There are probably no important differences in dentin characteristics and microbial count when comparing chlorhexidine, ozone, or no disinfectant in stepwise excavation of primary molars

To assess the microflora of root canals in primary molars following use of rotary NiTi files and conventional hand NiTi and stainless steel files. Study design: This randomized clinical trial consisted of a total of 60 first and second primary molars requiring root canal treatment, who were selected from children aged 5-9 years. Based on type of root canal instrumentation, the teeth were randomly assigned to three groups of twenty teeth each; Group A: Rotary NiTi files, Group B: Hand NiTi files and Group C: Hand stainless steel files. Following administration of local anesthesia, isolation with rubber dam was carried out. For the purpose of instrumentation and sampling, the palatal canal of maxillary molars and the distal canal of mandibular molars were selected. Prior to sampling, the orifices of other canals in these teeth were sealed, so as to prevent any contamination. Instrumentation was carried out in each group using respective instruments along with intermittent saline irrigation. Root canal samples were obtained both before and after instrumentation, using sterile absorbent paper points and transferred to a sterile vial with transport fluid. Serial dilutions were prepared and cultured on suitable agar media. Both aerobic and anaerobic microbial counts were made. Data obtained was subjected to statistical analysis using Wilcoxon signed rank test and one-way Analysis of variance. Results: In all three groups, there was a significant reduction in both aerobic and anaerobic mean microbial count following root canal instrumentation. (p<0.001). Conclusion: Rotary NiTi files were as efficient as conventional hand instruments in significantly reducing the root canal microflora.

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Microbiological Evaluation of Ozone on Dentinal Lesions in Young Permanent Molars using the Stepwise Excavation

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4628-42.1.3 ◽

2018 ◽

Vol 42 (1) ◽

pp. 11-20 ◽

Cited By ~ 4

Author(s):

Osama Safwat ◽

Mona Elkateb ◽

Karin Dowidar ◽

Hala Abdel Salam ◽

Omar El Meligy

Keyword(s):

Base Material ◽

Test Group ◽

Antimicrobial Effect ◽

Mutans Streptococci ◽

Control Group ◽

Controlled Clinical Trial ◽

Microbial Count ◽

Stepwise Excavation ◽

Permanent Molars ◽

And Control

Aim: To assess the microbial effect of ozone gas on dentinal lesions in young permanent molars using the stepwise excavation. Study design: An experimental, controlled clinical trial was performed. The sample included 80 immature first permanent molars, showing deep occlusal carious cavities that were indicated for stepwise excavation. Following first step of dentin excavation, the sample was divided into test (ozone gas) and control (calcium hydroxide (Ca(OH)2) base material) groups. One half of the cases in each group were evaluated for microbiological changes after 6 months, and the other half after 12 months. Results: Mutans streptococci (MS), Lactobacilli, and Candida counts were significantly reduced immediately after ozone application in the test group (P ≤0.05). At the final assessment period, MS and Lactobacilli were significantly reduced in the test group (P ≤0.05). Meanwhile, the Candida counts were significantly reduced only in the test group of the 6 and 12 month-cases (P ≤0.05). Regarding the control group, the significant reduction in microbial count was observed with MS after 6 and 12 months (P ≤0.05). No significant differences were observed between test and control groups at different evaluation periods (P >0.05). Conclusions: Ozone gas had a significant antimicrobial effect in deep class I carious lesions.

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The role of intracanal medicaments in inhibition of bacteria isolated from root canals of infected primary molars

Mustansiria Dental Journal ◽

10.32828/mdj.v14i1.766 ◽

2019 ◽

Vol 14 (1) ◽

pp. 92

Author(s):

Dr. Maha Abdul- Kareem Mahmood ◽

Dr. Huda Elias Ali ◽

Dr. Haraa Khairi Abdul-Kadher

Keyword(s):

Antimicrobial Activity ◽

Streptococcus Mutans ◽

Normal Saline ◽

Root Canal ◽

Primary Teeth ◽

Primary Molars ◽

Root Canals ◽

Etiologic Agents ◽

Micro Organisms

Microbes are considered as the primary etiologic agents in endodontic diseases.Disinfection of the root canal is obtained by the combined effect of biomechanicalpreparation, irrigation and intra canal medicament. The aim of the present study wasto assess the antimicrobial activity of intracanal medicaments (formocresol andEndosepton) against two micro organisms (Streptococcus mutans and staphylococcusaureus) isolated from 15 necrotic pulps of primary molars indicated for pulpectomyprocedure. The samples were cultured, and purified using microbiological evaluation.Broth dilution test was performed in our study by preparing test tubes containing10 ml of BHI broth (pH. 7) which then inoculated with strains of the tested bacteriaand incubated at 37 C° for 24 h. After over night incubaction, ten fold dilution weremade in test tubes containing 9 ml of normal saline by adding 1 ml of the inoculum tothe first tube . Then from dilution 10-1 , 0.1 ml of cell suspension was added to 9.9 mlof formocresol and endosepton, then 0.1 ml was taken and spread on duplicates ofBHI agar plates at different intervals and incubated aerobically for 24 h. at 37 C°.Colonies on the plates were counted after incubation and CFU/mL (colony formingunit) was calculated. Our results indicating that there were no significant differencesbetween the intracanal medicaments, but there were high significant differencesbetween the intervals time of the study. We concluded that both materials had greatantibacterial effect against the pathogens commonly isolated from necrotic pulpaltissue of primary teeth.

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