422088

Assessment of access cavity disinfection for bacterial DNA and RNA before root canal sampling using molecular analysis

Article

Last updated: 27 Apr 2025

Subjects

-

Tags

Fixed prosthodontics ,Endodontics and Conservative section

Abstract

Aim: This study aimed to evaluate the bacterial DNA and RNA levels within the access ‎cavity before and after disinfection.   ‎ Materials and methods: Twenty-seven patients with necrotic teeth were included. Strict aseptic measures were ‎applied, including plaque removal, disinfection of teeth, and application of rubber dam, ‎using 30% hydrogen peroxide (H2O2) followed by 2.5% sodium hypochlorite (NaOCl). ‎NaOCl activity was neutralised using 10% sodium thiosulfate with saline as the final rinse. ‎After access cavity preparation, bacterial DNA and RNA samples were collected using ‎sterile paper points, before and after using the same disinfection protocol. Samples were ‎verified by Real-time polymerase chain reaction using universal 16S rRNA primers. Data ‎were analysed using the Wilcoxon matched pairs and Fisher's exact tests. The significance ‎level was set at P<0.05. ‎ Results: Bacterial DNA and RNA levels were reduced following a disinfection protocol (P<0.0001). ‎Bacterial DNA was detected in all the pre- and post-disinfection samples. There was a ‎significant decrease in the proportion of patients with detectable RNA levels after ‎disinfection (P<0.0001). ‎ Conclusion: Access cavity disinfection before root canal sampling is crucial to avoid bacterial ‎infiltration into the root canal.‎

DOI

10.21608/asdj.2024.302807.1362

Keywords

Disinfection, DNA, endodontic treatment, Real-Time PCR, RNA

Authors

First Name

Omar

Last Name

Khaleefah

MiddleName

Talib

Affiliation

Department of Endodontic, Faculty of Dentistry, Mansoura University, Mansoura, Egypt

Email

omr_ta@yahoo.com

City

Mansoura

Orcid

0000-0002-8192-2933

First Name

Ahmed

Last Name

El-Baz

MiddleName

M

Affiliation

Department of Microbiology and Immunology, Faculty of Pharmacy, Delta University for Science and Technology Gamasa 11152, Egypt

Email

ahmed.elbaz@deltauniv.edu.eg

City

Mansoura

Orcid

0000-0002-7290-6907

First Name

Amany

Last Name

Badr

MiddleName

Elsaid

Affiliation

Head of the Department of Endodontics, Faculty of Dentistry, Mansoura University.

Email

amanybadr@mans.edu.eg

City

Mansoura

Orcid

0000-0002-3811-149X

Volume

37

Article Issue

1

Related Issue

54293

Issue Date

2025-03-01

Receive Date

2024-07-09

Publish Date

2025-03-01

Page Start

195

Page End

202

Print ISSN

1110-7642

Online ISSN

2735-5039

Link

https://asdj.journals.ekb.eg/article_422088.html

Detail API

http://journals.ekb.eg?_action=service&article_code=422088

Order

422,088

Type

Original articles

Type Code

1,638

Publication Type

Journal

Publication Title

Ain Shams Dental Journal

Publication Link

https://asdj.journals.ekb.eg/

MainTitle

Assessment of access cavity disinfection for bacterial DNA and RNA before root canal sampling using molecular analysis

Details

Type

Article

Created At

27 Apr 2025