Antifungal activity of several root canal sealers against Candida albicans

Erhan Ozcan1, Erkan Yula, Zeki Arslanoğlu

  • 1Department of Endodontics, Faculty of Dentistry, Selçuk University , Konya , Turkey.

Abstract

Insights

Freshly mixed AH Plus Jet demonstrated potent antifungal activity against Candida albicans. Other root canal sealers like iRoot SP and MTA Fillapex also showed antifungal properties when initially mixed.

Area of Science:

  • Endodontics
  • Microbiology
  • Dental Materials Science

Background:

  • Root canal sealers are crucial for the success of endodontic treatment.
  • Candida albicans is a common opportunistic fungal pathogen in persistent endodontic infections.
  • Evaluating the antifungal properties of root canal sealers is essential for preventing and treating endodontic complications.

Purpose of the Study:

  • To assess the in vitro antifungal efficacy of iRoot SP, MTA Fillapex, and GuttaFlow root canal sealers against Candida albicans.
  • To compare the antifungal activity of these sealers with AH Plus Jet.
  • To determine the influence of sealer setting time on antifungal properties.

Main Methods:

  • An in vitro study design was employed.
  • Freshly mixed and set (1 and 7 days) root canal sealers were exposed to Candida albicans.
  • Fungal survival was quantified using serial dilution and colony-forming unit (CFU) counts.

Main Results:

  • Freshly mixed AH Plus Jet exhibited the highest antifungal activity, completely inhibiting fungal growth.
  • iRoot SP and MTA Fillapex showed antifungal activity when freshly mixed.
  • GuttaFlow displayed no significant antifungal activity at any time point.
  • Antifungal activity was significantly higher for freshly mixed sealers compared to set sealers (p < 0.05), except for GuttaFlow.

Conclusions:

  • Fresh AH Plus Jet possesses potent antifungal properties against Candida albicans.
  • iRoot SP and MTA Fillapex demonstrate antifungal activity in their freshly mixed state.
  • GuttaFlow showed no significant antifungal effect.
  • The antifungal efficacy of most sealers is diminished after setting.