CC BY 4.0 · Eur J Dent 2025; 19(01): 103-109
DOI: 10.1055/s-0044-1786863
Original Article

Antibacterial Efficacy of Graphene Nanoparticles against Enterococcus faecalis: In Vitro Study

1   A.T. Still University - Missouri School of Dentistry and Oral Health (ATSU-MOSDOH), Kirksville, Missouri, United States
,
Preena Sidhu
2   Division of Restorative Dentistry, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
,
2   Division of Restorative Dentistry, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
,
Thiagrajan Madheswaran
3   Department of Pharmaceutical Technology, School of Pharmacy, International Medical University, Kuala Lumpur, Malaysia
,
4   School of Health Sciences, International Medical University, Kuala Lumpur, Malaysia
› Author Affiliations

Abstract

Objective(s) This study compared the antimicrobial efficacy of nanographene (NG) particles with chlorhexidine (CHX) and calcium hydroxide (Ca(OH)2) against Enterococcus faecalis.

Materials and Methods Forty extracted human mandibular premolar teeth were cleaned using a scaler, and the middle-third of the root (6 mm) was decoronated using a rotary diamond disk. The inner diameter of the teeth was made consistent using Gates Glidden Drills #3, treated with ethylene diamine tetra-acetic acid and sodium hypochlorite before sterilization. The samples were then contaminated with E. faecalis grown in Tryptic soy broth for 21 days. Tooth samples were then randomly divided into four groups: Group I (Control), untreated saline; Group II, Ca(OH)2; Group III, CHX; and Group IV, NG. The assessment of bacterial growth was carried out by harvesting dentin chips at the end of 1, 3, and 7 days. The colonies were physically counted and tabulated after 24 hours from seeding. Statistical analysis of the collected data was performed with analysis of variance and Tukey's post hoc test using SPSS Version 20.0.

Results The contaminated dentine blocks irrigated with NG (0.5 µg) and CHX (0 ± 0; p < 0.001) had no growth of E. faecalis colonies compared to blocks of Ca(OH)2 (10 ± 21) and saline (927 ± 455). All concentrations of NG (0.5 and 1.0 µg) showed effectiveness higher (p < 0.001) than 2% CHX when measured by the zone of inhibition against E. faecalis.

Conclusion It may be concluded that NG is effective against growth of E. faecalis and may be used as a promising antimicrobial agent during root canal treatment. However, further studies should be done to investigate the effect of NG against other dental pathogens.

Ethical Approval Statement

We certify that this study design and protocol was approved by the Institutional Ethics Committee (IMU-JC NO 361/2016).




Publication History

Article published online:
08 July 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Peters OA, Schönenberger K, Laib A. Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro computed tomography. Int Endod J 2001; 34 (03) 221-230
  • 2 Dioguardi M, Gioia GD, Illuzzi G, Laneve E, Cocco A, Troiano G. Endodontic irrigants: different methods to improve efficacy and related problems. Eur J Dent 2018; 12 (03) 459-466
  • 3 Khedmat S, Fakhari N, Emaneini M, Beigverdi R. Comparison of antibacterial effect of four irrigation solutions in primary root canal infections: a clinical study. Iran Endod J 2018; 13 (04) 534-539
  • 4 Meiyazhagan G, Raju R, Winfred SB. et al. Bioactivity studies of β-lactam derived polycyclic fused pyrrolidine/pyrrolizidine derivatives in dentistry: in vitro, in vivo and in silico studies. PLoS One 2015; 10 (07) e0131433
  • 5 Ganesh A, Nagendrababu V, John A, Deivanayagam K. The effect of addition of an EPS degrading enzyme with and without detergent to 2% chlorhexidine on disruption of Enterococcus faecalis biofilm: a confocal laser scanning microscopic study. J Clin Diagn Res 2015; 9 (11) ZC61-ZC65
  • 6 Estrela C, Holland R, Estrela CR, Alencar AH, Sousa-Neto MD, Pécora JD. Characterization of successful root canal treatment. Braz Dent J 2014; 25 (01) 3-11
  • 7 Alghamdi F, Shakir M. The influence of Enterococcus faecalis as a dental root canal pathogen on endodontic treatment: a systematic review. Cureus 2020; 12 (03) e7257
  • 8 Estrela C, Sydney GB, Figueiredo JA, Estrela CR. Antibacterial efficacy of intracanal medicaments on bacterial biofilm: a critical review. J Appl Oral Sci 2009; 17 (01) 1-7
  • 9 Roy R, Tiwari M, Donelli G, Tiwari V. Strategies for combating bacterial biofilms: a focus on anti-biofilm agents and their mechanisms of action. Virulence 2018; 9 (01) 522-554
  • 10 Colombo M, Bassi C, Beltrami R. et al. Radiographic technical quality of root canal treatment performed by a new rotary single-file system. Ann Stomatol (Roma) 2017; 8 (01) 18-22
  • 11 Kovvuru SK, Mahita VN, Manjunatha BS, Babu BS. Nanotechnology: the emerging science in dentistry. J Orofac Res 2012; 2 (01) 33-36
  • 12 Neelakantan P, Romero M, Vera J. et al. Biofilms in endodontics-current status and future directions. Int J Mol Sci 2017; 18 (08) 1748
  • 13 Kovvuru SK, Mahita VN, Manjunatha BS, Babu BS. Nanotechnology: the emerging science in dentistry. J Orofac Res 2012; 2 (01) 33-36
  • 14 Gopikrishna V, Venkateshbabu N, Krithikadatta J, Kandaswamy D. Evaluation of the effect of MTAD in comparison with EDTA when employed as the final rinse on the shear bond strength of three endodontic sealers to dentine. Aust Endod J 2011; 37 (01) 12-17
  • 15 Vaghela DJ, Kandaswamy D, Venkateshbabu N, Jamini N, Ganesh A. Disinfection of dentinal tubules with two different formulations of calcium hydroxide as compared to 2% chlorhexidine: as intracanal medicaments against Enterococcus faecalis and Candida albicans: an in vitro study. J Conserv Dent 2011; 14 (02) 182-186
  • 16 Pradeepkumar M, Venkateshbabu N, Emmanuel S, Kandaswamy D. Efficacy of F file compared to ultrasonic techniques using scanning electron microscopy. N Y State Dent J 2012; 78 (05) 54-57
  • 17 Eswar K, Venkateshbabu N, Rajeswari K, Kandaswamy D. Dentinal tubule disinfection with 2% chlorhexidine, garlic extract, and calcium hydroxide against Enterococcus faecalis by using real-time polymerase chain reaction: in vitro study. J Conserv Dent 2013; 16 (03) 194-198
  • 18 Novoselov KS, Geim AK, Morozov SV. et al. Electric field effect in atomically thin carbon films. Science 2004; 306 (5696): 666-669
  • 19 Utneja S, Nawal RR, Talwar S, Verma M. Current perspectives of bio-ceramic technology in endodontics: calcium enriched mixture cement - review of its composition, properties and applications. Restor Dent Endod 2015; 40 (01) 1-13
  • 20 Elshahat S, Elgendy AA, Elsewify T. Osteogenic differentiation and proliferation of apical papilla stem cells using chitosan-coated nanohydroxyapatite and bioactive glass nanoparticles. Eur J Dent 2024; 18 (02) 665-671
  • 21 Alzayyat ST, Almutiri GA, Aljandan JK. et al. Effects of SiO2 incorporation on the flexural properties of a denture base resin: an in vitro study. Eur J Dent 2022; 16 (01) 188-194
  • 22 Eskandari F, Ghahramani Y, Abbaszadegan A, Gholami A. The antimicrobial efficacy of nanographene oxide and double antibiotic paste per se and in combination: part II. BMC Oral Health 2023; 23 (01) 253
  • 23 Williams JM, Trope M, Caplan DJ, Shugars DC. Detection and quantitation of E. faecalis by real-time PCR (qPCR), reverse transcription-PCR (RT-PCR), and cultivation during endodontic treatment. J Endod 2006; 32 (08) 715-721
  • 24 Kishen A, Shi Z, Shrestha A, Neoh KG. An investigation on the antibacterial and antibiofilm efficacy of cationic nanoparticulates for root canal disinfection. J Endod 2008; 34 (12) 1515-1520
  • 25 Nair PN, Henry S, Cano V, Vera J. Microbial status of apical root canal system of human mandibular first molars with primary apical periodontitis after “one-visit” endodontic treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99 (02) 231-252
  • 26 de Souza CA, Teles RP, Souto R, Chaves MA, Colombo AP. Endodontic therapy associated with calcium hydroxide as an intracanal dressing: microbiologic evaluation by the checkerboard DNA-DNA hybridization technique. J Endod 2005; 31 (02) 79-83
  • 27 Tang G, Samaranayake LP, Yip HK. Molecular evaluation of residual endodontic microorganisms after instrumentation, irrigation and medication with either calcium hydroxide or Septomixine. Oral Dis 2004; 10 (06) 389-397
  • 28 Kim D, Kim E. Antimicrobial effect of calcium hydroxide as an intracanal medicament in root canal treatment: a literature review - part II. In vivo studies. Restor Dent Endod 2015; 40 (02) 97-103
  • 29 Wu S, Weir MD, Lei L, Liu J, Xu HHK. Novel nanographene oxide-calcium phosphate cement inhibits Enterococcus faecalis biofilm and supports dental pulp stem cells. J Orthop Surg Res 2021; 16 (01) 580
  • 30 Yousefi M, Dadashpour M, Hejazi M. et al. Anti-bacterial activity of graphene oxide as a new weapon nanomaterial to combat multidrug-resistance bacteria. Mater Sci Eng C 2017; 74: 568-581
  • 31 Wu S, Liu Y, Lei L, Zhang H. Nanographene oxides carrying antisense wall RNA regulates the Enterococcus faecalis biofilm formation and its susceptibility to chlorhexidine. Lett Appl Microbiol 2020; 71 (05) 451-458
  • 32 Plotino G, Cortese T, Grande NM. et al. New technologies to improve root canal disinfection. Braz Dent J 2016; 27 (01) 3-8
  • 33 Chang Y, Yang ST, Liu JH. et al. In vitro toxicity evaluation of graphene oxide on A549 cells. Toxicol Lett 2011; 200 (03) 201-210
  • 34 Akhavan O, Ghaderi E. Toxicity of graphene and graphene oxide nanowalls against bacteria. ACS Nano 2010; 4 (10) 5731-5736
  • 35 Zhang X, Li M, Wang YB. et al. Cell response of nanographene platelets to human osteoblast-like MG63 cells. J Biomed Mater Res A 2014; 102 (03) 732-742