Octenidine in root canal and dentine disinfection ex vivo

Int Endod J. 2007 Nov;40(11):845-51. doi: 10.1111/j.1365-2591.2007.01279.x. Epub 2007 Aug 30.

Abstract

Aim: The aim of the present study was to investigate the antimicrobial activity of octenidine on Enterococcus faecalis ATCC 29212 in a dentine block model.

Methodology: Fifty-six root segments of extracted human teeth were infected with E. faecalis for 4 weeks. Octenidine-phenoxyethanol gel (1 : 1) was applied for different timing: 1 min, 10 min, 7 days and in a different formula (1 : 3) for 10 min. Three samples were chosen for the group with placebo gel and for the group without infection (negative control). Dentine samples were collected, and the total count of bacteria and colony-forming units were determined. In addition, for controls and the 10 min group with 1 : 1 gel, the proportion of viable bacteria (PVB) was assessed.

Results: Octenidine was particularly effective after incubation periods of 10 min and 7 days. The mean PVB decreased significantly from 57.2% to 5.7% after 10 min application. After 7 days, only one of 10 samples showed positive culture.

Conclusion: The present study showed the effectiveness of octenidine against E. faecalis in dentine disinfection. Further laboratory and clinical studies are required.

MeSH terms

  • Anti-Infective Agents, Local / pharmacology*
  • Colony Count, Microbial
  • Dentin / microbiology*
  • Enterococcus faecalis / drug effects*
  • Humans
  • Imines
  • Pyridines / pharmacology*
  • Root Canal Irrigants / pharmacology*

Substances

  • Anti-Infective Agents, Local
  • Imines
  • Pyridines
  • Root Canal Irrigants
  • octenidine