Methacrylate-based root canal sealer containing chlorexidine and α-tricalcium phosphate

J Biomed Mater Res B Appl Biomater. 2018 May;106(4):1439-1443. doi: 10.1002/jbm.b.33946. Epub 2017 Jun 23.

Abstract

The aim of this study was to develop and to characterize a methacrylate-based root canal sealer containing chlorhexidine (CHX) and α-tricalcium phosphate (α-TCP). Experimental dual cure methacrylate-based sealer was produced containing 0, 2.5, or 5 wt% of CHX and 0, 25, or 50 wt% of α-TCP. Experimental sealers were evaluated based on flow, film thickness, radiopacity, degree of conversion (DC), degradation in water, pH and antibacterial activity. Flow ranged from 15.09 ± 0.11 to 17.47 ± 0.42 mm. All groups presented mean film thickness lower than 50 µm and had radiopacity equivalent to 3 mmAl. DC was higher than 60% for all compositions. The weight loss (WL) ranged 0.12-3.47%. The groups containing 5% of CHX presented the highest WL and the lower pH values after 28 days of water immersion. All chlorexidine-compositions exhibited antibacterial efficacy against Enterococcus faecalis on direct contact and agar diffusion tests. CHX and α-TCP addition at an experimental methacrylate-based root canal sealer influenced the physicochemical properties and provided antibacterial properties. The incorporation of CHX and α-TCP could be an alternative to antibacterial sealers with potential to improve periapical healing in endodontic treatments. © 2017 Wiley Periodicals, Inc. J Biomater Res Part B: 106B: 1439-1443, 2018.

Keywords: antimicrobial; calcium phosphate(s); chlorexidine; methacrylates; root canal sealer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents* / chemistry
  • Anti-Bacterial Agents* / pharmacology
  • Calcium Phosphates* / chemistry
  • Calcium Phosphates* / pharmacology
  • Chlorhexidine* / chemistry
  • Chlorhexidine* / pharmacology
  • Dental Pulp Cavity / microbiology
  • Enterococcus faecalis / growth & development*
  • Materials Testing
  • Methacrylates* / chemistry
  • Methacrylates* / pharmacology
  • Root Canal Filling Materials* / chemistry
  • Root Canal Filling Materials* / pharmacology

Substances

  • Anti-Bacterial Agents
  • Calcium Phosphates
  • Methacrylates
  • Root Canal Filling Materials
  • alpha-tricalcium phosphate
  • Chlorhexidine