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

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.

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