Local Immunomodulatory Effects of Intracanal Medications in Apical Periodontitis

Hebatullah Hussein; Anil Kishen

doi:10.1016/j.joen.2022.01.003

Local Immunomodulatory Effects of Intracanal Medications in Apical Periodontitis

J Endod. 2022 Apr;48(4):430-456. doi: 10.1016/j.joen.2022.01.003. Epub 2022 Jan 13.

Authors

Hebatullah Hussein¹, Anil Kishen²

Affiliations

¹ The Kishen Lab, Dental Research Institute, University of Toronto, Toronto, Ontario, Canada; Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Faculty of Dentistry, Ain Shams University, Endodontics Department, Cairo, Egypt.
² The Kishen Lab, Dental Research Institute, University of Toronto, Toronto, Ontario, Canada; Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; School of Graduate Studies, University of Toronto, Toronto, Ontario, Canada; Department of Dentistry, Mount Sinai Health System, Mount Sinai Hospital, Toronto, Ontario, Canada. Electronic address: anil.kishen@dentistry.utoronto.ca.

PMID: 35032538
DOI: 10.1016/j.joen.2022.01.003

Abstract

The immune system is an extremely complex biological network that plays a crucial role in the hemostasis of periapical tissue, pathogenesis of apical periodontitis (AP), and periapical tissue healing. The successful elimination of microbial infections remains a significant challenge, mostly because of the ever-growing development of antimicrobial-resistant pathogens. The bacterial endurance in the root canal system contributes to features ranging from altered posttreatment healing to exacerbation of chronic periradicular immune response, which compromise the outcome of endodontic treatment. A highly effective strategy for combating infectious diseases and the associated inflammation-mediated tissue damage is to modulate the host immune response in conjunction with antimicrobial therapy. There are several medications currently used in endodontic treatment; however, they suffer various levels of microbial resistance and do not deliver all the required characteristics to simultaneously address both intracanal bacteria and periapical inflammation. The interaction of antimicrobial agents with the immune system can impact its function, leading to immune-suppressive or immune-stimulatory effects. The group of nonconventional antimicrobial medications, such as antimicrobial peptides, propolis, and nanomaterials, are agents that provide strong antimicrobial effectiveness and concomitant immunomodulatory and/or reparative effect without any host tissue damages. In this review, we provide an overview of local immune modulation in AP and a comprehensive review of the immunomodulatory effect of antimicrobial intracanal medications applied in endodontics with specific emphasis on the antimicrobial nanomaterial-based approaches that provide immunomodulatory potential for successful clinical deployment in endodontics.

Keywords: Cytokines; immune system modulation; inflammation; intracanal medications; lymphocytes; macrophages; nanomaterials; periapical diseases.

Publication types

Review

MeSH terms

Anti-Infective Agents* / therapeutic use
Humans
Immunity
Periapical Periodontitis* / therapy
Periapical Tissue
Root Canal Therapy

Substances

Anti-Infective Agents