Literature DB >> 17877724

Antioxidant and pro-oxidant properties of chlorhexidine and its interaction with calcium hydroxide solutions.

S Y Yeung1, C S Huang, C P Chan, C P Lin, H N Lin, P H Lee, H W Jia, S K Huang, J H Jeng, M C Chang.   

Abstract

AIM: To evaluate the antioxidant and pro-oxidant properties of chlorhexidine (CHX).
METHODOLOGY: The scavenging and generation of reactive oxygen species (ROS) by CHX in the presence or absence of saturated Ca(OH)(2) solutions was evaluated. The reaction emitted chemiluminescence in the presence of lucigenin thus was determined by a luminometer to evaluate the levels of ROS production. Changes in DNA conformation were analysed by agarose gel electrophoresis. Paired Student's t-test was used to compare the difference between groups.
RESULTS: Chlorhexidine (0.00002-0.02%) effectively scavenged 56-88% of the superoxide radicals generated by the xanthine/xanthine oxidase reaction. Through analysis of PUC18 DNA conformation changes, CHX was shown to be a mild scavenger of hydroxyl radicals generated by H(2)O(2) plus FeCl(2). However, CHX (>0.083%) decreased the mobility of PUC18 plasmid DNA with potential production of DNA-DNA cross-link and severe DNA breaks (presence of DNA smear) at further higher concentrations. Furthermore, CHX induced ROS production including H(2)O(2) and superoxide radicals in 0.1N NaOH (pH = 12.76) or Ca(OH)(2) (pH = 12.5) solutions.
CONCLUSION: Chlorhexidine exhibited both antioxidant and pro-oxidant properties under different conditions. These events are possibly involved in the killing of root canal and periodontal microorganisms when CHX and Ca(OH)(2) were used in combination or separately. Potential genotoxicity and tissue damage when extruded into the periradicular tissue and at higher concentrations should be considered during periodontal and endodontic practice.

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Year:  2007        PMID: 17877724     DOI: 10.1111/j.1365-2591.2007.01271.x

Source DB:  PubMed          Journal:  Int Endod J        ISSN: 0143-2885            Impact factor:   5.264


  14 in total

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2.  Chlorhexidine markedly potentiates the oxidants scavenging abilities of Candida albicans.

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3.  Is chlorhexidine an ideal vehicle for calcium hydroxide? A microbiologic review.

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Review 8.  Generation and Role of Reactive Oxygen and Nitrogen Species Induced by Plasma, Lasers, Chemical Agents, and Other Systems in Dentistry.

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9.  Counteraction of reactive oxygen species and determination of antibacterial efficacy of proanthocyanidin and lycopene when mixed with calcium hydroxide and chlorhexidine mixture: An in vitro comparative study.

Authors:  Ta Mageshwaran; Av Rajesh Ebenezar; M Madhanamadhubala; S Kavitha; S Mahalaxmi
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10.  The Influence of Dentine on the pH of Calcium Hydroxide, Chlorhexidine Gel, and Experimental Bioactive Glass-Based Root Canal Medicament.

Authors:  Ceci Nunes Carvalho; Laila Gonzales Freire; Alexandre Pinheiro Lima de Carvalho; Evandro Luiz Siqueira; José Bauer; Giovana Cunha Gritti; Juliana Pereira de Souza; Giulio Gavini
Journal:  ScientificWorldJournal       Date:  2015-08-04
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