Volume 8, Issue 3 (8-2023)                   J Res Dent Maxillofac Sci 2023, 8(3): 179-186 | Back to browse issues page

Ethics code: IR.IAU.DENTAL.REC.1398.052


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Amini S, Fazlyab M, Moshari A A, Soltani N. Comparative Effects of Calcium Hydroxide in Combination with Ciprofloxacin or Betamethasone Against Enterococcus Faecalis Biofilm. J Res Dent Maxillofac Sci 2023; 8 (3) :179-186
URL: http://jrdms.dentaliau.ac.ir/article-1-475-en.html
1- Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
2- Department of Endodontics, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
3- Department of Endodontics, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran , soltaninika@yahoo.com
Abstract:   (631 Views)
Background and Aim: This study aimed to assess the effect of calcium hydroxide (CH) in combination with betamethasone or ciprofloxacin on Enterococcus faecalis (E. faecalis) biofilm.  
Materials and Methods: This ex vivo experimental study was conducted on 95 single-rooted human teeth. The root canals were prepared and inoculated with E. faecalis. The samples were incubated for 8 weeks, and biofilm formation was confirmed by observation of 2 samples under a scanning electron microscope (SEM) and culture in 3 samples. The remaining samples were divided into three groups (n=30): CH + betamethasone eye drop, CH + ciprofloxacin eye drop, and CH + saline. Microbial analysis was performed at 1, 7 and 10 days. The colony count was measured. Comparisons were made by two-way ANOVA and a post-hoc test using SPSS.
Results: On day 1, the highest colony count was observed in CH + saline group. The difference in colony count between CH + ciprofloxacin and CH + betamethasone, and the difference between CH + betamethasone and CH + saline were not significant at days 7 and 10. CH + ciprofloxacin showed significantly lower colony count than CH + saline at 1 (P=0.001), 7 (P=0.004) and 10 (P=0.002) days.
Conclusion: The result of this study showed that betamethasone and ciprofloxacin were appropriate carriers for CH and resulted in suitable antibacterial effects against E. faecalis.
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Type of Study: Original article | Subject: Endodontics

References
1. McGurkin-Smith R, Trope M, Caplan D, Sigurdsson A. Reduction of intracanal bacteria using GT rotary instrumentation, 5.25% NaOCl, EDTA, and Ca(OH)2. J Endod. 2005 May;31(5):359-63. [DOI:10.1097/01.don.0000145035.85272.7c] [PMID]
2. Peters LB, van Winkelhoff AJ, Buijs JF, Wesselink PR. Effects of instrumentation, irrigation and dressing with calcium hydroxide on infection in pulpless teeth with periapical bone lesions. Int Endod J. 2002 Jan;35(1):13-21. [DOI:10.1046/j.0143-2885.2001.00447.x] [PMID]
3. Ahangari Z, Mojtahed Bidabadi M, Asnaashari M, Rahmati A, Tabatabaei FS. Comparison of the Antimicrobial Efficacy of Cal-cium Hydroxide and Photodynamic Therapy Against Entero-coccus faecalis and Candida albicans in Teeth With Periapical Lesions; An In Vivo Study. J Lasers Med Sci. 2017 Spring;8(2):72-78. [DOI:10.15171/jlms.2017.13] [PMID] [PMCID]
4. Safavi K, Nakayama TA. Influence of mixing vehicle on dissoci-ation of calcium hydroxide in solution. J Endod. 2000 Nov;26(11):649-51. [DOI:10.1097/00004770-200011000-00004] [PMID]
5. de Freitas RP, Greatti VR, Alcalde MP, Cavenago BC, Vivan RR, Duarte MA, Weckwerth AC, Weckwerth PH. Effect of the Associ-ation of Nonsteroidal Anti-inflammatory and Antibiotic Drugs on Antibiofilm Activity and pH of Calcium Hy-droxide Pastes. J Endod. 2017 Jan;43(1):131-4. [DOI:10.1016/j.joen.2016.09.014] [PMID]
6. Siqueira JF Jr, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J. 1999 Sep;32(5):361-9. [DOI:10.1046/j.1365-2591.1999.00275.x] [PMID]
7. Kontakiotis E, Nakou M, Georgopoulou M. In vitro study of the indirect action of calcium hydroxide on the anaerobic flora of the root canal. Int Endod J. 1995 Nov;28(6):285-9. [DOI:10.1111/j.1365-2591.1995.tb00317.x] [PMID]
8. Tanomaru JM, Leonardo MR, Tanomaru Filho M, Bonetti Filho I, Silva LA. Effect of different irrigation solutions and calcium hydroxide on bacterial LPS. Int Endod J. 2003 Nov; 36(11):733-9. [DOI:10.1046/j.1365-2591.2003.00717.x] [PMID]
9. Sathorn C, Parashos P, Messer H. Antibacterial efficacy of cal-cium hydroxide intracanal dressing: a systematic review and meta-analysis. Int Endod J. 2007 Jan;40(1):2-10. [DOI:10.1111/j.1365-2591.2006.01197.x] [PMID]
10. Orstavik D. Root canal disinfection: a review of concepts and recent developments. Aust Endod J. 2003 Aug;29(2):70-4. [DOI:10.1111/j.1747-4477.2003.tb00515.x] [PMID]
11. Javidi M, Afkhami F, Zarei M, Ghazvini K, Rajabi O. Efficacy of a combined nanoparticulate/calcium hydroxide root canal medication on elimination of Enterococcus faecalis. Aust Endod J. 2014 Aug;40(2):61-5. [DOI:10.1111/aej.12028] [PMID]
12. van der Waal SV, Connert T, Crielaard W, de Soet JJ. In mixed biofilms Enterococcus faecalis benefits from a calcium hydrox-ide challenge and culturing. Int Endod J. 2016 Sep; 49 (9):865-73. [DOI:10.1111/iej.12542] [PMID]
13. Mehta S, Verma P, Tikku AP, Chandra A, Bains R, Banerjee G. Comparative evaluation of antimicrobial efficacy of triple anti-biotic paste, calcium hydroxide, and a proton pump inhibitor against resistant root canal pathogens. Eur J Dent. 2017 Jan-Mar;11(1):53-7. [DOI:10.4103/ejd.ejd_159_16] [PMID] [PMCID]
14. Nosrat A, Seifi A, Asgary S. Regenerative endodontic treat-ment (revascularization) for necrotic immature permanent molars: a review and report of two cases with a new biomaterial. J Endod. 2011 Apr;37(4):562-7. [DOI:10.1016/j.joen.2011.01.011] [PMID]
15. Sisto F, Bonomi A, Cavicchini L, Coccè V, Scaltrito MM, Bondiolotti G, Alessandri G, Parati E, Pes-sina A. Human mesenchymal stromal cells can uptake and release ciprofloxacin, acquiring in vitro anti-bacterial activity. Cytotherapy. 2014 Feb;16(2):181-90. [DOI:10.1016/j.jcyt.2013.11.009] [PMID]
16. Davoudi A, Razavi SA, Mosaddeghmehrjardi MH, Tabrizizadeh M. The Effect of Fragaria vesca Extract on Smear Layer Removal: A Scanning Electron Microscopic Evaluation. Iran Endod J. 2015 Summer;10(3):204-7.
17. Tabrizizadeh M, Rasti M, Ayatollahi F, Mossadegh MH, Zandi H, Dehghan F, Mousavi Z. Antimicrobial Activity of Calcium Hy-droxide and Betamethasone on Enterococcus faecalis; An in vitro Assessment. Iran Endod J. 2015 Summer;10(3):184-7.
18. SENA IADA, ARAÚJO IJDS, SANTOS MMD, LIMA IPC. Antibacterial effectiveness in vitro of different formulations of calcium hydroxide paste. RGO-Revista Gaúcha de Odontologia. 2017;65(4):293-8. [DOI:10.1590/1981-863720170002000013127]
19. Schneider SW. A comparison of canal preparations instraight and curved root canals. Oral Surg Oral Med Oral Pathol. 1971;32:271-5. [DOI:10.1016/0030-4220(71)90230-1] [PMID]
20. Mohammadi Z, Dummer PM. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J. 2011 Aug;44(8):697-730. [DOI:10.1111/j.1365-2591.2011.01886.x] [PMID]
21. Sabrah AH, Yassen GH, Gregory RL. Effectiveness of antibiotic medicaments against biofilm formation of Enterococcus faecalis and Porphyromonas gingivalis. J Endod. 2013;39(11):1385-9. [DOI:10.1016/j.joen.2013.05.003] [PMID]
22. Adl A, Shojaee NS, Motamedifar M. A Comparison between the Antimicrobial Effects of Triple Antibiotic Paste and Calcium Hydroxide Against Entrococcus Faecalis. Iran Endod J. 2012 Summer;7(3):149-55.
23. Karataş E, Baltacı MÖ, Uluköylü E, Adıgüzel A. Antibacterial effectiveness of calcium hydroxide alone or in combination with Ibuprofen and Ciprofloxacin in teeth with asymptomatic apical periodontitis: a randomized controlled clinical study. Int Endod J. 2020 Jun;53(6):742-53. [DOI:10.1111/iej.13277] [PMID]
24. Diwan A, Bhagavaldas MC, Bagga V, Shetty A. Multidisciplinary Approach in Management of a Large Cystic Lesion in Anterior Maxilla - A Case Report. J Clin Diagn Res. 2015 May;9(5):ZD41-3. [DOI:10.7860/JCDR/2015/13540.5992] [PMID] [PMCID]
25. McGee EU, Samuel E, Boronea B, Dillard N, Milby MN, Lewis SJ. Quinolone Allergy. Pharmacy (Basel). 2019 Jul 19; 7(3):97. [DOI:10.3390/pharmacy7030097] [PMID] [PMCID]
26. Somasundaram S, Manivannan K. An Overview of Fluoroquinolones. ARRB [Internet]. 10May2013 ;3(3):296-313.
27. Kim YB, Seo KW, Shim JB, Son SH, Noh EB, Lee YJ. Molecular characterization of antimicrobial-resistant Enterococcus faecalis and Enterococcus faecium isolated from layer parent stock. Poult Sci. 2019 Nov 1;98(11):5892-9. [DOI:10.3382/ps/pez288] [PMID]
28. Sun Y, Lu H, Zhang X, Wu Q, Bi W, Liu H, Cao J, Zhou T. Pheno-type and genotype alteration during adaptive evolution of Enterococcus faecalis to antimicrobials. Infect Genet Evol. 2018 Aug;62:80-5. [DOI:10.1016/j.meegid.2018.03.029] [PMID]
29. Mohammadi Z. Systemic and local applications of steroids in endodontics: an update review. Int Dent J. 2009 Oct; 59(5):297-304.
30. Artini M, Papa R, Cellini A, Tilotta M, Barbato G, Koverech A, Selan L. Effect of betamethasone in combination with antibiotics on gram positive and gram negative bacteria. Int J Immunopathol Pharmacol. 2014 Oct-Dec;27(4):675-82. [DOI:10.1177/039463201402700426] [PMID]
31. Abbott PV. Prevention and management of external inflammatory resorption following trauma to teeth. Aust Dent J. 2016 Mar;61 Suppl 1:82-94. [DOI:10.1111/adj.12400] [PMID]

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