Document Type : Original Article
Authors
- Aida Mehdipoor 1
- Roohollah Fateh 1
- Zeinab Naseri 2
- Mohammad Aghaali 3
- Ali Saleh 2
- Faezeh Kabiri 4
- Alireza Rasouli 4
1 Cellular and Molecular Research Center, Qom University of Medical Sciences, Qom, Iran.
2 Student Research Committee, Qom University of Medical Sciences, Qom, Iran.
3 Dept. of Community Medicine, School of Medicine, Qom University of Medical Sciences, Qom, Iran.
4 Dept. of Microbiology, Faculty of Basic Sciences, Qom Branch, Islamic Azad University, Qom, Iran.
Abstract
Background: Root canal treatment is one of the most critical dental treatments that help to maintain teeth. However, the growth of microorganisms leads to treatment failure. Considering the widespread use of mineral trioxide aggregate (MTA) in endodontic treatment, in vitro comparison of antibacterial, antifungal and anti-adherence activities of new types of MTA materials is indispensable.
Purpose: This study aimed to investigate and compare the antibacterial, antifungal, and anti-adhesion properties of three types of MTA, including A.G.M MTA (Andishe Gostar Masud, Tehran, Iran), Ortho MTA (BioMTA, South Korea), and Ultradent™ MTA Flow (Ultradent MTA Flow, USA).
Materials and Method: In this laboratory study, the antibacterial activity of three MTA substances against the strain of Enterococcus faecalis (E. faecalis) was carried out by the modified direct contact test (MDCT) method in 1, 3, 7, and 14 days. Antifungal activity of MTA against Candida albicans (C. albicans) was performed using a tube-dilution test in 1, 24, and 72 hours. The antibiofilm property of three MTA substances against E. faecalis strain was determined using the crystal violet staining method and measurement by ELISA.
Results: Ortho MTA, A.G.M MTA, and MTA Flow showed intense antibacterial activity. The difference in the antibacterial effect of the three types of MTA was not statistically significant in all periods (p Value> 0.05). In the investigation of antifungal properties after 72 hours, all three types of MTA had antifungal properties (p< 0.050). Comparing the anti-adhesion properties of three MTA substances on E. faecalis, it is not significant (p< 0.05).
Conclusion: A.G.M MTA showed the highest antibacterial activity, and Ultradent MTA Flow and Ortho MTA showed stronger antifungal activity than A.G.M MTA. The highest anti-bacterial property was related to A.G.M MTA.
Highlights
Aida Mehdipour (Google Scholar)
Keywords
- Clarkson JE, Ramsay CR, Mannocci F, Jarad F, Albadri S, Ricketts D, et al. Pulpotomy for the Management of Irreversible Pulpitis in Mature Teeth (PIP): a feasibility study. Pilot Feasibility Stud. 2022; 8: 77.
- Khedmat S, Aminipor M, Pourhajibagher M, Kharazifar MJ, Bahador A. Comparison of antibacterial activities of ProRoot MTA, OrthoMTA, and RetroMTA against three anaerobic endodontic bacteria. J Dent (Tehran, Iran). 2018; 15: 294.
- Janini ACP, Bombarda GF, Pelepenko LE, Marciano MA. Antimicrobial activity of calcium silicate-based dental materials: a literature review. Antibiotics. 2021; 10: 865.
- Bhavana V, Chaitanya KP, Gandi P, Patil J, Dola B, Reddy RB. Evaluation of antibacterial and antifungal activity of new calcium-based cement (Biodentine) compared to MTA and glass ionomer cement. J Conserv Endo. 2015; 18: 44-46.
- Chatzopoulos GS, Koidou VP, Lunos S, Wolff LF. Implant and root canal treatment: Survival rates and factors associated with treatment outcome. J Dent. 2018;71: 61-66.
- Tawil PZ, Duggan DJ, Galicia JC. Mineral trioxide aggregate (MTA): its history, composition, and clinical applications. Compen Contin Educ Dent. 2015; 36: 247-252.
- Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review- part I: chemical, physical, and antibacterial properties. J Endo. 2010; 36: 16-27.
- Hernandez-Delgadillo R, Del Angel-Mosqueda C, Solís-Soto JM, Munguia-Moreno S, Pineda-Aguilar N, Sánchez-Nájera RI, et al. Antimicrobial and antibiofilm activities of MTA supplemented with bismuth lipophilic nanoparticles. Dent Mate J. 2017; 36: 503-510.
- Khademi AA, Shadmehr E, Hashemi M, Barekatain B, Khoroshi M. A review on new clinical applications of MTA. J Isfahan Dent Sch. 2010; 1: 58-82.
- Ørstavik D. Endodontic filling materials. Endo Topic. 2014; 31: 53-67.
- Torabinejad M, Hong C, Ford TP, Kettering J. Antibacterial effects of some root end filling materials. J Endo. 1995; 21: 403-436.
- Esteki P, Jahromi MZ, Tahmourespour A. In vitro antimicrobial activity of mineral trioxide aggregate, Biodentine, and calcium-enriched mixture cement against Enterococcus faecalis, Streptococcus mutans, and Candida albicans using the agar diffusion technique. Dent Res J. 2021; 18: 3.
- Youssef AR, Elsherief S. Evaluation of the cytotoxic effects of a new Harvard MTA compared to MTA Flow and ProRoot MTA on human gingival fibroblasts. Saudi Dent J. 2021; 33: 679-686.
- Maru V, Dixit UB. Constituents, properties and clinical applications of OrthoMTA & RetroMTA: A systematic review. Indian J Dent Res. 2021; 32: 514-523.
- Dioguardi M, Quarta C, Alovisi M, Crincoli V, Aiuto R, Crippa R, et al. Microbial association with genus actinomyces in primary and secondary endodontic lesions, review. Antibiotics. 2020; 9: 433.
- Yoo YJ, Kim AR, Perinpanayagam H, Han SH, Kum KY. Candida albicans virulence factors and pathogenicity for endodontic infections. Microorganisms. 2020; 8: 1300.
- Bolhari B, Sooratgar A, Pourhajibagher M, Chitsaz N, Hamraz I. Evaluation of the antimicrobial effect of mineral trioxide aggregate mixed with fluorohydroxyapatite against E. faecalis in vitro. Sci World J. 2021; 2021: 6318690.
- Luczaj-Cepowicz E, Pawińska M, Marczuk-Kolada G, Leszczyńska K, Waszkiel D. Antibacterial activity of two Mineral Trioxide Aggregate materials in vitro evaluation. Ann Acad Med Stetin; 2008; 54: 147-150.
- Slotwinska S. Host and bacterial adhesion. Polish J Vet Sci. 2013; 16: 153-156.
- Asadi A, Razavi S, Talebi M, Gholami M. A review on anti-adhesion therapies of bacterial diseases. Infection. 2019; 47: 13-23.
- Mak ST, Leong XF, Tew IM, Kumolosasi E, Wong L. In vitro evaluation of the antibacterial activity of EndoSeal MTA, iRoot SP, and AH Plus against planktonic bacteria. Materials. 2022; 15: 2012.
- Mohammadi Z, Modaresi J, Yazdizadeh M. Evaluation of the antifungal effects of mineral trioxide aggregate materials. Australian Endo J. 2006; 32: 120-122.
- Bossù M, Mancini P, Bruni E, Uccelletti D, Preziosi A, Rulli M, et al. Biocompatibility and antibiofilm properties of calcium silicate-based cements: an in vitro evaluation and report of two clinical cases. Biology. 2021; 10: 470.
- Lee BN, Son HJ, Noh HJ, Koh JT, Chang HS, Hwang IN, et al. Cytotoxicity of newly developed ortho MTA root-end filling materials. J Endo. 2012; 38: 1627-1630.
- Miranda NNOP, Endo MS. Assessment of antibacterial activity of MTA Flow® against Enterococcus faecalis and Staphylococcus aureus: An In vitro study. Int J Med Health Res. 2022; 8: 53-58.
- Yalin FA, Tabibi M, Majidi A, Kabiri F, Rasouli A, Aghaali M. Evaluation and comparison of four types of bioceramic materials AGM MTA, Ortho MTA, pro root MTA and Cem cement in oral and dental health. BMC Oral Health. 2024; 24: 1052.
- Yang Q, Troczynski T, Liu DM. Influence of apatite seeds on the synthesis of calcium phosphate cement. Biomaterials. 2002; 23: 2751-260.
- Abduljabbar SM, Abumostafa A. Antimicrobial effect of different calcium silicate–Based bioceramic endodontic sealers against Enterococcus faecalis: An in vitro study. Saudi J Oral Sci. 2021; 8: 48-52.
- Nikhil V, Madan M, Agarwal C, Suri N. Effect of addition of 2% chlorhexidine or 10% doxycycline on antimicrobial activity of biodentine. J Conserv Dent Endo. 2014; 17: 271-275.
- Razmi H, Aminsobhani M, Bolhari B, Shamshirgar F, Shahsavan S, Shamshiri AR. Calcium enriched mixture and mineral trioxide aggregate activities against Enterococcus faecalis in presence of dentin. Iranian Endo J. 2013; 8: 191.
- Mohammadi Z, Giardino L, Palazzi F, Shalavi S. Antibacterial activity of a new mineral trioxide aggregate-based root canal sealer. Int Dent J. 2012; 62: 70-73.
- Kapralos V, Koutroulis A, Ørstavik D, Sunde PT, Rukke HV. Antibacterial activity of endodontic sealers against planktonic bacteria and bacteria in biofilms. J Endo. 2018; 44: 149-154.
- Zhang H, Shen Y, Ruse ND, Haapasalo M. Antibacterial activity of endodontic sealers by modified direct contact test against Enterococcus faecalis. J Endo. 2009; 35: 1051-1055.
- Duarte MAH, de Oliveira Demarchi ACC, Yamashita JC, Kuga MC, de Campos Fraga S. pH and calcium ion release of 2 root-end filling materials. Oral Surg Oral Med Oral Patho Oral Radio Endo. 2003; 95: 345-347.
- Camilleri J, Pitt Ford T. Mineral trioxide aggregate: a review of the constituents and biological properties of the material. Int Endo J. 2006; 39: 747-754.
- Dammaschke T, Gerth HU, Züchner H, Schäfer E. Chemical and physical surface and bulk material characterization of white ProRoot MTA and two Portland cements. Dent Mater. 2005; 21: 731-738.
- Weckwerth PH, Carnietto C, Weckwerth ACVB, Duarte MAH, Kuga MC, Vivan RR. In vitro susceptibility of oral Candida albicans strains to different pH levels and calcium hydroxide saturated aqueous solution. Brazilian Dent J. 2012; 23: 192-198.
- Waltimo T, Sirén E, Orstavik D, Haapasalo M. Susceptibility of oral Candida species to calcium hydroxide in vitro. Int Endo J. 1999; 32: 94-98.
- Barbosa S, Spangberg L, Almeida D. Low surface tension calcium hydroxide solution is an effective antiseptic. Int Endo J. 1994; 27: 6-10.
- Ebrahimikahrizsangi AA, Shabanpour Z, Habibian S, Hakimi Alni R, Hemati M, Aflakiyan F, et al. Chlorhexidine effect on bacterial biofilms isoleated from nosocomial infections. J Micro Biol. 2015; 4: 83-92.
- Wang Z, Shen Y, Haapasalo M. Antimicrobial and antibiofilm properties of bioceramic materials in endodontics. Materials. 2021; 14: 7594.
- Farrugia C, Lung CY, Wismayer PS, Arias-Moliz MT, Camilleri J. The relationship of surface characteristics and antimicrobial performance of pulp capping materials. J Endo. 2018; 44: 1115-1120.
- Morris R. Spectrophotometry. Current Protocols Essential Laboratory Techniques. 2015; 11: 2.1. -2.1. 30.
- Waltimo TM, Haapasalo M, Zehnder M, Meyer J. Clinical aspects related to endodontic yeast infections. Endo Topics. 2004; 9: 66-78.
- Kanematsu H, Nakagawa R, Sano K, Barry DM, Ogawa A, Hirai N, et al. Graphene‐dispersed silane compound used as a coating to sense immunity from biofilm formation. Med Devic Sensor. 2019; 2: e10043.
- Pinheiro E, Gomes B, Ferraz C, Sousa E, Teixeira F, Souza-Filho F. Microorganisms from canals of root-filled teeth with periapical lesions. Int Endo J. 2003; 36: 1-11.
- Siqueira Jr*JF, Sen BH. Fungi in endodontic infections. Oral Surg Oral Med Oral Patho Oral Radio Endo. 2004; 97: 632-641.
- Zbidi ND, Zaki A, Zouiten S, Boughzala A, Baccouche C. Prévalence des levures endodontiques dans les pathologies périapicales [Prevalence of endodontic yeasts in periapical infections]. Odontostomatol Trop. 2005; 28: 5-12.
- Shahi S, Samiei M, Bahari M, Yavari H, Mahvarian MR. Effect of incorporating titanium dioxide nanoparticles into white portland cement, white mineral trioxide aggregate, and calcium enriched mixture cement on the push-out bond strength to furcal area dentin. J Dent. 2023; 24: 422.
- Tabari M, Majidi MS, Hamzeh M, Ghoreishi S. Biocompatibility of mineral trioxide aggregate mixed with different accelerators: an Animal Study. J Dent. 2020; 21: 48.
- Dastorani M, Shourvarzi B, Nojoumi F, Ajami M. Comparison of bacterial microleakage of endoseal MTA sealer and pro-root MTA in root perforation. J Dent. 2021; 22: 96.