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Antimicrobial Properties of Newer Calcium Silicate-Based Pulp-Capping Agents Against Enterococcus Faecalis and
Niranjana M1, Sunil Jose1, George Thomas1
1Conservative Dentistry and Endodontics, Mahe Institute of Dental Sciences & Hospital, Mahe, IND.
Cureus
|October 31, 2024
Summary
Biodentine™ and Dia-Root™ Bio MTA demonstrate superior antibacterial activity against common oral bacteria like Streptococcus mutans and Enterococcus faecalis. This study evaluated four calcium silicate-based pulp-capping agents, finding Biodentine™ most effective against S. mutans.
Area of Science:
- Biomaterials Science
- Microbiology
- Restorative Dentistry
Background:
- Calcium silicate-based materials are widely used as pulp-capping agents in restorative dentistry.
- Assessing their antibacterial efficacy against cariogenic bacteria is crucial for clinical success.
- Enterococcus faecalis and Streptococcus mutans are key pathogens in dental caries and endodontic infections.
Purpose of the Study:
- To evaluate and compare the antibacterial activity of four calcium silicate-based pulp-capping agents.
- To assess the efficacy of these agents against Enterococcus faecalis and Streptococcus mutans.
- To determine the antimicrobial potential of Biodentine™, Dia-Root™ Bio MTA, TheraCal LC®, and Bio-C® Temp.
Main Methods:
- An agar diffusion test was employed to assess antibacterial properties.
- Four pulp-capping agents (Biodentine™, Dia-Root™ Bio MTA, TheraCal LC®, Bio-C® Temp) were tested.
- Zones of inhibition against S. mutans and E. faecalis were measured at 24 and 48 hours.
Main Results:
- At 24 hours, Biodentine™ exhibited the largest zone of inhibition against S. mutans (15.83 mm), followed by Dia-Root™ Bio MTA (14.5 mm).
- Against E. faecalis at 24 hours, Biodentine™ (20.56 mm) and Dia-Root™ Bio MTA (20.06 mm) showed comparable, high antibacterial activity.
- No statistically significant differences in antibacterial activity were observed among the agents after 48 hours.
Conclusions:
- Biodentine™ demonstrated the highest antibacterial efficacy against S. mutans.
- Biodentine™ and Dia-Root™ Bio MTA exhibited comparable high antibacterial activity against both S. mutans and E. faecalis.
- The findings support the use of Biodentine™ and Dia-Root™ Bio MTA as effective antibacterial pulp-capping agents.

