Inactivation of root canal medicaments by dentine, hydroxylapatite and bovine serum albumin

International Endodontic Journal - Tập 34 Số 3 - Trang 184-188 - 2001
Isabelle Portenier1, Hanna Haapasalo2, A. Rye2, Tuomas Waltimo3, Dag Örstavik3, Markus Haapasalo2
1Department of Endodontics, Dental Faculty, University of Oslo, Oslo, Norway
2Department of Endodontics, Dental Faculty, University of Oslo, Oslo; and
3Scandinavian Institute of Dental Material Research, Haslum, Norway

Tóm tắt

AbstractAim This study examined and compared the inhibition of the antibacterial effect of saturated calcium hydroxide solution, chlorhexidine acetate and iodine potassium iodide by dentine, hydroxylapatite and bovine serum albumin.Methodology Enterococcus faecalis strain A197A prepared to a suspension of 3 × 108 cells per ml in 0.5% peptone water was used. Fifty µL of saturated calcium hydroxide solution, 0.05% chlorhexidine acetate or 0.2/0.4% iodine potassium iodide were incubated at 37 °C with 28 mg dentine powder (DP), hydroxylapatite (HA) or bovine serum albumin (BSA) in 50 µL water for 1 h before adding 50 µL of the bacterial suspension. Samples for bacterial culturing were taken from the suspension 1 and 24 h after adding the bacteria. In further experiments, the amount of dentine was stepwise reduced from 28 mg 150 µL−1 to 2.8 mg 150 µL−1.Results Calcium hydroxide was totally inactivated by the presence of 28 mg of DP, HA or BSA. Chlorhexidine (0.05%) was strongly inhibited by BSA and slowed down by dentine. However, HA had little or no inhibitory effect on chlorhexidine. The antibacterial effect of 0.2/0.4% iodine potassium iodide on E. faecalis was totally inhibited by dentine (28 mg), but was practically unaffected by HA or BSA. A stepwise reduction of dentine from 28 mg 150 µL−1 to 2.8 mg 150 µL−1 was followed by a similar reduction of the inhibition of the antibacterial activity of chlorhexidine. Iodine potassium iodide was not inhibited at all with dentine amounts less than 28 mg. However, the effect of saturated calcium hydroxide solution was totally eliminated by dentine, in all four concentrations.Conclusion Inhibition by dentine of the antibacterial activity of calcium hydroxide, chlorhexidine and iodine potassium iodide occurs by different mechanisms. Different components of dentine may be responsible for the inhibition of these three medicaments. Calcium hydroxide was particularly sensitive to inhibition by both inorganic and organic compounds.

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Tài liệu tham khảo

10.1111/j.1600-9657.1985.tb00652.x

Byström A, 1981, Bacteriologic evaluation of the efficacy of mechanical root canal instrumentation in endodontic therapy, Scandinavian Journal of Dental Research, 89, 321

CucciaS MohornS MoshonovJ CrawfordJ ØrstavikD(1995)Chlorhexidine and bacterial leakage through the obturated root canal. 51st Annual Session American Association of Endodontists Orlando FL USA.Journal of Endodontics21 232.

Engström B, 1958, On the duration of the antibacterial efficiency of four antiseptics used in root canal treatment in situ, Svensk Tandläkaretidskrift, 51, 1

10.1111/j.1365-2591.1996.tb01375.x

HaapasaloH SirénE WaltimoT ØrstavikD HaapasaloM(2000)Inactivation of local root canal medicaments by dentine:in vitrostudy.International Endodontic Journal33 126–31.

10.1177/00220345870660081801

JungS MohornS ØrstavikD(1995)Bacterial colonization of dentin following short‐term treatment with chlorhexidine. 51st Annual Session American Association of Endodontists Orlando FL USA.Journal of Endodontics21 232.

10.1016/S0099-2399(84)80055-2

10.1046/j.1365-2591.1998.t01-1-00111.x

MöllerÅJR(1966)Microbiological examination of root canals and periapical tissues of human teeth. Methodological studies.Thesis.Odontologisk Tidskrift74 1–380.

PeciulieneV BalciunieneI EriksenH HaapasaloM(1999)Isolation ofEnterococcus faecalisin previously root‐filled canals in a Lithuanian population.Journal of Endodontics(in press).

Sirén E, 1997, Microbiological findings and clinical treatment procedures in endodontic cases selected for microbiological investigation, International Endodontic Journal, 30, 91, 10.1111/j.1365-2591.1997.tb00680.x

10.1016/S0099-2399(07)80180-4

10.1046/j.1365-2591.1997.00058.x

WaltimoT SirénE ØrstavikD HaapasaloM(1999)Susceptibility of oralCandidaspecies to calcium hydroxidein vitro.International Endodontic Journal32 94–8.

10.1111/j.1365-2591.1988.tb00949.x