Intratubular disinfection with tri-antibiotic and calcium hydroxide pastes

Acta Odontol Scand. 2017 Mar;75(2):87-93. doi: 10.1080/00016357.2016.1256427. Epub 2016 Nov 21.

Abstract

Objective: The aim of this study was to compare the in vitro intradentinal antimicrobial ability of the calcium hydroxide and tri-antibiotic pastes.

Materials and methods: Standard bovine dentin tubes were sterilized and then infected with Enterococcus faecalis by a new contamination protocol of great depths of dentin. The specimens were filled with the medications, divided into two test-groups: calcium hydroxide (Group 1) and tri-antibiotic (Group 2) pastes. After 15 days, the teeth were evaluated by microbiological culture and confocal laser scanning microscopy (CLSM) with viability dye assay LIVE/DEAD inside dentinal tubules. In experiment of culture, the bacterial collection of the dentin fragments was done for counting the colony-forming units.

Results: The tri-antibiotic paste had a slightly greater antimicrobial effect; however, there was no statistical difference between the groups.

Conclusions: It was concluded that the tri-antibiotic paste and the calcium hydroxide paste exercise the same effect on intra-tubular decontamination against E. faecalis. So, due the multiples advantages, the calcium hydroxide paste can be the choice for dentinal decontamination in regenerative procedures.

Keywords: Antibiotic; Enterococcus faecalis; calcium hydroxide; microscopy.

MeSH terms

  • Animals
  • Anti-Infective Agents / pharmacology*
  • Calcium Hydroxide / pharmacology*
  • Cattle
  • Dentin / microbiology
  • Disinfection / methods*
  • Enterococcus faecalis / drug effects*
  • Microbial Viability / drug effects
  • Ointments / administration & dosage
  • Root Canal Irrigants / pharmacology
  • Subcutaneous Tissue / drug effects*

Substances

  • Anti-Infective Agents
  • Ointments
  • Root Canal Irrigants
  • Calcium Hydroxide