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Root canal irrigants influence the hydrophobicity and adherence of Staphylococcus epidermidis to root canal dentin: an in vitro study

  • Nagendrababu, Venkateshbabu (Division of Clinical Dentistry, School of Dentistry, International Medical University) ;
  • Sultan, Omer Sheriff (Division of Clinical Dentistry, School of Dentistry, International Medical University) ;
  • Kannathasan, Sreedharan (School of Medicine, International Medical University) ;
  • Patel, Amir Shahreza (School of Medicine, International Medical University) ;
  • Chitra, Ebenezer (Division of Applied Biomedical Science and Biotechnology, School of Health Sciences, International Medical University) ;
  • Neelakantan, Prasanna (Discipline of Endodontology, Faculty of Dentistry, The University of Hong Kong) ;
  • Davamani, Fabian (Division of Applied Biomedical Science and Biotechnology, School of Health Sciences, International Medical University)
  • 투고 : 2017.07.31
  • 심사 : 2017.11.06
  • 발행 : 2018.02.02

초록

Objectives: To determine the effect of root canal irrigants on the hydrophobicity and adherence of Staphylococcus epidermidis (S. epidermidis) to root canal dentin in vitro. Materials and Methods: Root dentin blocks (n = 60) were randomly divided into 4 groups based on the irrigation regimen: group 1, saline; group 2, 5.25% sodium hypochlorite (NaOCl); group 3, 5.25% NaOCl followed by 17% ethylenediaminetetraacetic acid (EDTA); group 4, same as group 3 followed by 2% chlorhexidine (CHX). The hydrophobicity of S. epidermidis to root dentin was calculated by cell surface hydrophobicity while the adherence was observed by fluorescence microscopy, and bacteria were quantified using ImageJ software (National Institutes of Health). Statistical analysis of the data was done using Kruskal-Wallis test and Mann-Whitney U test (p = 0.05). Results: The hydrophobicity and adherence of S. epidermidis to dentin were significantly increased after irrigating with group 3 (NaOCl-EDTA) (p < 0.05), whereas in group 4 (NaOCl-EDTA-CHX) both hydrophobicity and adherence were significantly reduced (p < 0.05). Conclusions: The adherence of S. epidermidis to dentin was influenced differently by root canal irrigants. Final irrigation with CHX reduces the bacterial adherence and may impact biofilm formation.

키워드

참고문헌

  1. Donlan RM, Costerton JW. Bioflms: survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev 2002;15:167-193. https://doi.org/10.1128/CMR.15.2.167-193.2002
  2. Fabricius L, Dahlen G, Sundqvist G, Happonen RP, Moller AJ. Infuence of residual bacteria on periapical tissue healing afer chemomechanical treatment and root flling of experimentally infected monkey teeth. Eur J Oral Sci 2006;114:278-285. https://doi.org/10.1111/j.1600-0722.2006.00380.x
  3. Sjogren U, Figdor D, Persson S, Sundqvist G. Infuence of infection at the time of root flling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J 1997;30:297-306. https://doi.org/10.1111/j.1365-2591.1997.tb00714.x
  4. Ricucci D, Siqueira JF Jr. Bioflms and apical periodontitis: study of prevalence and association with clinical and histopathologic fndings. J Endod 2010;36:1277-1288. https://doi.org/10.1016/j.joen.2010.04.007
  5. Stewart PS, Costerton JW. Antibiotic resistance of bacteria in bioflms. Lancet 2001;358:135-138. https://doi.org/10.1016/S0140-6736(01)05321-1
  6. Bos R, van der Mei HC, Busscher HJ. Physico-chemistry of initial microbial adhesive interactions--its mechanisms and methods for study. FEMS Microbiol Rev 1999;23:179-230. https://doi.org/10.1111/j.1574-6976.1999.tb00396.x
  7. Waar K, van der Mei HC, Harmsen HJ, Degener JE, Busscher HJ. Enterococcus faecalis surface proteins determine its adhesion mechanism to bile drain materials. Microbiology 2002;148:1863-1870. https://doi.org/10.1099/00221287-148-6-1863
  8. Ascencio F, Johansson G, Wadstrom T. Cell-surface charge and cell-surface hydrophobicity of collagen-binding Aeromonas and Vibrio strains. Arch Microbiol 1995;164:223-230. https://doi.org/10.1007/BF02529975
  9. Zhang K, Kim YK, Cadenaro M, Bryan TE, Sidow SJ, Loushine RJ, Ling JQ, Pashley DH, Tay FR. Efects of diferent exposure times and concentrations of sodium hypochlorite/ethylenediaminetetraacetic acid on the structural integrity of mineralized dentin. J Endod 2010;36:105-109.
  10. Wu L, Mu Y, Deng X, Zhang S, Zhou D. Comparison of the efect of four decalcifying agents combined with $60^{\circ}C$ 3% sodium hypochlorite on smear layer removal. J Endod 2012;38:381-384. https://doi.org/10.1016/j.joen.2011.11.013
  11. Siqueira JF Jr, Paiva SS, Rocas IN. Reduction in the cultivable bacterial populations in infected root canals by a chlorhexidine-based antimicrobial protocol. J Endod 2007;33:541-547. https://doi.org/10.1016/j.joen.2007.01.008
  12. Zehnder M. Root canal irrigants. J Endod 2006;32:389-398. https://doi.org/10.1016/j.joen.2005.09.014
  13. Bottcher DE, Sehnem NT, Montagner F, Fatturi Parolo CC, Grecca FS. Evaluation of the efect of Enterococcus faecalis bioflm on the 2% chlorhexidine substantivity: an in vitro study. J Endod 2015;41:1364-1370. https://doi.org/10.1016/j.joen.2015.04.016
  14. Neelakantan P, Varughese AA, Sharma S, Subbarao CV, Zehnder M, De-Deus G. Continuous chelation irrigation improves the adhesion of epoxy resin-based root canal sealer to root dentine. Int Endod J 2012;45:1097-1102. https://doi.org/10.1111/j.1365-2591.2012.02073.x
  15. Kishen A, Sum CP, Mathew S, Lim CT. Infuence of irrigation regimens on the adherence of Enterococcus faecalis to root canal dentin. J Endod 2008;34:850-854. https://doi.org/10.1016/j.joen.2008.04.006
  16. Murad CF, Sassone LM, Faveri M, Hirata R Jr, Figueiredo L, Feres M. Microbial diversity in persistent root canal infections investigated by checkerboard DNA-DNA hybridization. J Endod 2014;40:899-906. https://doi.org/10.1016/j.joen.2014.02.010
  17. Rosenberg M, Gutnick D, Rosenberg E. Adherence of bacteria to hydrocarbons: a simple method for measuring cell-surface hydrophobicity. FEMS Microbiol Lett 1980;9:29-33. https://doi.org/10.1111/j.1574-6968.1980.tb05599.x
  18. George S, Kishen A. Efect of tissue fuids on hydrophobicity and adherence of Enterococcus faecalis to dentin. J Endod 2007;33:1421-1425. https://doi.org/10.1016/j.joen.2007.07.035
  19. Siqueira JF Jr, Rocas IN. As-yet-uncultivated oral bacteria: breadth and association with oral and extra-oral diseases. J Oral Microbiol 2013;5:21077. https://doi.org/10.3402/jom.v5i0.21077
  20. Love RM. Enterococcus faecalis--a mechanism for its role in endodontic failure. Int Endod J 2001;34:399-405. https://doi.org/10.1046/j.1365-2591.2001.00437.x
  21. Zehnder M, Belibasakis GN. On the dynamics of root canal infections-what we understand and what we don't. Virulence 2015;6:216-222. https://doi.org/10.4161/21505594.2014.984567
  22. Ordinola-Zapata R, Bramante CM, Aprecio RM, Handysides R, Jaramillo DE. Bioflm removal by 6% sodium hypochlorite activated by diferent irrigation techniques. Int Endod J 2014;47:659-666. https://doi.org/10.1111/iej.12202
  23. Rosen E, Tsesis I, Elbahary S, Storzi N, Kolodkin-Gal I. Eradication of Enterococcus faecalis bioflms on human dentin. Front Microbiol 2016;7:2055.
  24. Dogan Buzoglu H, Calt S, Gumusderelioglu M. Evaluation of the surface free energy on root canal dentine walls treated with chelating agents and NaOCl. Int Endod J 2007;40:18-24. https://doi.org/10.1111/j.1365-2591.2006.01169.x
  25. Kolosowski KP, Sodhi RN, Kishen A, Basrani BR. Qualitative time-of-fight secondary ion mass spectrometry analysis of root dentin irrigated with sodium hypochlorite, EDTA, or Chlorhexidine. J Endod 2015;41:1672-1677. https://doi.org/10.1016/j.joen.2015.06.010
  26. Marshall GW Jr, Balooch M, Kinney JH, Marshall SJ. Atomic force microscopy of conditioning agents on dentin. J Biomed Mater Res 1995;29:1381-1387. https://doi.org/10.1002/jbm.820291109
  27. Zurbriggen T, del Rio CE, Brady JM. Postdebridement retention of endodontic reagents: a quantitative measurement with radioactive isotope. J Endod 1975;1:298-299. https://doi.org/10.1016/S0099-2399(75)80137-3
  28. Garrett TR, Bhakoo M, Zhang Z. Bacterial adhesion and bioflms on surfaces. Prog Nat Sci 2008;18:1049-1056. https://doi.org/10.1016/j.pnsc.2008.04.001
  29. Mack D, Fischer W, Krokotsch A, Leopold K, Hartmann R, Egge H, Laufs R. The intercellular adhesin involved in bioflm accumulation of Staphylococcus epidermidis is a linear ${\beta}$-1,6-linked glucosaminoglycan: purifcation and structural analysis. J Bacteriol 1996;178:175-183. https://doi.org/10.1128/jb.178.1.175-183.1996
  30. Patel JD, Colton E, Ebert M, Anderson JM. Gene expression during S. epidermidis bioflm formation on biomaterials. J Biomed Mater Res A 2012;100:2863-2869.
  31. Trivedi S, Uhlemann AC, Herman-Bausier P, Sullivan SB, Sowash MG, Flores EY, Khan SD, Dufrene YF, Lowy FD. The surface protein SdrF mediates Staphylococcus epidermidis adherence to keratin. J Infect Dis 2017;215:1846-1854. https://doi.org/10.1093/infdis/jix213
  32. Shrestha A, Hamblin MR, Kishen A. Photoactivated rose bengal functionalized chitosan nanoparticles produce antibacterial/bioflm activity and stabilize dentin-collagen. Nanomedicine 2014;10:491-501. https://doi.org/10.1016/j.nano.2013.10.010
  33. Devaraj S, Jagannathan N, Neelakantan P. Antibioflm efcacy of photoactivated curcumin, triple and double antibiotic paste, 2% chlorhexidine and calcium hydroxide against Enterococcus fecalis in vitro. Sci Rep 2016;6:24797. https://doi.org/10.1038/srep24797
  34. Kishen A, Shi Z, Shrestha A, Neoh KG. An investigation on the antibacterial and antibioflm efcacy of cationic nanoparticulates for root canal disinfection. J Endod 2008;34:1515-1520. https://doi.org/10.1016/j.joen.2008.08.035
  35. Mohammadi Z, Abbott PV. The properties and applications of chlorhexidine in endodontics. Int Endod J 2009;42:288-302. https://doi.org/10.1111/j.1365-2591.2008.01540.x
  36. Yang SE, Cha JH, Kim ES, Kum KY, Lee CY, Jung IY. Efect of smear layer and chlorhexidine treatment on the adhesion of Enterococcus faecalis to bovine dentin. J Endod 2006;32:663-667. https://doi.org/10.1016/j.joen.2005.12.002

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