campos, 180, Centro, Vitória da Conquista, Bauru, São Paulo, BA, ZIP: 45.000-455, Brazil.
Objective: This study investigated the associations among endodontic instruments, ultrasonic tips and various final irrigation protocols for removing intracanal and intratubular biofilms in long oval canals.
Methodology: One hundred mandibular premolars inoculated with Enterococcus faecalis were divided into two groups: the control group (CG: n = 10), which received no treatment; and the test groups (n = 30), which included saline (SS), sodium hypochlorite (2.5% NaOCl) and chlorhexidine (2% CHX).
Materials (Basel)
January 2025
Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology, Beijing 100101, China.
To assess the biomechanical behaviors of endodontically treated molars (ETMs) restored with endocrowns composed of different materials, forty mandibular molars were assigned to five groups (n = 8 each). Untreated molars constituted the control group (group C); the rest of the teeth that underwent root canal therapy were restored with endocrowns composed of polycrystalline ceramics (ST zirconia, UPCERA) in group ZR, lithium disilicate glass ceramics (UP.CAD, UPCERA) in group LD, resin-based nanoceramics (Hyramic, UPCERA) in group NC, and feldspathic ceramics (CEREC Blocs, Sirona) in group FC.
View Article and Find Full Text PDFMedicina (Kaunas)
January 2025
Faculty of Dentistry, University of Santiago de Compostela, 15782 Galicia, Spain.
: This systematic review aimed to compare the effect of chitosan in smear layer removal with other commonly used chelators during root canal treatment. : The PRISMA guidelines were followed. Ex vivo studies performed in non-endodontically treated extracted human permanent teeth with a fully formed apex, in which sodium hypochlorite was the main irrigant and chitosan was used as final irrigation to observe its capacity to remove the smear layer using a Scanning Electron Microscope (SEM), were included.
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