Comparison of antibacterial and toxic effects of various root canal irrigants

Küçük Resim Yok

Tarih

2003

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Wiley

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Aim To compare the antibacterial properties and toxicity of 5.25% sodium hypochlorite (NaOCl),2% chlorhexidine gluconate and 0.2% chlorhexidine gluconate plus 0.2% cetrimide (Cetrexidin(R); Vebas, San Giuliano, Milan, Italy). Methodology The antibacterial effects of the irrigants in vitro were examined after 5 min and 48 h in freshly extracted human teeth with single roots, whose canals were infected by Enterococcus faecalis ATCC 29212. In a separate in vivo study, bacterial culture samples were collected before treatment from the infected root canals of deciduous teeth containing necrotic pulp tissue. Irrigants were used to clean the canals which were then left empty for 48 h. Aerobic/facultative anaerobic and anaerobic bacterial growth were compared before and 48 h after irrigation. Finally, the toxic effects of the irrigants were assessed by injecting them into the subcutaneous tissues of rats. The inflammatory reactions that occurred 2 h, 48 h and 2 weeks after the injections were evaluated. Results In the laboratory study, the 2% chlorhexidine gluconate and Cetrexidin(R) were significantly more effective on E. faecalis than the 5.25% NaOCl at 5 min (P < 0.05). Similarly, in the in vivo study, 2% chlorhexidine gluconate and Cetrexidin(R) were significantly more effective on anaerobic bacteria than the 5.25% NaOCl at 48 h (P < 0.05). At the end of 2 weeks, the toxicity of the NaOCl solution was greater than that of the other irrigants (P < 0.05). Conclusions Cetrexidin(R) and 2% chlorhexidine gluconate were more effective, and had more residual antibacterial effects and lower toxicity than 5.25% NaOCI solution.

Açıklama

Anahtar Kelimeler

antibacterial effects, canal irrigants, cetrimide, chlorhexidine gluconate, NaOCI, toxic effects

Kaynak

International Endodontic Journal

WoS Q Değeri

Q2

Scopus Q Değeri

Q1

Cilt

36

Sayı

6

Künye