Antimicrobial Effect of Nano-Calcium Hydroxide on the Four- and Six-Week-Old Intra-Canal Enterococcus Faecalis Biofilm

Statement of the Problem: Enterococcus faecalis (E. faecalis) is one of the most important microorganisms in the evaluation of the antibacterial effects of intra-canal medications due to its ability to penetrate dentinal tubules and form biofilms. Calcium hydroxide, as the most common intra-canal me...

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Main Authors: Mohammad Frough Reyhani, Negin Ghasemi, Amin Salem Milani, Masoumeh Abbasi Asl
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2023-06-01
Series:Journal of Dentistry
Subjects:
Online Access:https://dentjods.sums.ac.ir/article_48861_ea60d42ebd465d2f27e414f02b58ffc4.pdf
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author Mohammad Frough Reyhani
Negin Ghasemi
Amin Salem Milani
Masoumeh Abbasi Asl
author_facet Mohammad Frough Reyhani
Negin Ghasemi
Amin Salem Milani
Masoumeh Abbasi Asl
author_sort Mohammad Frough Reyhani
collection DOAJ
description Statement of the Problem: Enterococcus faecalis (E. faecalis) is one of the most important microorganisms in the evaluation of the antibacterial effects of intra-canal medications due to its ability to penetrate dentinal tubules and form biofilms. Calcium hydroxide, as the most common intra-canal medication, has little effect on this bacterial species. In contrast, it is hypothesized that nano scale hydroxide particles are more effective due to their smaller size and higher surface-to-volume ratio.Purpose: This study aimed to investigate the antimicrobial effect of nano-calcium hydroxide on the four- and six-week-old intra-canal E. faecalis biofilms.Materials and Method: In this in vitro study, seventy maxillary single-canal premolar teeth were used. After cleaning and preparing the root canals, the samples were placed in vials containing E. faecalis solution in which the culture medium was changed daily. Each group was divided into three subgroups (n=20) in terms of the antimicrobial material used as the intra-canal medication including subgroup 1: nano-calcium hydroxide, subgroup 2: calcium hydroxide, and subgroup 3: phosphate-buffered saline solution (control group). The antimicrobial property was measured by counting colony-forming units (CFU). The data were analyzed with Mann-Whitney U and Kruskal–Wallis tests. Statistical significance was set at p< 0.05.Results: The mean CFU in the six-week-old biofilm group was significantly higher than that in the four-week-old biofilm (p= 0.003). A comparison between the subgroups showed a significant decrease in CFU in the six-week-old biofilm in the nano-calcium hydroxide subgroup compared to that in the calcium hydroxide subgroup (p= 0.002). However, the decrease was not significant in the four-week-old biofilm group (p= 0.06).Conclusion: Under the limitations of the present study, the antimicrobial properties of nano-calcium hydroxide were higher than conventional calcium hydroxide on mature biofilm, whereas the antimicrobial properties were not clinically and significantly different on immature biofilm.
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spelling doaj.art-b3b536e060d74a99a760c48994b180c12023-06-27T08:41:59ZengShiraz University of Medical SciencesJournal of Dentistry2345-64852345-64182023-06-0124219419910.30476/dentjods.2022.90215.147648861Antimicrobial Effect of Nano-Calcium Hydroxide on the Four- and Six-Week-Old Intra-Canal Enterococcus Faecalis BiofilmMohammad Frough Reyhani0Negin Ghasemi1Amin Salem Milani2Masoumeh Abbasi Asl3Dept. of Endodontics, Dental and Periodontal Research Center, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.Dept. of Endodontics, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.Dept. of Endodontics, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.Postgraduate Student, Dept. of Endodontics, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.Statement of the Problem: Enterococcus faecalis (E. faecalis) is one of the most important microorganisms in the evaluation of the antibacterial effects of intra-canal medications due to its ability to penetrate dentinal tubules and form biofilms. Calcium hydroxide, as the most common intra-canal medication, has little effect on this bacterial species. In contrast, it is hypothesized that nano scale hydroxide particles are more effective due to their smaller size and higher surface-to-volume ratio.Purpose: This study aimed to investigate the antimicrobial effect of nano-calcium hydroxide on the four- and six-week-old intra-canal E. faecalis biofilms.Materials and Method: In this in vitro study, seventy maxillary single-canal premolar teeth were used. After cleaning and preparing the root canals, the samples were placed in vials containing E. faecalis solution in which the culture medium was changed daily. Each group was divided into three subgroups (n=20) in terms of the antimicrobial material used as the intra-canal medication including subgroup 1: nano-calcium hydroxide, subgroup 2: calcium hydroxide, and subgroup 3: phosphate-buffered saline solution (control group). The antimicrobial property was measured by counting colony-forming units (CFU). The data were analyzed with Mann-Whitney U and Kruskal–Wallis tests. Statistical significance was set at p< 0.05.Results: The mean CFU in the six-week-old biofilm group was significantly higher than that in the four-week-old biofilm (p= 0.003). A comparison between the subgroups showed a significant decrease in CFU in the six-week-old biofilm in the nano-calcium hydroxide subgroup compared to that in the calcium hydroxide subgroup (p= 0.002). However, the decrease was not significant in the four-week-old biofilm group (p= 0.06).Conclusion: Under the limitations of the present study, the antimicrobial properties of nano-calcium hydroxide were higher than conventional calcium hydroxide on mature biofilm, whereas the antimicrobial properties were not clinically and significantly different on immature biofilm.https://dentjods.sums.ac.ir/article_48861_ea60d42ebd465d2f27e414f02b58ffc4.pdfbiofilmenterococcus faecalisnano-calcium hydroxide
spellingShingle Mohammad Frough Reyhani
Negin Ghasemi
Amin Salem Milani
Masoumeh Abbasi Asl
Antimicrobial Effect of Nano-Calcium Hydroxide on the Four- and Six-Week-Old Intra-Canal Enterococcus Faecalis Biofilm
Journal of Dentistry
biofilm
enterococcus faecalis
nano-calcium hydroxide
title Antimicrobial Effect of Nano-Calcium Hydroxide on the Four- and Six-Week-Old Intra-Canal Enterococcus Faecalis Biofilm
title_full Antimicrobial Effect of Nano-Calcium Hydroxide on the Four- and Six-Week-Old Intra-Canal Enterococcus Faecalis Biofilm
title_fullStr Antimicrobial Effect of Nano-Calcium Hydroxide on the Four- and Six-Week-Old Intra-Canal Enterococcus Faecalis Biofilm
title_full_unstemmed Antimicrobial Effect of Nano-Calcium Hydroxide on the Four- and Six-Week-Old Intra-Canal Enterococcus Faecalis Biofilm
title_short Antimicrobial Effect of Nano-Calcium Hydroxide on the Four- and Six-Week-Old Intra-Canal Enterococcus Faecalis Biofilm
title_sort antimicrobial effect of nano calcium hydroxide on the four and six week old intra canal enterococcus faecalis biofilm
topic biofilm
enterococcus faecalis
nano-calcium hydroxide
url https://dentjods.sums.ac.ir/article_48861_ea60d42ebd465d2f27e414f02b58ffc4.pdf
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AT aminsalemmilani antimicrobialeffectofnanocalciumhydroxideonthefourandsixweekoldintracanalenterococcusfaecalisbiofilm
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