Effect of chemico-mechanical preparation on root canal microbiology in a resource-limited setting: A longitudinal study

Background: Chemico-mechanical preparation is a crucial step in endodontic treatment, but its effectiveness in resource-limited settings is understudied. Aim: This study investigated the impact of chemico-mechanical preparation on root canal microbiology and assessed antimicrobial sensitivity of iso...

Full description

Saved in:
Bibliographic Details
Main Authors: Gloria Okeoghenemaro Agboghoroma, Joan E. Enabulele
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:SRM Journal of Research in Dental Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/srmjrds.srmjrds_98_24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849230319275737088
author Gloria Okeoghenemaro Agboghoroma
Joan E. Enabulele
author_facet Gloria Okeoghenemaro Agboghoroma
Joan E. Enabulele
author_sort Gloria Okeoghenemaro Agboghoroma
collection DOAJ
description Background: Chemico-mechanical preparation is a crucial step in endodontic treatment, but its effectiveness in resource-limited settings is understudied. Aim: This study investigated the impact of chemico-mechanical preparation on root canal microbiology and assessed antimicrobial sensitivity of isolated microorganisms. Materials and Methods: This longitudinal study involved 40 patients undergoing root canal therapy. Microbial samples were collected during chemico-mechanical preparation and analyzed using microscopy, culture, and sensitivity tests. Results: The microbial load varied significantly at different treatment stages, while the types of organisms were not significantly different. The isolates showed resistance to co-trimoxazole and ampicillin, and sensitivity to gentamicin and nitrofurantoin. Conclusions: Chemico-mechanical preparation effectively reduces microbial load and diversity in root canals, even in resource-limited settings. The study highlights the potential benefit of using nitrofurantoin, tetracycline, and gentamicin as intracanal medications. Findings underscore the importance of chemico-mechanical preparation in endodontic treatment, suggesting a revisit of the antiseptics used as routine intracanal medications.
format Article
id doaj-art-a9ec8e6208534b9f8bc8d66cfdaf696a
institution Kabale University
issn 2772-5243
2772-5251
language English
publishDate 2025-04-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series SRM Journal of Research in Dental Sciences
spelling doaj-art-a9ec8e6208534b9f8bc8d66cfdaf696a2025-08-21T06:14:21ZengWolters Kluwer Medknow PublicationsSRM Journal of Research in Dental Sciences2772-52432772-52512025-04-01162616610.4103/srmjrds.srmjrds_98_24Effect of chemico-mechanical preparation on root canal microbiology in a resource-limited setting: A longitudinal studyGloria Okeoghenemaro AgboghoromaJoan E. EnabuleleBackground: Chemico-mechanical preparation is a crucial step in endodontic treatment, but its effectiveness in resource-limited settings is understudied. Aim: This study investigated the impact of chemico-mechanical preparation on root canal microbiology and assessed antimicrobial sensitivity of isolated microorganisms. Materials and Methods: This longitudinal study involved 40 patients undergoing root canal therapy. Microbial samples were collected during chemico-mechanical preparation and analyzed using microscopy, culture, and sensitivity tests. Results: The microbial load varied significantly at different treatment stages, while the types of organisms were not significantly different. The isolates showed resistance to co-trimoxazole and ampicillin, and sensitivity to gentamicin and nitrofurantoin. Conclusions: Chemico-mechanical preparation effectively reduces microbial load and diversity in root canals, even in resource-limited settings. The study highlights the potential benefit of using nitrofurantoin, tetracycline, and gentamicin as intracanal medications. Findings underscore the importance of chemico-mechanical preparation in endodontic treatment, suggesting a revisit of the antiseptics used as routine intracanal medications.https://journals.lww.com/10.4103/srmjrds.srmjrds_98_24antimicrobial sensitivitychemico-mechanical preparationendodontic treatmentresource-limited settingsroot canal microbiology
spellingShingle Gloria Okeoghenemaro Agboghoroma
Joan E. Enabulele
Effect of chemico-mechanical preparation on root canal microbiology in a resource-limited setting: A longitudinal study
SRM Journal of Research in Dental Sciences
antimicrobial sensitivity
chemico-mechanical preparation
endodontic treatment
resource-limited settings
root canal microbiology
title Effect of chemico-mechanical preparation on root canal microbiology in a resource-limited setting: A longitudinal study
title_full Effect of chemico-mechanical preparation on root canal microbiology in a resource-limited setting: A longitudinal study
title_fullStr Effect of chemico-mechanical preparation on root canal microbiology in a resource-limited setting: A longitudinal study
title_full_unstemmed Effect of chemico-mechanical preparation on root canal microbiology in a resource-limited setting: A longitudinal study
title_short Effect of chemico-mechanical preparation on root canal microbiology in a resource-limited setting: A longitudinal study
title_sort effect of chemico mechanical preparation on root canal microbiology in a resource limited setting a longitudinal study
topic antimicrobial sensitivity
chemico-mechanical preparation
endodontic treatment
resource-limited settings
root canal microbiology
url https://journals.lww.com/10.4103/srmjrds.srmjrds_98_24
work_keys_str_mv AT gloriaokeoghenemaroagboghoroma effectofchemicomechanicalpreparationonrootcanalmicrobiologyinaresourcelimitedsettingalongitudinalstudy
AT joaneenabulele effectofchemicomechanicalpreparationonrootcanalmicrobiologyinaresourcelimitedsettingalongitudinalstudy