Efficacy of calcium hydroxide-loaded poly(lactic-co-glycolic acid) biodegradable nanoparticles as an intracanal medicament against endodontopathogenic microorganisms in a multi-species biofilm model

Aust Endod J. 2024 Apr;50(1):89-96. doi: 10.1111/aej.12812. Epub 2023 Nov 10.

Abstract

This study aimed to evaluate the antimicrobial activity of calcium hydroxide-loaded poly(lactic-co-glycolic acid) nanoparticles (CH-loaded PLGA NPs) on multi-species biofilms. Human root blocks were prepared (n = 40), and multi-species suspensions of Candida albicans, Enterococcus faecalis and Streptococcus gordonii were incubated within the root canals for 21 days. Canals (n = 10/group) were then medicated with saline solution (negative control), chlorhexidine (positive control), calcium hydroxide and CH-loaded PLGA NPs for 7 days. Samples taken from the 0.1 mm root canal dentin were collected, and cell growth was detected by culture on BHI agar. The viable cell count of the Ca(OH)2, chlorhexidine gel and CH-loaded PLGA NPs group was significantly lower than the normal saline group (p < 0.001). CH-loaded PLGA NPs demonstrated a significant lower viable cell than Ca(OH)2 (p < 0.001); it has potential as a medicament for endodontic therapy.

Keywords: antimicrobial activity; calcium hydroxide‐loaded poly(lactic‐co‐glycolic acid); multi‐species bacterial‐fungal biofilm; nanoparticles; root canal medicament.

MeSH terms

  • Biofilms
  • Calcium Hydroxide / pharmacology
  • Chlorhexidine* / pharmacology
  • Dental Pulp Cavity
  • Enterococcus faecalis
  • Glycols
  • Humans
  • Nanoparticles*
  • Polylactic Acid-Polyglycolic Acid Copolymer
  • Root Canal Irrigants / pharmacology

Substances

  • Chlorhexidine
  • Calcium Hydroxide
  • Polylactic Acid-Polyglycolic Acid Copolymer
  • Glycols
  • Root Canal Irrigants