“…By scanning electron microscopy, it has been demonstrated that E. faecalis adheres to yeast and hyphal cells of C. albicans in infected tooth root canals as well as in dentinal tubules ( Siqueira and Rocas, 2009 ). In an in vitro study, co-culturing C. albicans and E. faecalis yields a thicker and denser biofilm compared with mono-species biofilm, which exhibits higher tolerance to detrimental stresses, including alkalinity starvation, mechanical shear force, and fungicide/bactericide ( Gao et al, 2016 ; Diogo et al, 2017 ; Du et al, 2021b ), such as sodium hypochlorite (NaClO), ethylenediamine tetraacetic acid (EDTA), and chlorhexidine gluconate (CHX) ( Diogo et al, 2017 ; Du et al, 2021b ). The same results are also seen for antimicrobial photodynamic therapy ( Diogo et al, 2017 ) and some new root canal medicaments (chitosan, silver nanoparticles, and ozonated olive oil) ( Elshinawy et al, 2018 ).…”