Surender L R, Shikha A, Swathi A, Manaswini C, Habeeb Aisha, Prabha S Shashi
Professor and Head, Department of Conservative Dentistry and Endodontics, SVS Institute of Dental Sciences, Mahabub Nagar, Telangana, India.
Postgraduate Student, Department of Conservative Dentistry and Endodontics, SVS Institute of Dental Sciences, Mahabub Nagar, Telangana, India.
J Clin Diagn Res. 2017 Jul;11(7):ZC18-ZC21. doi: 10.7860/JCDR/2017/27429.10160. Epub 2017 Jul 1.
Chlorhexidine (CHX) is generally used as the final irrigating solution in root canal therapy. Recent studies have reported that, toxic precipitates containing parachloroaniline (PCA) are formed when CHX reacts with sodium hypochlorite (NaOCl). Whereas, Alexidine (ALX), a bisbiguanide disinfectant similar to CHX, has proven to form no precipitates with NaOCl.
To compare antimicrobial activity of different concentrations of ALX with CHX individually and when combined with NaOCl against strains.
Different concentrations of ALX and CHX (0.5%, 1%, and 2%) were tested individually and when mixed with 2.5% NaOCl (1:1 ratio) using disc diffusion method against . After 24 hours incubation at 37°C, zones of inhibition were measured for each solution. The results obtained were statistically analysed using one way ANOVA and Scheffe's post-hoc tests. The p-value <0.001 was considered as highly significant.
Regardless of the concentrations, ALX obtained the best results in comparison to CHX. There was no statistically significant difference between ALX + NaOCl and CHX + NaOCl mixtures.
The present study showed that, the antimicrobial property of ALX against was found to be superior to CHX at same concentrations.
洗必泰(CHX)通常用作根管治疗中的最终冲洗液。最近的研究报告称,当CHX与次氯酸钠(NaOCl)反应时会形成含有对氯苯胺(PCA)的有毒沉淀物。而与CHX类似的双胍类消毒剂阿来西定(ALX)已被证明与NaOCl不会形成沉淀物。
比较不同浓度的ALX单独使用以及与NaOCl联合使用时对 菌株的抗菌活性与CHX的抗菌活性。
使用纸片扩散法分别测试不同浓度的ALX和CHX(0.5%、1%和2%),以及它们与2.5% NaOCl以1:1比例混合时对 的抗菌活性。在37°C孵育24小时后,测量每种溶液的抑菌圈。使用单因素方差分析和谢费尔事后检验对所得结果进行统计分析。p值<0.001被认为具有高度显著性。
无论浓度如何,与CHX相比,ALX都取得了最佳结果。ALX + NaOCl混合物和CHX + NaOCl混合物之间没有统计学上的显著差异。
本研究表明,在相同浓度下,ALX对 的抗菌性能优于CHX。