scholarly journals A study of the time necessary for calcium hydroxide to eliminate microorganisms in infected canals

2003 ◽  
Vol 11 (2) ◽  
pp. 133-137 ◽  
Author(s):  
Carlos Estrela ◽  
Cyntia Rodrigues de Araújo Estrela ◽  
Jesus Djalma Pécora
Keyword(s):  
Calcium Hydroxide ◽  
Microbial Growth ◽  
Culture Medium ◽  
Brain Heart Infusion ◽  
Antimicrobial Effect ◽  
Positive Control ◽  
Negative Control ◽  
Root Canals ◽  
Anterior Teeth ◽  
Medium Change

The objective of this study was to analyze the time necessary for calcium hydroxide to eliminate microorganisms in infected canals. A total of 168 human anterior teeth were prepared and sterilized. One hundred sixty two teeth were inoculated with suspensions of S. aureus, E. faecalis, P. aeruginosa, B. subtilis, C. albicans. Three teeth were used as negative control and three as positive control. Root canals were irrigated with saline and filled with calcium hydroxide paste (CHP). At intervals of 1 minute, and at 7, 15, 21, 27, 30, 45, 60, and 90 days, CHP was removed, samples were collected and immersed in Letheen Broth (LB). Microbial growth was analyzed by two methods, turbidity of the culture medium and subculture on a Brain heart Infusion. After looking for medium change, an inoculum of 0.1 mL obtained from LB was transferred to 7 mL of Brain Heart Infusion (BHI), and subsequently incubated at 37°C for 48 hours. Microbial growth was checked by turbidity of the culture medium and in some cases by Gram stain. All assays were carried out in triplicate under aseptic technique. The results indicated that the antimicrobial effect on the cultures of S. aureus, E. faecalis, P. aeruginosa, B. subtilis, C. albicans and one mixed culture in infected canals by CHP occurred in 60 days.

scholarly journals Evaluation of the Sealing Ability of Three Obturation Techniques Using a Glucose Leakage Test

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Katarzyna Olczak ◽  
Halina Pawlicka
Keyword(s):  
Continuous Wave ◽  
Negative Control Group ◽  
Positive Control ◽  
Negative Control ◽  
Control Group ◽  
Thermal Methods ◽  
Root Canals ◽  
Anterior Teeth ◽  
Sealing Ability ◽  
Significant Difference

The aim of this study was to evaluate the sealing ability of three different canal filling techniques. Sixty-four roots of extracted human maxillary anterior teeth were prepared using ProTaper® rotary instruments. The specimens were then randomly divided into 3 experimental groups (n=16) and 2 control groups (n=8). The root canals were filled using cold lateral compaction (CLC group), continuous wave condensation technique using the Elements Obturation Unit® (EOU group), and ProTaper obturators (PT group). For the negative control group, 8 roots were filled using lateral compaction as in the CLC group, and the teeth were covered twice with a layer of nail varnish (NCG group). Another 8 roots were filled using lateral compaction, but without sealer, and these were used as the positive control (PCG group). A glucose leakage model was used for quantitative evaluation of microleakage for 24 hours and 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12 weeks. No significant difference in the cumulative amount of leakage was found between the three experimental groups at all observation times. The lateral condensation of cold gutta-percha can guarantee a similar seal of canal fillings as can be achieved by using thermal methods, in the round canals.

scholarly journals IN VITRO EVALUATION OF ANTIMICROBIAL EFFICACY OF DIODE LASER WHEN USED ADJUNCTIVELY WITH SODIUM HYPOCHLORITE, METHYLENE BLUE OR TOLUIDINE BLUE IN ENTEROCOCCUS FAECALIS CONTAMINATED ROOT CANALS

2020 ◽  
pp. 148-151
Author(s):  
N. Shubhashini ◽  
Vinaya Kumar R ◽  
Annapoorna Kini ◽  
Swetha H.B. ◽  
Srikanth Choudhary B.S. ◽  
...  
Keyword(s):  
Methylene Blue ◽  
Diode Laser ◽  
Enterococcus Faecalis ◽  
Sodium Hypochlorite ◽  
Toluidine Blue ◽  
Antimicrobial Effect ◽  
Positive Control ◽  
Negative Control ◽  
Root Canals

AIM: To evaluate antimicrobial effect of diode laser when used adjunctively with sodium hypochlorite, methylene blue or toluidine blue in Enterococcus faecalis inoculated root canals. METHODOLOGY: 70 extracted uniradicular premolars were prepared with ProTaper files and sterilized. 5 were kept aside as negative control (G1) and the remaining 65 were inoculated with Enterococcus faecalis and incubated for 7 days. Following this, 5 were kept as positive control (G2) and the other 60 were randomly distributed into six groups: G3, diode laser irradiation (1.5W) with sodium hypochlorite; G4, diode laser (3W) with sodium hypochlorite; G5, diode laser (1.5W) with methylene blue; G6, diode laser (3W) with methylene blue; G7, diode laser (1.5W) with toluidine blue; G8, diode laser (3W) with toluidine blue. Subsequently, turbidity was assessed and CFU count determined following intracanal sampling and plating. RESULTS: G4 exhibited significantly lower mean CFUs/mL (P˂0.001) among the experimental groups. G4 demonstrated the most (98.8%) while G7 exhibited the least antibacterial effect (28.66%). Highest turbidity was observed in G5 (0.1310) while the lowest was noted in G4 (0.0287). CONCLUSION: Diode laser used adjunctively with sodium hypochlorite exhibited superior antibacterial efficacy when compared to its use with photosensitizer dyes like methylene blue and toluidine blue.

Antimicrobial Activity of Calcium Hydroxide Synthesized from Indonesian Limestone against Enterococcus faecalis

2021 ◽  
Vol 1044 ◽  
pp. 171-177
Author(s):  
Myrna Nurlatifah Zakaria ◽  
Ida Rodiyah Siti Halimah ◽  
Atia Nurul Sidiqa ◽  
Ira Artilia ◽  
Arief Cahyanto
Keyword(s):  
Calcium Hydroxide ◽  
Enterococcus Faecalis ◽  
Root Canal ◽  
Antimicrobial Property ◽  
Antimicrobial Effect ◽  
Antimicrobial Activities ◽  
Negative Control ◽  
Root Canals ◽  
Infected Root

Recurrent endodontic infections of treated teeth are mainly linked to microbial persistency in the root canal system. Enterococcus faecalis is a bacterium that is often identified in these recurrent infections. Calcium hydroxide (Ca(OH)2) is a widely used root canal medicament and is now being developed to be produced from natural materials. Ca(OH)2, which is synthesized from natural limestone from Palimanan, Indonesia, has a structure similar to Ca(OH)2, which is often used as a root canal medicament. The purpose of this study was to determine the antimicrobial property of Ca(OH)2 paste synthesized from natural limestone compared to conventional Ca(OH)2 paste. This study is an in vitro experimental study consists of 3 groups (n=24, namely, conventional Ca(OH)2 paste, limestone synthesized Ca(OH)2 paste, and saline as the negative control, for 2 intervals of time and evaluated by Total Plate Counting (TPC) method. Samples were mandibular first premolar root canal prepared by root canal preparation and contaminated with E. faecalis (ATCC 29212). The infected root canals of each group were treated by the medicaments, and samples from the root canals were taken on day 7 (n=4) and 14 (n=4). Results showed that both Ca(OH)2 groups had antimicrobial activities against E. faecalis. The limestone Ca(OH)2 paste group had the least amount of bacterial colonies on the 7th day compared to other groups. In contrast, on the 14th day, the conventional Ca(OH)2 paste had the least bacterial colonies. It can be concluded that the Ca(OH)2 paste synthesized from natural limestone has an antimicrobial effect on E. faecalis, the antimicrobial effect was higher on the 7th day but decreases on the 14th day, whereas the conventional Ca(OH)2 had a higher antimicrobial effect on day 14 compared to day 7. Further studies are expected to improve the long-term antimicrobial effectiveness and sustainability of the natural limestone synthesized Ca(OH)2 paste.

Setting Time of Calcium Hydroxide from Indonesian Limestone Paste with Various Solvent Vehicle for Intracanal Medicament

2021 ◽  
Vol 1044 ◽  
pp. 165-170
Author(s):  
Atia Nurul Sidiqa ◽  
Fadhilah Hanif ◽  
Myrna Nurlatifah Zakaria ◽  
Ira Artilia ◽  
Arief Cahyanto
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Pathogenic Bacteria ◽  
Setting Time ◽  
Antimicrobial Effect ◽  
High Viscosity ◽  
Positive Control ◽  
Negative Control ◽  
Ion Dissociation ◽  
Group 2

Calcium hydroxide (Ca(OH)2 has been recently synthesized from natural Indonesian limestone to be used as an intracanal medicament for root canal infection. Ca(OH)2 is applied into the infected root canal in a non-setting paste form to release calcium and hydroxyl ions which elevates the pH and provide an antimicrobial effect to pathogenic bacteria. To form an injectable paste, Ca(OH)2 powder has to be mixed with a proper solvent to produce optimal consistency, ion dissociation, and maintain its property as a non-set material. Solvent is an important factor affecting ion dissociation and preserving its non-setting paste condition. The aim of this study is to synthesize Ca(OH)2 powder from Indonesian limestone, and evaluate the setting time of Ca(OH)2 paste from mixture of Ca(OH)2 powder synthesized from Indonesian limestone (limestone Ca(OH)2) with various solvent, to evaluate which solvent serve best to prevent the Ca(OH)2 paste from setting, to form an ideal paste be used as an intracanal medicament. This study consists of 5 groups (n=5); commercially Ca(OH)2 paste (Calcipex II) as positive control, Ca(OH)2 powder (Merck) + distilled water as negative control, limestone Ca(OH)2 powder + natrium carboxy methylcellulose (Na CMC) as group 1, limestone Ca(OH)2 powder + propylene glycol (PG) as group 2, and limestone Ca(OH)2 powder + polyethylene glycol (PEG) as group 3. Setting time evaluation was measured according to ISO 9917 by vicat needle in 37°C to mimic the physiological body condition. Results were analyzed by One Way Anova test and Post Hoc Tukey test. The result of this study showed that the setting time of Ca(OH)2 paste mixed with Na CMC solvent was 1:04 hours, PG 72:15 hours, and PEG did not harden until 7 days of observation. PEG is a hygroscopic high viscosity solvent, resulting in low and steady molecule interaction, thus prolonged its setting time. From this study it can be concluded that PEG inhibit Ca(OH)2 setting reaction up to 7 days and might be used as solvent for Ca(OH)2 paste as intracanal medicament.

scholarly journals Ex-vivo Effect of Intracanal Medications Based on Ozone and Calcium Hydroxide in Root Canals Contaminated with Enterococcus faecalis

2013 ◽  
Vol 24 (2) ◽  
pp. 103-106 ◽  
Author(s):  
Roberta Vieira Farac ◽  
Antonio Carlos Pizzolitto ◽  
Juliane Maria Guerreiro Tanomaru ◽  
Renata Dornelles Morgental ◽  
Regina Karla de Pontes Lima ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Enterococcus Faecalis ◽  
Ex Vivo ◽  
Negative Control Group ◽  
Positive Control ◽  
Negative Control ◽  
Control Group ◽  
Human Teeth ◽  
Root Canals ◽  
Colony Forming Units

This ex vivo study evaluated the antibacterial effect of intracanal medications in root canals contaminated with Enterococcus faecalis. Fifty single-rooted human teeth were contaminated with E. faecalis (ATCC 29212) and incubated at 37°C for 21 days. The specimens were randomly divided into 5 groups according to the intracanal medication used: OZ-PG: ozonized propylene glycol; CH/CPMC: calcium hydroxide/camphorated paramonochlorophenol; OZ-PG/CH ozonized PG/CH; PC: positive control group (no medication); and NC: negative control group (no contamination). The samples were collected after 7 days (post-medication) and 14 days (final). Bacterial growth was checked by counting the colony-forming units (CFU). OZ-PG and CH/CPMC reduced significantly the CFU counts compared with PC in the post-medication and final samples, with no statistically significant differences among them. On the other hand, OZ-PG/CH did not reduce significantly the number of bacteria compared with PC. In conclusion, among the evaluated medications OZ-PG and CH/CPMC were the most effective against E. faecalis.

scholarly journals Antimicrobial potential of medicaments used in healing process in dogs' teeth with apical periodontitis

2004 ◽  
Vol 15 (3) ◽  
pp. 181-185 ◽  
Author(s):  
Carlos Estrela ◽  
Roberto Holland ◽  
Pedro Felício Estrada Bernabé ◽  
Valdir de Souza ◽  
Cyntia R.A. Estrela
Keyword(s):  
Calcium Hydroxide ◽  
Microbial Growth ◽  
Healing Process ◽  
Brain Heart Infusion ◽  
Apical Periodontitis ◽  
Root Canals ◽  
Antimicrobial Potential ◽  
Group 4 ◽  
Group 3 ◽  
Group 2

The objective of this study was to evaluate the influence of irrigants on the antimicrobial potential of calcium hydroxide paste in dogs' teeth with apical periodontitis. Forty-eight premolar teeth of adult mongrel dogs had their root canals opened to the oral environment for 6 months. The root canals were prepared and treated with different irrigating solutions and intracanal medicaments, according to the following groups: 1) 2.5% sodium hypochlorite (NaOCl) + calcium hydroxide paste (CHP); 2) 2% chlorhexidine (CHX) + CHP; 3) vinegar + CHP; 4) vinegar + vinegar. In group 4, both the irrigating solution and intracanal medicament were vinegar, which was renewed every 7 days. Each sample was collected by using two paper points maintained in position for 1 min, and individually transported and immersed in 7 mL of Letheen broth (LB), followed by incubation at 37ºC for 48 h. Microbial growth was analyzed by two methods: turbidity of the culture medium and subculture on a specific nutrient broth (brain heart infusion). After 21 days, all experimental groups had microbial growth, however, in different percentages: group 1 - 30%; group 2 - 30%; group 3 - 40%; group 4 - 60%. All materials tested had antimicrobial potential; however, the influence of calcium hydroxide paste on the control of microorganisms must be remembered.

scholarly journals Effect of Various Irrigating Devices on the Removal of Two Different Forms of Calcium Hydroxide from Internal Resorption Cavities

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Nima Mousavi Nasab Mobarakeh ◽  
Afsaneh Taheri ◽  
Hadi Rahmanian ◽  
Dana Jafarpour ◽  
Sareh Rahmanian
Keyword(s):  
Calcium Hydroxide ◽  
Root Resorption ◽  
Positive Control ◽  
Negative Control ◽  
Passive Ultrasonic Irrigation ◽  
Root Canals ◽  
Significant Difference ◽  
Ultrasonic Irrigation ◽  
Analyze Data

The present study aimed to investigate the efficiency of passive ultrasonic irrigation (PUI), EndoActivator (EA), standard needle irrigation (SNI), and XP-endo Finisher files in removing pure calcium hydroxide (pCH) and injectable CH from in vitro root resorption cavities. Using a rotary system, the root canals of 116 extracted single rooted teeth were prepared. Imitated internal resorption cavities were then created in root halves. The specimens were divided into two groups according to the form of CH (n = 58): (I) pCH; (II) injectable CH. The teeth of each group were randomly divided into six subgroups: negative control (n = 5), positive control (n = 5), PUI (n = 12), XP-endo Finisher (n = 12), EA (n = 12), and SNI (n = 12). The root canals were irrigated using NaOCl and EDTA and split longitudinally, and both halves were evaluated with a stereomicroscope. Kruskal–Wallis and Mann–Whitney U tests were used to analyze data. The present results revealed that PUI completely removed pCH in 79% and injectable CH in 70.8% of the internal resorption cavities which was significantly higher than other methods (p<0.05). There was no statically significant difference between different forms of CH in terms of CH removal (p=0.918). The PUI technique was observed as the most efficient method of P-CH and injectable CH removal from a replicated internal resorption cavity. Finally, according to the findings, different forms of CH were comparable in terms of CH removal.

scholarly journals Calcium Hydroxide Removal Using Four Different Irrigation Systems: A Quantitative Evaluation by Scanning Electron Microscopy

2021 ◽  
Vol 12 (1) ◽  
pp. 271
Author(s):  
Luigi Generali ◽  
Francesco Cavani ◽  
Federico Franceschetti ◽  
Paolo Sassatelli ◽  
Luciano Giardino ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Positive Control ◽  
Negative Control ◽  
Irrigation Systems ◽  
Passive Ultrasonic Irrigation ◽  
Root Canals ◽  
Ultrasonic Irrigation ◽  
Backscattered Electron ◽  
Calcium Hydroxide Removal ◽  
Scanning Electron

This study compares conventional endodontic needle irrigation, passive ultrasonic irrigation, apical negative pressure irrigation, and mechanical activation to remove calcium hydroxide from single straight root canals. Eighty-four mandibular premolars were prepared in a crown-down manner up to size #40. Two teeth represented a negative control, and another two served as a positive control. Calcium hydroxide paste was placed inside root canals. The remaining eighty samples were analyzed based on the activation techniques, and the cleanliness of the canals was quantified using Fiji’s software on 500× magnified SEM backscattered electron micrographs. Considering the whole canal, all instruments showed better performance than conventional endodontic needle irrigation in removing calcium hydroxide (p < 0.05). Irrisafe and XP-endo Finisher could remove a significantly higher amount of calcium hydroxide than Endovac (p < 0.05). Irrisafe and XP-endo Finisher have been able to remove more calcium hydroxide than EndoVac.

scholarly journals Effectiveness of different endodontic irrigants against Enterococcus faecalis: an ex vivo study.

2018 ◽  
Vol 6 (5) ◽  
pp. 98
Author(s):  
Fabio Luis Miranda Pedro ◽  
Lenieser Fajardo Nunes ◽  
Thiago Machado Pereira ◽  
Kellin Pivatto ◽  
Cyntia Rodrigues de Araujo Estrela ◽  
...  
Keyword(s):  
Enterococcus Faecalis ◽  
Bacterial Contamination ◽  
Ex Vivo ◽  
Brain Heart Infusion ◽  
Positive Control ◽  
Negative Control ◽  
Peristaltic Pump ◽  
Constant Flow ◽  
Root Canals ◽  
Ex Vivo Study

Aim: To evaluate the effectiveness of different endodontic irrigants against Enterococcus faecalis (ATCC 29212).Methods: Seventy bovine mandibular incisors were prepared, inoculated with a bacterial strain for 60 days and divided into the following groups: positive control; negative control; 2.5% NaOCl; 17% EDTA; 0.2% chitosan; 2.5% NaOCl + 0.2% chitosan; and 2.5% NaOCl + 17% EDTA. The irrigation protocol was performed using an experimental peristaltic pump device, with the irrigating solutions circulating within the apparatus at a constant flow for 10 min. Paper-point samples were then collected from the root canals and immersed in 7 mL of brain heart infusion broth, followed by incubation at 37°C for 48 h. Bacterial growth was assessed by turbidity of the culture medium.Results: E. faecalis was present in all samples after the use of different irrigants.Conclusion: The different irrigants tested were not effective in completely eliminating dentin bacterial contamination with E. faecalis.

scholarly journals Influence of Temperature on the Antibacterial Activity of Sodium Hypochlorite

2016 ◽  
Vol 27 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Luciano Giardino ◽  
Zahed Mohammadi ◽  
Riccardo Beltrami ◽  
Claudio Poggio ◽  
Carlos Estrela ◽  
...  
Keyword(s):  
Antibacterial Activity ◽  
Brain Heart Infusion ◽  
Positive Control ◽  
Negative Control ◽  
Descriptive Statistics ◽  
Significance Level ◽  
Tukey Test ◽  
Colony Forming Units ◽  
Influence Of Temperature On ◽  
Root Dentin

Abstract The aim of this study was to compare the antimicrobial activity of 5.25% NaOCl, Hypoclean and Chlor-Xtra at 20 °C and 45 °C in bovine root dentin. One-hundred-and-seventy dentin tubes prepared from bovine maxillary incisors were infected for 21 days with Enterococcus faecalis. The specimens were divided into the following groups: 1. 5.25% NaOCl 20 °C; 2. Hypoclean 20 °C; 3. Chlor-Xtra 20 °C; 4. 5.25% % NaOCl 45 °C; 5. Hypoclean 45 °C; 6. Chlor-Xtra 45 °C; 7. positive control; 8. negative control. Dentin chips were collected with round burs into Brain Heart Infusion (BHI) broth. After culturing, the number of colony-forming units (CFU) was counted. Statistical analyses were performed using descriptive statistics (mean, standard deviation, median), Shapiro-Wilk test, ANOVA and Tukey test. Significance level was set at p<0.05. In all experimental groups, CFU was minimum after treatment (day 0) and the obtained results were significantly different from each other at any period (p<0.05). After treatment, the Hypoclean and Chlor-Xtra showed the lowest numbers of CFU at 20 °C and 45 °C, whereas 5.25% NaOCl showed the highest number of CFU at both temperatures. In each group, the number of CFUs increased significantly with time (p<0.05). The antibacterial activity of Hypoclean and Chlor-Xtra at 45 °C were significantly greater than other tested solutions.

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