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Anti-biofilm efficacy of root canal irrigants against in-situ Enterococcus faecalis biofilms in root canals, isthmuses and dentinal tubules

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Stomatol, Wuhan, Hubei, Peoples R China [2]Wuhan Univ, State Key Lab Breeding Base Basic Sci Stomatol Hu, Wuhan, Hubei, Peoples R China [3]Wuhan Univ, Key Lab Oral Biomed, Minist Educ, Sch & Hosp Stomatol, Wuhan, Hubei, Peoples R China [4]Augusta Univ, Dent Coll Georgia, Augusta, GA 30904 USA [5]Fourth Mil Med Univ, State Key Lab Mil Stomatol, Xian, Shaanxi, Peoples R China [6]Fourth Mil Med Univ, Natl Clin Res Ctr Oral Dis, Xian, Shaanxi, Peoples R China [7]Fourth Mil Med Univ, Shaanxi Key Lab Stomatol, Dept Prosthodont, Sch Stomatol, Xian, Shaanxi, Peoples R China [8]Xinxiang Med Univ, Affiliated Hosp 3, Xinxiang, Hena, Peoples R China
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关键词: Biofilm Canal wall Dentinal tubules Isthmus Lactic acid Polysaccharide

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Objective: To investigate the anti-biofilm efficacy of root canal irrigants in canal spaces, isthmi and dentinal tubules of root canals ex vivo. Methods: Fifty-one single-rooted premolars, each containing an isthmus, were instrumented, autoclaved and inoculated with Enterococcus faecalis for 4 weeks. One specimen was sectioned for bacteria-specific staining to confirm the presence of biofilms using light microscopiy. The remaining specimens were randomly divided to five groups: (1) 0.9% NaCl, (2) SilverSol/H2O2, (3) HYBENX, (4) QMix 2 in1, (5) 6% NaOCl. Bacterial sampling was performed before (S1) and after (S2) canal irrigation. Diluted bacteria suspension was cultured for 48 h for counting the colony forming units (CFU). Percentages of dead bacteria and biofilm thickness were evaluated by confocal laser scanning microscopy (CLSM). Metabolic activity, lactic acid and polysaccharide synthesis of E. faecalis derived from S2 samples were analysed. Results: The percentages of dead bacteria were significantly affected by the factor "irrigant" (p < 0.001) and the factor "location" (p = 0.017). The percentages of dead bacteria in the isthmi and canals were both in the ordor: NaCl < SilverSol/H2O2 < HYBENX < QMix 2 in1 < NaOCl (p < 0.05). Only 6% NaOCl disrupted biofilms and significantly reduced their thickness. The CFU, metabolic activity, polysaccharide and lactic acid production of E. faecalis were all reduced by the disinfecting solutions. Conclusions: SilverSol/H2O2 and HYBENX were less adept than QMix 2 in1 at killing biofilm bacteria in root canals. None of these antibacterial irrigants were effective, compared with 6% NaOCl, in disrupting biofilms. Clinical significance: There is advantage in using HYBENX or QMix 2 in1 to kill intratubular bacteria biofilms because of their capability in removing the inorganic component of the smear layer. SilverSol/H2O2 requires extra time to eradicate intratubular biofilms upon removal of the organic and inorganic components of the smear layer by other root canal irrigants.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 2 区 牙科与口腔外科
最新[2025]版:
大类 | 2 区 医学
小类 | 1 区 牙科与口腔外科
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出版当年[2016]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE
最新[2023]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Stomatol, Wuhan, Hubei, Peoples R China
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通讯机构: [4]Augusta Univ, Dent Coll Georgia, Augusta, GA 30904 USA [5]Fourth Mil Med Univ, State Key Lab Mil Stomatol, Xian, Shaanxi, Peoples R China [6]Fourth Mil Med Univ, Natl Clin Res Ctr Oral Dis, Xian, Shaanxi, Peoples R China [7]Fourth Mil Med Univ, Shaanxi Key Lab Stomatol, Dept Prosthodont, Sch Stomatol, Xian, Shaanxi, Peoples R China [8]Xinxiang Med Univ, Affiliated Hosp 3, Xinxiang, Hena, Peoples R China [*1]Fourth Mil Med Univ, Sch Stomatol, State Key Lab Mil Stomatol, Xian, Shaanxi, Peoples R China
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