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 in | Journal of pharmacy & bioallied science Vol. 17; no. Suppl 1; pp. S454 - S456 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
India
Wolters Kluwer - Medknow
01.05.2025
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Wolters Kluwer Medknow Publications |
Edition | 2 |
Subjects | |
Online Access | Get full text |
ISSN | 0976-4879 0975-7406 |
DOI | 10.4103/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. |
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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 |
AuthorAffiliation_xml | – name: 5 Department of Conservative Dental Sciences, Endodontic Division, College of Dentistry, Qassim University, Saudi Arabia – name: 6 Department of Conservative Dentistry and Endodontics, GSL Dental College, Rajahmundry, Andhra Pradesh, India – name: 3 Narsinhbhai Patel Dental College and Hospital, Visnagar, Gujarat, India – name: 7 Ahmedabad Dental College and Hospital, Ahmedabad, Gujarat, India – name: 1 Department of Dentistry, ESIC Medical College and Hospital, Sanathnagar, Hyderabad, Telangana, India – name: 2 Conservative Dentistry and Endodontics, Dental Officer, E.C.H.S Polyclinic, Ropar, Punjab, India – name: 4 Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Patia, Bhubaneswar, Odisha, India |
Author_xml | – sequence: 1 givenname: L Karthik surname: Prasad fullname: Prasad, L Karthik email: drkarthikendo@yahoo.com – sequence: 2 givenname: Sheenam surname: Markan fullname: Markan, Sheenam – sequence: 3 givenname: Mahishi G. surname: Suthar fullname: Suthar, Mahishi G. – sequence: 4 givenname: Sweta surname: Samal fullname: Samal, Sweta – sequence: 5 givenname: Almazyad surname: Yaser fullname: Yaser, Almazyad – sequence: 6 givenname: Elaprolu surname: Mallikarjun fullname: Mallikarjun, Elaprolu – sequence: 7 givenname: Panthi surname: Patel fullname: Patel, Panthi |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40511249$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.32553/ijmbs.v6i4.2508 10.1111/etp.12031 10.1016/j.joen.2005.09.014 10.1055/s-0041-1736262 10.1016/S1079-2104(03)00360-3 10.1046/j.1365-2591.1997.00096.x 10.1016/j.cden.2009.12.001 10.5005/jp-journals-10024-2939 10.1111/j.1365-2591.1985.tb00416.x |
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Keywords | Antimicrobial efficacy endodontic irrigation chlorhexidine root canal therapy sodium hypochlorite |
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References_xml | – volume: 6 start-page: 103 year: 2022 ident: R4-20250513 article-title: Assessment of the color variation of the various nanocomposites:An invitro stud publication-title: Int J Med Biomed Stud doi: 10.32553/ijmbs.v6i4.2508 – volume: 27 start-page: 74 year: 2012 ident: R6-20250513 article-title: Update on endodontic irrigating solutions publication-title: Endod Topics doi: 10.1111/etp.12031 – volume: 32 start-page: 389 year: 2006 ident: R2-20250513 article-title: Root canal irrigants publication-title: J Endod doi: 10.1016/j.joen.2005.09.014 – volume: 9 start-page: 128 year: 2021 ident: R9-20250513 article-title: Comparative evaluation of the effect of different endodontic irrigation protocols on the microhardness of root canal dentin:An in vitro study publication-title: Dent J Adv Stud doi: 10.1055/s-0041-1736262 – volume: 97 start-page: 79 year: 2004 ident: R5-20250513 article-title: In vitro evaluation of the antimicrobial activity of chlorhexidine and sodium hypochlorite publication-title: Oral Surg Oral Med Oral Pathol Oral Radiol Endod doi: 10.1016/S1079-2104(03)00360-3 – volume: 62 start-page: 28 year: 2013 ident: R3-20250513 article-title: Antimicrobial activity of sodium hypochlorite in endodontics publication-title: J Mass Dent Soc – volume: 30 start-page: 279 year: 1997 ident: R8-20250513 article-title: Evaluation of the effectiveness of sodium hypochlorite used with three irrigation methods in the elimination of Enterococcus faecalis from the root canal, in vitro publication-title: Int Endod J doi: 10.1046/j.1365-2591.1997.00096.x – volume: 54 start-page: 291 year: 2010 ident: R1-20250513 article-title: Irrigation in endodontics publication-title: Dent Clin North Am doi: 10.1016/j.cden.2009.12.001 – volume: 21 start-page: 1325 year: 2020 ident: R10-20250513 article-title: Comparative study of antifungal efficacy of various endodontic irrigants with and without clotrimazole in extracted teeth inoculated with Candida albicans publication-title: J Contemp Dent Pract doi: 10.5005/jp-journals-10024-2939 – volume: 18 start-page: 35 year: 1985 ident: R7-20250513 article-title: The antibacterial action of sodium hypochlorite and EDTA in 60 cases of endodontic therapy publication-title: Int Endod J doi: 10.1111/j.1365-2591.1985.tb00416.x |
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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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StartPage | S454 |
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 |
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