Comparison of Different Irrigants in the Removal of Endotoxins and Cultivable Microorganisms from Infected Root Canals

This study was conducted to compare the effectiveness of different irrigants used to remove endotoxins and cultivable microorganisms during endodontic therapy. Forty root canals were contaminated and divided into groups according to the irrigant: 2% NaOCl + surfactant, 2% CHX, 2.5% NaOCl, and pyrog...

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Main Authors: Marcia Carneiro Valera, Flávia Goulart da Rosa Cardoso, Adriana Chung, Ana Cláudia Carvalho Xavier, Mariana Diehl Figueiredo, Frederico Canato Martinho, Renato Miotto Palo
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2015/125636
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author Marcia Carneiro Valera
Flávia Goulart da Rosa Cardoso
Adriana Chung
Ana Cláudia Carvalho Xavier
Mariana Diehl Figueiredo
Frederico Canato Martinho
Renato Miotto Palo
author_facet Marcia Carneiro Valera
Flávia Goulart da Rosa Cardoso
Adriana Chung
Ana Cláudia Carvalho Xavier
Mariana Diehl Figueiredo
Frederico Canato Martinho
Renato Miotto Palo
author_sort Marcia Carneiro Valera
collection DOAJ
description This study was conducted to compare the effectiveness of different irrigants used to remove endotoxins and cultivable microorganisms during endodontic therapy. Forty root canals were contaminated and divided into groups according to the irrigant: 2% NaOCl + surfactant, 2% CHX, 2.5% NaOCl, and pyrogen-free saline solution (control). Samples were collected after root canal contamination (S1), after instrumentation (S2), and 7 days after instrumentation (S3). Microorganisms and endotoxins were recovered from 100% of the contaminated root canals (S1). At S2, 2% NaOCl + surfactant, 2% CHX, and 2.5% NaOCl were able to completely eliminate cultivable microorganisms. At S3, both 2% CHX and 2.5% NaOCl were effective in preventing C. albicans and E. coli regrowth, but E. faecalis was still detected. No microorganism species was recovered from root canals instrumented with 2% NaOCl + surfactant. At S2, a higher percentage value of endotoxin reduction was found for 2% NaOCl + surfactant (99.3%) compared to 2% CHX (98.9%) and 2.5% NaOCl (97.18%) (p<0.05). Moreover, at S3, 2% NaOCl + surfactant (100%) was the most effective irrigant against endotoxins. All irrigants tested were effective in reducing microorganisms and endotoxins from root canals. Moreover, 2% NaOCl + surfactant was the most effective irrigant against endotoxins and regrowth of microorganisms.
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spelling doaj-art-8854e1b2df684d6d9afe4ba6228c0cb02025-02-03T01:23:51ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/125636125636Comparison of Different Irrigants in the Removal of Endotoxins and Cultivable Microorganisms from Infected Root CanalsMarcia Carneiro Valera0Flávia Goulart da Rosa Cardoso1Adriana Chung2Ana Cláudia Carvalho Xavier3Mariana Diehl Figueiredo4Frederico Canato Martinho5Renato Miotto Palo6Department of Restorative Dentistry, Institute of Science and Technology, Universidade Estadual Paulista (UNESP), São José dos Campos 12245-000, SP, BrazilDepartment of Restorative Dentistry, Institute of Science and Technology, Universidade Estadual Paulista (UNESP), São José dos Campos 12245-000, SP, BrazilDepartment of Restorative Dentistry, Institute of Science and Technology, Universidade Estadual Paulista (UNESP), São José dos Campos 12245-000, SP, BrazilDepartment of Restorative Dentistry, Institute of Science and Technology, Universidade Estadual Paulista (UNESP), São José dos Campos 12245-000, SP, BrazilDepartment of Restorative Dentistry, Institute of Science and Technology, Universidade Estadual Paulista (UNESP), São José dos Campos 12245-000, SP, BrazilDepartment of Restorative Dentistry, Institute of Science and Technology, Universidade Estadual Paulista (UNESP), São José dos Campos 12245-000, SP, BrazilDepartment of Restorative Dentistry, Institute of Science and Technology, Universidade Estadual Paulista (UNESP), São José dos Campos 12245-000, SP, BrazilThis study was conducted to compare the effectiveness of different irrigants used to remove endotoxins and cultivable microorganisms during endodontic therapy. Forty root canals were contaminated and divided into groups according to the irrigant: 2% NaOCl + surfactant, 2% CHX, 2.5% NaOCl, and pyrogen-free saline solution (control). Samples were collected after root canal contamination (S1), after instrumentation (S2), and 7 days after instrumentation (S3). Microorganisms and endotoxins were recovered from 100% of the contaminated root canals (S1). At S2, 2% NaOCl + surfactant, 2% CHX, and 2.5% NaOCl were able to completely eliminate cultivable microorganisms. At S3, both 2% CHX and 2.5% NaOCl were effective in preventing C. albicans and E. coli regrowth, but E. faecalis was still detected. No microorganism species was recovered from root canals instrumented with 2% NaOCl + surfactant. At S2, a higher percentage value of endotoxin reduction was found for 2% NaOCl + surfactant (99.3%) compared to 2% CHX (98.9%) and 2.5% NaOCl (97.18%) (p<0.05). Moreover, at S3, 2% NaOCl + surfactant (100%) was the most effective irrigant against endotoxins. All irrigants tested were effective in reducing microorganisms and endotoxins from root canals. Moreover, 2% NaOCl + surfactant was the most effective irrigant against endotoxins and regrowth of microorganisms.http://dx.doi.org/10.1155/2015/125636
spellingShingle Marcia Carneiro Valera
Flávia Goulart da Rosa Cardoso
Adriana Chung
Ana Cláudia Carvalho Xavier
Mariana Diehl Figueiredo
Frederico Canato Martinho
Renato Miotto Palo
Comparison of Different Irrigants in the Removal of Endotoxins and Cultivable Microorganisms from Infected Root Canals
The Scientific World Journal
title Comparison of Different Irrigants in the Removal of Endotoxins and Cultivable Microorganisms from Infected Root Canals
title_full Comparison of Different Irrigants in the Removal of Endotoxins and Cultivable Microorganisms from Infected Root Canals
title_fullStr Comparison of Different Irrigants in the Removal of Endotoxins and Cultivable Microorganisms from Infected Root Canals
title_full_unstemmed Comparison of Different Irrigants in the Removal of Endotoxins and Cultivable Microorganisms from Infected Root Canals
title_short Comparison of Different Irrigants in the Removal of Endotoxins and Cultivable Microorganisms from Infected Root Canals
title_sort comparison of different irrigants in the removal of endotoxins and cultivable microorganisms from infected root canals
url http://dx.doi.org/10.1155/2015/125636
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