Comparative Analysis of Antimicrobial Efficacy of Sodium Hypochlorite and Chlorhexidine as Irrigants in Root Canal Therapy

ABSTRACT Objective: This research aims to analyze the antimicrobial efficacy of "sodium hypochlorite (NaOCl)" and "chlorhexidine (CHX)" as canal irrigants, evaluating their effects on bacterial load during "Root canal treatment (RCT)". Materials and Methods: In this ran...

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Published inJournal of pharmacy & bioallied science Vol. 17; no. Suppl 1; pp. S454 - S456
Main Authors Prasad, L Karthik, Markan, Sheenam, Suthar, Mahishi G., Samal, Sweta, Yaser, Almazyad, Mallikarjun, Elaprolu, Patel, Panthi
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer - Medknow 01.05.2025
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer Medknow Publications
Edition2
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Online AccessGet full text
ISSN0976-4879
0975-7406
DOI10.4103/jpbs.jpbs_1422_24

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Abstract ABSTRACT Objective: This research aims to analyze the antimicrobial efficacy of "sodium hypochlorite (NaOCl)" and "chlorhexidine (CHX)" as canal irrigants, evaluating their effects on bacterial load during "Root canal treatment (RCT)". Materials and Methods: In this randomized controlled trial, 80 subjects requiring RCT were included. The participants were randomly allocated into two groups: Group A received 2.5% NaOCl as the irrigant, while Group B received 2% CHX. Microbial samples were gathered from the root canals using sterile paper points both before and after irrigation. The bacterial load was evaluated by counting "colony-forming units (CFUs)" following bacterial culture. Statistical analyzes were conducted using paired t-tests and ANOVA, with a significance level of P < 0.05. Results: Both NaOCl and CHX demonstrated substantial reductions in the bacterial load within the canal system. Group A (NaOCl) achieved a post-irrigation mean CFU count of 1.9 million, reflecting a 96% reduction in bacterial load. Group B (CHX) recorded a mean CFU count of 6.7 million, corresponding to an 86% reduction. The difference in bacterial reduction between the two groups was statistically significant (P < 0.01), indicating that NaOCl was more effective than CHX as an irrigant. Conclusion: Sodium hypochlorite proved to be more efficient than chlorhexidine in reducing microbial counts in root canals. While NaOCl appears to offer superior bacterial reduction, CHX, due to its substantivity and lower cytotoxicity, may still have valuable roles in particular clinical contexts.
AbstractList Objective: This research aims to analyze the antimicrobial efficacy of “sodium hypochlorite (NaOCl)” and “chlorhexidine (CHX)” as canal irrigants, evaluating their effects on bacterial load during “Root canal treatment (RCT)”. Materials and Methods: In this randomized controlled trial, 80 subjects requiring RCT were included. The participants were randomly allocated into two groups: Group A received 2.5% NaOCl as the irrigant, while Group B received 2% CHX. Microbial samples were gathered from the root canals using sterile paper points both before and after irrigation. The bacterial load was evaluated by counting “colony-forming units (CFUs)” following bacterial culture. Statistical analyzes were conducted using paired t-tests and ANOVA, with a significance level of P < 0.05. Results: Both NaOCl and CHX demonstrated substantial reductions in the bacterial load within the canal system. Group A (NaOCl) achieved a post-irrigation mean CFU count of 1.9 million, reflecting a 96% reduction in bacterial load. Group B (CHX) recorded a mean CFU count of 6.7 million, corresponding to an 86% reduction. The difference in bacterial reduction between the two groups was statistically significant (P < 0.01), indicating that NaOCl was more effective than CHX as an irrigant. Conclusion: Sodium hypochlorite proved to be more efficient than chlorhexidine in reducing microbial counts in root canals. While NaOCl appears to offer superior bacterial reduction, CHX, due to its substantivity and lower cytotoxicity, may still have valuable roles in particular clinical contexts.
ABSTRACT Objective: This research aims to analyze the antimicrobial efficacy of "sodium hypochlorite (NaOCl)" and "chlorhexidine (CHX)" as canal irrigants, evaluating their effects on bacterial load during "Root canal treatment (RCT)". Materials and Methods: In this randomized controlled trial, 80 subjects requiring RCT were included. The participants were randomly allocated into two groups: Group A received 2.5% NaOCl as the irrigant, while Group B received 2% CHX. Microbial samples were gathered from the root canals using sterile paper points both before and after irrigation. The bacterial load was evaluated by counting "colony-forming units (CFUs)" following bacterial culture. Statistical analyzes were conducted using paired t-tests and ANOVA, with a significance level of P < 0.05. Results: Both NaOCl and CHX demonstrated substantial reductions in the bacterial load within the canal system. Group A (NaOCl) achieved a post-irrigation mean CFU count of 1.9 million, reflecting a 96% reduction in bacterial load. Group B (CHX) recorded a mean CFU count of 6.7 million, corresponding to an 86% reduction. The difference in bacterial reduction between the two groups was statistically significant (P < 0.01), indicating that NaOCl was more effective than CHX as an irrigant. Conclusion: Sodium hypochlorite proved to be more efficient than chlorhexidine in reducing microbial counts in root canals. While NaOCl appears to offer superior bacterial reduction, CHX, due to its substantivity and lower cytotoxicity, may still have valuable roles in particular clinical contexts.
This research aims to analyze the antimicrobial efficacy of "sodium hypochlorite (NaOCl)" and "chlorhexidine (CHX)" as canal irrigants, evaluating their effects on bacterial load during "Root canal treatment (RCT)". In this randomized controlled trial, 80 subjects requiring RCT were included. The participants were randomly allocated into two groups: Group A received 2.5% NaOCl as the irrigant, while Group B received 2% CHX. Microbial samples were gathered from the root canals using sterile paper points both before and after irrigation. The bacterial load was evaluated by counting "colony-forming units (CFUs)" following bacterial culture. Statistical analyzes were conducted using paired -tests and ANOVA, with a significance level of < 0.05. Both NaOCl and CHX demonstrated substantial reductions in the bacterial load within the canal system. Group A (NaOCl) achieved a post-irrigation mean CFU count of 1.9 million, reflecting a 96% reduction in bacterial load. Group B (CHX) recorded a mean CFU count of 6.7 million, corresponding to an 86% reduction. The difference in bacterial reduction between the two groups was statistically significant ( < 0.01), indicating that NaOCl was more effective than CHX as an irrigant. Sodium hypochlorite proved to be more efficient than chlorhexidine in reducing microbial counts in root canals. While NaOCl appears to offer superior bacterial reduction, CHX, due to its substantivity and lower cytotoxicity, may still have valuable roles in particular clinical contexts.
This research aims to analyze the antimicrobial efficacy of "sodium hypochlorite (NaOCl)" and "chlorhexidine (CHX)" as canal irrigants, evaluating their effects on bacterial load during "Root canal treatment (RCT)".ObjectiveThis research aims to analyze the antimicrobial efficacy of "sodium hypochlorite (NaOCl)" and "chlorhexidine (CHX)" as canal irrigants, evaluating their effects on bacterial load during "Root canal treatment (RCT)".In this randomized controlled trial, 80 subjects requiring RCT were included. The participants were randomly allocated into two groups: Group A received 2.5% NaOCl as the irrigant, while Group B received 2% CHX. Microbial samples were gathered from the root canals using sterile paper points both before and after irrigation. The bacterial load was evaluated by counting "colony-forming units (CFUs)" following bacterial culture. Statistical analyzes were conducted using paired t-tests and ANOVA, with a significance level of P < 0.05.Materials and MethodsIn this randomized controlled trial, 80 subjects requiring RCT were included. The participants were randomly allocated into two groups: Group A received 2.5% NaOCl as the irrigant, while Group B received 2% CHX. Microbial samples were gathered from the root canals using sterile paper points both before and after irrigation. The bacterial load was evaluated by counting "colony-forming units (CFUs)" following bacterial culture. Statistical analyzes were conducted using paired t-tests and ANOVA, with a significance level of P < 0.05.Both NaOCl and CHX demonstrated substantial reductions in the bacterial load within the canal system. Group A (NaOCl) achieved a post-irrigation mean CFU count of 1.9 million, reflecting a 96% reduction in bacterial load. Group B (CHX) recorded a mean CFU count of 6.7 million, corresponding to an 86% reduction. The difference in bacterial reduction between the two groups was statistically significant (P < 0.01), indicating that NaOCl was more effective than CHX as an irrigant.ResultsBoth NaOCl and CHX demonstrated substantial reductions in the bacterial load within the canal system. Group A (NaOCl) achieved a post-irrigation mean CFU count of 1.9 million, reflecting a 96% reduction in bacterial load. Group B (CHX) recorded a mean CFU count of 6.7 million, corresponding to an 86% reduction. The difference in bacterial reduction between the two groups was statistically significant (P < 0.01), indicating that NaOCl was more effective than CHX as an irrigant.Sodium hypochlorite proved to be more efficient than chlorhexidine in reducing microbial counts in root canals. While NaOCl appears to offer superior bacterial reduction, CHX, due to its substantivity and lower cytotoxicity, may still have valuable roles in particular clinical contexts.ConclusionSodium hypochlorite proved to be more efficient than chlorhexidine in reducing microbial counts in root canals. While NaOCl appears to offer superior bacterial reduction, CHX, due to its substantivity and lower cytotoxicity, may still have valuable roles in particular clinical contexts.
ABSTRACTObjective:This research aims to analyze the antimicrobial efficacy of “sodium hypochlorite (NaOCl)” and “chlorhexidine (CHX)” as canal irrigants, evaluating their effects on bacterial load during “Root canal treatment (RCT)”.Materials and Methods:In this randomized controlled trial, 80 subjects requiring RCT were included. The participants were randomly allocated into two groups: Group A received 2.5% NaOCl as the irrigant, while Group B received 2% CHX. Microbial samples were gathered from the root canals using sterile paper points both before and after irrigation. The bacterial load was evaluated by counting “colony-forming units (CFUs)” following bacterial culture. Statistical analyzes were conducted using paired t-tests and ANOVA, with a significance level of P < 0.05.Results:Both NaOCl and CHX demonstrated substantial reductions in the bacterial load within the canal system. Group A (NaOCl) achieved a post-irrigation mean CFU count of 1.9 million, reflecting a 96% reduction in bacterial load. Group B (CHX) recorded a mean CFU count of 6.7 million, corresponding to an 86% reduction. The difference in bacterial reduction between the two groups was statistically significant (P < 0.01), indicating that NaOCl was more effective than CHX as an irrigant.Conclusion:Sodium hypochlorite proved to be more efficient than chlorhexidine in reducing microbial counts in root canals. While NaOCl appears to offer superior bacterial reduction, CHX, due to its substantivity and lower cytotoxicity, may still have valuable roles in particular clinical contexts.
ABSTRACT Objective: This research aims to analyze the antimicrobial efficacy of "sodium hypochlorite (NaOCl)" and "chlorhexidine (CHX)" as canal irrigants, evaluating their effects on bacterial load during "Root canal treatment (RCT)". Materials and Methods: In this randomized controlled trial, 80 subjects requiring RCT were included. The participants were randomly allocated into two groups: Group A received 2.5 NaOCl as the irrigant, while Group B received 2 CHX. Microbial samples were gathered from the root canals using sterile paper points both before and after irrigation. The bacterial load was evaluated by counting "colony-forming units (CFUs)" following bacterial culture. Statistical analyzes were conducted using paired t-tests and ANOVA, with a significance level of P < 0.05. Results: Both NaOCl and CHX demonstrated substantial reductions in the bacterial load within the canal system. Group A (NaOCl) achieved a post-irrigation mean CFU count of 1.9 million, reflecting a 96 reduction in bacterial load. Group B (CHX) recorded a mean CFU count of 6.7 million, corresponding to an 86 reduction. The difference in bacterial reduction between the two groups was statistically significant (P < 0.01), indicating that NaOCl was more effective than CHX as an irrigant. Conclusion: Sodium hypochlorite proved to be more efficient than chlorhexidine in reducing microbial counts in root canals. While NaOCl appears to offer superior bacterial reduction, CHX, due to its substantivity and lower cytotoxicity, may still have valuable roles in particular clinical contexts. Keywords: Antimicrobial efficacy, chlorhexidine, endodontic irrigation, root canal therapy, sodium hypochlorite
This research aims to analyze the antimicrobial efficacy of "sodium hypochlorite (NaOCl)" and "chlorhexidine (CHX)" as canal irrigants, evaluating their effects on bacterial load during "Root canal treatment (RCT)". In this randomized controlled trial, 80 subjects requiring RCT were included. The participants were randomly allocated into two groups: Group A received 2.5 NaOCl as the irrigant, while Group B received 2 CHX. Microbial samples were gathered from the root canals using sterile paper points both before and after irrigation. The bacterial load was evaluated by counting "colony-forming units (CFUs)" following bacterial culture. Statistical analyzes were conducted using paired t-tests and ANOVA, with a significance level of P < 0.05. Both NaOCl and CHX demonstrated substantial reductions in the bacterial load within the canal system. Group A (NaOCl) achieved a post-irrigation mean CFU count of 1.9 million, reflecting a 96 reduction in bacterial load. Group B (CHX) recorded a mean CFU count of 6.7 million, corresponding to an 86 reduction. The difference in bacterial reduction between the two groups was statistically significant (P < 0.01), indicating that NaOCl was more effective than CHX as an irrigant. Sodium hypochlorite proved to be more efficient than chlorhexidine in reducing microbial counts in root canals. While NaOCl appears to offer superior bacterial reduction, CHX, due to its substantivity and lower cytotoxicity, may still have valuable roles in particular clinical contexts.
Audience Academic
Author Prasad, L Karthik
Patel, Panthi
Suthar, Mahishi G.
Samal, Sweta
Mallikarjun, Elaprolu
Markan, Sheenam
Yaser, Almazyad
AuthorAffiliation 5 Department of Conservative Dental Sciences, Endodontic Division, College of Dentistry, Qassim University, Saudi Arabia
2 Conservative Dentistry and Endodontics, Dental Officer, E.C.H.S Polyclinic, Ropar, Punjab, India
3 Narsinhbhai Patel Dental College and Hospital, Visnagar, Gujarat, India
1 Department of Dentistry, ESIC Medical College and Hospital, Sanathnagar, Hyderabad, Telangana, India
7 Ahmedabad Dental College and Hospital, Ahmedabad, Gujarat, India
4 Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Patia, Bhubaneswar, Odisha, India
6 Department of Conservative Dentistry and Endodontics, GSL Dental College, Rajahmundry, Andhra Pradesh, India
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Issue Suppl 1
Keywords Antimicrobial efficacy
endodontic irrigation
chlorhexidine
root canal therapy
sodium hypochlorite
Language English
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Snippet ABSTRACT Objective: This research aims to analyze the antimicrobial efficacy of "sodium hypochlorite (NaOCl)" and "chlorhexidine (CHX)" as canal irrigants,...
This research aims to analyze the antimicrobial efficacy of "sodium hypochlorite (NaOCl)" and "chlorhexidine (CHX)" as canal irrigants, evaluating their...
ABSTRACT Objective: This research aims to analyze the antimicrobial efficacy of "sodium hypochlorite (NaOCl)" and "chlorhexidine (CHX)" as canal irrigants,...
ABSTRACTObjective:This research aims to analyze the antimicrobial efficacy of “sodium hypochlorite (NaOCl)” and “chlorhexidine (CHX)” as canal irrigants,...
Objective: This research aims to analyze the antimicrobial efficacy of “sodium hypochlorite (NaOCl)” and “chlorhexidine (CHX)” as canal irrigants, evaluating...
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SubjectTerms Analysis
antimicrobial efficacy
Chlorhexidine
Comparative analysis
Cytotoxicity
endodontic irrigation
Endodontics
Ethylenediaminetetraacetic acid
Lavage
Microorganisms
Original Research
Root canal therapy
Root canals
Sodium hypochlorite
Statistical analysis
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Title Comparative Analysis of Antimicrobial Efficacy of Sodium Hypochlorite and Chlorhexidine as Irrigants in Root Canal Therapy
URI https://doi.org/10.4103/jpbs.jpbs_1422_24
https://www.ncbi.nlm.nih.gov/pubmed/40511249
https://www.proquest.com/docview/3202265233
https://www.proquest.com/docview/3218476974
https://pubmed.ncbi.nlm.nih.gov/PMC12156664
https://doaj.org/article/b9a371adcde1407fa525a5246bae07d8
Volume 17
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