Disinfection of dentinal tubules with diclofenac sodium and N-Acetylcysteine compared with calcium hydroxide as intracanal medicaments against Enterococcus faecalis

Aust Endod J. 2022 Dec;48(3):386-391. doi: 10.1111/aej.12575. Epub 2021 Oct 7.

Abstract

The purpose of this study was to evaluate the disinfection of dentinal tubules with diclofenac sodium (DS), N-acetylcysteine (NAC) and calcium hydroxide (CH). Contaminated dentinal blocks were divided into two control and seven experimental groups (n = 15): CH, DS, NAC, CH + 5% DS, 50% CH + 50% DS, CH + 5% NAC and 50% CH + 50% NAC. After seven days, dentine debris was obtained from two depths of 100 and 200 µm. The bacterial load was assessed by counting the number of colony-forming units (CFUs). Pure DS exhibited maximum antibacterial activity at both depths. At 200 µm, it showed statistically significant differences with all the other groups (P < 0.05). Mixing CH with either 5% or 50% of DS and NAC did not increase the antibacterial efficacy (P > 0.05). Pure DS was most effective in disinfecting dentinal tubules, and mixing CH with DS or NAC is not recommended.

Keywords: E. faecalis; N-acetylcysteine; calcium hydroxide; dentine; diclofenac sodium.

MeSH terms

  • Acetylcysteine / pharmacology
  • Anti-Bacterial Agents / pharmacology
  • Calcium Hydroxide* / pharmacology
  • Dental Pulp Cavity / microbiology
  • Dentin
  • Diclofenac / pharmacology
  • Enterococcus faecalis*
  • Root Canal Irrigants / pharmacology

Substances

  • Calcium Hydroxide
  • Root Canal Irrigants
  • Diclofenac
  • Acetylcysteine
  • Anti-Bacterial Agents