ABSTRACT
Statement of the Problem: Hydrogen peroxide [H[2]O[2]] has been suggested to be used in sequence or in combination with chlorhexidine [CHX] to enhance the antibacterial activity against Enterococcus faecalis, but there is no research in the literature on the safety and effectiveness of this irrigation protocol
Purpose: This study aimed to assess the cytocompatibility and antibacterial activity of different concentrations of CHX combined with H[2]O[2] in comparison with the activity of 5.25 and 2.5% sodium hypochlorite [NaOCl]
Materials and Method: Different concentrations of H[2]O[2] [10, 5, 3 and 1%] were exposed to the PDL cells. Then, the solution with minimal cytotoxicity was selected [3% H[2]O[2]]. The cytocompatibility and antibacterial activity of 0.1, 0.2, 1 and 2% CHX combined with 3% H[2]O[2] were evaluated and compared with 5.25 and 2.5% NaOCl. The differences in the mean viability of PDL cells were evaluated by one-way ANOVA. Kruskal-Wallis and post-hoc Dunn's tests were adopted to compare the antibacterial activity of the solutions against E.faecalis
Results: The viability of PDL cells was lower when treated with 5.25 or 2.5% NaOCl than all combinations of CHX and H[2]O[2]. There was no significant difference in the antibacterial activity of the solutions against E.faecalis, except for the 0.1% CHX + 3% H[2]O[2] combination, which had significantly lower efficacy than other groups
Conclusion: All combinations of CHX and H[2]O[2] [used in this study] except 0.1% CHX + 3% H[2]O[2] were efficient irrigants against planktonic E.faecalis and had a better cytocompatibility with PDL cells than 5.25 and 2.5% NaOCl