In vitro antibacterial activity of different pulp capping materials

Background Direct pulp capping involves the application of a dental material to seal communications between the exposed pulp and the oral cavity (mechanical and carious pulp exposures) in an attempt to act as a barrier, protect the dental pulp complex and preserve its vitality. The aim of this study was to evaluate and compare, by the agar disc diffusion test, the antimicrobial activity of six different pulp-capping materials: Dycal (Dentsply), Calcicur (Voco), Calcimol LC (Voco), TheraCal LC (Bisco), MTA Angelus (Angelus), Biodentine (Septodont). Material and Methods Streptococcus salivarius, Streptococcus sanguis and Streptococcus mutans strains were selected to evaluate the antimicrobial activity by the agar disc diffusion test of different pulp capping materials. Paper disks were impregnated whit each pulp capping materials and placed onto culture agar-plates pre-adsorbed with bacterial cells and further incubated for 24 h at 37°C. The growth inhibition zones around each pulp capping materials were recorded and compared for each bacterial strain. Results For the investigation of the antibacterial properties the ANOVA showed the presence of significant differences among the various materials. Tukey test showed that MTA-based materials induced lower growth inhibition zones. Conclusions MTA-based products show a discrete antibacterial activity varying from calcium hydroxide-based materials which present an higher antibacterial activity. Key words:Agar disc diffusion test, antimicrobial activity, calcium hydroxide, MTA, pulp capping materials.

[1]  R. Hirata Junior,et al.  The antimicrobial activity of gray-colored mineral trioxide aggregate (GMTA) and white-colored MTA (WMTA) under aerobic and anaerobic conditions. , 2010, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[2]  C. A. de Souza Costa,et al.  Scanning electron microscopy evaluation of the hard tissue barrier after pulp capping with calcium hydroxide, mineral trioxide aggregate (MTA) or ProRoot MTA. , 2009, Australian endodontic journal : the journal of the Australian Society of Endodontology Inc.

[3]  Takashi Saito,et al.  In vitro evaluation of the antimicrobial activity of a new resin-based endodontic sealer against endodontic pathogens. , 2008, Journal of oral science.

[4]  H. Li,et al.  Histological evaluation of direct pulp capping with a self-etching adhesive and calcium hydroxide on human pulp tissue. , 2008, International endodontic journal.

[5]  D. Charlton,et al.  Mineral trioxide aggregate material use in endodontic treatment: a review of the literature. , 2008, Dental materials : official publication of the Academy of Dental Materials.

[6]  T. Kirkpatrick,et al.  The anti-microbial effect against enterococcus faecalis and the compressive strength of two types of mineral trioxide aggregate mixed with sterile water or 2% chlorhexidine liquid. , 2007, Journal of endodontics.

[7]  E. Watanabe,et al.  In vitro antimicrobial activity of endodontic sealers, MTA-based cements and Portland cement. , 2007, Journal of oral science.

[8]  J. Simon,et al.  Antibacterial effect of two mineral trioxide aggregate (MTA) preparations against Enterococcus faecalis and Streptococcus sanguis in vitro. , 2006, Journal of endodontics.

[9]  J. Camilleri,et al.  Mineral trioxide aggregate: a review of the constituents and biological properties of the material. , 2006, International endodontic journal.

[10]  H. H. Hadimli,et al.  Antibacterial effect of selected root-end filling materials. , 2006, Journal of endodontics.

[11]  S. Belli,et al.  In vitro antibacterial activities of root-canal sealers by using two different methods. , 2004, Journal of endodontics.

[12]  J. Gutmann,et al.  Histological and scanning electron microscopy assessment of various vital pulp-therapy materials. , 2003, Journal of endodontics.

[13]  M. Chou,et al.  Antimicrobial activity of four root canal sealers against endodontic pathogens , 2001, Clinical Oral Investigations.

[14]  J. Siqueira Strategies to treat infected root canals. , 2001, Journal of the California Dental Association.

[15]  E. Cabiscol,et al.  Oxidative stress in bacteria and protein damage by reactive oxygen species. , 2000, International microbiology : the official journal of the Spanish Society for Microbiology.

[16]  J. D. PÉcora,et al.  Antimicrobial and chemical study of MTA, Portland cement, calcium hydroxide paste, Sealapex and Dycal. , 2000, Brazilian dental journal.

[17]  J. Siqueira,et al.  Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. , 1999, International endodontic journal.

[18]  M. Torabinejad,et al.  Antibacterial effects of some root end filling materials. , 1995, Journal of endodontics.

[19]  G. Sundqvist,et al.  Ecology of the root canal flora. , 1992, Journal of endodontics.

[20]  D. Morse,et al.  The antimicrobial effect of various endodontic sealers. , 1990, Oral surgery, oral medicine, and oral pathology.

[21]  H. Stanley Pulp capping: conserving the dental pulp--can it be done? Is it worth it? , 1989, Oral surgery, oral medicine, and oral pathology.

[22]  R. S. Tobias Antibacterial properties of dental restorative materials: a review. , 2007, International endodontic journal.

[23]  H. Stanley,et al.  Direct pulp capping treatment: a long-term follow-up. , 1978, Journal of the American Dental Association.

[24]  Stephen Cohen,et al.  Pathways of the Pulp , 1976 .