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The purpose of this study is to compare the antibacterial effect of Listerine® on two microorganisms (P. gingivalis and E. faecalis) with various root canal irrigants (NaOCl, CHX, EDTA) and to identify possibility of using Listerine® as a root canal irrigant. Porphyromonas gingivalis ATCC 3327 and Enterococcus faecalis ATCC 29212 were used in this experiment. For the test irrigants, 0.5%, 1%, 2.5%, 5.25% NaOCl, 0.1%, 0.2%, 1%, 2% CHX, 0.5M EDTA (18.6% EDTA) and Listerine® were prepared. Distiled water was used as control. Two methods-1) Comparison of turbidity in broth and 2) Agar diffusion test-were used to determine the extent of antibacterial effect of Listerine® and to compare it with that of NaOCl, CHX, and EDTA. All solutions tested were effective against two bacterial strains compared with control (p<0.001). Any concentration of NaOCl, CHX, and EDTA showed similarly high effectiveness against all bacterial strains. In all experiment, Listerine® showed significantly low antibacterial effect compared with the other root canal irrigants (p<0.05).

In conclusion, the results reflect remarkably low antibacterial effect of Listerine® as compared with root canal irrigants in general so it is not suitable for the root canal irrigant.

This study was performed to observe the antibacterial effect of polyphosphate (polyP) with various chain lengths (P3~P75) on virulent, invasive strains of P. gingivalis A7A1-28 and W50, and multidrug resistant E. faecalis ATCC29212. P. gingivalis strains were grown in brain-heart infusion broth (BHI) containing hemin and vitamin K with or without polyP. PolyP was added at the very beginning of the culture or during the exponential growth phase of the culture. Inhibition of the growth of P. gingivalis was determined by measuring the absorbancy at 540nm of the grown cells. Viable cell counts of the culture and release of intracellular nucleotide from P. gingivalis were measured. E. faecalis was grown in plain BHI with antibiotics alone or in combination with polyP(calgon; 0.1~1.0%) and the bacterial absorbancy was measured.

The overall results suggest that polyP has a strong antibacterial effect on the growth of the virulent strains of P. gingivalis and the antibacterial activity of polyP seems largely bactericidal, accompanying bacteriolysis in which chelation phenomenon is not involved. Although polyP does not exert antibacterial activity against E. faecalis, it appears to increase antibacterial effect of erythromycin and tetracycline on the bacterium. Therefore, polyP alone or in combination with antibiotics may be developed as a candidate for the agent controlling oral infections including endodontic infection.

Citations

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• Minocycline-loaded calcium polyphosphate glass microspheres as a potential drug-delivery agent for the treatment of periodontitis
  Iain Gibson, Arash Momeni, Mark Filiaggi
  Journal of Applied Biomaterials & Functional Materials.2019;[Epub]     CrossRef
• Comparison of Antibacterial effect of Listerine® with Various root canal irrigants
  Young Hun Kim, Min-Kyung Kang, Eun-Kyoung Choi, So-Young Yang, Inseok Yang, In-Chol Kang, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh
  Journal of Korean Academy of Conservative Dentistry.2009; 34(6): 500.     CrossRef

The purpose of this study was two-fold. First was to evaluate whether the molecular sieving model was appropriate for ionic dissociation experiment. Second was to compare the dissociation of calcium and hydroxyl ions from five types of calcium hydroxide pastes (Pure calcium hydroxide paste, DT temporary dressing®, Metapaste®, Chidopex®, Metapex®) in three vehicles (aqueous, viscous and oily) and the antibacterial effect.

Each calcium hydroxide pastes was placed into 0.65ml tube with cap and then 15% polyacrylamide gel was placed onto calcium hydroxide pastes. After the gel was hardened, the tubes were filled with tridistilled water (pH 7.14) and closed with cap. The tubes were stored in 37℃, 100% incubator. The pH reading and the concentration of calcium ions were taken at 1, 4, 7, 10, and 14 days. The brain heart infusion agar plates with S. mutans and A. actinomycetemcomitans were used for antibacterial activity test. Middle of agar plate was filled with the calcium hydroxide pastes. The plates were incubated at 37℃ and observations were made to detect the zones of inhibition. These data were evaluated statistically by use of the analysis of variance and duncan test.

The results were as follows.

1. In fresh mixing state, the pH of five types of calcium hydroxide pastes were measured between 12.5 and 12.8.

2. The pH was increased in all five types of calcium hydroxide pastes compared with control group. In 14 days, Pure calcium hydroxide paste (11.45) and DT temporary dressing® (11.33) showed highest pH, followed by Metapaste® (9.49), Chidopex® (8.37) and Metapex® (7.59).

3. Calcium was higher in all five types of calcium hydroxide pastes compared with control group. In 14 days, Pure calcium hydroxide paste (137.29 mg%) and DT temporary dressing® (124.6 mg%) showed highest value, followed by Metapaste® (116.74 mg%), Chidopex® (111.84 mg%) and Metapex® (60.22 mg%).

4. The zones of bacterial inhibition were seen around all five types of calcium hydroxide pastes. Chidopex® and Metapex® groups which include iodoform were observed significantly larger zone of inhibition in A. actinomycetemcomitans compared with the other calcium hydroxide groups (p<0.05). However, Metapex® showed the least antibacterial effect on S. mutans compared with other groups (p<0.05).

The molecular sieving model was found to be acceptable in dissociation experiment of hydroxyl and calcium ions when compared with the previous tooth model study. But this model was not appropriate for the antibacterial test.

Citations

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• A Comparison of the irrigation systems in calcium hydroxide removal
  Jae-Seung Eun, Se-Hee Park, Kyung-Mo Cho, Jin-Woo Kim
  Journal of Korean Academy of Conservative Dentistry.2009; 34(6): 508.     CrossRef