Evaluation of the Susceptibility of Multispecies Biofilms in Dentinal Tubules to Disinfecting Solutions

J Endod. 2016 Aug;42(8):1246-50. doi: 10.1016/j.joen.2016.05.011. Epub 2016 Jun 16.

Abstract

Introduction: The present study evaluated the effect of the source of biofilm bacteria on their susceptibility in dentinal tubules to disinfecting solutions using an infected dentin model.

Methods: Infected dentin blocks were prepared. Enterococcus faecalis strains VP3-181 and Gel 31 were introduced into dentinal tubules by centrifugation to form monospecies biofilms, whereas 3 specimens of pooled plaque bacteria collected from different donors were used to grow multispecies biofilms in dentin. After 1 and 3 weeks of incubation, the samples were subjected to sterile water, 2% chlorhexidine (CHX), and 2% sodium hypochlorite (NaOCl). After the 3-minute exposure, the proportions of killed bacteria in dentin canals were assessed by viability staining and confocal laser scanning microscopy.

Results: The proportion of killed bacteria in mature (3 weeks) mono- and multispecies biofilms was lower than in young biofilms (1 week) after treatment (P < .05). E. faecalis Gel 31 biofilms and multispecies biofilms were more resistant than VP3-181 biofilms. No differences in the susceptibilities to the disinfecting agents of the 3 multispecies biofilms were detected; 2% NaOCl was more effective against multispecies biofilms in dentin than 2% CHX (P < .05), whereas no significant difference was detected between 2% CHX and 2% NaOCl against the E. faecalis strains.

Conclusions: Mature mono- and multispecies biofilms in dentinal tubules are more resistant to disinfectants than corresponding young biofilms. The susceptibility of the monospecies E. faecalis dentin biofilm showed strain-related differences, whereas the multispecies biofilms from different donors showed similar susceptibility.

Keywords: Biofilm; dentinal tubules; disinfection; maturation; monospecies; multispecies.

MeSH terms

  • Adult
  • Anti-Infective Agents, Local / pharmacology
  • Biofilms / drug effects*
  • Chlorhexidine / pharmacology
  • Dental Plaque / microbiology*
  • Dentin / microbiology*
  • Disinfection / methods*
  • Enterococcus faecalis / drug effects
  • Humans
  • In Vitro Techniques
  • Microbial Viability / drug effects
  • Microscopy, Confocal
  • Middle Aged
  • Root Canal Irrigants / pharmacology
  • Sodium Hypochlorite / pharmacology

Substances

  • Anti-Infective Agents, Local
  • Root Canal Irrigants
  • Sodium Hypochlorite
  • Chlorhexidine