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VOLUME 14 , ISSUE 3 ( May-June, 2013 ) > List of Articles

RESEARCH ARTICLE

Antimicrobial Efficacy of Octenidine Hydrochloride, MTAD and Chlorhexidine Gluconate Mixed with Calcium Hydroxide

Resmiye Ebru Tirali, Kamran Gulsahi, Sevi Burcak Cehreli, Zeynep Ceren Karahan, Emel Uzunoǧlu, Atilla Elhan

Citation Information : Tirali RE, Gulsahi K, Cehreli SB, Karahan ZC, Uzunoǧlu E, Elhan A. Antimicrobial Efficacy of Octenidine Hydrochloride, MTAD and Chlorhexidine Gluconate Mixed with Calcium Hydroxide. J Contemp Dent Pract 2013; 14 (3):456-460.

DOI: 10.5005/jp-journals-10024-1344

Published Online: 01-10-2013

Copyright Statement:  Copyright © 2013; The Author(s).


Abstract

Objective

The aim of this in vitro study was to investigate whether mixing with calcium hydroxide [Ca(OH)2] affects the antimicrobial action of Octenidine hydrochloride (Octenisept), MTAD and chlorhexidine against Enterococcus faecalis and Candida albicans.

Materials and methods

Freshly grown cultures of Enterococcus faecalis, Candida albicans and a mixture of both strains were incubated in agar plates containing brain-heart infusion broth (BHIB). Zones of inhibition were measured at 24 and 48 hours. Statistical analysis was performed using Mann-Whitney U test and Kruskal-Wallis one-way analysis of variance (ANOVA, both p = 0.05).

Results

Mixing with Ca(OH)2 significantly increased the antibacterial effect of Octenisept (p < 0.05), but did not alter its antifungal activity. Only chlorhexidine showed more antibacterial and antifungal efficiency compared to its Ca(OH)2-mixed version (both p < 0.05). Mixing with Ca(OH)2 decreased the antibacterial efficacy of MTAD, but increased its antifungal effect (both p < 0.05).

Conclusion

These results demonstrate the differential effects of Ca(OH)2 addition on the antimicrobial action of the tested endodontic medicaments in vitro. Ca(OH)2 was as effective as its combination with all of the tested medicaments.

How to cite this article

Tirali RE, Gulsahi K, Cehreli SB, Karahan ZC, Uzunoğlu E, Elhan A. Antimicrobial Efficacy of Octenidine Hydrochloride, MTAD and Chlorhexidine Gluconate Mixed with Calcium Hydroxide. J Contemp Dent Pract 2013;14(3):456-460.


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  1. Irrigation of the root canal system. Dent Clin North Am 1984 Oct;28(4):797-808.
  2. Efficacy of sodium hypochlorite combined with chlorhexidine against Enterococcus faecalis in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009 Apr;107(4):585-589.
  3. Chlorhexidine substantivity in root canal dentine. Oral Surg Oral Med Oral Pathol 2004 Oct;98(4):488-492.
  4. In vitro antimicrobial activity of several concentrations of NaOCl and Octenisept in elimination of endodontic pathogens. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009 Nov;108(5):e117-e120.
  5. Australian endodontists’ perceptions of single and multiple visit root canal treatment. Int Endod J 2009 Sep;42(9):811-818.
  6. Antimicrobial effects of calcium hydroxide and chlorhexidine on Enterococcus faecalis. J Endod 2010 Aug;36(8):1389-1393.
  7. In vitro antimicrobial activity of several concentrations of sodium hypochlorite and chlorhexidine gluconate in the elimination of Enterococcus faecalis. Int Endod J 2001 Sep;34(6):424-428.
  8. Effectiveness of 2% chlorhexidine gel and calcium hydroxide against Enteroccoccus faecalis in bovine root dentine in vitro. Int Endod J 2003 Apr;36(4):267-275.
  9. In vitro antiplaque activity of octenidine dihydrochloride (WIN 41464-2) against preformed plaques of selected oral plaque-forming microorganisms. Antimicrob Agents Chemother 1983 Mar;23(3):531-535.
  10. Antisepsis of mucous membranes—current status and aspects of future development. Z Gesamte Hyg 1990 Feb;36(2):83-86.
  11. Comparison of antiadhesive and antibacterial effects of antiseptics on Streptococcus sanguinis. Eur J Oral Sci 2003 Apr;111(2):144-148.
  12. Residual antibacterial activity of chlorhexidine and MTAD in human root dentin in vitro. J Oral Sci 2008 Mar;50(1):63-67.
  13. Antimicrobial effect and pH of chlorhexidine gel and calcium hydroxide alone and associated with other materials. Braz Dent J 2008;19(1):28-33.
  14. Evaluation of the antibacterial potential of tetracycline or erythromycin mixed with calcium hydroxide as intracanal dressing against Enteroccus faecalis in vivo. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003 Dec;96(6):744-750.
  15. Evaluation of time required for recontamination of coronally sealed canals medicated with calcium hydroxide and chlorhexidine. Int Endod J 2003 Sep;36:604-609.
  16. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J 1999 Sep;32(5):361-369.
  17. In vitro antimicrobial activity of calcium hydroxide mixed with different vehicles against Enterococcus faecalis and Candida albicans. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009 Aug;108(2):297-301.
  18. Antimicrobial activity of innate immune molecules against Streptococcus pneumoniae, Moraxella catarrhalis and nontypeable Haemophilus influenzae. BMC Infect Dis 2004 Nov;4:12.
  19. Effectiveness of singleversus multiple-visit endodontic treatment of teeth with apical periodontitis: a systematic review and meta-analysis. Int Endod J 2005 Jun;38(6):347-355.
  20. Association of endodontic symptoms and signs with particular combinations of specific bacteria. Int Endod J 1996 Mar;29(2):69-75.
  21. Biofilm formation of oral and endodontic Enterococcus faecalis. J Endod 2007 Jul;33(7):815-818.
  22. The physiology and collective recalcitrance of microbial biofilm communities. Adv Microb Physiol 2002;46:202-256.
  23. A direct comparison between extracted tooth and filter-membrane biofilm models of endodontic irrigation using Enterococcus faecalis. Arch Microbiol 2010 Sep;192(9):775-781.
  24. The viable but nonculturable state in bacteria. J Microbiol 2005 Feb;43:93-100.
  25. In vitro susceptibility of Candida albicans to four disinfectants and their combinations. Int Endod J 1999 Nov;32(6):421-429.
  26. The antimicrobial effect of MTAD: an in vitro investigation. J Endod 2003 Jun;29(6):400-403.
  27. An in vitro comparison of the antimicrobial effects of various endodontic medicaments on Enterococcus faecalis. J Endod 2007 May;33(5):567-569.
  28. The antimicrobial effect of MTAD, sodium hypochlorite, doxycycline, and citric acid on Enterococcus faecalis. J Endod 2007;33(1):28-30.
  29. Reduction in antimicrobial substantivity of MTAD after initial sodium hypochlorite irrigation. J Endod 2006 Oct;32(10):970-975.
  30. In vitro antifungal efficacy of four irrigants as a final rinse. J Endod 2006 Apr;32(4):331-333.
  31. Antimicrobial substantivity of chlorhexidine treated bovine root dentin. J Endod 2000 Jun;26(6):315-317.
  32. Biocompatibility of dental material used in contemporary endodontic therapy: a review. Part 1. Intracanal drugs substances. Int Endod J 2003 Feb;36(2):75-85.
  33. Chemical and antimicrobial properties of calcium hydroxide mixed with irrigating solutions. Int Endod J 2003 Feb;36(2):100-105.
  34. Effectiveness of a calcium hydroxide and chlorhexidine digluconate mixture as disinfectant during retreatment of failed endodontic cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005 Dec;100(6):756-761.
  35. Comparison of broth microdilution, Etest, and agar disk diffusion methods for antimicrobial susceptibility testing of Lactobacillus acidophilus group members. Appl Environ Microbiol 2008 Apr;74(12):3745-3748.
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