scholarly journals The Influence of Enterococcus faecalis as a Dental Root Canal Pathogen on Endodontic Treatment: A Systematic Review

Cureus ◽  
2020 ◽  
Author(s):  
Faisal Alghamdi ◽  
Marwa Shakir
Keyword(s):  
Systematic Review ◽  
Enterococcus Faecalis ◽  
Root Canal ◽  
Endodontic Treatment

The Evaluation of Anti-Microbial-Effect to Enterococcus Faecalis by Hypochlorous Acid Water

2021 ◽  
pp. 1-6
Author(s):  
Yoshishige Yamada
Keyword(s):  
Enterococcus Faecalis ◽  
Root Canal ◽  
Colony Formation ◽  
Hypochlorous Acid ◽  
Antimicrobial Effect ◽  
Endodontic Treatment ◽  
High Concentration ◽  
Canal Irrigation ◽  
Root Canal Irrigation ◽  
Root Canal Irrigant

Periapical periodontitis is a major disease, and difficult to achieve successful treatment in some cases. Therefore, root canal irrigation is one of the most important processes to successful endodontic treatment. Sodium Hypochlorite (NaOCl) solution is the most commonly used root canal irrigate. However using NaOCl solution on endodontic treatment should be considered its problems such as allergy, serious tissue damage when inadvertently injected into the maxillary sinus or oral mucosa. Therefore, another root canal irrigant that is safe and has a high antimicrobial effect is desirable. In this study, Hypochlorous Acid (HClO) water was used to evaluate the microbicidal efficacy of the Enterococcus faecalis (E. faecalis) and considered the possibility to be a future root canal irrigant candidate. Original (200ppm), 10% diluted (20ppm), 25% diluted (50ppm) and 50% diluted (100ppm) HClO water were used in this study. Each experimental solution was mixed with low concentrations (5×107 CFU/ml) or high concentration (5×109 CFU/ml) of E. faecalis at 30 seconds, 1minute, 3 minutes, 5 minutes respectively. Then they were placed onto BHI agar plates and incubated for 48 h at 37 ºC, followed by counting the number of Colony formation. The results showed that in the condition of 5×107 CFU/ml E.faecalis, no colony formation was shown within 30 seconds by 50 % diluted HClO water. Whereas only original water was attained to inhibit colony formation completely within 30 seconds under the density of 5×109 CFU/ml E, faecalis. In conclusion, 200ppm HClO water has a capacity to anti-microbiological effect against E.faecalis same as NaOCl solution. Keywords: root canal irrigant, hypochlorous acid (HClO) water, Enterococcus faecalis (E. faecalis)

scholarly journals Inspection of the Microbiota in Endodontic Lesions

2019 ◽  
Vol 7 (2) ◽  
pp. 47 ◽  
Author(s):  
Mario Dioguardi ◽  
Giovanni Di Gioia ◽  
Gaetano Illuzzi ◽  
Claudia Arena ◽  
Vito Carlo Alberto Caponio ◽  
...  
Keyword(s):  
Enterococcus Faecalis ◽  
Root Canal ◽  
Scientific Literature ◽  
Bacterial Species ◽  
Primary Objective ◽  
Endodontic Treatment ◽  
Canal System ◽  
Resistant Species ◽  
Carious Lesions ◽  
Root Canal System

The primary objective of endodontic therapy is to create a biologically acceptable environment within the root canal system that allows for the healing and maintenance of the health of the peri-radicular tissue. Bacteria are one of the main causes of pulp problems, and they have different methods of penetrating and invading the endodontic space such as through carious lesions, traumatic pulp exposures, and fractures. The types of bacteria found range from facultative anaerobes to aerobes, up to the most resistant species able to survive in nutrient-free environments; the bacterial species Enterococcus faecalis belongs to this last group. Enterococcus faecalis is considered one of the main causes of recurring apical periodontal lesions following endodontic treatment, with persistent lesions occurring even after re-treatment. The review presented in this paper was performed in accordance with the PRISMA protocol and covers articles from the related scientific literature that were sourced from PubMed, Scopus, and Google Scholar using the following terms as keywords: “endodontic treatment”, “endodontic bacteria”, “microbial endodontic”, and “endodontic failure”. Only the articles considered most relevant for the purposes of this paper were read in full and taken into consideration for the following review. The results show that Enterococcus faecalis, Actinomycetes, and Propionibacterium propionicum are the species most frequently involved in persistent radicular and extra-radicular infections.

scholarly journals Cleaning Efficacy of the XP-Endo® Finisher Instrument Compared to Other Irrigation Activation Procedures: A Systematic Review

2019 ◽  
Vol 9 (23) ◽  
pp. 5001
Author(s):  
Lauritano ◽  
Moreo ◽  
Carinci ◽  
Della Vella ◽  
Di Spirito ◽  
...  
Keyword(s):  
Systematic Review ◽  
Root Canal ◽  
Complete Removal ◽  
Endodontic Treatment ◽  
Filling Material ◽  
Debris Removal ◽  
Activation Procedure ◽  
Ultrasonic Irrigation ◽  
Maximum Root ◽  
Cleaning Efficacy

Background. One of the most important aims of an endodontic treatment is to obtain the complete removal or reduction of root canal remaining filling material: Smear layer, bacteria, intra-canal medicaments. To meet this requirement, several irrigation activation techniques have been proposed. Our systematic review examined studies which analyzed the XP-endo Finisher (XPF) instrument efficacy in removing root canal debris during initial endodontic treatment or retreatment, comparing it with the efficacy of other irrigation activation protocols, such as passive ultrasonic irrigation (PUI), laser activation procedure (Er:YAG), and Self-Adjusting File system (SAF). Methods. A systematic review was conducted using PubMed, Chocrane Library, and Scopus databases, identifying 51 items. Thirty-four articles were excluded based on title, abstract, full text, and language. Seventeen randomized controlled trials were selected and consequently submitted to quality assessment and data collection. Results. Conventional needle irrigation (CNI) is the less effective irrigation technique, but it is still unclear whether XPF is able to guarantee greater debris removal than the PUI technique. Er:YAG laser has been proven to be more effective in apical third than XPF instrument. Conclusions. Further investigations are needed in order to establish which final irrigation activation procedure could reach the maximum root canal debris reduction.

scholarly journals Photodynamic therapy in endodontics: literature review.

2021 ◽  
Vol 3 (3) ◽  
pp. 27-40
Author(s):  
Maria Cleyde Faria Damasceno ◽  
Maria Madalena do Carmo Araújo
Keyword(s):  
Photodynamic Therapy ◽  
Adjuvant Therapy ◽  
Literature Review ◽  
Present Article ◽  
Enterococcus Faecalis ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Review Of The Literature ◽  
Chemical Preparation ◽  
Endodontic Infections

Endodontic therapy seeks to prevent and when necessary to eliminate endodontic infections. The persistence of microorganisms to the mechanical chemical preparation or the intracanal medication is considered the main cause of the failures of the endodontic treatment. In these cases Enterococcus faecalis is the most commonly found microorganism. Photodynamic therapy (PDT) emerges as a promising adjuvant therapy to conventional endodontic treatment to eliminate these persistent microorganisms. This therapy consists in the association of a specific light source with a photosensitizer in the presence of oxygen, producing cytotoxic species to the microorganisms. Thus, the present article aims at a review of the literature on the use of photodynamic therapy in endodontics, a test that is shown to assist in the preparation of the root canal.

Effect of Irrigants and Irrigating Devices on Disinfection of Root Canal System: A Systematic Review

2021 ◽  
pp. 232020682110158
Author(s):  
Shruthi H. Attavar ◽  
Mithra N. Hegde
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Root Canal ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Risk Category ◽  
Canal System ◽  
Effective Delivery ◽  
Root Canal System ◽  
Present Systematic Review

Aim: The effective delivery of irrigants into the inaccessible areas of the root canal system is the prerequisite for a proper disinfection of the root canal system. Numerous activation devices that can provide effective delivery of the irrigant and aid in the success of the root canal treatment are available. The activation of irrigants has claimed to be effective in in vitro and clinical trials. Hence, the present systematic review aims to analyze the effect of irrigants and irrigating devices in disinfecting the root canal system. Materials and Methods: A literature search was undertaken in PubMed, Cochrane, Web of Science, and Scopus databases. The inclusion criteria included clinical trials, both in vivo and ex vivo. The exclusion criteria included animal studies, textbooks, review articles, and case reports. The patients who required endodontic treatment along with the activation of irrigants were chosen as participants for the review. Result: The search strategy screened around 132 articles, out of which only 10 were selected for the present systematic review. The risk of bias was calculated based on the following scores: 3, high; 2, moderate; and 1, low. In the present systematic review, four articles were categorized into low-risk bias, three articles were classified as moderate risk, and three articles belonged to the high-risk category. Conclusion: The present systematic review concluded that the use of a mechanical activation device along with the irrigant will help in better removal of the smear layer and debris from the root canal system, improving the cleanliness and helping achieve more successful endodontic treatment.

scholarly journals Comparison of Antimicrobial Activity of Sodium Hypochlorite (NaOCI) 2.5%, Microemulsion of Myrtus 10%, Microemulsion of Thyme 0.6% on the Enterococcus Faecalis After Root Canal Filling

2021 ◽  
Vol 24 (3) ◽  
pp. 424-437
Author(s):  
Forough Khodadadnejad ◽  
◽  
Majid Akbari ◽  
Fateme Abdolalian ◽  
Mahboube Daneshvar ◽  
...  
Keyword(s):  
Antimicrobial Activity ◽  
Enterococcus Faecalis ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Negative Control Group ◽  
Negative Control ◽  
Endodontic Treatment ◽  
Control Group ◽  
Root Canal Filling ◽  
Anterior Teeth

Background and Aim: The success of endodontic treatment depends on the complete elimination of pathogenic bacteria inside the root canal. Enterococcus faecalis, a gram-positive, pathogenic, and anaerobic cocci, are the primary etiology of root canal infection in treated and untreated teeth and are highly associated with endodontic treatment failure. This study aimed to compare the antimicrobial activity of Sodium hypochlorite 2.5%, microemulsion of Myrtus 10%, and microemulsion of Thyme 0.6% on the E. faecalis after root canal filling. Methods & Materials: In this experimental study, 25 extracted single canal human anterior teeth were collected, and their crowns were cut. Then after washing and cleaning, and filling, the sterilization was done using an autoclave. Then, except 5 teeth (negative control group), the teeth were smeared with E. faecalis and then divided into 5 groups randomly represented the irrigation by Sodium hypochlorite 2.5%, microemulsion of Myrtus 10%, and microemulsion of Thyme 0.6%, with a positive control group and negative control group. The teeth were filled with gutta-percha and then incubated in an incubator for 90 days at a temperature of 37°C. Finally, the comparison of CFU in the groups due to abnormal data distribution was performed using the Kruskal-Wallis test. Ethical Considerations: The Ethics Committee of Arak University of Medical Sciences approved this study (Code: IR.ARAKMU.REC.1398.297). Results: According to the results of this study, the correlation between the groups of cultured teeth was not significant(P>0.05). The specimens washed with microemulsion of the Thyme 0.6% had the highest positive number of cultures; the specimens washed by Sodium hypochlorite 2.5% had the lowest number of cultures. Conclusion: This study showed that no statistically significant difference exists in their antimicrobial activity after root canal therapy after the use of different wash solutions.

In Vitro Antimicrobial Effectiveness of Root Canal Sealers against Enterococcus faecalis: A Systematic Review

2016 ◽  
Vol 42 (11) ◽  
pp. 1588-1597 ◽  
Author(s):  
Emad AlShwaimi ◽  
Dania Bogari ◽  
Reem Ajaj ◽  
Saad Al-Shahrani ◽  
Khalid Almas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Enterococcus Faecalis ◽  
Root Canal ◽  
Root Canal Sealers ◽  
Antimicrobial Effectiveness

scholarly journals Antibacterial effect of sodium hypochlorite gel on Enterococcus faecalis in endodontics: A systematic review

2020 ◽  
Vol 10 (1) ◽  
pp. 22-29
Author(s):  
Salma Fuad Al Nesser ◽  
Nada George Bshara ◽  
Özkan Adıgüzel
Keyword(s):  
Systematic Review ◽  
Enterococcus Faecalis ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Antibacterial Effect ◽  
Risk Of Bias ◽  
Publication Date ◽  
Sodium Hypochlorite Solution ◽  
Root Canal Irrigant

Aim: The aim of this systematic review was to investigate the in vitro antibacterial effect of sodium hypochlorite gel on Enterococcus faecalis during root canal treatment. Methods: An electronic databases (PubMed, ScienceDirect, Google Scholar, CENTRAL, Health Advance) was performed (last updated was 1st April 2019). The reference lists of the included studies were hand-searched. Randomized in vitro studies that compared sodium hypochlorite gel to solution as a root canal irrigant were included. No limitation on publication date. Results: Out of 20741 articles, only two studies with 116 human teeth were included in this review. The studies showed 50% high risk of bias, and 50% medium risk of bias for the included studies. Both sodium hypochlorite gel and solution had some bacterial growth inhibition over E. faecalis. The heterogeneity in methodology of the included studies and the lack of high evidence led to contradictory results. However, sodium hypochlorite solution was better in enhancing the antibacterial effect according to the robust study. Conclusion: There is insufficient reliable evidence about the antibacterial effect of sodium hypochlorite gel on enterococcus faecalis. Although the robust study included in this review revealed that sodium hypochlorite gel is less efficient than the solution as a root canal irrigant, further studies are needed to consider the most effective type, concentration, duration and treatment protocols in enhancing the antibacterial effect of sodium hypochlorite. How to cite this article: Al Nesser S, Bshara N, Adıgüzel Ö. Antibacterial effect of sodium hypochlorite gel on Enterococcus faecalis in endodontics: A systematic review. Int Dent Res 2020;10(1):22-29. https://doi.org/10.5577/intdentres.2020.vol10.no1.3   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Sign in / Sign up

Export Citation Format

Share Document