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Hand hygiene01:23

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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.
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Chemicals play important roles in controlling microbial growth by targeting microbial structures and functions as sanitizers, antiseptics, disinfectants, and sterilants.Alcohols are commonly used sanitizers, effectively disrupting lipid membranes, which compromises cell integrity. They are also used as antiseptics and disinfectants due to their rapid action and versatility.Phenols and their derivatives phenolics , known for denaturing proteins and disrupting cell membranes, are particularly...
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Development of Amelogenin-chitosan Hydrogel for In Vitro Enamel Regrowth with a Dense Interface
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A New Disinfection Approach Using a Chitosan-Based Endodontic Irrigant.

Alejandra Itzel Lopez-Flores1, Ulises Velazquez-Enriquez2, Rogelio Jose Scougall-Vilchis2

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Materials (Basel, Switzerland)
|December 31, 2025
PubMed
Summary

Chitosan nanoparticles loaded with antibiotics show promise as endodontic irrigants, with ciprofloxacin-loaded nanoparticles exhibiting strong antibacterial effects against Enterococcus faecalis and metronidazole-loaded nanoparticles demonstrating low cytotoxicity.

Keywords:
antibacterial effectantibioticschitosanirrigatorsroot canal irrigants

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Area of Science:

  • Biomaterials Science
  • Endodontics
  • Nanotechnology

Background:

  • Chitosan nanoparticles (CH-NPs) offer a dual benefit of antibacterial activity and low toxicity for endodontic irrigants.
  • Developing effective irrigants is crucial for improving endodontic treatment outcomes.
  • Enterococcus faecalis is a persistent pathogen in endodontic infections.

Purpose of the Study:

  • To develop and evaluate chitosan nanoparticles loaded with metronidazole, ciprofloxacin, and minocycline.
  • To assess the antibacterial efficacy of these CH-NPs against Enterococcus faecalis.
  • To determine the cytotoxicity of the developed CH-NPs on human dental pulp stem cells (hDPSCs).

Main Methods:

  • Synthesis and characterization of antibiotic-loaded CH-NPs using FTIR and UV-Vis spectroscopy.
  • Determination of Minimum Inhibitory Concentration (MIC) via agar diffusion and microdilution assays.
  • Cytotoxicity assessment using median cytotoxic dose evaluation on hDPSCs.

Main Results:

  • Successful synthesis of CH-NPs loaded with metronidazole, ciprofloxacin, and minocycline confirmed by spectroscopic analysis.
  • CH-NPs-ciprofloxacin demonstrated the highest antibacterial activity against E. faecalis.
  • CH-NPs-metronidazole exhibited the lowest cytotoxicity against hDPSCs, while CH-NPs-minocycline showed enhanced antibacterial effects but increased cytotoxicity.

Conclusions:

  • Antibiotic-loaded CH-NPs represent a potential advancement in endodontic irrigation solutions.
  • Further research is needed to fully explore the therapeutic potential and optimize the use of CH-NPs in endodontics.
  • This study provides foundational data for developing novel endodontic irrigants with improved efficacy and safety profiles.