Comparative study of the antimicrobial effect of three irrigant solutions (chlorhexidine, sodium hypochlorite and

Maryam Bidar1, Sepideh Hooshiar, Mahboubeh Naderinasab

  • 1Dental Research Center, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Insights

MUMS containing chlorhexidine exhibits antimicrobial effects comparable to chlorhexidine alone. This formulation may be a viable option for root canal irrigation due to enhanced penetration.

Area of Science:

  • Microbiology
  • Endodontics
  • Biomaterials

Background:

  • Antimicrobial efficacy is crucial for root canal disinfection.
  • Chlorhexidine and sodium hypochlorite are common endodontic irrigants.
  • Novel formulations aim to improve irrigant delivery and efficacy.

Purpose of the Study:

  • To compare the antimicrobial activity of 2% chlorhexidine, 2.5% sodium hypochlorite, and MUMS containing 2% chlorhexidine.
  • To evaluate the efficacy of these irrigants against key oral microorganisms.

Main Methods:

  • Microorganisms tested: Enterococcus faecalis, Streptococcus mutans, Candida albicans, Lactobacillus casei, and E. coli.
  • Standardized solutions and bacterial suspensions were incubated for 15, 30, and 45 minutes.
  • Colony counts were performed to determine the antimicrobial effect of each irrigant.

Main Results:

  • MUMS with chlorhexidine demonstrated antimicrobial properties against all tested microorganisms, similar to chlorhexidine alone.
  • Sodium hypochlorite was less effective, particularly against Enterococcus faecalis and Candida albicans at various time points.

Conclusions:

  • MUMS containing chlorhexidine possesses comparable antimicrobial efficacy to chlorhexidine.
  • The surfactant and chelator properties of MUMS may enhance chlorhexidine penetration into dentinal tubules, suggesting its potential as a root canal irrigant.

Related Concept Videos

Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Antimicrobial Effectiveness01:28

Antimicrobial Effectiveness

The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...