How Adding Chlorhexidine or Metallic Nanoparticles Affects the Antimicrobial Performance of Calcium Hydroxide Paste as an Intracanal Medication: An In Vitro Study

The aim of our study was to explore the potential value of metallic (Ag, Cu, and Zn) salts, polymer/metallic nanoparticles, and chlorhexidine (CHX) for improving the antimicrobial activity of calcium hydroxide (CH) against <i>E. faecalis</i> and <i>C. albicans</i>, associated...

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Autores principales: Kadiatou Sy, Kevimy Agossa, Mickaël Maton, Henry Chijcheapaza-Flores, Bernard Martel, Florence Siepmann, Etienne Deveaux, Nicolas Blanchemain, Christel Neut
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:fbe37b1bede249f1842d00f6d823ba692021-11-25T16:23:20ZHow Adding Chlorhexidine or Metallic Nanoparticles Affects the Antimicrobial Performance of Calcium Hydroxide Paste as an Intracanal Medication: An In Vitro Study10.3390/antibiotics101113522079-6382https://doaj.org/article/fbe37b1bede249f1842d00f6d823ba692021-11-01T00:00:00Zhttps://www.mdpi.com/2079-6382/10/11/1352https://doaj.org/toc/2079-6382The aim of our study was to explore the potential value of metallic (Ag, Cu, and Zn) salts, polymer/metallic nanoparticles, and chlorhexidine (CHX) for improving the antimicrobial activity of calcium hydroxide (CH) against <i>E. faecalis</i> and <i>C. albicans</i>, associated with persistent endodontic infections. A first screening was performed by determining minimum inhibitory/bactericidal concentrations (MIC/MBC). Antimicrobial activity of the CH paste mixed with metallic salts, chitosan or cyclodextrin polymer metallic nanoparticles was compared to the antimicrobial activity of CH paste alone and CH + CHX using a time-kill kinetics assay. The effect of the antimicrobials on the rheological and the key mechanical properties were also examined. Copper and zinc were discarded because of their MIC/MBC values and silver because of its kill time curve profile. Except for a slower setting time after 24 h and a higher weight loss after 1 week of incubation, the mechanical behavior of the CH paste was unaffected by the addition of CHX. Polymeric/metallic nanoparticles failed to potentiate the antimicrobial effect of CH. By contrast, CHX increased this effect and thus could help eradicate <i>E. faecalis</i> associated with persistent root canal infections without altering the desired key physical properties of the CH paste.Kadiatou SyKevimy AgossaMickaël MatonHenry Chijcheapaza-FloresBernard MartelFlorence SiepmannEtienne DeveauxNicolas BlanchemainChristel NeutMDPI AGarticleendodontic infectionscalcium hydroxidechlorhexidinecoppersilverzincTherapeutics. PharmacologyRM1-950ENAntibiotics, Vol 10, Iss 1352, p 1352 (2021)
institution DOAJ
collection DOAJ
language EN
topic endodontic infections
calcium hydroxide
chlorhexidine
copper
silver
zinc
Therapeutics. Pharmacology
RM1-950
spellingShingle endodontic infections
calcium hydroxide
chlorhexidine
copper
silver
zinc
Therapeutics. Pharmacology
RM1-950
Kadiatou Sy
Kevimy Agossa
Mickaël Maton
Henry Chijcheapaza-Flores
Bernard Martel
Florence Siepmann
Etienne Deveaux
Nicolas Blanchemain
Christel Neut
How Adding Chlorhexidine or Metallic Nanoparticles Affects the Antimicrobial Performance of Calcium Hydroxide Paste as an Intracanal Medication: An In Vitro Study
description The aim of our study was to explore the potential value of metallic (Ag, Cu, and Zn) salts, polymer/metallic nanoparticles, and chlorhexidine (CHX) for improving the antimicrobial activity of calcium hydroxide (CH) against <i>E. faecalis</i> and <i>C. albicans</i>, associated with persistent endodontic infections. A first screening was performed by determining minimum inhibitory/bactericidal concentrations (MIC/MBC). Antimicrobial activity of the CH paste mixed with metallic salts, chitosan or cyclodextrin polymer metallic nanoparticles was compared to the antimicrobial activity of CH paste alone and CH + CHX using a time-kill kinetics assay. The effect of the antimicrobials on the rheological and the key mechanical properties were also examined. Copper and zinc were discarded because of their MIC/MBC values and silver because of its kill time curve profile. Except for a slower setting time after 24 h and a higher weight loss after 1 week of incubation, the mechanical behavior of the CH paste was unaffected by the addition of CHX. Polymeric/metallic nanoparticles failed to potentiate the antimicrobial effect of CH. By contrast, CHX increased this effect and thus could help eradicate <i>E. faecalis</i> associated with persistent root canal infections without altering the desired key physical properties of the CH paste.
format article
author Kadiatou Sy
Kevimy Agossa
Mickaël Maton
Henry Chijcheapaza-Flores
Bernard Martel
Florence Siepmann
Etienne Deveaux
Nicolas Blanchemain
Christel Neut
author_facet Kadiatou Sy
Kevimy Agossa
Mickaël Maton
Henry Chijcheapaza-Flores
Bernard Martel
Florence Siepmann
Etienne Deveaux
Nicolas Blanchemain
Christel Neut
author_sort Kadiatou Sy
title How Adding Chlorhexidine or Metallic Nanoparticles Affects the Antimicrobial Performance of Calcium Hydroxide Paste as an Intracanal Medication: An In Vitro Study
title_short How Adding Chlorhexidine or Metallic Nanoparticles Affects the Antimicrobial Performance of Calcium Hydroxide Paste as an Intracanal Medication: An In Vitro Study
title_full How Adding Chlorhexidine or Metallic Nanoparticles Affects the Antimicrobial Performance of Calcium Hydroxide Paste as an Intracanal Medication: An In Vitro Study
title_fullStr How Adding Chlorhexidine or Metallic Nanoparticles Affects the Antimicrobial Performance of Calcium Hydroxide Paste as an Intracanal Medication: An In Vitro Study
title_full_unstemmed How Adding Chlorhexidine or Metallic Nanoparticles Affects the Antimicrobial Performance of Calcium Hydroxide Paste as an Intracanal Medication: An In Vitro Study
title_sort how adding chlorhexidine or metallic nanoparticles affects the antimicrobial performance of calcium hydroxide paste as an intracanal medication: an in vitro study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/fbe37b1bede249f1842d00f6d823ba69
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