ANTIBACTERIAL EFFECTS OF SOME ROOT END FILLING MATERIALS

In addition to having good sealing ability, root end filling materials should ''ideally'' have some antibacterial activity to prevent bacterial growth. This investigation compared the antibacterial effects of amalgam, zinc oxide-eugenol, Super EBA and a mineral trioxide aggregate on nine facultative bacteria Streptococcus fecalis, Streptococcus mitis, Streptococcus mutans, Streptococcus salivarius, Lactobacillus species, Staphylococcus aureus, Staphylococcus epidermidis, Bacillus subtilis, and Escherichia coli B and seven strict anaerobic bacteria, Prevotella (Bacteroides) buccae, Bacteroides fragilis, Prevotella (Bacteroides) intermedia, Prevotella (Bacteroides) melaninogenica, Fusobacterium necrophorum, Fusobacterium nucleatum, and Peptostreptococcus anaerobius. After growing these bacteria on solid media, freshly mixed and 24-h set test materials were placed on the surface of these inoculated media and incubated in the appropriate atmosphere for 24 to 48 h at 37 degrees C. Impregnated discs with the Super EBA liquid were used as positive controls. The antibacterial effects of each material were measured in millimeters and the data were analyzed using one-way and two-way analysis of variance and Scheffe tests to determine the statistical differences between the antibacterial effects of the test materials. Impregnated discs with Super EBA liquid caused varying degrees of growth inhibition for both facultative and strict anaerobic bacteria. Both types of amalgam had no antibacterial effect against any of the bacteria tested in this study. Mineral trioxide aggregate had an antibacterial effect on some of the facultative bacteria and no effect on any of the strict anaerobic bacteria. Zinc oxide-eugenol and Super EBA pastes had some antibacterial effects on both types of bacteria tested. Based on the results of this study, it appears that none of the test materials had the complete antibacterial effects desired for root end filling materials.