Residual antibacterial activity of chlorhexidine digluconate and camphorated p-monochlorophenol in calcium hydroxide-based root canal dressings

Braz Dent J. 2007;18(1):8-15. doi: 10.1590/s0103-64402007000100003.

Abstract

The purpose of this study was to evaluate the residual antibacterial activity of several calcium hydroxide [Ca(OH)2]-based pastes, placed in root canals of dogs' teeth with induced chronic periapical lesions. Root canals were instrumented with the ProFile rotary system and filled with 4 pastes: G1 (n=16): Ca(OH)2 paste + anesthetic solution; G2 (n=20): Calen paste + camphorated p-monochlorophenol (CMCP); G3 (n=18): Calen; and G4 (n=18): Ca(OH)2 paste + 2% chlorhexidine digluconate. After 21 days, the pastes were removed with size 60 K-files and placed on Petri plates with agar inoculated with Micrococcus luteus ATCC 9341. Pastes that were not placed into root canals served as control. After pre-diffusion, incubation and optimization, the inhibition zones of bacterial growth were measured and analyzed by Mann-Whitney U test at 5% significance level. All pastes showed residual antibacterial activity. The control samples had larger halos (p<0.05). The mean residual antibacterial activity halos in G1, G2, G3 and G4 were 7.6; 10.4; 17.7 and 21.4 mm, respectively. The zones of bacterial growth of G4 were significantly larger than those of G1 and G2 (p<0.05). In conclusion, regardless of the vehicle and antiseptic, all Ca(OH)2-based pastes showed different degrees of measurable residual antibacterial activity. Furthermore, unlike CMCP, chlorhexidine increased significantly the antibacterial activity of Ca(OH)2.

MeSH terms

  • Animals
  • Anti-Bacterial Agents / pharmacology*
  • Calcium Hydroxide / chemistry
  • Calcium Hydroxide / pharmacology
  • Camphor / pharmacology*
  • Chlorhexidine / analogs & derivatives*
  • Chlorhexidine / pharmacology
  • Chlorophenols / pharmacology*
  • Dogs
  • Drug Combinations
  • Periapical Diseases / drug therapy
  • Root Canal Filling Materials / chemistry
  • Root Canal Filling Materials / pharmacology
  • Root Canal Therapy / methods

Substances

  • Anti-Bacterial Agents
  • Chlorophenols
  • Drug Combinations
  • Root Canal Filling Materials
  • Camphor
  • camphorated parachlorophenol
  • chlorhexidine gluconate
  • Calcium Hydroxide
  • Chlorhexidine