Evaluation of Antimicrobial Activity of A Fast-Setting Bioceramic Endodontic Material
Abstract Background: To evaluate the antimicrobial activity of the fast-setting bioceramic iRoot Fast Set Root Repair Material (iRoot FS) and two other calcium silicate cements. Methods: The antimicrobial activity of iRoot FS, ProRoot MTA and Biodentine against E. faecalis and P. gingivalis were evaluated in this study. The materials were freshly mixed or set for 1 and 7 days on 5mm diameter sterile filter papers. The agar diffusion test, direct contact test and carry-over effect test were conducted, and the pH values (using a digital pH meter) were also evaluated. The data were analyzed by an analysis of variance and two-way ANOVA (α=0.05).Results: In the agar diffusion experiment, no obvious inhibition zone was observed for iRoot FS, ProRootMTA or Biodentine at any time interval. In the direct contact test, all three materials showed good antibacterial activity after setting for 20 minutes. The antibacterial properties of the three materials decreased with the increase of setting time. None of the three materials showed carry-over antibacterial effect. The pH measurement showed that the suspension of all the three materials showed high pH values (11-12). With the extension of setting time, the pH of iRoot FS and Biodentine slightly decreased.Conclusions: Fresh iRoot FS, Biodentine, and MTA killed E. faecalis and P. gingivalis effectively, and the antimicrobial effect of all the three materials decreased over 1 and 7 days after mixing. All three materials showed a tendency of alkalinity which last for at least 7 days after setting.