Aims and objectives: Evaluating the antimicrobial efficacy of the novel combinations of zinc oxide mixed with ajwain oil (ZNOA) and combination of ajwain and eugenol (ZNOAE) vs conventionally used zinc oxide eugenol (ZNOE) against endodontic pathogens like Escherichia coli and Enterococcus faecalis.
Materials and methods: The pure cultures of E. coli (MTCC 443) and E. faecalis (MTCC 439) were revived and grown on selective cultural media. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of the test materials were determined correspondingly through sequential dilution and agar well diffusion methods, as per Clinical and Laboratory Standard Institute (CLSI) guidelines. The data values were presented as mean ± standard deviation (SD). The comparisons among groups were completed through the one-way analysis of variance (ANOVA) test, whereas intragroup pairwise comparisons were completed using the unpaired t-test (p < 0.05).
Results: Minimum inhibitory concentration values against E. coli and E. faecalis of ZNOE were 250 and 500 µg/mL, ZNOA was 250 µg/mL, and ZNOAE were 125 and 250 µg/mL, correspondingly. MBC values in the form of inhibition zone against E. coli by ZNOE were 21.33 ± 1.53 mm, ZNOA 18.67 ± 1.53 mm, and ZNOAE 20.33 ± 1.53 mm. The E. faecalis inhibition zone for ZNOE was 14.33 ± 2.08 mm, ZNOA 18.67 ± 2.08 mm, and ZNOAE 24.33 ± 1.53 mm.
Conclusion: All test materials demonstrated good antibacterial efficacy. However, between the novel combinations of test materials, ZNOA showed better antimicrobial efficacy against resistant endodontic pathogens than ZNOE.
Kriplani R, Thosar N, Baliga MS, et al. Comparative evaluation of antimicrobial efficacy of various root canal filling materials along with aloevera used in primary teeth: a microbiological study. J Clin Pediatr Dent 2013;37(3):257–262. DOI: 10.17796/jcpd.37.3.j62u53q2300484x5
Carrotte P. Endodontic treatment for children. Br Dent J 2005;198(1):9–15. DOI: 10.1038/sj.bdj.4811946
Barja-Fidalgo F, Moutinho-Ribeiro M, Oliveira MA, et al. A systematic review of root canal filling materials for deciduous teeth: is there an alternative for zinc oxide-eugenol? ISRN Dent 2011;2011:367318. DOI: 10.5402/2011/367318
Sweet CA. Procedure for treatment of exposed and pulpless deciduous teeth. J Am Dent Assoc 1930;17(6):1150–1153. DOI: 10.14219/jada.archive.1930.0158
Monajemzadeh A, Ahmadi Asoor S, Aslani S, et al. In vitro antimicrobial effect of different root canal sealers against oral pathogens. Curr Med Mycol 2017;3(2):7–12. DOI: 10.18869/acadpub.cmm.3.2.7
Reddy S, Ramakrishna Y. Evaluation of antimicrobial efficacy of various root canal filling materials used in primary teeth: a microbiological study. J Clin Pediatr Dent 2007;31(3):193–198. DOI: 10.17796/jcpd.31.3.t73r4061424j2578
Thosar N, Chandak M, Bhat M, et al. Antibacterial efficacy of zinc oxide paste with various essential oils against enterococcus faecalis and its comparison with zinc oxide eugenol paste. Int J Dev Res 2016;6(12):10663–10666.
Thosar NR, Chandak M, Bhat M, et al. Evaluation of antimicrobial activity of two endodontic sealers: zinc oxide with thyme oil and zinc oxide eugenol against root canal microorganisms- an in vitro study. Int J Clin Pediatr Dent 2018;11(2):79–82. DOI: 10.5005/jp-journals-10005-1489
Gilani SR, Mahmood Z, Hussain M. Preliminary evaluation of antimicrobial activity of cream formulated with essential oil of Trachyuspermum ammi. Pak J Pharm Sci 2013;26(5):893–896.
Kaur GJ, Arora DS. In vitro antibacterial activity of three plants belonging to the family Umbelliferae. Int J Antimicrob Agents 2008;31(4):393–395. DOI: 10.1016/j.ijantimicag.2007.11.007
Dadpe MV, Dhore SV, Dahake PT, et al. Evaluation of antimicrobial efficacy of Trachyspermum ammi (Ajwain) oil and chlorhexidine against oral bacteria: an in vitro study. J Indian Soc Pedod Prev Dent 2018;36(4):357–363. DOI: 10.4103/JISPPD.JISPPD_65_18
Thangam C, Dhananjayan R. Anti-inflammatory potential of the seeds of Carum Copticum Linn. Ind J Pharmac 2003;35(6):388–391.
Gopikrishna VA, Kandaswamy D, Jeyavel R. Comparative evaluation of the antimicrobial efficacy of five endodontic root canal sealers against Enterococcus faecalis and Candida albicans. J Conserv Dent 2006;9(1):2–12. DOI: 10.4103/0972-0707.41303
al-Khatib ZZ, Baum RH, Morse DR, et al. The antimicrobial effect of various endodontic sealers. Oral Surg Oral Med Oral Pathol 1990;70(6):784–790. DOI: 10.1016/0030-4220(90)90022-k
Tchaou WS, Turng BF, Minah GE, et al. In vitro inhibition of bacteria from root canals of primary teeth by various dental materials. Pediatr Dent 1995;17(5):351–355.
Baldota N, Bendgude V. Antimicrobial efficacy of three calcium hydroxide pastes with zinc oxide eugenol used as root canal filling materials in primary teeth: an in vitro study. Int J Dent Health Sci 2014;1(3):311–321.
Thosar N, Basak S, Bahadure RN, et al. Antimicrobial efficacy of five essential oils against oral pathogens: an in vitro study. Eur J Dent 2013;7(Suppl 1):S071–S077. DOI: 10.4103/1305-7456.119078
Dahake PT, Baliga SM. Antimicrobial efficacy of a new tri-antibiotic combination against resistant endodontic pathogens: an in-vitro study. BDS 2020;23(4):8.
Nozari A, Karimkhani A, Motamedifar M, et al. The antimicrobial effects of zinc oxide-calcium hydroxide mixture fillers: determining the ideal mixture ratio. Iran J Microbiol 2019;11(3):239–245.
Cinthura C, Geetha RV. Evaluation of antimicrobial activity of endodontic sealers in combination with cinnamon oil. Drug Invent Today 2018;10(2):4.
Debalke D, Birhan M, Kinubeh A, et al. Assessments of antibacterial effects of aqueous-ethanolic extracts of sida rhombifolia's aerial part. Scientific World Journal 2018;2018:8429809. DOI: 10.1155/2018/8429809
Katge F, Wakpanjar MM. Root canal morphology of primary molars by clearing technique: an in vitro study. J Indian Soc Pedod Prev Dent 2018;36(2):151–157. DOI: 10.4103/JISPPD.JISPPD_237_16
Wang YL, Chang HH, Kuo CI, et al. A study on the root canal morphology of primary molars by high-resolution computed tomography. J Dent Sci 2013;8(3):321–327. DOI: 10.1016/j.jds.2013.04.002
Praveen P, Anantharaj A, Venkataragahavan K. A review of obturating materials for primary teeth. Streamdent 2011;1(3):4.
Burt S. Essential oils: their antibacterial properties and potential applications in foods–a review. Int J Food Microbiol 2004;94(3):223–253. DOI: 10.1016/j.ijfoodmicro.2004.03.022
Moein MR, Zomorodian K, Pakshir K, et al. Trachyspermum ammi (L.) sprague: chemical composition of essential oil and antimicrobial activities of respective fractions. J Evid Based Complementary Altern Med 2015;20(1):50–56. DOI: 10.1177/2156587214553302
Hassanshahian M, Bayat Z, Saeidi S, et al. Antimicrobial activity of Trachyspermum ammi essential oil against human bacterial. Int J Adv Biol 2014;2(1):18–24.
Liu H, Wei X, Ling J, et al. Biofilm formation capability of Enterococcus faecalis cells in starvation phase and its susceptibility to sodium hypochlorite. J Endod 2010;36(4):630–635. DOI: 10.1016/j.joen.2009.11.016
Escobar-García M, Rodríguez-Contreras K, Ruiz-Rodríguez S, et al. Eugenol toxicity in human dental pulp fibroblasts of primary teeth. J Clin Pediatr Dent 2016;40(4):312–318. DOI: 10.17796/1053-4628-40.4.312
Gopikrishna VA, Kandaswamy D, Jeyavel R. Comparative evaluation of the antimicrobial efficacy of five endodontic root canal sealers against Enterococcus faecalis and Candida albicans. J Conserv Dent 2006;9(1):2. DOI: 10.4103/0972-0707.41303
Hegde S, Lala PK, Dinesh RB, et al. An in vitro evaluation of antimicrobial efficacy of primary root canal filling materials. J Clin Pediatr Dent 2012;37(1):59–64. DOI: 10.17796/jcpd.37.1.v6305588xw525505
Delgado B, Fernández PS, Palop A, et al. Effect of thymol and cymene on Bacillus cereus vegetative cells evaluated through the use of frequency distributions. Food Microbiol 2004;21(3):327–334. DOI: 10.1016/S0740-0020(03)00075-3
Khan R, Zakir M, Afaq SH, et al. Activity of solvent extracts of Prosopis spicigera, Zingiber officinale and Trachyspermum ammi against multidrug resistant bacterial and fungal strains. J Infect Dev Ctries 2010;4(5):292–300. DOI: 10.3855/jidc.621
Shah A, Jani M, Shah H, et al. Antimicrobial effect of clove oil (Laung) extract on Enterococcus faecalis. J Adv Oral Res 2014;5(3):36–38. DOI: 10.1177/222941122014030
Abdullah BH, Hatem SF, Jumaa W. A comparative study of the antibacterial activity of clove and rosemary essential oils on multidrug resistant bacteria. UK J Pharm Biosci 2015;3(1):18. DOI: 10.20510/ukjpb/3/i1/89220
Pei RS, Zhou F, Ji BP, et al. Evaluation of combined antibacterial effects of eugenol, cinnamaldehyde, thymol, and carvacrol against E. coli with an improved method. J Food Sci 2009;74(7):M379–M383. DOI: 10.1111/j.1750-3841.2009.01287.x
Bassolé IH, Juliani HR. Essential oils in combination and their antimicrobial properties. Molecules 2012;17(4):3989–4006. DOI: 10.3390/molecules17043989