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An in-vitro evaluation on the biocompatibility of resilon by the microbiota of the infected root canal utilizing an agar disc diffusion assayWhatley, Jenny J. (Jenny Johnson), 1982- January 2012 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / Resilon is a resin-based obturation material that claims to create a monoblock through bonding of RealSeal sealer to the dentin walls and to the core material. Resilon is comprised of a biodegradable polymer, polycaprolactone, and inorganic fillers. Resilon has been shown to undergo enzymatic hydrolysis by bacterial enzymes such as lipase. This study aims to demonstrate if bacteria found within the infected root canal system are capable of degrading Resilon utilizing an agar disc hydrolysis method.
A 0.1-percent Resilon emulsion and a gutta-percha emulsion were prepared with Tryptic Soy Agar in plates. Several bacterial species were inoculated in eight spots each on the Resilon and gutta-percha agar plates and the plates were observed for the formation of hydrolytic halos surrounding bacteria signifying their ability to degrade the material. The bacterial enzyme Lipase PS served as a positive control. P. intermedia, P. aeruginosa, P. assacharoylitica, S. epidermidis and S. aureus all demonstrated hydrolytic halos, clear zones, at each of the eight inoculation locations (100%, 95%CI 63%-100%) on the Resilon plates. The halos were similar to those seen in the positive lipase control. No halos were seen with E. faecalis, F. nucleatum, S. mutans, S. sanguis, or P. gingivalis at any of the eight inoculation spots (0%, 95%CI 0%-37%) on the Resilon plates. No hydrolytic halos were seen around any bacterial colonies or the Lipase PS on the gutta-percha plates.
The results of this study indicate that bacteria found in endodontic infections can hydrolize Resilon dispersed into an emulsion. The potential exists for Resilon degradation after its use as an obturation material in infected root canal systems. Given that root canal therapy does not render a canal void of microorganisms, it is prudent to obturate the root canal system with a material that cannot be degraded by bacteria and their enzymes.
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