In Vitro Antimicrobial Effects of Endoseal MTA and AH Plus Sealers on Enterococcus Faecalis and Candida Albicans Mature Biofilms

Objectives: This study compared the antimicrobial effects of Endoseal MTA and AH Plus sealers on Enterococcus faecalis (E. faecalis) and Candida albicans (C. albicans) mature biofilms on dentin blocks. Materials and Methods: In this in vitro study, the root canals of 207 dentin blocks sectioned...

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Main Authors: Elham Khoshbin, Forough Nikzad, Mohammad Reza Arabestani, Maryam Farhdian, Hamed Karkehabadi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2025-06-01
Series:Frontiers in Dentistry
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Online Access:https://fid.tums.ac.ir/index.php/fid/article/view/4610
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author Elham Khoshbin
Forough Nikzad
Mohammad Reza Arabestani
Maryam Farhdian
Hamed Karkehabadi
author_facet Elham Khoshbin
Forough Nikzad
Mohammad Reza Arabestani
Maryam Farhdian
Hamed Karkehabadi
author_sort Elham Khoshbin
collection DOAJ
description Objectives: This study compared the antimicrobial effects of Endoseal MTA and AH Plus sealers on Enterococcus faecalis (E. faecalis) and Candida albicans (C. albicans) mature biofilms on dentin blocks. Materials and Methods: In this in vitro study, the root canals of 207 dentin blocks sectioned from the roots of extracted teeth were inoculated with E. faecalis and C. albicans, and incubated for 3 weeks. The specimens were evaluated in 12 groups (n=17) for random root canal filling with AH Plus, Endoseal MTA, or no sealer, and assessment after 24 hours and 2 weeks. Dentin chips were cultured on blood agar, and the colonies were counted. One random specimen from each group was assessed under a scanning electron microscope (SEM). Data were analyzed using the Kruskal-Wallis and Mann-Whitney tests with Bonferroni adjustment at 0.05 level of significance. Results: At 24 hours, Endoseal MTA significantly decreased the E. faecalis count compared with the positive control (P<0.008). At 2 weeks, the colony count of both microorganisms was significantly lower in the AH Plus group compared with the control group (P<0.008). The C. albicans colony count in the Endoseal MTA group was significantly lower than that in the control group at 2 weeks (P<0.008). AH Plus caused significantly greater reduction in C. albicans colony count at 2 weeks compared with Endoseal MTA (P<0.008). Conclusion: AH Plus showed a higher antimicrobial activity over time against both E. faecalis and C. albicans. Endoseal MTA only showed short-term antibacterial effect.
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publishDate 2025-06-01
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spelling doaj-art-dba3a44f0d9a4536b2f0ba2227e1f5742025-08-20T03:10:25ZengTehran University of Medical SciencesFrontiers in Dentistry2676-296X2025-06-012210.18502/fid.v22i19.18760In Vitro Antimicrobial Effects of Endoseal MTA and AH Plus Sealers on Enterococcus Faecalis and Candida Albicans Mature BiofilmsElham Khoshbin0Forough Nikzad1Mohammad Reza Arabestani2Maryam Farhdian3Hamed Karkehabadi4Endodontics Department, Dental Research Center, Avicenna Institute of Clinical Sciences, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, IranEndodontics Department, School of Dentistry, Kashan University of Medical Sciences, Kashan, IranDepartment of Medical Microbiology, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, IranDepartment of Biostatistics, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, IranEndodontics Department, Dental Research Center, Avicenna Institute of Clinical Sciences, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran Objectives: This study compared the antimicrobial effects of Endoseal MTA and AH Plus sealers on Enterococcus faecalis (E. faecalis) and Candida albicans (C. albicans) mature biofilms on dentin blocks. Materials and Methods: In this in vitro study, the root canals of 207 dentin blocks sectioned from the roots of extracted teeth were inoculated with E. faecalis and C. albicans, and incubated for 3 weeks. The specimens were evaluated in 12 groups (n=17) for random root canal filling with AH Plus, Endoseal MTA, or no sealer, and assessment after 24 hours and 2 weeks. Dentin chips were cultured on blood agar, and the colonies were counted. One random specimen from each group was assessed under a scanning electron microscope (SEM). Data were analyzed using the Kruskal-Wallis and Mann-Whitney tests with Bonferroni adjustment at 0.05 level of significance. Results: At 24 hours, Endoseal MTA significantly decreased the E. faecalis count compared with the positive control (P<0.008). At 2 weeks, the colony count of both microorganisms was significantly lower in the AH Plus group compared with the control group (P<0.008). The C. albicans colony count in the Endoseal MTA group was significantly lower than that in the control group at 2 weeks (P<0.008). AH Plus caused significantly greater reduction in C. albicans colony count at 2 weeks compared with Endoseal MTA (P<0.008). Conclusion: AH Plus showed a higher antimicrobial activity over time against both E. faecalis and C. albicans. Endoseal MTA only showed short-term antibacterial effect. https://fid.tums.ac.ir/index.php/fid/article/view/4610Root Canal TherapyEnterococcus FaecalisCandida AlbicansAnti-Infective Agents
spellingShingle Elham Khoshbin
Forough Nikzad
Mohammad Reza Arabestani
Maryam Farhdian
Hamed Karkehabadi
In Vitro Antimicrobial Effects of Endoseal MTA and AH Plus Sealers on Enterococcus Faecalis and Candida Albicans Mature Biofilms
Frontiers in Dentistry
Root Canal Therapy
Enterococcus Faecalis
Candida Albicans
Anti-Infective Agents
title In Vitro Antimicrobial Effects of Endoseal MTA and AH Plus Sealers on Enterococcus Faecalis and Candida Albicans Mature Biofilms
title_full In Vitro Antimicrobial Effects of Endoseal MTA and AH Plus Sealers on Enterococcus Faecalis and Candida Albicans Mature Biofilms
title_fullStr In Vitro Antimicrobial Effects of Endoseal MTA and AH Plus Sealers on Enterococcus Faecalis and Candida Albicans Mature Biofilms
title_full_unstemmed In Vitro Antimicrobial Effects of Endoseal MTA and AH Plus Sealers on Enterococcus Faecalis and Candida Albicans Mature Biofilms
title_short In Vitro Antimicrobial Effects of Endoseal MTA and AH Plus Sealers on Enterococcus Faecalis and Candida Albicans Mature Biofilms
title_sort in vitro antimicrobial effects of endoseal mta and ah plus sealers on enterococcus faecalis and candida albicans mature biofilms
topic Root Canal Therapy
Enterococcus Faecalis
Candida Albicans
Anti-Infective Agents
url https://fid.tums.ac.ir/index.php/fid/article/view/4610
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