Antimicrobial efficacy of cordless sonic or ultrasonic devices on Enterococcus faecalis-infected root canals

J Investig Clin Dent. 2019 Nov;10(4):e12434. doi: 10.1111/jicd.12434. Epub 2019 Jul 11.

Abstract

Aim: The aim of the present study was to evaluate the immediate and residual antimicrobial activity of cordless sonic or ultrasonic devices on Enterococcus faecalis (E faecalis)-infected teeth.

Methods: A total of 140 single-rooted extracted teeth with E faecalis were grouped as follows (N = 15): conventional syringe irrigation with 3% sodium hypochlorite activated by ultrasonic device (group 1) or cordless ultrasonic device (group 2), EndoActivator (group 3) or without activation (group 4), conventional syringe irrigation with sterile bi-distilled water and ultrasonic device (group 5), EndoUltra (group 6), EndoActivator (group 7), or without activation (group 8). The remaining 20 teeth were used for positive and negative controls. Colony-forming units (CFU) and turbidity were recorded from bacteriological samples taken before and after irrigation and after 24 hours of re-incubation. Data were statistically analyzed using Student's t test, Mann-Whitney test, Kruskal-Wallis test, and Dunn's multiple comparison tests (P < .05).

Results: Groups 1 and 2 showed higher antimicrobial efficacy than groups 3 and 4 (P < .05). No bacteria reduction was found in groups 5-8 (P > .05). After 24 hours, regrowth of bacteria was not significantly different for all groups (P > .05).

Conclusions: Ultrasound produced lower CFU and turbidity after treatment and after re-incubation of 24 hours than sonic or no activation.

Keywords: Enterococcus faecalis; EndoActivator; EndoUltra; cordless ultrasonic device; sodium hypochlorite.

MeSH terms

  • Anti-Infective Agents*
  • Dental Pulp Cavity
  • Enterococcus faecalis*
  • Humans
  • Root Canal Irrigants
  • Root Canal Preparation
  • Sodium Hypochlorite
  • Therapeutic Irrigation

Substances

  • Anti-Infective Agents
  • Root Canal Irrigants
  • Sodium Hypochlorite