CHNPs are effective nanoparticles in killing endodontic bacteria present in dentinal tubules. They have potential as an intracanal medicament, which may be beneficial in root canal therapy.

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Thai propolis can inhibit human osteoclast formation and function, which may be beneficial for prevention of root resorption following replantation of avulsed teeth.

Many factors that may affect the success of root canal treatment are complexity of root canal system, especially in the apical part, and the virulence of bacteria such as biofilm formation. A cold atmospheric pressure plasma jet is a novel method for sterilization and applied for root canal disinfection. The purpose of this study was to investigate the effect of the cold atmospheric pressure plasma jet on Enterococcus faecalis (E. faecalis) biofilms infected in the apical root canals. Methods: Fifty-four single rooted-teeth were infected with E. faecalis for seven days and allocated into five groups. Group I performed as positive control. Group II-V were served as experimental groups: NaOCl, plasma, NaOCl + plasma and gas only, respectively. The disinfection was evaluated by colony count (per milligram) at the depths of 0.05 and 0.10 mm of root dentin. The remaining bacteria was also counted from the grounded root dentin. Data was analysed by one-way ANOVA and post hoc test, with a level of significance set at P<.05. Results: The NaOCl, plasma and NaOCl + plasma groups significantly reduced the E. faecalis, but no significant difference was found among these groups (P>0.5). The NaOCl + plasma group significantly reduced E. faecalis in the deeper dentin level compared to the other groups. Conclusion: The cold atmospheric pressure plasma jet had antimicrobial activity against E. faecalis biofilm as well as the use of NaOCl. The combined treatment yielded the most promising result and may be beneficial in root canal disinfection.

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Objective: To study the effectiveness of various concentrations of citric acid (CA) added to 2% chlorhexidine (CHX) on smear layer removal from the root canal wall and antimicrobial efficacy against Enterococcus faecalis ( E. faecalis ) and Candida albicans ( C. albicans ). Methods: Fifty-three single-rooted mandibular premolars were decoronate and the root canals underwent mechanical instrumentation using MTwo rotary files to size 40/0.06. The samples were then randomly divided into 5 groups according to the root canal irrigants to be used: 17% ethylenediaminetetraacetic acid (EDTA), 2% CHX, 1%, 6%, and 10% citric acid-modified 2% chlorhexidine (CAmCHX). Three teeth irrigated with phosphate-buffered saline (PBS) were used as a negative control. The smear layer removal effectiveness was evaluated under scanning electron microscopy (SEM). Images were randomly taken at the apical, middle, and coronal third level. Statistical analysis was performed using Kruskal-Wallis and Mann-Whitney U tests. Disc diffusion and direct exposure tests were performed along with three additional control groups consisting of 1%, 6%, and 10% CA groups to assess and compare the antimicrobial efficacy of irrigants against E. faecalis and C. albicans . Statistical analysis was conducted using one-way ANOVA and Dunnett’s T3 tests. Results: Smear layer removal effectiveness in 17% EDTA group and 6% and 10% CAmCHX groups were not significantly different in the coronal and apical third of the root canal (P>0.05), however at the middle third of the root canal, the 10% CAmCHX group had significantly less remaining smear layer than all of the other experimental groups (P<0.05). There was significantly more smear layer remnant in the CHX group (P<0.01). For antimicrobial efficacy, the largest growth inhibition zone against E. faecalis was recorded in the 10% CAmCHX group (P<0.05). For planktonic E. faecalis , 1%, 6%, and 10% CAmCHX demonstrated an insignificant difference in antimicrobial efficacy compared to CHX (P>0.05). CA demonstrated no antifungal effect against C. albicans . Whereas, 6% and 10% CAmCHX resulted in the largest growth inhibition zone. Also, adding CA to CHX resulted in an insignificant difference in antifungal effect against planktonic C. albicans compared to CHX (P>0.05). Conclusion: When CA was added into CHX, the mixed irrigant demonstrated smear layer removal ability. Additionally, its antimicrobial effect remained the same.

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