Related Experiment Video
Updated: Jun 8, 2026

Extraction and Analysis of Taiwanese Green Propolis
Published on: January 7, 2019
Action of propolis and medications against Escherichia coli and endotoxin in root canals
Marcia Carneiro Valera1, Jucely Aparecida da Rosa, Lilian Eiko Maekawa
1Department of Restorative Dentistry, School of Dentistry of São José dos Campos, São Paulo State University, São José dos Campos, Brazil. marcia@fosjc.unesp.br
Abstract:
This study evaluated the action of propolis and intracanal medications against Escherichia coli and endotoxin. Forty-eight dental roots were contaminated with E. coli. The root canals were instrumented with propolis and divided into groups according to the type of intracanal medication: Ca(OH)(2), polymyxin B, or Ca(OH)(2) + 2% chlorhexidine gel. In the control group, saline solution was used without application of intracanal medication. Counts of colony-forming units were carried out and the endotoxin was quantified by the chromogenic Limulus amobocyte lysate assay. The results were evaluated by analysis of variance and the Dunn test (5%). Root canal irrigation with propolis was effective to completely eliminate E. coli and reduce the amount of endotoxins. All intracanal medications contributed to the significant decrease in endotoxins. Only intracanal medications may reduce the amount of endotoxins in the root canals. The greatest efficacy was observed for medications containing Ca(OH)(2).
Insights
Propolis irrigation effectively eliminated Escherichia coli and reduced endotoxins in root canals. Calcium hydroxide-based intracanal medications further decreased endotoxin levels, showing the greatest efficacy.
Area of Science:
- Endodontics
- Microbiology
- Biomaterials
Background:
- Infection and endotoxin presence are key challenges in endodontic treatment.
- Propolis and various intracanal medications are explored for their antimicrobial and endotoxin-reducing properties.
Purpose of the Study:
- To evaluate the efficacy of propolis and different intracanal medications against Escherichia coli and its endotoxins in root canals.
- To compare the effectiveness of calcium hydroxide (Ca(OH)(2)), polymyxin B, and Ca(OH)(2) + 2% chlorhexidine gel.
Main Methods:
- Dental roots were contaminated with E. coli and treated with propolis.
- Root canals received intracanal medications: Ca(OH)(2), polymyxin B, Ca(OH)(2) + 2% chlorhexidine gel, or saline (control).
- Colony-forming units and endotoxin levels (Limulus amebocyte lysate assay) were quantified.
Main Results:
- Propolis irrigation eradicated E. coli and significantly reduced endotoxin levels.
- All tested intracanal medications demonstrated a significant decrease in endotoxins.
- Medications containing Ca(OH)(2) exhibited the highest efficacy in endotoxin reduction.
Conclusions:
- Propolis is effective in eliminating E. coli and reducing endotoxins during root canal treatment.
- Intracanal medications, particularly those with Ca(OH)(2), play a crucial role in further reducing endotoxin load.
- Combined use of propolis and appropriate intracanal medications may enhance endodontic treatment outcomes.
Related Concept Videos
Biological Methods for Microbial Control
Antimicrobial Effectiveness
Combined Effects of Drugs: Synergism
Such synergistic combinations...
Inhibitors of Gram-positive Cell Wall Synthesis
Clinical Significance of Antibiotic Resistance
