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Eradication of Enterococcus faecalis Biofilms on Human Dentin
Eyal Rosen1, Igor Tsesis1, Shlomo Elbahary1
1Department of Endodontology, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University Tel Aviv, Israel.
D-Leucine effectively disperses Enterococcus faecalis biofilms on dentin. Conventional sodium hypochlorite treatment fails to eradicate biofilms, potentially causing bacterial persistence in root canal infections.
Area of Science:
- Microbiology
- Biomaterials Science
- Dental Research
Background:
- Enterococcus faecalis forms persistent biofilms on root dentin.
- Current decontamination methods may be insufficient against these biofilms.
Purpose of the Study:
- To evaluate methods for interfering with Enterococcus faecalis biofilms on human dentin.
- To identify novel therapeutic strategies for root canal infections.
Main Methods:
- Screening small molecule inhibitors using polystyrene plates.
- Culturing and interfering with biofilms on human root dentin slabs.
- Assessing the impact of D-Leucine, cation chelators, and sodium hypochlorite.
Main Results:
- D-Leucine dispersed existing biofilms on dentin without affecting planktonic growth.
- Cation chelators inhibited biofilm formation on dentin and polystyrene.
- Sodium hypochlorite was toxic to planktonic cells but induced a viable but non-culturable state in biofilm cells on dentin.
Conclusions:
- Sodium hypochlorite may promote bacterial persistence rather than eradication.
- D-Leucine and cation chelators show potential for biofilm inhibition.
- Combined approaches can advance therapies for Enterococcus faecalis root canal infections.
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