Restorative Dentistry & Endodontics

Hiran Perinpanayagam

3 Articles

Endodontic biofilms: contemporary and future treatment options: Yeon-Jee Yoo, Hiran Perinpanayagam, Soram Oh, A-Reum Kim, Seung-Hyun Han, Kee-Yeon Kum; Restor Dent Endod 2019;44(1):e7. Published online January 31, 2019; DOI: https://doi.org/10.5395/rde.2019.44.e7

Apical periodontitis is a biofilm-mediated infection. The biofilm protects bacteria from host defenses and increase their resistance to intracanal disinfecting protocols. Understanding the virulence of these endodontic microbiota within biofilm is essential for the development of novel therapeutic procedures for intracanal disinfection. Both the disruption of biofilms and the killing of their bacteria are necessary to effectively treat apical periodontitis. Accordingly, a review of endodontic biofilm types, antimicrobial resistance mechanisms, and current and future therapeutic procedures for endodontic biofilm is provided.

Citations

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Anu Priya Guruswamy Pandian, Anil Kumar Ramachandran, Priyanka Kodaganallur Pitchumani, Blessy Mathai, Davis C Thomas
Cureus.2025;[Epub] CrossRef
Self-Sacrificial Antibacterial Coating with Photothermal Response for Inhibiting Implant Infection
Jinglin Zhang, Aijian Cao, Lizhen Chen, Dongliang Huo, Jingxian Zhang, Langhuan Huang, Shaozao Tan
ACS Applied Nano Materials.2024; 7(23): 26907. CrossRef
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Srilekha Jayakumar, Dinesh Sridhar, Bindu M. John, Karthikeyan Arumugam, Prashanth Ponnusamy, Hema Pulidindi
Journal of Pharmacy and Bioallied Sciences.2024; 16(Suppl 2): S1104. CrossRef
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Z. S. Zurab, Yu. A. Generalova, A. A. Kulikova, A. Yu. Umarov, F. V. Badalov, A. Wehbe, E. M. Kakabadze
Endodontics Today.2024; 22(4): 319. CrossRef
In vitro evaluation of three engineered multispecies endodontic biofilms on a dentinal disk substrate
Wajih Hage, Dolla Karam Sarkis, Mireille Kallasy, May Mallah, Carla Zogheib
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Wajih Hage, Dolla Karam Sarkis, Mireille Kallassy, May Mallah, Carla Zogheib
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A. P. Torres-Monjarás, R. Sánchez-Gutiérrez, B. Hernández-Castro, L. González-Baranda, D. L. Alvarado-Hernández, A. Pozos-Guillén, A. Muñoz-Ruiz, V. Méndez-González, R. González-Amaro, M. Vitales-Noyola
Clinical Oral Investigations.2023; 27(6): 3139. CrossRef
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Madhureema De Sarkar, Kundabala Mala, Suchitra Shenoy Mala, Shama Prasada Kabekkodu, Srikant Natarajan, Neeta Shetty, Priyanka Madhav Kamath, Manuel Thomas
F1000Research.2023; 12: 725. CrossRef
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F1000Research.2023; 12: 725. CrossRef
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Journal of Endodontics.2022; 48(2): 179. CrossRef
Specialized pro-resolving lipid mediators in endodontics: a narrative review
Davy Aubeux, Ove A. Peters, Sepanta Hosseinpour, Solène Tessier, Valérie Geoffroy, Fabienne Pérez, Alexis Gaudin
BMC Oral Health.2021;[Epub] CrossRef
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Photodiagnosis and Photodynamic Therapy.2021; 35: 102464. CrossRef
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International Endodontic Journal.2021; 54(12): 2243. CrossRef
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Prasanna Dahake, Nilima Thosar
Journal of Islamic Dental Association of IRAN.2021; 33(3): 58. CrossRef
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Lasers in Medical Science.2021; 36(5): 1059. CrossRef
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Mario Dioguardi, Vito Crincoli, Luigi Laino, Mario Alovisi, Diego Sovereto, Lorenzo Lo Muzio, Giuseppe Troiano
Journal of Clinical Medicine.2020; 9(2): 457. CrossRef
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Journal of Oral Science.2020; 62(4): 415. CrossRef
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Wei-hu Ye, Lara Yeghiasarian, Christopher W. Cutler, Brian E. Bergeron, Stephanie Sidow, Hockin H.K. Xu, Li-na Niu, Jing-zhi Ma, Franklin R. Tay
Journal of Dentistry.2019; 91: 103231. CrossRef

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Antifungal effects of synthetic human β-defensin 3-C15 peptide: Sang-Min Lim, Ki-Bum Ahn, Christine Kim, Jong-Won Kum, Hiran Perinpanayagam, Yu Gu, Yeon-Jee Yoo, Seok Woo Chang, Seung Hyun Han, Won-Jun Shon, Woocheol Lee, Seung-Ho Baek, Qiang Zhu, Kee-Yeon Kum; Restor Dent Endod 2016;41(2):91-97. Published online March 17, 2016; DOI: https://doi.org/10.5395/rde.2016.41.2.91

Abstract PDF PubReader ePub

Objectives

The purpose of this ex vivo study was to compare the antifungal activity of a synthetic peptide consisting of 15 amino acids at the C-terminus of human β-defensin 3 (HBD3-C15) with calcium hydroxide (CH) and Nystatin (Nys) against Candida albicans (C. albicans) biofilm.

Materials and Methods

C. albicans were grown on cover glass bottom dishes or human dentin disks for 48 hr, and then treated with HBD3-C15 (0, 12.5, 25, 50, 100, 150, 200, and 300 µg/mL), CH (100 µg/mL), and Nys (20 µg/mL) for 7 days at 37℃. On cover glass, live and dead cells in the biomass were measured by the FilmTracer Biofilm viability assay, and observed by confocal laser scanning microscopy (CLSM). On dentin, normal, diminished and ruptured cells were observed by field-emission scanning electron microscopy (FE-SEM). The results were subjected to a two-tailed t-test, a one way analysis variance and a post hoc test at a significance level of p = 0.05.

Results

C. albicans survival on dentin was inhibited by HBD3-C15 in a dose-dependent manner. There were fewer aggregations of C. albicans in the groups of Nys and HBD3-C15 (≥ 100 µg/mL). CLSM showed C. albicans survival was reduced by HBD3-C15 in a dose dependent manner. Nys and HBD3-C15 (≥ 100 µg/mL) showed significant fungicidal activity compared to CH group (p < 0.05).

Conclusions

Synthetic HBD3-C15 peptide (≥ 100 µg/mL) and Nys exhibited significantly higher antifungal activity than CH against C. albicans by inhibiting cell survival and biofilm.

Citations

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Current status of antimicrobial peptides databases and computational tools for optimization
Madhulika Jha, Akash Nautiyal, Kumud Pant, Navin Kumar
Environment Conservation Journal.2025; 26(1): 281. CrossRef
Anti-fungal peptides: an emerging category with enthralling therapeutic prospects in the treatment of candidiasis
Jyoti Sankar Prusty, Ashwini Kumar, Awanish Kumar
Critical Reviews in Microbiology.2024; : 1. CrossRef
Harnessing antimicrobial peptides in endodontics
Xinzi Kong, Vijetha Vishwanath, Prasanna Neelakantan, Zhou Ye
International Endodontic Journal.2024; 57(7): 815. CrossRef
Human β-defensins and their synthetic analogs: Natural defenders and prospective new drugs of oral health
Mumian Chen, Zihe Hu, Jue Shi, Zhijian Xie
Life Sciences.2024; 346: 122591. CrossRef
Candida albicans Virulence Factors and Pathogenicity for Endodontic Infections
Yeon-Jee Yoo, A Reum Kim, Hiran Perinpanayagam, Seung Hyun Han, Kee-Yeon Kum
Microorganisms.2020; 8(9): 1300. CrossRef
Innate Inspiration: Antifungal Peptides and Other Immunotherapeutics From the Host Immune Response
Derry K. Mercer, Deborah A. O'Neil
Frontiers in Immunology.2020;[Epub] CrossRef
Human salivary proteins and their peptidomimetics: Values of function, early diagnosis, and therapeutic potential in combating dental caries
Kun Wang, Xuedong Zhou, Wei Li, Linglin Zhang
Archives of Oral Biology.2019; 99: 31. CrossRef
Endodontic biofilms: contemporary and future treatment options
Yeon-Jee Yoo, Hiran Perinpanayagam, Soram Oh, A-Reum Kim, Seung-Hyun Han, Kee-Yeon Kum
Restorative Dentistry & Endodontics.2019;[Epub] CrossRef
Bioactive Peptides Against Fungal Biofilms
Karen G. N. Oshiro, Gisele Rodrigues, Bruna Estéfani D. Monges, Marlon Henrique Cardoso, Octávio Luiz Franco
Frontiers in Microbiology.2019;[Epub] CrossRef
Anticandidal Potential of Stem Bark Extract from Schima superba and the Identification of Its Major Anticandidal Compound
Chun Wu, Hong-Tan Wu, Qing Wang, Guey-Horng Wang, Xue Yi, Yu-Pei Chen, Guang-Xiong Zhou
Molecules.2019; 24(8): 1587. CrossRef
Synthetic Human β Defensin-3-C15 Peptide in Endodontics: Potential Therapeutic Agent in Streptococcus gordonii Lipoprotein-Stimulated Human Dental Pulp-Derived Cells
Yeon-Jee Yoo, Hiran Perinpanayagam, Jue-Yeon Lee, Soram Oh, Yu Gu, A-Reum Kim, Seok-Woo Chang, Seung-Ho Baek, Kee-Yeon Kum
International Journal of Molecular Sciences.2019; 21(1): 71. CrossRef
Candida Infections and Therapeutic Strategies: Mechanisms of Action for Traditional and Alternative Agents
Giselle C. de Oliveira Santos, Cleydlenne C. Vasconcelos, Alberto J. O. Lopes, Maria do S. de Sousa Cartágenes, Allan K. D. B. Filho, Flávia R. F. do Nascimento, Ricardo M. Ramos, Emygdia R. R. B. Pires, Marcelo S. de Andrade, Flaviane M. G. Rocha, Cristi
Frontiers in Microbiology.2018;[Epub] CrossRef
Perspectives for clinical use of engineered human host defense antimicrobial peptides
María Eugenia Pachón-Ibáñez, Younes Smani, Jerónimo Pachón, Javier Sánchez-Céspedes
FEMS Microbiology Reviews.2017; 41(3): 323. CrossRef
The synthetic human beta-defensin-3 C15 peptide exhibits antimicrobial activity against Streptococcus mutans, both alone and in combination with dental disinfectants
Ki Bum Ahn, A. Reum Kim, Kee-Yeon Kum, Cheol-Heui Yun, Seung Hyun Han
Journal of Microbiology.2017; 55(10): 830. CrossRef
Antibiofilm peptides against oral biofilms
Zhejun Wang, Ya Shen, Markus Haapasalo
Journal of Oral Microbiology.2017; 9(1): 1327308. CrossRef
Humanβ-Defensin 3 Reduces TNF-α-Induced Inflammation and Monocyte Adhesion in Human Umbilical Vein Endothelial Cells
Tianying Bian, Houxuan Li, Qian Zhou, Can Ni, Yangheng Zhang, Fuhua Yan
Mediators of Inflammation.2017; 2017: 1. CrossRef
Antifungal Effects of Synthetic Human Beta-defensin-3-C15 Peptide on Candida albicans –infected Root Dentin
Yeon-Jee Yoo, Ikyung Kwon, So-Ram Oh, Hiran Perinpanayagam, Sang-Min Lim, Ki-Bum Ahn, Yoon Lee, Seung-Hyun Han, Seok-Woo Chang, Seung-Ho Baek, Qiang Zhu, Kee-Yeon Kum
Journal of Endodontics.2017; 43(11): 1857. CrossRef
A 15-amino acid C-terminal peptide of beta-defensin-3 inhibits bone resorption by inhibiting the osteoclast differentiation and disrupting podosome belt formation
Ok-Jin Park, Jiseon Kim, Ki Bum Ahn, Jue Yeon Lee, Yoon-Jeong Park, Kee-Yeon Kum, Cheol-Heui Yun, Seung Hyun Han
Journal of Molecular Medicine.2017; 95(12): 1315. CrossRef

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Effect of acidic solutions on the microhardness of dentin and set OrthoMTA and their cytotoxicity on murine macrophage: Soram Oh, Hiran Perinpanayagam, Yoon Lee, Jae-Won Kum, Yeon-Jee Yoo, Sang-Min Lim, Seok Woo Chang, Won-Jun Shon, Woocheol Lee, Seung-Ho Baek, Kee-Yeon Kum; Restor Dent Endod 2016;41(1):12-21. Published online December 1, 2015; DOI: https://doi.org/10.5395/rde.2016.41.1.12

Abstract PDF PubReader ePub

Objectives

To evaluate the effects of three acids on the microhardness of set mineral trioxide aggregate (MTA) and root dentin, and cytotoxicity on murine macrophage.

Materials and Methods

OrthoMTA (BioMTA) was mixed and packed into the human root dentin blocks of 1.5 mm diameter and 5 mm height. Four groups, each of ten roots, were exposed to 10% citric acid (CA), 5% glycolic acid (GA), 17% ethylenediaminetetraacetic acid (EDTA), and saline for five minutes after setting of the OrthoMTA. Vickers surface microhardness of set MTA and dentin was measured before and after exposure to solutions, and compared between groups using one-way ANOVA with Tukey test. The microhardness value of each group was analyzed using student t test. Acid-treated OrthoMTA and dentin was examined by scanning electron microscope (SEM). Cell viability of tested solutions was assessed using WST-8 assay and murine macrophage.

Results

Three test solutions reduced microhardness of dentin. 17% EDTA demonstrated severe dentinal erosion, significantly reduced the dentinal microhardness compared to 10% CA (p = 0.034) or 5% GA (p = 0.006). 10% CA or 5% GA significantly reduced the surface microhardness of set MTA compared to 17% EDTA and saline (p < 0.001). Acid-treated OrthoMTA demonstrated microporous structure with destruction of globular crystal. EDTA exhibited significantly more cellular toxicity than the other acidic solutions at diluted concentrations (0.2, 0.5, 1.0%).

Conclusions

Tested acidic solutions reduced microhardness of root dentin. Five minute's application of 10% CA and 5% GA significantly reduced the microhardness of set OrthoMTA with lower cellular cytotoxicity compared to 17% EDTA.

Citations

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Impact of calcium hydroxide and 2-hydroxyisocaproic acid on the microhardness of root dentine: an in vitro study
Nandini T. Niranjan, Protim Ghosh Dastidar, Raghavendra Penukonda, Galvin Sim Siang Lin, Roopa Babannavar, Arun Jaysheel, Harshada Pattar
Odontology.2024; 112(3): 711. CrossRef
Evaluation of the Effect of Chitosan-Based Irrigation Solutions on the Bond Strength of Mineral Trioxide Aggregate to Bulk-Fill Composite
Arzu Şahin Mantı, Bağdagül Helvacıoğlu Kıvanç
Journal of Functional Biomaterials.2024; 15(12): 370. CrossRef
Effect of Various Acid Solutions as an Aid in Removing the OrthoMTA-Based Root Canal Filling
Naveen Chhabra, Abhishek Parolia
Materials.2023; 16(13): 4535. CrossRef
Effect of Glycolic Acid, Maleic Acid, and EDTA in the Removal of Smear Layer from Root Canal Dentin
Tarini Mullick, Nidambur Vasudev Ballal
Pesquisa Brasileira em Odontopediatria e Clínica Integrada.2023;[Epub] CrossRef
A comparative evaluation of the effect of various chelating agents on the microhardness of root canal dentin: An in vitro study
Mineet Kaul, Zinnie Nanda, Kranthikumar Reddy, Rahul Deore, Divya Mandlecha, Esha Jaiswal
Endodontology.2023; 35(3): 234. CrossRef
Calcium hydroxide and niobium pentoxide treatment effects before MTA placement
Kolli Sankeerthana, Kittappa Karthikeyan, Sekar Mahalaxmi
Australian Endodontic Journal.2023; 49(1): 48. CrossRef
Calcium silicate and calcium aluminate cements for dentistry reviewed
Carolyn Primus, James L. Gutmann, Franklin R. Tay, Anna B. Fuks
Journal of the American Ceramic Society.2022; 105(3): 1841. CrossRef
Influence of Acidic Environmental Conditions on Push-Out Bonding Strength of Four Calcium Silicate-Based Materials to Root Dentin
Beliz Özel, Raif Erişen, Boonlert Kukiattrakoon
International Journal of Dentistry.2022; 2022: 1. CrossRef
The effects of sodium hypochlorite and ethylenediaminetetraacetic acid on the microhardness of Mineral Trioxide Aggregate and TotalFill Bioceramic Putty
Jacklyn H.R. Chu, Kalie Y. Chia, Alexander L. Qui, Alex Moule, William N. Ha
Australian Endodontic Journal.2020; 46(1): 33. CrossRef
Pre-application of dentin bonding agent prevents discoloration caused by mineral trioxide aggregate
Yoo-Lim Choi, Young-Eun Jang, Bom Sahn Kim, Jin-Woo Kim, Yemi Kim
BMC Oral Health.2020;[Epub] CrossRef
Glycolic acid as the final irrigant in endodontics: Mechanical and cytotoxic effects
Yuri Dal Bello, Hisadora Fracaro Porsch, Ana Paula Farina, Matheus Albino Souza, Emmanuel João Nogueira Leal Silva, Ana Karina Bedran-Russo, Doglas Cecchin
Materials Science and Engineering: C.2019; 100: 323. CrossRef
Carbohydrate-electrolyte drinks exhibit risks for human enamel surface loss
Mary Anne Sampaio de Melo, Vanara Florêncio Passos, Juliana Paiva Marques Lima, Sérgio Lima Santiago, Lidiany Karla Azevedo Rodrigues
Restorative Dentistry & Endodontics.2016; 41(4): 246. CrossRef

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