Assessment of Impact of Various Root Canal Irrigants on the Adherence of the Gelatinase-producing and the Gelatinase-deficient E. faecalis Strains to Dentin

Rana, Manu; Jain, Vaibhav; Kaur, Palkeen; Jalan, Pooja; Kapadia, Junaid; Shaikh, Irfan Ahmed

doi:10.5005/jp-journals-10024-2474

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…The nonsignificant reduction of CFUs in the group irrigated by saline (Group 6) could be explained by the mechanical effect produced by the flow of the solution [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Evaluation of Antibacterial Efficacy of Moringa oleifera Leaf Extract, Octenidine Dihydrochloride, and Sodium Hypochlorite as Intracanal Irrigants against Enterococcus faecalis: An In Vitro Study

Alharbi

Alqahtani

et al. 2023

International Journal of Dentistry

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Objectives. The aim of this study is to investigate and compare the microbial efficacy of Moringa oleifera leaf extract, octenidine dihydrochloride (OCT), NaOCl, and their combinations as intracanal irrigants against Enterococcus faecalis. Materials and Methods. Sixty single-rooted mandibular premolars were decoronated followed by root canal preparation. Each root specimen was autoclaved, inoculated with E. faecalis, and incubated at 37°C for 48 hr. Then, the specimens were divided into six groups based on the irrigation solution used: 2.5% NaOCl (Group 1), 0.1% OCT (Group 2), M. oleifera leaves extract (Group 3), a combination of M. oleifera extract and 1.25% NaOCl (Group 4), a combination of M. oleifera extract and OCT (Group 5) and normal saline (Group 6). Microbial samples were taken from each root canal before (S1) and after (S2) irrigation and the bacterial viability was assessed using colony-forming units (CFU) on bile esculin agar plates. Results. Comparing the number of CFU/ml before and after irrigation showed a significant reduction ( P < 0.001 ) in all studied groups. Comparison between the CFU/ml after irrigation by NaOCl and each of the combination groups showed a significant difference. Conclusion. M. oleifera leaves extract and 0.1% OCT solutions have antibacterial effect against E. faecalis comparable to 2.5% NaOCl and might be used as root canal irrigants. The combination groups showed better antimicrobial activities than individual irrigants. However, further studies are required to investigate the biocompatibility and possible toxic effects of the tested irrigants.

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“…The nonsignificant reduction of CFUs in the group irrigated by saline (Group 6) could be explained by the mechanical effect produced by the flow of the solution [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Evaluation of Antibacterial Efficacy of Moringa oleifera Leaf Extract, Octenidine Dihydrochloride, and Sodium Hypochlorite as Intracanal Irrigants against Enterococcus faecalis: An In Vitro Study

Alharbi

Alqahtani

et al. 2023

International Journal of Dentistry

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A critical analysis of research methods and experimental models to study irrigants and irrigation systems

Boutsioukis

Arias-Moliz

Paz³

2022

Int Endodontic J

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Irrigation plays an essential role in root canal treatment. The purpose of this narrative review was to critically appraise the experimental methods and models used to study irrigants and irrigation systems and to provide directions for future research. Studies on the antimicrobial effect of irrigants should use mature multispecies biofilms grown on dentine or inside root canals and should combine at least two complementary evaluation methods. Dissolution of pulp tissue remnants should be examined in the presence of dentine and, preferably, inside human root canals. Micro‐computed tomography is currently the method of choice for the assessment of accumulated dentine debris and their removal. A combination of experiments in transparent root canals and numerical modeling is needed to address irrigant penetration. Finally, models to evaluate irrigant extrusion through the apical foramen should simulate the periapical tissues and provide quantitative data on the amount of extruded irrigant. Mimicking the in vivo conditions as close as possible and standardization of the specimens and experimental protocols are universal requirements irrespective of the surrogate endpoint studied. Obsolete and unrealistic models must be abandoned in favour of more appropriate and valid ones that have more direct application and translation to clinical Endodontics.

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The Impact of Azadirachta Indica Extract on the Expression Profile of Esp Gene in Treated Enterococcus faecalis

Hamasaeed

2024

TODENTJ

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Background and Objectives Enterococcus faecalis is a bacterium often associated with persistent endodontic infections, posing challenges for effective root canal disinfection and treatment outcomes due to its resilience in adverse root canal conditions and resistance to antimicrobial therapies. This study aimed to investigate the effects of Azadirachtaindica's active plant compounds at subinhibitory concentrations on the expression of the virulence gene (esp) in Enterococcus faecalis strains (ATCC 29212). Materials and Methods Azadirachta indica (neem) specimens were obtained in Erbil, Northern Iraq, and the active compounds from the dried plant samples were extracted. Dry extracts were dissolved in Dimethylsulphoxide (DMSO) until reaching 100 mg/ml. Bacterial samples were treated with the extracted plant material and incubated. The assessment of relative esp gene expression in treated Enterococcus faecalis strains (ATCC 29212) began with total RNA extraction using the RNXplus kit, followed by a Quantitative RT-PCR assay. Results The minimum concentration of Azadirachta indica's ethyl acetate fraction 3 (30 mg/ml) inhibited the growth of the targeted bacteria. In contrast, the highest concentration inhibiting the target bacteria was 50 mg/ml of fraction 6 (Azadirachta indica-water). All fractions of Azadirachta indica decreased the expression of the target gene, with fraction 5 (ethyl alcohol) showing the highest fold change. Conclusion The ethyl alcohol extraction of Azadirachta indica inhibited the expression of the virulence gene (esp) by 2.84-fold, suggesting a potential decrease in (esp) gene expression, which could be considered as an alternative to classical irrigants.

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Assessment of Impact of Various Root Canal Irrigants on the Adherence of the Gelatinase-producing and the Gelatinase-deficient E. faecalis Strains to Dentin

Cited by 3 publications

References 19 publications

A Comparative Evaluation of Antibacterial Efficacy of Moringa oleifera Leaf Extract, Octenidine Dihydrochloride, and Sodium Hypochlorite as Intracanal Irrigants against Enterococcus faecalis: An In Vitro Study

A Comparative Evaluation of Antibacterial Efficacy of Moringa oleifera Leaf Extract, Octenidine Dihydrochloride, and Sodium Hypochlorite as Intracanal Irrigants against Enterococcus faecalis: An In Vitro Study

A critical analysis of research methods and experimental models to study irrigants and irrigation systems

The Impact of Azadirachta Indica Extract on the Expression Profile of Esp Gene in Treated Enterococcus faecalis

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