The Effect of Different Compositions and Concentrations of Etidronate-Containing Irrigants on the Antibacterial Activity of Sodium Hypochlorite against <i>Enterococcus faecalis</i> and <i>Candida albicans</i>

oleh: Nina Novozhilova, Ksenia Babina, Maria Polyakova, Inna Sokhova, Valeria Sherstneva, Alexandr Zaytsev, Irina Makeeva, Anna Mikheikina

Format: Article
Diterbitkan: MDPI AG 2024-02-01

Deskripsi

We assessed the effect of different compositions and concentrations of two etidronate-containing irrigants on the antibacterial activity of sodium hypochlorite (SH) against <i>Enterococcus faecalis</i> and <i>Candida albicans</i> in vitro. Pure cultures of <i>C. albicans</i> and <i>E. faecalis</i> were isolated from root canal samples. The disc diffusion method was used to compare the antibacterial effect of pure SH and SH mixed with 9%, 15%, and 18% etidronate of two manufactures (dual rinse (DR); IsraDent (ID)) and EDTA. The pH and temperature of the solutions were measured immediately after mixing and within 40 min. The ANOVA revealed a significant influence of the type of irrigating solution on the <i>C. albicans</i> and <i>E. faecalis</i> inhibition zone diameters that ranged from 6.6 to 51.6 mm and from 6.4 to 12.4 mm, respectively. SH with DR 9% exhibited the highest effect against <i>C. albicans</i>. The antifungal activity of the other irrigants was SH = SH + DR15% = SH + DR18% = SH + ID9% > SH + EDTA > SH + ID15% > SH + ID18%. No significant differences in the anti-E. faecalis effect were revealed between the tested solutions except for the mixtures of SH and 15% and 18% ID, which exhibited no antiseptic effect. There was a strong positive correlation between antiseptic activity against both microorganisms and the pH values of the tested solutions. In conclusion, most etidronate formulations did not significantly hamper sodium hypochlorite activity against <i>C. albicans</i> and <i>E. faecalis</i>. The effect was concentration- and manufacturer-dependent.