Fluorescence characteristics of E. faecalis in dentine following treatment with oxidizing endodontic irrigants

Photodiagnosis Photodyn Ther. 2021 Sep:35:102344. doi: 10.1016/j.pdpdt.2021.102344. Epub 2021 May 24.

Abstract

Introduction: This study aimed to assess changes in the fluorescence characteristics of Enterococcus faecalis in human dentine over a period of 24 h following treatment with endodontic irrigants.

Method: Sterilised, non-functional extracted third molars were embedded in acrylic resin and uniformly sectioned into 2 mm thick dentine sections. After the removal of smear layer, the dentine sections were inoculated with E. faecalis and cultured for 7 days. The infected dentine sections were subsequently treated with different concentrations of sodium hypochlorite (NaOCl) and hydrogen peroxide (H2O2). Bacterial fluorescence readings were assessed at different time points using a calibrated laser device. All data were assessed for normality (Kolmogorov Smirnoff test) and analysed using ANOVA with Bonferroni post-hoc tests.

Results: Fluorescence readings were quenched when E. faecalis infected human dentine sections were treated with oxidizing irrigants in vitro. Throughout a 24-hour period, fluorescence recovered in part but did not return to baseline level.

Conclusion: The fluorescence quenching effect of these oxidizing agents needs to be considered when using laser fluorescence in assessing the quality of root canal debridement or disinfection.

Keywords: Bacterial detection; Dentistry; Endodontic irrigants; Endodontics; Enterococcus faecalis; Laser fluorescence; Oxidizing agents.

MeSH terms

  • Dentin
  • Fluorescence
  • Humans
  • Hydrogen Peroxide
  • Oxidation-Reduction
  • Photochemotherapy* / methods
  • Photosensitizing Agents
  • Root Canal Irrigants* / pharmacology

Substances

  • Photosensitizing Agents
  • Root Canal Irrigants
  • Hydrogen Peroxide