Comparative Evaluation of Antifungal Efficacy of Five Root Canal Sealers against Clinical Isolates of Candida albicans: A Microbiological Study

JOURNAL TITLE: International Journal of Clinical Pediatric Dentistry

Author
1. Khyati Gupta
2. Rashi Singh
3. Sameep Singh
4. Binita Srivastava
ISSN
0974-7052
DOI
10.5005/jp-journals-10005-1718
Volume
13
Issue
2
Publishing Year
2020
Pages
5
Author Affiliations
    1. Department of Pedodontist, Medeor Hospital, New Delhi, India
    1. Department of Pedodontics and Preventive Dentistry Santosh Dental College and Hospital, Ghaziabad, Uttar Pradesh, India
    1. Department of Prosthodontics, AIMST University, Semeling, Bedong, Kedah, Malaysia
    1. Department of Pedodontics and Preventive Dentistry, Santosh Dental College and Hospital, Ghaziabad, Uttar Pradesh, India
  • Article keywords
    Agar-well diffusion, Candida albicans, Endomethasone, Metapex, MTA Fillapex, Root canal sealers, Tube dilution test, Zinc oxide eugenol

    Abstract

    Aim and objective: The aim of this study was to evaluate and compare the antifungal efficacy of MTA Fillapex, Metapex, zinc oxide eugenol cement, Endomethasone, and Endoflas against Candida albicans. Materials and methods: Root canal exudates of 30 patients were tested against MTA Fillapex (Angelus), Metapex (BioMed), zinc oxide eugenol (Deepak Enterprise), Endomethasone (Septodont), Endoflas FS (Sanlor Laboratories), MTA (Angelus) (positive control), and glycerine (negative control). Children with failed endodontic cases were included in the study. Tube dilution and agar diffusion methods were used to check the antifungal efficacy of the root canal sealers. In tube dilution method, 24-well culture plates containing freshly mixed material along with Candida albicans were used. Wells containing MTA (Angelus) along with Sabouraud dextrose agar and Candida albicans served as positive control while glycerine along with Sabouraud dextrose agar and Candida albicans served as negative control. All plates were incubated at 37°C for 24 hours. Growth of the fungi was monitored after 24 hours by the presence of the turbidity. The samples were recultured to test the experimental material using agar well diffusion method, and the Petri plates were incubated for 24 hours and 72 hours. Zone of inhibition was measured after respective time period. Paired t test was used for the data analysis. Results: It was seen in tube dilution method Endomethasone showed least turbidity while maximum was shown by Metapex; similar results were seen in case of agar well diffusion method in which largest zone of inhibition was shown by Endomethasone while smallest was by Metapex. Conclusion: It was concluded that Endomethasone showed maximum efficacy against Candida albicans as compared to Metapex.

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