Samiei Mohammad, Aghazadeh Mohammad, Lotfi Mehrdad, Shakoei Sahar, Aghazadeh Zahra, Vahid Pakdel Seyyed Mahdi
Dental and Periodontal Research Center, Department of Endodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, IR Iran.
Iran Endod J. 2013 Fall;8(4):166-70. Epub 2013 Oct 7.
Most current root-end filling materials do not provide a perfect seal. Thus, a microscopic space is likely to exist in the interface between walls of the root-end cavity and filling material, which allows microorganisms and their products to penetrate. In addition to good sealing ability and biocompatibility, root-end filling materials should ideally have some antimicrobial activity. Therefore, this in vitro study aimed to evaluate the antimicrobial properties of Angelus white mineral trioxide aggregate (MTA) and the mixture of MTA with silver nanoparticles (1% weight; MTA/SN).
Antimicrobial properties of MTA and MTA/SN were tested by agar diffusion technique against Enterococcus faecalis, Pseudomonas aeruginosa, Staphylococcus aureus, and Candida albicans. The microbial inhibition zones around the materials were measured by a caliper with 0.1-mm accuracy. Student's t-test was used for comparison between the two groups in normal data distribution and Man-Whitney U test for non-normal distribution.
Student's t-test revealed that for E. faecalis, C. albicans, and P. aeruginosa, microbial inhibition zone of MTA/SN was significantly greater than that of MTA (P = 0.000). Mann-Whitney U test indicated no significant difference between the effect of MTA and MTA/SN on S. aureus (P > 0.05).
Based on the results of this study, adding silver nanoparticles to MTA improved its antimicrobial efficacy.
目前大多数根尖倒充填材料无法实现完美密封。因此,在根尖倒预备洞壁与充填材料的界面处可能存在微观间隙,这使得微生物及其产物得以侵入。除了良好的密封能力和生物相容性外,理想情况下根尖倒充填材料还应具备一定的抗菌活性。因此,本体外研究旨在评估安捷鲁斯白色三氧化矿物凝聚体(MTA)以及MTA与银纳米颗粒的混合物(重量比1%;MTA/SN)的抗菌性能。
采用琼脂扩散法测试MTA和MTA/SN对粪肠球菌、铜绿假单胞菌、金黄色葡萄球菌和白色念珠菌的抗菌性能。使用精度为0.1毫米的卡尺测量材料周围的微生物抑制圈。对于正态数据分布的两组数据,采用学生t检验进行比较;对于非正态分布的数据,采用曼-惠特尼U检验。
学生t检验显示,对于粪肠球菌、白色念珠菌和铜绿假单胞菌,MTA/SN的微生物抑制圈显著大于MTA(P = 0.000)。曼-惠特尼U检验表明,MTA和MTA/SN对金黄色葡萄球菌的作用无显著差异(P > 0.05)。
基于本研究结果,向MTA中添加银纳米颗粒可提高其抗菌效果。