Antibiofilm effect of Nano chitosan and calcium hydroxide intracanal medications and their effects on the microhardness and chemical structure of radicular dentine

Nasr, Maha and Abdou, Ahmed and Bassiouny, Dina M. and Hassan, Reham (2025) Antibiofilm effect of Nano chitosan and calcium hydroxide intracanal medications and their effects on the microhardness and chemical structure of radicular dentine. BMC Oral Health, 25 (1). p. 103. ISSN 1472-6831, DOI https://doi.org/10.1186/s12903-025-05462-z.

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Official URL: https://doi.org/10.1186/s12903-025-05462-z

Abstract

BackgroundDisinfection of the root canal system is a challenge to all clinicians, calcium hydroxide Ca(OH)2, one of the most popular intracanal medications used for this purpose, has some unwanted effects on dentine. This study aimed to investigate the antibiofilm effect of Nanochitosan (CSNPs) and Calcium hydroxide Ca(OH)2 intra canal medications and their effect on the microhardness and chemical structure of radicular dentine.MethodologyA total of 52 extracted human mandibular premolars were used. Eighteen premolars were instrumented, sterilized, and inoculated with Enterococcus faecalis (E. faecalis) then divided randomly into 2 groups based on the intracanal medication used: group (A) 2% CSNPs gel and group (B) Ca(OH)2 paste. Antibiofilm effect was evaluated using bacterial counts. For the effect on microhardness, 56 specimens were subjected to Vicker's microhardness test before and after 1 week, and 4 weeks of medication application. Twelve cervical radicular dentine specimens (6 samples per group) were examined using Fourier transform infrared spectroscopy and scanning electron microscope.ResultsBoth groups showed a significant reduction in the bacterial count at (p = 0.008) with no significant difference between them (P = 0.605). Ca(OH)2 showed the highest reduction in the microhardness compared to CSNPs groups after 1 week (P = 0.0495) and after 4 weeks (P = 0.0495). FTIR spectrum results revealed that the control group (no treatment) showed the highest significant Phosphate: amide ratio compared to both CSNPs and Ca(OH)2 at p = 0.006. SEM images revealed absence of discernible smear layer in CSNPs treated samples after 4 weeks and all the dentinal tubules were open.ConclusionsNanochitosan gel could be considered as a viable option as an intra canal medication.

Item Type: Article
Funders: Egyptian Russian University (ERU)
Uncontrolled Keywords: Antibiofilm; <italic>E. Faecalis</italic>; Fourier transform infrared spectroscopy; Microhardness; Nanochitosan
Subjects: R Medicine > RK Dentistry
Divisions: Faculty of Dentistry > Department of Restorative Dentistry
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 14 Mar 2025 01:18
Last Modified: 14 Mar 2025 01:18
URI: http://eprints.um.edu.my/id/eprint/47707

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