Volume 24, Issue 3 (August & September 2021)                   J Arak Uni Med Sci 2021, 24(3): 424-437 | Back to browse issues page


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Khodadadnejad F, Akbari M, Abdolalian F, Daneshvar M, Ahmadi B, Zahraei Z. 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. J Arak Uni Med Sci 2021; 24 (3) :424-437
URL: http://jams.arakmu.ac.ir/article-1-6475-en.html
1- Department of Endodontic, School of Dentistry, Arak University of Medical Sciences, Arak, Iran.
2- Department of Microbiology and Immunology, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
3- Department of Periodontic, School of Dentistry, Arak University of Medical Sciences, Arak, Iran.
4- Department of Pedodontic, School of Dentistry, Arak University of Medical Sciences, Arak, Iran.
5- Department of Prosthodontic, School of Dentistry, Arak University of Medical Sciences, Arak, Iran.
6- Department of Dentistry, School of Dentistry, Arak University of Medical Sciences, Arak, Iran. , dr.zahrazahraei@yahoo.com
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1. Introduction
he success of endodontic treatment depends on the complete elimination of pathogenic bacteria inside the root canal [2]. Washing is a required endodontic method for removing microorganisms from the root canal system [6]. Recently, the use of natural products as root canal disinfectants has been extensively studied due to their efficiency, safety, availability [9], and the inability of microorganisms to develop resistance to the materials [10]. The Thyme inhibits the growth of bacteria in the oral cavity. It can prevent dental infections due to compounds such as flavonoids, saponins, and bitter substances [1213]. The outstanding Myrtus had acceptable antimicrobial properties due to its polyphenolic compounds and essential oils against endodontic pathogens, especially Enterococcus faecalis [19]. Limited studies have been done on Myrtus microemulsion or Thyme microemulsion as a root canal rinse, and no comparison between them.
2. Materials and Methods
In this laboratory study, 25 extracted root canals in human anterior teeth, randomly divided into 5 groups (in equal numbers), were used. Next, they were rinsed with sodium hypochlorite (NaOCI) 2.5%, Myrtus 10% microemulsion, Thyme 0.6%microemulsion, with positive group control (impregnation with E. faecalis suspension and rinsing with normal saline) and negative control group (non-impregnation with E faecalis suspension and rinsing with normal saline). The teeth were then filled with gutta-percha and incubated at 37°C for 90 days. Then sampling was performed, and samples were examined for colony count. Finally, the comparison of bacterial colony count in the groups due to abnormal data distribution was performed using the Kruskal-Wallis test.
3. Results 
The results showed that the highest positive culture belonged to the Thyme 0.6% microemulsion group; the lowest belonged to the Sodium hypochlorite (NaOCI) 2.5% group.
The antimicrobial effect of Thyme 0.6% cleanser on E. faecalis was 20%, and 80% did not affect the growth of this bacterium. The antimicrobial effect of Myrtus 10% cleanser on E. faecalis was 88%, and 12% did not affect the growth of this bacterium. The antimicrobial effect of Sodium hypochlorite (NaOCI) 2.5% cleanser on E. faecalis was 93%, and 7% did not affect the growth of this bacterium. The mean number of colonies between groups was not statistically significant.
4. Discussion and Conclusion
A successful root canal treatment consists of three stages of clearing and shaping the canal, disinfecting, and filling its three-dimensional space [33, 34]. Due to the resistance of bacteria to synthetic chemical drugs and the need to produce various plant antimicrobials in this study, the antimicrobial effect of Thyme 0.6% microemulsion, Myrtus 10% microemulsion, and NaOCI 2.5% against E. faecalis after filling the root canal was examined. The present study results showed that the highest mean colony was in the Thyme microemulsion group, and the lowest was in the NaOCI group. The mean number of settlements between groups was not statistically significant.
According to the results, it can be said NaOCI 2.5% had the highest antimicrobial properties against E. faecalis and showed the lowest colony growth rate, while Myrtus 10% microemulsion and Thyme 0.6%microemulsion in the second and third ranks.

Ethical Considerations
Compliance with ethical guidelines

The Ethics Committee of Arak University of Medical Sciences approved this study (Code: IR.ARAKMU.REC.2019.297).

Funding
This research did not receive any grant from funding agencies in the public, commercial, or non-profit sectors. 

Authors' contributions
All authors equally contributed to preparing this article.

Conflicts of interest
The authors declared no conflict of interest.

Acknowledgements
The collaborators of Arak University of Medical Sciences in conducting this research are thanked and appreciated.
 


References
  1. Siren E, Haapasalo M, Ranta K, Salmi P, Kerosuo E. Microbiological findings and clinical treatment procedures in endodontic cases selected for microbiological investigation. Int Endod J. 1997; 30(2):91-5. [DOI:10.1111/j.1365-2591.1997.tb00680.x] [PMID]
  2. Plotino G, Cortese T, Grande NM, Leonardi DP, Di Giorgio G, Testarelli L, et al. New technologies to improve root canal disinfection. Braz Dent J. 2016; 27(1):3-8. [DOI:10.1590/0103-6440201600726] [PMID]
  3. Kayaoglu G, Ørstavik D. Virulence factors of Enterococcus faecalis: relationship to endodontic disease. Crit Rev Oral Biol Med. 2004; 15(5):308-20. [DOI:10.1177/154411130401500506] [PMID]
  4. Stuart CH, Schwartz SA, Beeson TJ, Owatz CB. Enterococcus faecalis: Its role in root canal treatment failure and current concepts in retreatment. J Endod. 2006; 32(2):93-8. [DOI:10.1016/j.joen.2005.10.049] [PMID]
  5. Kishen A, Sum C-P, Mathew S, Lim C-T. Influence of irrigation regimens on the adherence of Enterococcus faecalis to root canal dentin. J Endod. 2008; 34(7):850-4. [DOI:10.1016/j.joen.2008.04.006] [PMID]
  6. Basrani BR, Manek S, Sodhi RN, Fillery E, Manzur A. Interaction between sodium hypochlorite and chlorhexidine gluconate. J Endod. 2007; 33(8):966-9. [DOI:10.1016/j.joen.2007.04.001] [PMID]
  7. Zehnder M. Root canal irrigants. J Endod. 2006; 32(5):389-98. [DOI:10.1016/j.joen.2005.09.014] [PMID]
  8. Palombo EA. Traditional medicinal plant extracts and natural products with activity against oral bacteria: Potential application in the prevention and treatment of oral diseases. Evid Based Complement Alternat Med. 2011; 2011:680354. [DOI:10.1093/ecam/nep067] [PMID] [PMCID]
  9. Ambareen Z, Chinappa A. Go green-keep the root canal clean. Int J Dent Sci Res. 2014; 2(6B):21-5. [DOI:10.12691/ijdsr-2-6B-7]
  10. Meeker HG, Linke HA. The antibacterial action of eugenol, thyme oil, and related essential oils used in dentistry. Compendium. 1988; 9(1): 32, 34-35, 38 passim. [PMID]
  11. Shapiro S, Guggenheim B. The action of thymol on oral bacteria. Oral Microbiol Immunol. 1995; 10(4):241-6. [DOI:10.1111/j.1399-302X.1995.tb00149.x] [PMID]
  12. Yu D, Pearson SK, Bowen WH, Luo D, Kohut BE, Harper DS. Caries inhibition efficacy of an antiplaque/antigingivitis dentifrice. Am J Dent. 2000; 13(Spec No):14C-7. [PMID]
  13. Burt S. Essential oils: Their antibacterial properties and potential applications in foods-a review. Int J Food Microbiol. 2004; 94(3):223-53. [DOI:10.1016/j.ijfoodmicro.2004.03.022] [PMID]
  14. Bagamboula C, Uyttendaele M, Debevere J. Inhibitory effect of thyme and basil essential oils, carvacrol, thymol, estragol, linalool and p-cymene towards Shigella sonnei and S. flexneri. Food Microbiol. 2004; 21(1):33-42. [DOI:10.1016/S0740-0020(03)00046-7]
  15. Didry N, Dubreuil L, Pinkas M. Activity of thymol, carvacrol, cinnamaldehyde and eugenol on oral bacteria. Pharm Acta Helv. 1994; 69(1):25-8. [DOI:10.1016/0031-6865(94)90027-2]
  16. Ultee A, Kets EP, Smid EJ. Mechanisms of action of carvacrol on the food-borne pathogen Bacillus cereus. Appl Environ Microbiol. 1999; 65(10):4606-10. [DOI:10.1128/AEM.65.10.4606-4610.1999] [PMID] [PMCID]
  17. Yassini Ardakani SA. [Antimicrobial and antioxidant effects of Polypropylene films containing Myrtle and Rosemary extract on mayonnaise packaging (Persian)]. Food Sci Technol. 2020; 16(97):113-26. [DOI:10.29252/fsct.16.97.113]
  18. Nourzadeh M, Amini A, Fakoor F, Raoof M, Sharififar F. Comparative antimicrobial efficacy of Eucalyptus galbie and Myrtus communis L. extracts, chlorhexidine and sodium hypochlorite against Enterococcus faecalis. Iran Endod J. 2017; 12(2):205-10. [DOI: 10.22037/iej.2017.40]
  19. Siqueira Jr J, Machado A, Silveira R, Lopes H, De Uzeda M. Evaluation of the effectiveness of sodium hypochlorite used with three irrigation methods in the elimination of Enterococcus faecalis from the root canal, in vitro. Int Endod J. 1997; 30(4):279-82. [DOI:10.1046/j.1365-2591.1997.00096.x]] [PMID]
  20. Mohammadi Z, Shalavi S, Giardino L, Palazzi F, Asgary S. Impact of ultrasonic activation on the effectiveness of sodium hypochlorite: A review. Iran Endod J. 2015; 10(4):216-20. [DOI: 10.7508/iej.2015.04.001]
  21. Sabala CL, Powell SE. Sodium hypochlorite injection into periapical tissues. J Endod. 1989; 15(10):490-2. [DOI:10.1016/S0099-2399(89)80031-7]
  22. Becking AG. Complications in the use of sodium hypochlorite during endodontic treatment: Report of three cases. Oral Surg Oral Med Oral Pathol. 1991; 71(3):346-8. [DOI:10.1016/0030-4220(91)90313-2]
  23. Sim T, Knowles J, Ng YL, Shelton J, Gulabivala K. Effect of sodium hypochlorite on mechanical properties of dentine and tooth surface strain. Int Endod J. 2001; 34(2):120-32. [DOI:10.1046/j.1365-2591.2001.00357.x] [PMID]
  24. Kleier DJ, Averbach RE, Mehdipour O. The sodium hypochlorite accident: experience of diplomates of the American Board of Endodontics. J Endod. 2008; 34(11):1346-50. [DOI:10.1016/j.joen.2008.07.021] [PMID]
  25. Frough-Reyhani M, Ghasemi N, Soroush-Barhaghi M, Amini M, Gholizadeh Y. Antimicrobial efficacy of different concentration of sodium hypochlorite on the biofilm of Enterococcus faecalis at different stages of development. J Clin Exp Dent. 2016; 8(5):e480-4. [DOI:10.4317/jced.53158] [PMID] [PMCID]
  26. Pourhajibagher M, Chiniforush N, Shahabi S, Palizvani M, Bahador A. Antibacterial and antibiofilm efficacy of antimicrobial photodynamic therapy against intracanal Enterococcus faecalis: An in vitro comparative study with traditional endodontic irrigation solutions. J Dent (Tehran). 2018; 15(4):197-204. [PMCID]
  27. Mohamed E, Fathieh S, Farzaneh T, Homeira B. Effect of different irrigation solutions on the apical sealing ability of different single-cone obturation systems: An in vitro study. J Contemp Dent Pract. 2019; 20(2):158-65. [DOI:10.5005/jp-journals-10024-2491] [PMID]
  28. Mokhtari F, Abadi AHM, Jahromi AG, Anvar E, Hengame Z, Mehdi TZ, et al. [Comparison of antimicrobial activity of sodium hypochlorite 2.5%, iodide potassium iodide 2%, and chlorhexidine 2% on the enterococcus faecalis after root canal filling (Persian)]. J Dent Med. 2015; 28(3):200-6. https://jdm.tums.ac.ir/browse.php?a_id=5406&sid=1&slc_lang=en
  29. Janani M, Jafari F, Samiei M, Lotfipour F, Nakhlband A, Ghasemi N, et al. Evaluation of antibacterial efficacy of photodynamic therapy vs. 2.5% NaOCl against E. faecalis-infected root canals using real-time PCR technique. J Clin Exp Dent. 2017; 9(4):e539-44. [DOI:10.4317/jced.53526] [PMID] [PMCID]
  30. Gambin DJ, Leal LO, Farina AP, Souza MA, Cecchin D. Antimicrobial activity of glycolic acid as a final irrigant solution for root canal preparation. Gen Dent. 2020; 68(1):41-4. [PMID]
  31. Eneide C, Castagnola R, Martini C, Grande NM, Bugli F, Patini R, et al. Antibiofilm activity of three different irrigation techniques: An in vitro study. Antibiotics (Basel). 2019; 8(3):112. [DOI:10.3390/antibiotics8030112] [PMID] [PMCID]
  32. Saunders WP, Saunders EM. Comparison of three instruments in the preparation of the curved root canal using the modified double-flared technique. J Endod. 1994; 20(9):440-4. [DOI:10.1016/S0099-2399(06)80034-8]
  33. Tanomaru-Filho M, Bier CAS, Tanomaru JMG, Barros DB. Evaluation of the thermoplasticity of different gutta-percha cones and the TC system. J Appl Oral Sci. 2007; 15(2):131-4. [DOI:10.1590/S1678-77572007000200011] [PMID] [PMCID]
  34. Bouillaguet S, Shaw L, Barthelemy J, Krejci I, Wataha J. Long-term sealing ability of pulp canal sealer, AH-Plus, GuttaFlow and epiphany. Int Endod J. 2008; 41(3):219-26. [DOI:10.1111/j.1365-2591.2007.01343.x] [PMID]
  35. Frough Reyhani M, Rahimi S, Fathi Z, Shakouie S, Salem Milani A, Soroush Barhaghi MH, et al. Evaluation of Antimicrobial Effects of Different Concentrations of Triple Antibiotic Paste on Mature Biofilm of Enterococcus faecalis. J Dent Res Dent Clin Dent Prospects. 2015; 9(3):138-43. [DOI:10.15171/joddd.2015.027] [PMID] [PMCID]
  36. YaghootiKhorasani M, Assar S, RezaHoseini O. [Comparison of antimicrobial effects of persica® and chlorhexidine with sodium hypochlorite on enterococcus fecalis and Candida Albicans: an in vitro study (Persian)]. J Mashhad Dent School. 2010; 34(2):153-60. https://jmds.mums.ac.ir/?_action=articleInfo&article=1200&lang=en
  37. Burnie D. Wild flowers of the mediterranean. London: Dorling Kindersley; 1995. https://vpl.bibliocommons.com/v2/record/S38C576412
  38. Gomes B, Ferraz C, ME V, Berber V, Teixeira F, Souza-Filho F. In vitro antimicrobial activity of several concentrations of sodium hypochlorite and chlorhexidine gluconate in the elimination of Enterococcus faecalis. Int Endod J. 2001; 34(6):424-8. [DOI:10.1046/j.1365-2591.2001.00410.x] [PMID]
  39. YaghootiKhorasani M, Assar S, RezaHoseini O. [Comparison of antimicrobial effects of persica® and chlorhexidine with sodium hypochlorite on enterococcus fecalis and Candida Albicans: An in vitro study (Persian)]. J Mashhad Dent Sch. 2010; 34(2):153-60. [DOI:10.22038/JMDS.2010.1200]
  40. Mehmandoust P, Farhadmollashahi N, Ghasemi A. Antibacterial efficacy of lavandula officinalis extract, sodium hypochlorite and chlorhexidine gluconate solutions as root canal irrigations: A comparative analysis. Caspian J Dent Res. 2016; 5(1):14-20. [DOI:10.22088/cjdr.5.1.14]
  41. Ghahremani Y, Abbaszadegan SA, Gholami A, Nabavizadeh M. [Comparison of antimicrobial effect of Barijeh and case plant extracts with sodium hypochlorite and chlorhexidine solution against root-resistant microorganisms (Persian)]. 16th International Conference of the Iranian Endodontists Association, 2014 August 13, 14, Esfahan, Iran. https://www.sid.ir/fa/seminar/ViewPaper.aspx?ID=43058
  42. Abbaszadegan A, Khayat A, Motamedifar M. Comparison of antimicrobial efficacy of IKI and NaOCl irrigants in infected root canals: An in vivo study. Iran Endod J. 2010; 5(3):101-6. [PMCID]
  43. Sahebi S, Khosravifar N, SedighShamsi M, Motamedifar M. Comparison of the antibacterial effect of sodium hypochlorite and aloe vera solutions as root canal irrigants in human extracted teeth contaminated with enterococcus faecalis. J Dent (Shiraz). 2014; 15(1):39-43. [PMCID]
  44. Thosar NR, Chandak M, Bhat M, Basak S. Evaluation of antimicrobial activity of two endodontic sealers: Zinc oxide with thyme oil and zinc oxide eugenol against root canal microorganisms-An in vitro study. Int J Clin Pediatr Dent. 2018; 11(2):79. [DOI:10.5005/jp-journals-10005-1489] [PMID] [PMCID]
 
Type of Study: Original Atricle | Subject: Oral and Maxillofacial Medicine
Received: 2020/10/31 | Accepted: 2021/05/15

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