Enterococcus faecalis is an important pathogen in pulp periapical disease that has been widely studied in recent years. A large number of studies have shown that the high detection rate of Enterococcus faecalis in root canals with persistent or secondary infection after root canal therapy is closely related to the failure of root canal therapy. The presence of Enterococcus faecalis in periapical pulp disease is related to its pathogenicity and virulence factors. Enterococcus faecalis can directly invade host tissues or induce immune inflammation in host tissues, resulting in periapical pulp tissue damage and lesions. Enterococcus faecalis has a strong tolerance to conventional root canal antibiotics and disinfection methods and is difficult to completely remove from the complex root canal system. How to fight Enterococcus faecalis infection has become an important direction in the treatment of pulp periapical disease. This article reviews the pathogenic mechanism of Enterococcus faecalis infection in pulp periapical disease and the progress in its treatment.
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Open Access
Review Article
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To determine the effect of enamel matrix derivative (EMD) on remineralization of artificial root dentin caries.
Bovine root dentin blocks were placed in a demineralization solution to create artificial root dentin carious lesions. The lesions were then randomly divided into EMD group (30 g/L EMD, the experimental group), sodium fluoride (NaF) aqueous solution group (1 g/L NaF, the positive control group) and distilled and deionised water (DDW) group (the negative control group), and all the lesions were pH-cycled at 6 cycles per day for 8 d. Morphology of the lesions were observed by scanning electron microscopy (SEM) and polarized light microscopy (PLM). Transverse microradiography (TMR) was used to examine mineral loss, lesion depth and mineral content.
After pH-cycling, the surface morphology by SEM and the vertical morphology by PLM suggested that EMD and NaF treatment, but not DDW, caused mineral accumulation of artificial root dentin caries. Meanwhile, TMR revealed significantly lower mineral loss, shallower lesion depth and more mineral content in the EMD group than the DDW group (P<0.05) after pH-cycling.
EMD can significantly promote remineralization of root dentin caries in vitro, and is a promising agent for non-invasive root caries therapy.
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