Bacterial retention in canal walls in vitro: effect of smear layer.

Abstract:

:When dentin is planed by endodontic instruments, a smear layer forms. Whether this layer should be removed is unknown and controversial. This study was conducted to assess the effect of the smear layer on retention of bacteria using an in vitro root canal bacterial colonization model. Canals of 26 extracted human canines were step-back prepared using 2.5% NaOCl. Teeth were then randomly divided into two groups based on the type of high volume final flush: 1-20 ml of sterile saline (0.85% wt/vol) or (2-10 ml of 17% EDTA followed by 10 ml of 2.5% NaOCl which removes smear layer. Streptococcus anginosus (milleri) was cultured in trypticase soy broth supplemented with 0.5% yeast extract at 37 degrees C in 5% CO2. Cells were harvested by centrifugation and resuspended in fresh media. Serial dilutions were performed to achieve inocula of 10(6) colony-forming units in a 30-microliters volume. Teeth were inoculated and incubated for 2 h in 5% CO2 at 37 degrees C. Following incubation, teeth were split and processed for microbiological analysis. Numbers of colonizing bacteria were determined by a spiral-plating system. Enumeration of the numbers of bacteria revealed a reproducible, order of magnitude difference (p = 0.0002) between teeth with smear layer (10(4) colony-forming units) versus teeth without smear layer (10(5) colony-forming units). This suggests that smear layer produced during root canal therapy may inhibit bacterial colonization of root canals. One suggested mechanism is that smear layer may block bacterial entry into dentinal tubules.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Drake DR,Wiemann AH,Rivera EM,Walton RE

doi

10.1016/S0099-2399(06)81186-6

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

78-82

issue

2

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(06)81186-6

journal_volume

20

pub_type

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