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DOI: 10.1055/s-0044-1788631
Comparison of Chlorhexidine Gluconate, Sodium Hypochlorite, Neem Extract, and Microwave Radiation for Disinfection of Type IV Dental Stone
Autor*innen
Abstract
Objective The present study evaluated the effect of chemical disinfectants and microwave sterilization on the removal of biofilm containing Pseudomonas aeruginosa, Streptococcus mutans, and Candida albicans from type IV dental stone.
Materials and Methods One hundred twenty-eight (N = 128) type IV dental cast stone specimens were prepared, and biofilms of microorganisms were cultured. Dental stone samples were subjected to disinfection protocols, including 0.5% chlorhexidine (CHX), 0.5% sodium hypochlorite (NaOCl), 20% neem extract, and microwave irradiation for 1 to 5 minutes. Colony forming unit (CFU) counts and scanning electron microscopy were utilized to witness changes in the biofilm, pre- and postdisinfection/sterilization.
Results For P. aeruginosa, significant (p < 0.05) decrease in CFU counts after 1 minute (from 233 to −215) and 2, 3, and 5 minutes (from 233 to −233) were observed after CHX treatment. After microwave radiation, a significant decrease in CFU counts was also observed after 1 minute (from 233 to −130.3), 2 minutes (from 233 to −229), and 3 and 5 minutes (from 233 to −233). For S. mutans, a significant (p < 0.05) decrease in CFU counts was observed after 1, 2, 3, and 5 minutes (from 212 to −268) after NaOCl treatment and microwave radiation (from 212 to −271 after 1 minute and from 212 to −274.3 after 2, 3, and 5 minutes). For C. albicans, significant (p < 0.05) decrease in the CFU counts (1–5 minutes) was observed after CHX exposure, while NaOCl and microwave radiation demonstrated equal disinfection potency. Neem extract was effective to disinfect the dental stone; however, it was not as potent as the other disinfectants and microwave radiation.
Conclusion It was observed that exposure to CHX, NaOCl, and microwave radiation significantly reduced the microbial CFU counts. Although the use of neem extract also significantly reduced these CFU counts, this reduction was not as much as the other three tested materials. Further research exploring other chemical disinfectants with various concentrations is recommended.
Keywords
biofilm - Pseudomonas aeruginosa - Streptococcus mutans - Candida albicans - disinfectants - dental materialsPublikationsverlauf
Artikel online veröffentlicht:
10. Dezember 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Žilinskas J, Junevičius J, Ramonaitė A, Pavilonis A, Gleiznys A, Sakalauskienė J. Viability changes: microbiological analysis of dental casts. Med Sci Monit 2014; 20 (20) 932-937
- 2 Hosseini Hooshiar M, Badkoobeh A, Kolahdouz S. et al. The potential use of nanozymes as an antibacterial agents in oral infection, periodontitis, and peri-implantitis. J Nanobiotechnology 2024; 22 (01) 207
- 3 Ozyemisci N, Yorulmaz M. A new dental casting technique for production of void-free dental models. Eur Oral Res 2020; 54 (03) 119-122
- 4 Hamdy TM, Abdelnabi A, Abdelraouf RM. Reinforced dental plaster with low setting expansion and enhanced microhardness. Bull Natl Res Cent 2020; 44: 78
- 5 Ibrahim SH, Amr H, Hassan AA, Elzohairy A. Internal fit evaluation of indirect restorations fabricated from CAD/CAM composite blocks versus ceramic blocks in badly broken teeth using cone beam CT (CBCT): double-blinded randomized clinical trial. Heliyon 2022; 8 (05) e09466
- 6 Jasim ZM, Abass SM. The effect of hypochlorous acid disinfectant on the reproduction of details and surface hardness of type III dental stone. Cureus 2022; 14 (11) e32061
- 7 Chidambaranathan AS, Balasubramanium M. Comprehensive review and comparison of the disinfection techniques currently available in the literature. J Prosthodont 2019; 28 (02) e849-e856
- 8 Dapello-Zevallos GM, San MR, Kimberly NM. et al. Disinfection of dental impression materials and its effects on dimensional changes: a literature review. Rev Odontol Mex 2021; 25 (02) 154-159
- 9 Fernandes AK, Bhat V, Bhat M, Shetty S, Kutty SM, Malik A. A comparative study of the effect of different disinfectant solutions on the compressive strength of type III gypsum. J Pharm Bioallied Sci 2020; 12 (12, suppl 1) S530-S537
- 10 Mohapatra S. Sterilization and disinfection. Essentials of Neuroanesthesia 2017; 929-944
- 11 Campanha NH, Pavarina AC, Brunetti IL, Vergani CE, Machado AL, Spolidorio DM. Candida albicans inactivation and cell membrane integrity damage by microwave irradiation. Mycoses 2007; 50 (02) 140-147
- 12 Zakaria MR, Johnston WM, Reisbick MH, Campagni WV. The effects of a liquid dispersing agent and a microcrystalline additive on the physical properties of type IV gypsum. J Prosthet Dent 1988; 60 (05) 630-637
- 13 Moradian H, Bazargani A, Rafiee A, Nazarialam A. In vitro comparison of antimicrobial activity of aqueous decoction of Coriandrum sativum, and dentol drop with chlorhexidine on Streptococcus mutans . Iran J Microbiol 2013; 5 (03) 239-243
- 14 Bo ZM, Tan WK, Chong CSC. et al. Respiratory microorganisms in acute pharyngitis patients: Identification, antibiotic prescription patterns and appropriateness, and antibiotic resistance in private primary care, central Malaysia. PLoS One 2022; 17 (11) e0277802
- 15 Choudhry Z, Kazmi SMR, Malik S. et al. Bacterial disinfection of polymethyl methacrylate (PMMA) resin polymer using low level microwave irradiation and denture cleaning agent. Appl Sci (Basel) 2022; 12 (12) 5860
- 16 Bazvand L, Aminozarbian MG, Farhad A, Noormohammadi H, Hasheminia SM, Mobasherizadeh S. Antibacterial effect of triantibiotic mixture, chlorhexidine gel, and two natural materials Propolis and Aloe vera against Enterococcus faecalis: an ex vivo study. Dent Res J (Isfahan) 2014; 11 (04) 469-474
- 17 Solderer A, Kaufmann M, Hofer D, Wiedemeier D, Attin T, Schmidlin PR. Efficacy of chlorhexidine rinses after periodontal or implant surgery: a systematic review. Clin Oral Investig 2019; 23 (01) 21-32
- 18 Thangavelu A, Kaspar SS, Kathirvelu RP, Srinivasan B, Srinivasan S, Sundram R. Chlorhexidine: an Elixir for periodontics. J Pharm Bioallied Sci 2020; 12 (12, suppl 1): S57-S59
- 19 Łukomska-Szymańska M, Sokolowski J, Łapińska B. Chlorhexidine – mechanism of action and its application to dentistry. J Stomatol (Brux) 2017; 70: 405-417
- 20 Poppolo Deus F, Ouanounou A. Chlorhexidine in dentistry: pharmacology, uses, and adverse effects. Int Dent J 2022; 72 (03) 269-277
- 21 Anaraki MR, Akhi MT, Pirzadeh T. et al. Efficacy of microwave disinfection on moist and dry dental stone casts with different irradiation times. Adv Biosci Clin Med 2015; 3 (03) 9
- 22 Berg E, Nielsen Ø, Skaug N. Efficacy of high-level microwave disinfection of dental gypsum casts: the effects of number and weight of casts. Int J Prosthodont 2007; 20 (05) 463-464
- 23 Bhat V, Shenoy K, Shetty S. Evaluation of efficacy of microwave oven irradiation in disinfection of patient derived dental cast. Int J Infect Control 2012; 8: 1-4
- 24 Kalahasti D, Hegde V, Kosaraju K, Baliga S, Reddy NK, Sujatha B. Evaluation of efficacy of microwave irradiation in disinfecting dental gypsum casts: an ex vivo study. J Indian Prosthodont Soc 2014; 14 (04) 381-392
- 25 Choudhury GK, Chitumalla R, Manual L, Rajalbandi SK, Chauhan MS, Talukdar P. Disinfectant efficacy of 0.525% sodium hypochlorite and Epimax on alginate impression material. J Contemp Dent Pract 2018; 19 (01) 113-116
- 26 Agarwal SK, Singhal R, Mehraj N. To compare microwave and chemical disinfection and their effect on the dimensional stability of dental stone casts. Ann Dent Oral Health 2020; 3: 1015
- 27 Hiramine H, Watanabe K, Inaba K, Sasaki H, Hamada N. Evaluation of antimicrobial effects on dental impression materials and biofilm removal by sodium dichloroisocyanurate. Biocontrol Sci 2021; 26 (01) 17-25
- 28 Fukuzaki S. Mechanisms of actions of sodium hypochlorite in cleaning and disinfection processes. Biocontrol Sci 2006; 11 (04) 147-157
- 29 Robati Anaraki M, Lotfipour F, Moslehifard E, Momtaheni A, Sigari P. Effect of different energy levels of microwave on disinfection of dental stone casts. J Dent Res Dent Clin Dent Prospect 2013; 7 (03) 140-146
- 30 Lakshmi T, Krishnan V, Rajendran R, Madhusudhanan N. Azadirachta indica: a herbal panacea in dentistry - an update. Pharmacogn Rev 2015; 9 (17) 41-44
- 31 Wylie MR, Merrell DS. The antimicrobial potential of the neem tree Azadirachta indica . Front Pharmacol 2022; 13: 891535
- 32 Mahmoud DA, Hassanein NM, Youssef KA, Abou Zeid MA. Antifungal activity of different neem leaf extracts and the nimonol against some important human pathogens. Braz J Microbiol 2011; 42 (03) 1007-1016
- 33 Guchhait KC, Manna T, Barai M. et al. Antibiofilm and anticancer activities of unripe and ripe Azadirachta indica (neem) seed extracts. BMC Complement Med Ther 2022; 22 (01) 42
