The Potential of Phenothiazines against Endodontic Pathogens: A Focus on Enterococcus-Candida Dual-Species Biofilm

Bibliographic Details
Title: The Potential of Phenothiazines against Endodontic Pathogens: A Focus on Enterococcus-Candida Dual-Species Biofilm
Authors: Nicole de Mello Fiallos, Ana Luiza Ribeiro Aguiar, Bruno Nascimento da Silva, Mariana Lara Mendes Pergentino, Marcos Fábio Gadelha Rocha, José Júlio Costa Sidrim, Débora Castelo Branco de Souza Collares Maia, Rossana de Aguiar Cordeiro
Source: Antibiotics, Vol 11, Iss 11, p 1562 (2022)
Publisher Information: MDPI AG, 2022.
Publication Year: 2022
Collection: LCC:Therapeutics. Pharmacology
Subject Terms: Enterococcus faecalis, Candida albicans, biofilm, phenothiazines, periapical periodontitis, Therapeutics. Pharmacology, RM1-950
More Details: Persistent apical periodontitis occurs when the endodontic treatment fails to eradicate the intraradicular infection, and is mainly caused by Gram-positive bacteria and yeasts, such as Enterococcus faecalis and Candida albicans, respectively. Phenothiazines have been described as potential antimicrobials against bacteria and fungi. This study aimed to investigate the antimicrobial potential of promethazine (PMZ) and chlorpromazine (CPZ) against E. faecalis and C. albicans dual-species biofilms. The susceptibility of planktonic cells to phenothiazines, chlorhexidine (CHX) and sodium hypochlorite (NaOCl) was initially analyzed by broth microdilution. Interaction between phenothiazines and CHX was examined by chequerboard assay. The effect of NaOCl, PMZ, CPZ, CHX, PMZ + CHX, and CPZ + CHX on biofilms was investigated by susceptibility assays, biochemical and morphological analyses. Results were evaluated through one-way ANOVA and Tukey’s multiple comparison post-test. PMZ, alone or in combination with irrigants, was the most efficient phenothiazine, capable of reducing cell counts, biomass, biovolume, carbohydrate and protein contents of dual-species biofilms. Neither PMZ nor CPZ increased the antimicrobial activity of CHX. Further investigations of the properties of phenothiazines should be performed to encourage their use in endodontic clinical practice.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2079-6382
Relation: https://www.mdpi.com/2079-6382/11/11/1562; https://doaj.org/toc/2079-6382
DOI: 10.3390/antibiotics11111562
Access URL: https://doaj.org/article/bef23ffc92b94bc997a4b9be96da4c4a
Accession Number: edsdoj.bef23ffc92b94bc997a4b9be96da4c4a
Database: Directory of Open Access Journals
More Details
ISSN:20796382
DOI:10.3390/antibiotics11111562
Published in:Antibiotics
Language:English