Skip to main content

Advertisement

Log in

The effect of temperature and contact time of sodium hypochlorite on human roots infected with Enterococcus faecalis and Candida albicans

  • Original Article
  • Published:
Odontology Aims and scope Submit manuscript

Abstract

The aim of this study was to evaluate the effectiveness of 2.5 % NaOCl at different temperature and time intervals on Enterococcus faecalis and Candida albicans-infected human roots. A total of 112 root cylinders prepared from extracted single-rooted humans were infected by E. faecalis (Group A, n = 56) or C. albicans (Group B, n = 56); 3 root cylinders served as negative controls. Both groups were further divided into 6 subgroups according to three contact times (30 s, 1 min, 5 min) with NaOCl at two different temperatures (25 or 37 °C). Microorganism growth was controlled at the 24th and 48th hours. Statistical analysis was performed using the Chi-square test. While NaOCl at 25 °C for 5 min was the most effective irrigation regimen to eliminate E. faecalis (p < 0.001), NaOCl at 37 °C for 5 min exhibited significantly superior antifungal properties (p < 0.05). At the same contact times, difference in the temperature of NaOCl did not affect the growth of either E. faecalis or C. albicans. As a result, the irrigation time of NaOCl was more effective than the temperature to eliminate E. faecalis, while pre-heating of NaOCl to 37 °C increased its effectiveness on C. albicans at 5 min contact time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Siqueira JF Jr, Roças IN. Polymerase chain reaction-based analysis of microorganisms associated with failed endodontic treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97:85–94.

    Article  PubMed  Google Scholar 

  2. Sedgley C, Lennan S, Applebe O. Survival of Enterococcus faecalis in root canals. Int Endod J. 2005;38:735–42.

    Article  PubMed  Google Scholar 

  3. Haapasalo M, Orstavik D. In vitro infection and disinfection of dentinal tubules. J Dent Res. 1987;66:1375–9.

    Article  PubMed  Google Scholar 

  4. Nair PNR, Sjögren U, Figdor D, Sundqvist G. Persistent periapical radiolucencies of root-filled human teeth, failed endodontic treatments, and periapical scars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;87:617–27.

    Article  PubMed  Google Scholar 

  5. Tirali RE, Bodur H, Ece G. In vitro antimicrobial activity of sodium hypochlorite, chlorhexidine gluconate and octenidine dihydrochloride in elimination of microorganisms within dentinal tubules of primary and permanent teeth. Med Oral Patol Oral Cir Bucal. 2012;17:e517–22.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Smith JJ, Wayman BE. An evaluation of the antimicrobial effectiveness of citric acid as root canal irrigant. J Endod. 1986;12:54–8.

    Article  PubMed  Google Scholar 

  7. Waltimo TM, Orstavik D, Sirén EK, Haapasalo MPP. In vitro susceptibility of Candida albicans to four disinfectants and their combinations. Int Endod J. 1999;32:421–9.

    Article  PubMed  Google Scholar 

  8. Gomes BP, Lilley JD, Drucker DB. Association of endodontic symptoms and signs with particular combinations of specific bacteria. Int Endod J. 1996;29:69–75.

    Article  PubMed  Google Scholar 

  9. Oliver JD. The viable but nonculturable state in bacteria. J Microbiol. 2005;43:93–100.

    PubMed  Google Scholar 

  10. Signoretto C, Lleó MM, Tafi MC, Canepari PL. Cell wall chemical composition of Enterococcus faecalis in the viable but nonculturable state. Appl Environ Microbiol. 2000;66:1953–9.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Basrani BR, Manek S, Fillery E. Using diazotization to characterize the effect of heat or sodium hypochlorite on 2.0 % chlorhexidine. J Endod. 2009;35:1296–9.

    Article  PubMed  Google Scholar 

  12. Sirtes G, Waltimo T, Schaetzle M, Zehnder M. The effects of temperature on sodium hypochlorite short-term stability, pulp dissolution capacity, and antimicrobial efficacy. J Endod. 2005;31:669–71.

    Article  PubMed  Google Scholar 

  13. Gomes B, Ferraz C, Vianna M, Berber V, Teixeira F, Souza-Filho F. In vitro antimicrobial activity of several concentrations of sodiom hypochlorite and chlorhexidine gluconate in the elimination of Enterococcos faecalis. Int Endod J. 2001;34:424–8.

    Article  PubMed  Google Scholar 

  14. Siqueira J, Rocas I, Favieri A, Lima K. Chemomechanical reduction of the bacterial population in the root canal alter instrumentation and irrigation with 1 %, 2.5 %, and 5.25 % sodium hypochlorite. J Endod. 2000;26:331–4.

    Article  PubMed  Google Scholar 

  15. Retamozo B, Shabahang S, Johnson N, Aprecio RM, Torabinejad M. Minimum contact time and concentration of sodium hypochlorite required to eliminate Enterococcus faecalis. J Endod. 2010;36:520–3.

    Article  PubMed  Google Scholar 

  16. Spencer HR, Ike V, Brennan PA. Review: the use of sodium hypochlorite in endodontics—potential complications and their management. Br Dent J. 2007;202:555–9.

    Article  PubMed  Google Scholar 

  17. Rossi-Fedele G, De Figueiredo AP. Use of a bottle warmer to increase 4 % sodium hypochlorite tissue dissolution ability on bovine pulp. Aust Endod J. 2008;34:39–42.

    Article  PubMed  Google Scholar 

  18. Shen Y, Stojicic S, Qian W, Olsen I, Haapasalo M. The synergistic antimicrobial effect by mechanical agitation and two chlorhexidine preparations on biofilm bacteria. J Endod. 2010;36:100–4.

    Article  PubMed  Google Scholar 

  19. Ballal NV, Kundabala M, Bhat KS, Acharya S, Ballal M, Kumar R, Prakash PY. Susceptibility of Candida albicans and Enterococcus faecalis to chitosan, chlorhexidine gluconate and their combination in vitro. Aust Endod J. 2009;35(1):29–33.

    Article  PubMed  Google Scholar 

  20. Berber VB, Gomes BPFA, Sena NT, Vianna ME, Ferraz CCR, Zaia AA, Souza-Filho FJ. Efficacy of various concentrations of NaOCl and instrumentation techniques in reducing Enterococcus faecalis within root canals and dentinal tubules. Int Endod J. 2006;39:10–7.

    Article  PubMed  Google Scholar 

  21. Clegg MS, Vertucci FJ, Walker C, Belanger M, Britto LR. The effect of exposure to irrigant solutions on apical dentin biofilms in vitro. J Endod. 2006;32:434–7.

    Article  PubMed  Google Scholar 

  22. Vianna ME, Gomes BP. Efficacy of sodium hypochlorite combined with chlorhexidine against Enterococcus faecalis in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:585–9.

    Article  PubMed  Google Scholar 

  23. Abou-Rass M, Oglesby SW. The effects of temperature, concentration, and tissue type on the solvent ability of sodium hypochlorite. J Endod. 1981;7:376–7.

    Article  PubMed  Google Scholar 

  24. Kamburis JJ, Barker TH, Barfield RD, Eleazer PD. Removal of organic debris from bovine dentin shavings. J Endod. 2003;29:559–61.

    Article  PubMed  Google Scholar 

  25. Stojicic S, Zivkovic S, Qian W, Zhang H, Haapasalo M. Tissue dissolution by sodium hypochlorite: effect of concentration, agitation and surfactant. J Endod. 2010;36:1558–62.

    Article  PubMed  Google Scholar 

  26. Haapasalo H, Siren E, Waltimo T, Orstavik D, Haapasalo M. Inactivation of local root canal medicaments by dentine: an in vitro study. Int Endod J. 2000;33:126–31.

    Article  PubMed  Google Scholar 

  27. Fidalgo TK, Barcelos R, Portela MB, Soares RM, Gleiser R, Silva-Filho FC. Inhibitory activity of root canal irrigants against Candida albicans, Enterococcus faecalis and Staphylococcus aureus. Braz Oral Res. 2010;24:406–12.

    Article  PubMed  Google Scholar 

  28. Chandra SS, Miglani R, Srinivasan MR, Indira R. Antifungal efficacy of 5.25 % sodium hypochlorite, 2 % chlorhexidine gluconate, and 17 % EDTA with and without an antifungal agent. J Endod. 2010;26:675–8.

    Article  Google Scholar 

  29. Ruff ML, McClanahan SB, Babel BS. In vitro antifungal efficacy of four irrigants as a final rinse. J Endod. 2006;32:331–3.

    Article  PubMed  Google Scholar 

  30. Radcliffe CE, Potouridou L, Qureshi R, et al. Antimicrobial activity of varying concentrations of sodium hypochlorite on the endodontic microorganisms Actinomyces israelii, A. naeslundii, Candida albicans and Enterococcus faecalis. Int Endod J. 2004;37:438–46.

    Article  PubMed  Google Scholar 

  31. Dychdala GR. Chlorine and chlorine compounds. In: Block SS, editor. Disinfection, sterilization and preservation. Philadelphia: Lea & Febiger; 1991. p. 131–51.

  32. Law A, Messer H. An evidence-based analysis of the antibacterial effectiveness of intracanal medicaments. J Endod. 2004;30:689–94.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors are grateful to Prof. Dr. Atilla H. ELHAN for analyzing the data.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R. Ebru Tirali.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gulsahi, K., Tirali, R.E., Cehreli, S.B. et al. The effect of temperature and contact time of sodium hypochlorite on human roots infected with Enterococcus faecalis and Candida albicans . Odontology 102, 36–41 (2014). https://doi.org/10.1007/s10266-012-0086-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10266-012-0086-x

Keywords

Navigation