Canal dressing for 1 week with 2% CHX may provide residual antimicrobial activity against E faecalis.

No abstract

Root canal dentin acquires antimicrobial substantivity after exposure to chlorhexidine gluconate (CHX) for 1 wk. Therefore development of a vehicle for delivery of CHX as an intracanal medication is desirable. This in vitro study assessed the efficacy of two CHX delivery vehicles, a controlled-release device and a gel, to affect antimicrobial substantivity of bovine root dentin. Sixty bovine incisor root specimens were prepared with standardized length (10 mm) and canal diameter (3.3 mm), and coated externally with nail polish. Specimens were divided into four equal groups and their canals medicated for 7 days with either: (i) an experimental controlled-release device containing 25% CHX that was immersed in sterile saline; (ii) 2% CHX gel; or (iii) Ca(OH)2 paste. Sterile saline was used as the positive control. After medication, the canals of the specimens were inoculated with Enterococcus faecalis for 21 days. Root canal dentin samples ranging in depth from 0.1 to 0.45 mm were then obtained using sterile round burs of ascending diameter. Each dentin sample was placed in a separate test tube containing Brain Heart Infusion broth and incubated for 24 h. The optical density (OD) of the broth was then measured spectrophotometrically at 540 nm. The positive control showed significantly higher mean OD values (one-way ANOVA and Tukey's Studentized Range Test; p < 0.001) than the three test groups. The CHX controlled-release device group showed significantly lower OD values than the Ca(OH)2 group; however only at dentin depths up to 0.2 mm. In contrast, the CHX gel group consistently showed significantly lower OD values than both the CHX controlled-release device and Ca(OH)2 groups. These results suggest that bovine root canals medicated with 2% CHX gel for 7 days acquire antimicrobial properties for at least 21 days.

ABSTRACT:The volume phase transition of poly(NIPAm/MAA) copolymer nanoparticles in buffer solutions at various pH and in aqueous solutions of KCl or ionic surfactants (SDS and DTMAB) was systematically studied using dynamic laser scattering technique. It was found that ionizable MAA groups imparted a responsiveness of the particles to pH and electrolytes. At pH Ͼ pKa of the copolymer, electrostatic repulsion of negative charges, mostly from COO Ϫ groups, was a governing mechanism for preventing the particles from collapse at T Ͼ T tr . The particles exhibited a sharp volume phase transition upon elimination of the negative charges by decreasing the pH of the medium or by the addition of cationic surfactant. At pH Ͻ pKa, the presence of MAA groups enhanced the hydrophobicity of the particles as indicated by a lower T tr and a sharper volume phase transition. A pH 4 buffer at the same ionic strength exhibited the most significant effect on the particle size and phase transition, followed by the ionic surfactant with an opposite charge (e.g., DTMAB), KCl, and finally the ionic surfactant with the same charge (e.g. SDS).