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International Journal of
Dental Sciences
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VOL. 7, ISSUE 3 (2025)
In vitro evaluation of the susceptibility level of Enterococcus faecalis to intracanal medications
Authors
Julio Eduardo Alvarez Carrero, Kevin Villota
Abstract
The main objective of this study was to evaluate the susceptibility of Enterococcus faecalis to intracanal medications. To achieve this, a comparative in vitro study was conducted at the Universidad de Los Hemisferios´ microbiology laboratory, using Enterococcus faecalis strains in contact with conventional tri-antibiotic pastes, modified tri-antibiotic pastes, and bi-antibiotic pastes to observe the presence of inhibition zones, which were subsequently measured with a digital vernier caliper. The bacteria were cultured in sterile Petri dishes containing bile esculin agar and incubated at 37.5 °C for 24 hours under aerobic conditions. After this period, the microorganism was inoculated into a test tube with physiological serum at a turbidity of 0.5 McFarland. Then, 100 μL of the solution was extracted and deposited in a Petri dish containing the same agar, and microorganisms were spread using a Digralsky loop. This procedure was repeated 20 times. The pastes were prepared for study by removing the coatings from the tablets of the medications, crushing them in a sterile mortar, and storing them in sterile, amber-colored containers for each drug for 14 and 28 days. The tri-antibiotic pastes (conventional and modified) were mixed in a 1:1:1 ratio, while the bi-antibiotic paste was mixed in a 1:1 ratio. Subsequently, all pastes were mixed with glycerin (vehicle) in a 1:1 proportion. Wells corresponding to each paste (100 μL) were opened in the previously inoculated Petri dishes, then incubated at 37.5 °C for 24 hours. After incubation, inhibition zones were measured using a digital vernier caliper. These measurements were recorded in Excel and statistically analyzed using the ANOVA test and HSD de Tukey. The same procedure was repeated at 14 and 28 days with the previously stored medications. The results showed that the modified tri-antibiotic paste exhibited inhibition zones greater than 27 mm, while the conventional tri-antibiotic and bi-antibiotic pastes presented inhibition zones greater than 21 mm. In conclusion, the study demonstrated that the Enterococcus faecalis strain is highly sensitive to the studied pastes, and storage time did not affect the effectiveness of any of the medications.
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Pages:68-72
How to cite this article:
Julio Eduardo Alvarez Carrero, Kevin Villota "<i>In vitro</i> evaluation of the susceptibility level of Enterococcus faecalis to intracanal medications". International Journal of Dental Sciences, Vol 7, Issue 3, 2025, Pages 68-72
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