Advertisement
Endodontics| Volume 93, ISSUE 5, P617-620, May 2002

An effective method of inactivating chlorhexidine

      Abstract

      Objective. The purpose of this study was to find an effective inactivating agent for chlorhexidine that would facilitate removal of all residual antimicrobial effect, which may cause false-negative results during microbiologic culturing. Study Design. L-α-lecithin, Tween 80, and sodium thiosulfate were used in different proportions to prepare 6 potential inactivating solutions. Nine mL of each inactivating solution was mixed with 1 mL of 2% chlorhexidine solution. After 5 minutes of equilibration, 0.1 mL of bacterial cell suspension containing 2 × 104 viable cell of Enterococcus faecalis was added to the mixture. At 10 and 60 minutes, 0.1-mL aliquots were withdrawn and spread over blood agar plates and incubated at 37°C for 72 hours. The number of colony-forming units on the blood agar plates was determined and recorded. Results. The combination of 3% Tween 80 and 0.3% L-α-lecithin was found to be the most effective inactivating agent, allowing full recovery of the test organisms in the presence of chlorhexidine. Conclusion. The present study demonstrated a method to predictably inactivate chlorhexidine. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:617-20)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      References

        • Kakehashi S
        • Stanley HR
        • Fitzgerald RJ.
        The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats.
        Oral Surg Oral Med Oral Pathol. 1965; 20: 340-349
        • Coolidge ED.
        Diagnosis and treatment of conditions resulting from diseased dental pulps.
        J Natl Dent Assoc. 1919; 6: 337-341
        • Yates MF
        • Morse FW.
        Bacteriologic tests for root canal sterility.
        J Am Dent Assoc. 1938; 25: 1406-1409
        • Grossman LI.
        Endodontic practice.
        in: 6th ed. : Lea and Febiger, Philadelphia1965: 258-336
        • Zeldow BJ.
        Microbiological considerations in endodontics.
        in: Endodontics. : Lea and Febiger, Philadelphia1965: 472-485
        • Bender IB
        • Seltzer S.
        Probability of error of the negative culture with use of combination of antibiotics in endodontic treatment.
        Oral Surg Oral Med Oral Pathol. 1954; 7: 1311-1319
        • Buchbinder M
        • Bartels HA.
        Criticism of the use of root canal cultures in evaluating antibiotic therapy.
        Oral Surg Oral Med Oral Pathol. 1951; 4: 886-890
        • Hennessey TD.
        Some antibacterial properties of chlorhexidine.
        J Periodontal Res. 1973; 12: 61-67
        • Emilson CG.
        Susceptibility of various microorganisms to chlorhexidine.
        Scand J Dent Res. 1977; 85: 255-265
        • Vahdaty A
        • Pittford TR
        • Wilson RF.
        Efficacy of chlorhexidine in disinfecting dentinal tubules in vitro.
        Endod Dent Traumatol. 1993; 9: 243-248
        • Jeansonne MJ
        • White RR.
        A comparison of 2% chlorhexidine gluconate and 5.25% sodium hypochlorite as an antimicrobial endodontic irrigants.
        J Endod. 1994; 20: 276-278
        • Yesilosy C
        • Whitaker E
        • Cleveland D
        • Phillips E
        • Trope M.
        Antimicrobial and toxic effects of established and potential root canal irrigants.
        J Endod. 1995; 21: 513-515
        • Ringel AM
        • Patterson SS
        • Newton CW
        • Miller CH
        • Mulhern JM.
        In vivo evaluation of chlorhexidine gluconate solution and sodium hypochlorite solution as root canal irrigants.
        J Endod. 1982; 8: 200-204
        • Rölla G
        • Leö H
        • Rindom Schiött C.
        The affinity of chlorhexidine for hydroxyapatite and salivary mucins.
        J Periodontal Res. 1970; 5: 90-95
        • Emilson CG
        • Ericson T
        • Heyden G
        • Magnusson BC.
        Uptake of chlorhexidine to hydroxyapatite.
        J Periodontal Res. 1973; 8: 17-21
        • Nordbö H.
        The affinity of chlorhexidine for hydroxyapatite and tooth surfaces.
        Scand J Dent Res. 1972; 80: 465-473
        • Brown MRW.
        Turbidimetric method for the rapid evaluation of antimicrobial agents. Inactivation of preservatives by non-ionic agents.
        J Soc Cos Chem. 1966; 17: 185-195
        • Allwood A.
        Inhibition of Staphylococcus aureus by combinations of non-ionic surface-active agents and antibacterial substances.
        Microbios. 1973; 7: 209-214
        • Chiori CO
        • Hambleton R
        • Rigby GJ.
        The inhibition of spores of Bacillus subtilis by cetrimide retained on washed membrane filters and on washed spores.
        J Appl Bacteriol. 1965; 28: 322-330
        • Kostenbauder HB.
        Physical factors influencing the activity of antimicrobial agents.
        in: 2nd ed. Disinfection, sterilization and preservation. : Lee and Febiger, Philadelphia1977: 912-932
        • Weber GR
        • Levine M.
        Factors affecting germicidal efficiency of chlorine and chloramine.
        Am J Public Health. 1944; 34: 719-728
        • Hugo WB
        • Longworth AR.
        Some aspects of the mode of chlorhexidine.
        J Pharm Pharmacol. 1964; 16: 655-662
        • Heard DD
        • Ashworth RW.
        The colloidal properties of chlorhexidine and its interaction with some macromolecules.
        J Pharm Pharmacol. 1968; 20: 505-512
        • Alexander AE
        • Johnson P.
        Colloid science.
        in: : Oxford University Press, London1950: 696
        • Allawala NA
        • Riegelman S.
        The properties of iodine in solutions of surface-active agents.
        J Am Pharm Assoc Sci Ed. 1953; 42: 396-401
        • Bean HS
        • Berry H.
        The bactericidal activity of phenols in aqueous solutions of soap. II. The bactericidal activity of benzylchlorophenol in aqueous solutions of potassium laurate.
        J Pharm Pharmacol. 1951; 3: 639-655
        • Pisano FD
        • Kostenbauder HB.
        Interaction of preservatives with macromolecules. II. Correlation of binding data with required preservative concentrations of p -hydroxybenzoates in the presence of Tween 80.
        J Am Pharm Assoc. 1959; 48: 310-314
        • Davis GE
        • Francis J
        • Martin AR
        • Rose FL
        • Swain G.
        1:6-di-4'-chlorophenyldiguanidohexane ("Hibitane"). Laboratory investigation of a new antibacterial agent of high potency.
        Br J Pharmacol. 1954; 9: 192-196
        • Weinberg ED.
        The antimicrobial activity of N1, N5-substituted biguanides.
        Antibiot Chemother. 1961; 11: 572-582
        • Rye RM
        • Wisman D.
        Effect of chlorhexidine upon 32P release and cell viability in Escherichia coli.
        J Pharm Pharmacol. 1966; 18: 114S-118S
        • Kuipers JS
        • Dankert J.
        Bacteriocidal properties of Tego 103S and Tego 103G.
        Journal of Hygiene, Cambridge. 1970; 68: 343-348
        • Molander A
        • Reit C
        • Kvist T.
        Microbiological status of root-filled teeth with apical periodontitis.
        Int Endod J. 1998; 31: 1-7
        • Bystrøm A
        • Claesson R
        • Sundqvist G.
        The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals.
        Endod Dent Traumatol. 1985; 1: 170-175
        • Gomes BPFA
        • Lilley JD
        • Drucker DB.
        Variations in the susceptibilities of components of endodontic microflora to biomechanical procedures.
        Int Endod J. 1996; 29: 235-241
        • Möller AJR.
        Microbiological examination of root canal and periapical tissues of human teeth.
        Odontol Tidskr. 1966; 74: 1-380