Evaluation of Antimicrobial Activity and Cytotoxicity of an Epoxy Resin-Based Endodontic Sealer Containing Nanoparticles Amorphous Calcium Phosphate

Background. The main cause of posttreatment disease in endodontics is the remaining of microorganisms within the root canal walls after endodontic therapy. Therefore, it is essential to use root canal sealers with potent antibacterial properties. These sealers play a vital role in eradicating any re...

Full description

Saved in:
Bibliographic Details
Main Authors: Bilal H. Ibrahim, Hussain Al-Huwaizi
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2023/8717655
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832558493663494144
author Bilal H. Ibrahim
Hussain Al-Huwaizi
author_facet Bilal H. Ibrahim
Hussain Al-Huwaizi
author_sort Bilal H. Ibrahim
collection DOAJ
description Background. The main cause of posttreatment disease in endodontics is the remaining of microorganisms within the root canal walls after endodontic therapy. Therefore, it is essential to use root canal sealers with potent antibacterial properties. These sealers play a vital role in eradicating any remaining microorganisms and preventing recontamination, especially in situations where there might be microleakage. Aim. The objective of this research was to examine the antimicrobial properties of epoxy root canal sealers containing nanoparticle amorphous calcium phosphate (NACP) against planktonic Enterococcus faecalis in a controlled laboratory environment. Furthermore, the study aimed to assess the potential cytotoxic effects of these sealers. Method. In order to determine the antimicrobial activity, the epoxy resin sealer (AH Plus, Dentsply, Germany) was supplemented with NACP from Sigma–Aldrich, at a concentration of 3wt.%, as per the previous flowability tests. The agar well diffusion assay method was employed to evaluate the antibacterial efficacy. For this, cultured plates (n = 8) were prepared, with each plate containing three wells: one with AH Plus, one with AH Plus + NACP, and one with NACP alone. Subsequently, the plates were sited at 37°C in an incubator and allowed to incubate overnight. The width of the inhibition zones was then analyzed and recorded by the SPSS statistical software package (Version 20.0 for Windows, SPSS, Chicago, IL, USA). The cytotoxicity of the NACP incorporated AH Plus and AH Plus sealers were tested indirectly by MTT assay and directly by the multiparametric high content screening toxicology assay using fibroblast-like cells as cell lines. Results. AH Plus + NACP showed a higher antimicrobial activity than AH Plus with significant difference (P<0.0001). Both materials showed nonsignificant difference compared to negative control, which indicated lower cytotoxicities. For AH Plus, P=0.3599,0.5959, and 0.4071, with time intervals 24, 72, and 168 hr, respectively. For AH Plus + NACP, P=0.4386,0.6182, and 0.2080, with 24, 72, and 168 hr, respectively. Conclusions. NACP incorporation with epoxy resin sealer AH PLUS had a higher antimicrobial activity with lower cytotoxic effect indicating their potential therapeutic values.
format Article
id doaj-art-fc2f332a333c4c3da93d5d83015ac86b
institution Kabale University
issn 1687-8736
language English
publishDate 2023-01-01
publisher Wiley
record_format Article
series International Journal of Dentistry
spelling doaj-art-fc2f332a333c4c3da93d5d83015ac86b2025-02-03T01:32:18ZengWileyInternational Journal of Dentistry1687-87362023-01-01202310.1155/2023/8717655Evaluation of Antimicrobial Activity and Cytotoxicity of an Epoxy Resin-Based Endodontic Sealer Containing Nanoparticles Amorphous Calcium PhosphateBilal H. Ibrahim0Hussain Al-Huwaizi1Aesthetic and Restorative DentistryAesthetic and Restorative DentistryBackground. The main cause of posttreatment disease in endodontics is the remaining of microorganisms within the root canal walls after endodontic therapy. Therefore, it is essential to use root canal sealers with potent antibacterial properties. These sealers play a vital role in eradicating any remaining microorganisms and preventing recontamination, especially in situations where there might be microleakage. Aim. The objective of this research was to examine the antimicrobial properties of epoxy root canal sealers containing nanoparticle amorphous calcium phosphate (NACP) against planktonic Enterococcus faecalis in a controlled laboratory environment. Furthermore, the study aimed to assess the potential cytotoxic effects of these sealers. Method. In order to determine the antimicrobial activity, the epoxy resin sealer (AH Plus, Dentsply, Germany) was supplemented with NACP from Sigma–Aldrich, at a concentration of 3wt.%, as per the previous flowability tests. The agar well diffusion assay method was employed to evaluate the antibacterial efficacy. For this, cultured plates (n = 8) were prepared, with each plate containing three wells: one with AH Plus, one with AH Plus + NACP, and one with NACP alone. Subsequently, the plates were sited at 37°C in an incubator and allowed to incubate overnight. The width of the inhibition zones was then analyzed and recorded by the SPSS statistical software package (Version 20.0 for Windows, SPSS, Chicago, IL, USA). The cytotoxicity of the NACP incorporated AH Plus and AH Plus sealers were tested indirectly by MTT assay and directly by the multiparametric high content screening toxicology assay using fibroblast-like cells as cell lines. Results. AH Plus + NACP showed a higher antimicrobial activity than AH Plus with significant difference (P<0.0001). Both materials showed nonsignificant difference compared to negative control, which indicated lower cytotoxicities. For AH Plus, P=0.3599,0.5959, and 0.4071, with time intervals 24, 72, and 168 hr, respectively. For AH Plus + NACP, P=0.4386,0.6182, and 0.2080, with 24, 72, and 168 hr, respectively. Conclusions. NACP incorporation with epoxy resin sealer AH PLUS had a higher antimicrobial activity with lower cytotoxic effect indicating their potential therapeutic values.http://dx.doi.org/10.1155/2023/8717655
spellingShingle Bilal H. Ibrahim
Hussain Al-Huwaizi
Evaluation of Antimicrobial Activity and Cytotoxicity of an Epoxy Resin-Based Endodontic Sealer Containing Nanoparticles Amorphous Calcium Phosphate
International Journal of Dentistry
title Evaluation of Antimicrobial Activity and Cytotoxicity of an Epoxy Resin-Based Endodontic Sealer Containing Nanoparticles Amorphous Calcium Phosphate
title_full Evaluation of Antimicrobial Activity and Cytotoxicity of an Epoxy Resin-Based Endodontic Sealer Containing Nanoparticles Amorphous Calcium Phosphate
title_fullStr Evaluation of Antimicrobial Activity and Cytotoxicity of an Epoxy Resin-Based Endodontic Sealer Containing Nanoparticles Amorphous Calcium Phosphate
title_full_unstemmed Evaluation of Antimicrobial Activity and Cytotoxicity of an Epoxy Resin-Based Endodontic Sealer Containing Nanoparticles Amorphous Calcium Phosphate
title_short Evaluation of Antimicrobial Activity and Cytotoxicity of an Epoxy Resin-Based Endodontic Sealer Containing Nanoparticles Amorphous Calcium Phosphate
title_sort evaluation of antimicrobial activity and cytotoxicity of an epoxy resin based endodontic sealer containing nanoparticles amorphous calcium phosphate
url http://dx.doi.org/10.1155/2023/8717655
work_keys_str_mv AT bilalhibrahim evaluationofantimicrobialactivityandcytotoxicityofanepoxyresinbasedendodonticsealercontainingnanoparticlesamorphouscalciumphosphate
AT hussainalhuwaizi evaluationofantimicrobialactivityandcytotoxicityofanepoxyresinbasedendodonticsealercontainingnanoparticlesamorphouscalciumphosphate