Dentin demineralization when subjected to BioPure MTAD: a longitudinal and quantitative assessment.

J Endod. 2007 Nov;33(11):1364-8

Authors: De-Deus G, Reis C, Fidel S, Fidel R, Paciornik S

In the present study, the demineralizing ability of BioPure MTAD (Dentsply/Tulsa, Tulsa, OK), 17% EDTA, and 5% citric acid on radicular dentin was quantitatively and longitudinally analyzed. 3 mm thick disks were obtained at the root cervical third from 9 maxillary human molars, and a standardized smear layer was produced. Cosite images of the dentin surface were obtained after several cumulative demineralization times. Sixteen images were obtained in each dentin sample for each experimental time, at 1000x magnification. An image processing and analysis sequence measured sets of images, providing data of area fraction for thousands of tubules over time. Thus, it was possible to follow the demineralization phenomenon and quantitatively analyze the effect of the various substances. The nonparametric Kruskal-Wallis H-test was used to analyze the data. Based on the present results, it can be concluded that the demineralization kinetics promoted by both 5% CA and BioPure MTAD was significantly faster than by 17% EDTA.

PMID: 17963965 [PubMed - in process]

The antimicrobial effect of biopure MTAD on eight strains of Enterococcus faecalis: an in vitro investigation.

J Endod. 2007 Nov;33(11):1352-4

Authors: Newberry BM, Shabahang S, Johnson N, Aprecio RM, Torabinejad M

The purpose of this investigation was to determine the antimicrobial effect of MTAD as a final irrigant on eight strains of Enterococcus faecalis (E. faecalis) and to measure the minimum inhibitory concentration (MIC) and the minimum lethal concentration (MLC) of MTAD. The roots of 240 extracted human teeth were instrumented using 1.3% NaOCl and 17% EDTA. The roots were divided into eight groups and contaminated with one of eight strains of E. faecalis. After irrigating with 1.3% NaOCl, the root canal and the external surfaces were exposed to MTAD for 5 minutes. Roots or dentin shavings were cultured to determine the growth of E. faecalis. The results showed that this treatment regimen was effective in completely eliminating growth in seven of eight strains of E. faecalis. The MIC/MLC tests showed that MTAD inhibited most strains of E. faecalis growth when diluted 1:8192 times and killed most strains of E. faecalis when diluted 1:512 times.

PMID: 17963962 [PubMed - in process]

Microporous, demineralized collagen matrices in intact radicular dentin created by commonly used calcium-depleting endodontic irrigants.

J Endod. 2007 Sep;33(9):1086-90

Authors: Tay FR, Gutmann JL, Pashley DH

The use of calcium-depleting solutions in restorative dentistry results in demineralization of intact coronal dentin beneath smear layers. Likewise, application of calcium-depleting irrigants as final rinses might create demineralized collagen matrices in intact radicular dentin after removal of root canal wall smear layers created during canal shaping. These unsupported collagen matrices collapse on desiccation and might be difficult to detect in scanning electron microscopy dehydration techniques traditionally used in endodontic research. Demineralized collagen matrices were identified, by using a hexamethyldisilazane dehydration protocol, on the surface of smear layer-depleted radicular dentin when NaOCl was used as initial rinse, followed by the use of 17% ethylenediaminetetraacetic acid or BioPure MTAD as the final rinse. Compaction of conventional root filling materials over a demineralized collagen matrix in instrumented dentin is analogous to performing the same procedure against the predentin collagen network in the uninstrumented parts of root canals. The potential consequences of this process are, however, unknown.

PMID: 17931939 [PubMed - indexed for MEDLINE]

Determination of the performance of various root canal disinfection methods after in situ carriage.

J Endod. 2007 Aug;33(8):926-9

Authors: Virtej A, MacKenzie CR, Raab WH, Pfeffer K, Barthel CR

The aim of this study was to compare the antimicrobial performance of the Endox Endodontic System (Lysis Srl, Nova Milanese, Italy), MTAD (Dentsply Tulsa Dental, Tulsa, OK), sodium hypochlorite (NaOCl), and HealOzone (Kavo, Biberach, Germany). Seventy instrumented and initially sterile roots with open accesses and containing a paper point were carried by one volunteer in the oral cavity for 1 week. After removal, samples were taken for microbiological analysis. The root canals were then disinfected with the Endox Endodontic System, MTAD, 3% NaOCl, or HealOzone, and, thereafter, samples were repeated for microbiological analysis. The roots were then sealed and incubated for a further week, after which bacterial growth was again determined. After disinfection, there was a significant decrease in the absolute bacterial count between each disinfection method and the positive control group. There was no statistically significant difference between the NaOCl, MTAD, and HealOzone groups. The Endox device showed the least antibacterial effect with significant differences to MTAD and HealOzone. Bacterial regrowth after 1 week of incubation was detected in all samples of the control group, whereas test groups showed several bacteria-free samples.

PMID: 17878076 [PubMed - indexed for MEDLINE]

Comparative evaluation of antimicrobial efficacy of sodium hypochlorite, MTAD, and Tetraclean against Enterococcus faecalis biofilm.

J Endod. 2007 Jul;33(7):852-5

Authors: Giardino L, Ambu E, Savoldi E, Rimondini R, Cassanelli C, Debbia EA

The aim of this study was to compare the antimicrobial efficacy of 5.25% NaOCl, BioPure MTAD (Dentsply Tulsa Dental, Johnson City, TN), and Tetraclean (Ogna Laboratori Farmaceutici, Milano, Italy) against Enterococcus faecalis biofilm generated on cellulose nitrate membrane filters. After incubation, the membrane filters were transferred into tubes containing 5 mL of the selected antimicrobial solution test agent or NaCl 0.9% (positive control) and incubated for 5, 30, and 60 minutes at 20 degrees C. After each period of time, the test agents were vortexed for 60 seconds to resuspend the microorganisms. Ten-fold serial dilutions were generated in reduced transport fluid. Each dilution was plated onto a brain heart infusion plates. The plates were then incubated for 48 hours in an aerobic atmosphere at 37 degrees C and colony-forming units per membrane was calculated. Statistical analysis showed that only 5.25% NaOCl can disgregate and remove the biofilm at every time; however, treatment with Tetraclean caused a high degree of biofilm disgregation in every considered time intervals as compared with MTAD (T5 p < 0.05, T30 p < 0.01, and T60 p < 0.001).

PMID: 17804328 [PubMed - indexed for MEDLINE]

An in vitro comparison of the antimicrobial effects of various endodontic medicaments on Enterococcus faecalis.

J Endod. 2007 May;33(5):567-9

Authors: Davis JM, Maki J, Bahcall JK

The purpose of this in vitro study was to investigate the antimicrobial action of Dermacyn (Oculus Innovative Sciences, Petaluma, CA), BioPure MTAD (Dentsply Tulsa Dental, Johnson City, TN), 2% chlorhexidine (CHX; Ultradent, West Jordan, UT), and 5.25% sodium hypochlorite (NaOCl) against Enterococcus faecalis (American Type Culture Collection 4082). Eighteen Petri dishes of BHI agar were inoculated with E faecalis. Each Petri dish had five saturated paper disks placed. Four of the disks were saturated with a different test solution, and the last paper disk served as the control and was saturated with sterile distilled water. The plates were randomly distributed into two groups. Group one (n=9) was incubated aerobically and group 2 (n=9) was incubated anaerobically for 48 hours at 37 degrees C. The largest diameter of the zones of microbial inhibition was measured in millimeters and recorded. Statistical analysis was performed with repeated-measures analysis of variance. BioPure MTAD showed significantly (p<0.05) more zones of microbial inhibition than 5.25% NaOCl, 2% CHX, and Dermacyn. Sodium hypochlorite and CHX showed significantly (p<0.05) more zones of microbial inhibition than Dermacyn. The zone of inhibition between NaOCl and CHX was not significant (p>0.05). The control group showed no microbial inhibition.

PMID: 17437873 [PubMed - indexed for MEDLINE]

Metrologic evaluation of the surface of white MTA after the use of two endodontic irrigants.

J Endod. 2007 Apr;33(4):463-7

Authors: Smith JB, Loushine RJ, Weller RN, Rueggeberg FA, Whitford GM, Pashley DH, Tay FR

This study examined the effects of calcium-depleting endodontic irrigants, ethylenediamine tetra-acetic acid (EDTA) and BioPure MTAD, on the dissolution, surface characteristics, and ultrastructural characteristics of white mineral trioxide aggregate (MTA). The latter was mixed in a 0.35 water-cement ratio, condensed into cylindrical wells created in Plexiglas platforms, and allowed to harden completely before initial treatment with 1.3% NaOCl and final treatments with either 17% EDTA for 5 minutes, or BioPure MTAD for 1, 3, or 5 minutes. Analysis of the mean depths of material removed using three-dimensional profilometry revealed significantly more material removed by BioPure MTAD. Although these minor depth changes (<10 microm) are unlikely to cause clinical concern, the BioPure MTAD-treated MTA surfaces exhibited higher surface roughness and with more calcium extracted when compared with EDTA treatment. Decomposition of particle-binding hydration phases by acid corrosion raises potential concern on the strength and sealing properties of MTA-repaired perforations following final irrigation by BioPure MTAD.

PMID: 17368340 [PubMed - indexed for MEDLINE]

An evaluation of microbial leakage after using MTAD as a final irrigation.

J Endod. 2007 Feb;33(2):173-6

Authors: Ghoddusi J, Rohani A, Rashed T, Ghaziani P, Akbari M

Cleaning the root canal is not possible without using proper irrigation. The aim of this in vitro study was to evaluate the effect of MTAD as a final irrigant on bacterial leakage of the root canal, and its interaction with two conventional root canal sealers. We used 132 extracted human maxillary anterior teeth. The teeth were randomly divided into three experimental groups (n=40) and two groups (n=6) of positive and negative control. In group 1, the smear layer was not removed and irrigation was performed using 5.25% NaOCl. In group 2, the smear layer was removed using EDTA, and in group 3, the smear layer was removed using MTAD according to the clinical protocol of use. The teeth in each group were obturated with gutta-percha and AH-Plus or Rickert sealer. The coronal portion of each root was placed in contact with inoculum of Streptococcus mutans in Brain Heart Infusion (BHI) culture media. Each root tip was placed in one bottle containing sterile BHI. Mean duration of bacterial penetration in groups 2 and 3 was significantly greater than in group 1, but there was no significant difference between groups 2 and 3. According to our findings, it takes longer for bacteria to penetrate when either EDTA or MTAD is used for smear layer removal. The root canals obturated with AH Plus showed significantly longer duration of resistance to bacterial penetration than canals obturated with Rickert.

PMID: 17258639 [PubMed - indexed for MEDLINE]

Effect of endodontic irrigants on the shear bond strength of epiphany sealer to dentin.

J Endod. 2007 Feb;33(2):152-5

Authors: Wachlarowicz AJ, Joyce AP, Roberts S, Pashley DH

This study examined the effects of commonly employed endodontic irrigants on Epiphany-dentin bond strengths. Smear layers were created on dentin discs obtained from human third molars. Five groups of 10 discs each were treated with one of the following: (a) water; (b) 2% chlorhexidine; (c) 6% sodium hypochlorite (NaOCl); (d) 6% NaOCl followed by EDTA and water; or (e) 1.3% NaOCl followed by MTAD. The treated surfaces were air-dried and treated with Epiphany primer. Hollow steel tubes were placed on the dentin surfaces, and Epiphany sealer was applied to dentin inside the tubes. Samples were tested for shear bond strengths after 7 days of storage. Representative specimens were examined using scanning electron microscopy. One-way ANOVA and Tukey's test revealed significant differences among the groups (p<0.05). Using water or chlorhexidine as an irrigant resulted in significantly lower bond strengths when compared with NaOCl, NaOCl/EDTA, or NaOCl/MTAD. Neither EDTA nor MTAD significantly improved Epiphany-dentin bond strengths when compared with NaOCl used alone.

PMID: 17258634 [PubMed - indexed for MEDLINE]

Comparison of the antimicrobial efficacy of 1.3% NaOCl/BioPure MTAD to 5.25% NaOCl/15% EDTA for root canal irrigation.

J Endod. 2007 Jan;33(1):48-51

Authors: Johal S, Baumgartner JC, Marshall JG

The purpose of this study was to compare the antimicrobial efficacy of 1.3% NaOCl/BioPure MTAD to 5.25% NaOCl/15% EDTA for root canal irrigation. Twenty-six bilaterally matched pairs of human teeth were collected. The teeth were incubated with Enterococcus faecalis for 4 weeks. The teeth were divided into two experimental groups and one positive control group. The canals were instrumented and irrigated with either 5.25% NaOCl/15% EDTA or 1.3% NaOCl/BioPure MTAD. Bacterial samples were collected after instrumentation/irrigation and after additional canal enlargement. Statistical analysis of the data using the Wilcoxon Signed Rank test showed significant differences between the experimental groups. The first bacterial samples revealed growth in 0 of 20 samples with 5.25% NaOCl/15% EDTA irrigation and in 8 of 20 samples with 1.3% NaOCl/BioPure MTAD irrigation. Samples taken after additional canal enlargement revealed growth in 0 of 20 samples in 5.25% NaOCl/15% EDTA and in 10 of 20 samples in 1.3% NaOCl/BioPure MTAD group. This investigation showed consistent disinfection of infected root canals with 5.25% NaOCl/15% EDTA. The combination of 1.3% NaOCl/BioPure MTAD left nearly 50% of the canals contaminated with E. faecalis.

PMID: 17185130 [PubMed - indexed for MEDLINE]

Comparison of 5.25% sodium hypochlorite, MTAD, and 2% chlorhexidine in the rapid disinfection of polycaprolactone-based root canal filling material.

J Endod. 2007 Jan;33(1):42-4

Authors: Royal MJ, Williamson AE, Drake DR

The purpose of this investigation was to compare the effectiveness of 5.25% sodium hypochlorite, MTAD, and 2% chlorhexidine in the rapid disinfection of Resilon pellets. Resilon pellets were randomly selected, contaminated with Enterococcus faecalis, and disinfected with 5.25% sodium hypochlorite, MTAD, or 2% chlorhexidine. Positive and negative controls were used. All samples were air dried, washed in sterile water, placed in centrifuge tubes containing BHI broth, and incubated at 37 degrees C for up to 7 days. Broths were visually checked for turbidity and scored for growth. Samples from each experimental and control group were randomly chosen, plated, incubated at 37 degrees C, and checked visually for growth. If growth occurred, a gram stain was performed to identify bacterial species. Results indicate that 5.25% sodium hypochlorite, MTAD, and 2% chlorhexidine were all effective in the rapid disinfection of Resilon and gutta-percha pellets, and a 1-minute immersion was sufficient to disinfect.

PMID: 17185128 [PubMed - indexed for MEDLINE]

The antimicrobial effect of MTAD, sodium hypochlorite, doxycycline, and citric acid on Enterococcus faecalis.

J Endod. 2007 Jan;33(1):28-30

Authors: Krause TA, Liewehr FR, Hahn CL

This study compared the antimicrobial effect of MTAD, two of its components, doxycycline and citric acid, and sodium hypochlorite (NaOCl) in two in vitro models on Enterococcus faecalis. In the bovine tooth model, the lumens of 30 bovine dentin discs were infected with E. faecalis for 2 weeks before treating with either one of the experimental irrigants or saline. Bacteria in the shavings were collected with two sizes of burs and enumerated after overnight culturing. Zones of inhibition were recorded in the agar diffusion model for each irrigant. In the tooth model, NaOCl and doxycycline were more effective than control in killing E. faecalis at the shallow bur depth, but at the deeper bur depth only NaOCl was superior. In the agar diffusion model, NaOCl produced less inhibition than MTAD or doxycycline.

PMID: 17185124 [PubMed - indexed for MEDLINE]

Surface tension comparison of four common root canal irrigants and two new irrigants containing antibiotic.

J Endod. 2006 Nov;32(11):1091-3

Authors: Giardino L, Ambu E, Becce C, Rimondini L, Morra M

The aim of this study is to compare the surface tension of four common endodontic irrigants: Moltendo EDTA 17%, Cetrexidin, Smear Clear, Sodium hypochlorite 5.25%, with the surface tension of MTAD and Tetraclean. Freshly produced MilliQ water was used as a reference. All measurements were performed following the Wilhelmy plate technique, using a Cahn DCA-322 Dynamic Contact Angle Analyzer at the temperature of 22 degrees C. MilliQ water, sodium hypochlorite 5.25%, and EDTA 17% had the highest surface tension, whereas those of Cetrexedin and Tetraclean has shown the lowest surface tension value. Both new irrigants, MTAD and Tetraclean, are capable of removing the smear layer. Thanks to their low surface tension, increasing the intimate contact of irrigant solutions with the dentinal walls, they may permit deeper penetration.

PMID: 17055914 [PubMed - indexed for MEDLINE]

Reduction in antimicrobial substantivity of MTAD after initial sodium hypochlorite irrigation.

J Endod. 2006 Oct;32(10):970-5

Authors: Tay FR, Hiraishi N, Schuster GS, Pashley DH, Loushine RJ, Ounsi HF, Grandini S, Yau JY, Mazzoni A, Donnelly A, King NM

Potential intrinsic tetracycline staining of intraradicular dentin has been observed when BioPure MTAD was employed as the final irrigant after initial rinsing with NaOCl. This study examined the effect of NaOCl-MTAD interaction on the antimicrobial substantivity of MTAD in dentin. Dentin cores previously irrigated with either MTAD, or in conjunction with 1.3% NaOCl as an initial irrigant were placed on blood agar plates inoculated with Escherichia faecalis at 10(5) cfu/ml. Dentin cores irrigated with 1.3% NaOCl only, and autoclaved dentin disks were used as the respective positive and negative controls. After anaerobic incubation, the mean diameter of bacterial inhibition zones formed around the MTAD group was significantly larger than the NaOCl/MTAD group, which, in turn, was not significantly different from the NaOCl positive control. Oxidation of MTAD by NaOCl resulted in the partial loss of antimicrobial substantivity in a manner similar to the peroxidation of tetracycline by reactive oxygen species.

PMID: 16982276 [PubMed - indexed for MEDLINE]

A comparison of the antimicrobial efficacy of NaOCl/Biopure MTAD versus NaOCl/EDTA against Enterococcus faecalis.

J Endod. 2006 Jul;32(7):652-5

Authors: Kho P, Baumgartner JC

The purpose of this investigation was to compare the antimicrobial efficacy of irrigating with 1.3% NaOCl/Biopure MTAD versus irrigation with 5.25% NaOCl/15% EDTA in the apical 5 mm of roots infected with Enterococcus faecalis. Bilaterally matched human teeth were sterilized and inoculated with E. faecalis. After chemomechanical root canal preparation, the root-ends were resected and pulverized in liquid nitrogen to expose E. faecalis in dentinal tubules or other recesses away from the main root canal system. The number of colony forming units (CFU) of E. faecalis per mg was determined from the pulverized root-ends. No significant differences were seen (t = 0.70, p = 0.495) between the number of colony forming units of E. faecalis for teeth irrigated with 5.25% NaOCl/15% EDTA (mean 131 +/- 291 CFU/mg) versus those teeth irrigated with 1.3% NaOCl/Biopure MTAD (mean 187 +/- 237 CFU/mg). This study demonstrated that there is no difference in antimicrobial efficacy for irrigation with 5.25% NaOCl/15% EDTA versus irrigation with 1.3% NaOCl/Biopure MTAD in the apical 5 mm of roots infected with E. faecalis.

PMID: 16793474 [PubMed - indexed for MEDLINE]

Comparative evaluation of endodontic irrigants against Enterococcus faecalis biofilms.

J Endod. 2006 Jun;32(6):527-31

Authors: Dunavant TR, Regan JD, Glickman GN, Solomon ES, Honeyman AL

The aim of this study was to compare the efficacy of root canal irrigants against E. faecalis biofilms using a novel in vitro testing system. Biofilms grown in a flow cell system were submerged in test irrigants for either 1 or 5 minutes. Statistical analysis revealed a significant relationship between test agent and percentage kill of the biofilm bacteria (P < 0.05). No statistically significant relationship between time and percentage kill was found. The percentage kill of the biofilm bacteria was: 6% NaOCl (>99.99%), 1% NaOCl (99.78%), Smear Clear (78.06%), 2% chlorhexidine (60.49%), REDTA (26.99%), and BioPure MTAD (16.08%). Post-hoc analysis showed a significant difference between 1% and 6% NaOCl, and all other agents including Smear Clear, 2% chlorhexidine, REDTA, and BioPure MTAD (P < 0.05). Within the parameters of this study, both 1% NaOCl and 6% NaOCl were more efficient in eliminating E. faecalis biofilm than the other solutions tested.

PMID: 16728243 [PubMed - indexed for MEDLINE]

Ultrastructure of intraradicular dentin after irrigation with BioPure MTAD. II. The consequence of obturation with an epoxy resin-based sealer.

J Endod. 2006 May;32(5):473-7

Authors: Tay FR, Hosoya Y, Loushine RJ, Pashley DH, Weller RN, Low DC

In addition to an initial report on the creation of thick demineralized collagen matrices in root dentin that were irrigated with BioPure MTAD or EDTA as final rinses for 5 minutes, this study examined the effect of a 2-minute irrigation time of these final irrigants on the extent of demineralization of intact intraradicular dentin and on interfacial nanoleakage after obturation with AH Plus and gutta-percha using warm vertical compaction. Transmission electron microscopy confirmed that the reduction in irrigation time did not compromise the smear layer removing capacity of these two irrigants when 1.3% NaOCl was employed as the initial rinse. BioPure MTAD created 5 to 6 microm thick demineralized dentin matrices, while 17% EDTA produced 1 to 2 microm thick matrices that were suboptimally infiltrated by the epoxy resin-based sealer, as manifested by the occurrence of silver tracer deposits within the hybrid layers.

PMID: 16631852 [PubMed - indexed for MEDLINE]

The effect of exposure to irrigant solutions on apical dentin biofilms in vitro.

J Endod. 2006 May;32(5):434-7

Authors: Clegg MS, Vertucci FJ, Walker C, Belanger M, Britto LR

This study assessed the effectiveness of different concentrations of sodium hypochlorite (NaOCl), 2% chlorhexidine (CHX) (Vista Dental Products, Racine, WI), and BioPure MTAD (Dentsply Endodontics-Tulsa Dental, Tulsa, OK). Intracanal contents were collected from 10 patients diagnosed with chronic apical periodontitis. The samples were cultured on hemisections of root apices to generate a polymicrobial biofilm. Each biofilm was separately immersed in 6% NaOCl, 3% NaOCl, 1% NaOCl, 2% CHX, 1% NaOCl followed by BioPure MTAD, and sterile phosphate buffered solution (PBS). SEM analysis showed 6% NaOCl and 3% NaOCl were capable of disrupting and removing the biofilm; 1% NaOCl and 1% NaOCl followed by MTAD were capable of disrupting the biofilm, but not eliminating bacteria; 2% CHX was not capable of disrupting the biofilm. Viable bacteria could not be cultured from specimens exposed to 6% NaOCl, 2 % CHX, or 1% NaOCl followed by BioPure MTAD. These results indicate that 6% NaOCl was the only irrigant capable of both rendering bacteria nonviable and physically removing the biofilm.

PMID: 16631843 [PubMed - indexed for MEDLINE]

Potential iatrogenic tetracycline staining of endodontically treated teeth via NaOCl/MTAD irrigation: a preliminary report.

J Endod. 2006 Apr;32(4):354-8

Authors: Tay FR, Mazzoni A, Pashley DH, Day TE, Ngoh EC, Breschi L

This study reported red-purple staining of light-exposed, root-treated dentin when root canals were rinsed with 1.3% NaOCl as initial rinse followed by the use of BioPure MTAD as final rinse. This intrinsic dentin staining occurred irrespective of whether the root canals were filled, and could be observed even in crown dentin when the latter was sequentially immersed in NaOCl and MTAD. Bench-top reproductions of the phenomenon revealed that the exothermic reaction is not an acid-base reaction. Conversely, the reaction is of a redox nature that highly resembled the previously reported mechanism of tetracycline staining, in which photo-oxidation of tetracycline resulted in a red-purple tetracycline degradation product that has a high affinity for hydroxyapatite. This photo-oxidative degradation process is probably triggered by the use of NaOCl as an oxidizing agent, and may be prevented by rinsing the NaOCl-treated dentin with ascorbic acid, a reducing agent, before the application of MTAD.

PMID: 16554211 [PubMed - indexed for MEDLINE]

In vitro antifungal efficacy of four irrigants as a final rinse.

J Endod. 2006 Apr;32(4):331-3

Authors: Ruff ML, McClanahan SB, Babel BS

The purpose of this study was to compare the antifungal efficacy of 6% sodium hypochlorite (NaOCl), 2% chlorhexidine gluconate (CHX), 17% ethylene-diaminetetraacetic acid (EDTA), and BioPure MTAD as a final rinse on Candida albicans in vitro. Forty-eight, single rooted teeth were randomly divided into four groups each with a positive and a negative control. After root canal preparation, experimental teeth were inoculated with Candida albicans (ATCC 60193) and incubated for 72 hours. The groups were rinsed as follows: 1 ml of 6% NaOCl, 0.2 ml of 2% CHX, 1 ml of 17% EDTA, and 5 ml of BioPure MTAD. Aliquots from the experimental teeth were plated on Sabouraud 4% dextrose agar plates and colony-forming units were counted as a measure of antifungal activity. The results showed that 6% NaOCl and 2% CHX were equally effective and statistically significantly superior to BioPure MTAD and 17% EDTA (p < 0.05) in antifungal activity.

PMID: 16554205 [PubMed - indexed for MEDLINE]

Ultrastructure of smear layer-covered intraradicular dentin after irrigation with BioPure MTAD.

J Endod. 2006 Mar;32(3):218-21

Authors: Tay FR, Pashley DH, Loushine RJ, Doyle MD, Gillespie WT, Weller RN, King NM

The structure of mechanically instrumented intraradicular dentin after irrigation with NaOCl as the initial rinse and BioPure MTAD as the final rinse were examined from the coronal, middle, and apical parts of root canal walls using transmission electron microscopy. Sterile distilled water and EDTA as final rinses were employed as the respective positive and negative controls under the same experimental conditions. There were 2 to 5 mum thick smear layers produced on mechanically instrumented root canal walls that were completely removed by EDTA and BioPure MTAD under agitation. Both irrigants created a zone of demineralized collagen matrices in eroded dentin and around the dentinal tubules, with the mildly acidic BioPure MTAD being more aggressive than EDTA. These demineralized dentin zones create the opportunity for dentin hybridization by infiltration of hydrophilic adhesives/sealers. However, the potential consequences of compaction of hydrophobic sealers against air-dried, collapsed collagen matrices, and hydrolytic degradation of incompletely infiltrated matrices remain unresolved.

PMID: 16500230 [PubMed - indexed for MEDLINE]

Killing of Enterococcus faecalis by MTAD and chlorhexidine digluconate with or without cetrimide in the presence or absence of dentine powder or BSA.

J Endod. 2006 Feb;32(2):138-41

Authors: Portenier I, Waltimo T, &#xD8;rstavik D, Haapasalo M

The antibacterial efficacy of irrigating solutions and local disinfectants used in endodontics appears poorer in vivo than in vitro. One explanation may be inactivation by compounds present in the root canal. MTAD (a mixture of tetracycline isomer, acid, and detergent) is a new root canal irrigation solution with antibacterial activity. The aim of this study was to investigate the antibacterial activity of MTAD and chlorhexidine towards two strains of Enterococcus faecalis and the inhibitory effects of dentine and bovine serum albumin on the antibacterial activity. Survival of bacteria exposed to the medicaments in the presence or absence of inhibitors was monitored in an in vitro model. Full concentration (100%) MTAD and 0.2% chlorhexidine rapidly killed both strains. Combining chlorhexidine with cetrimide further reduced the time required for killing. The presence of dentine or BSA caused a marked delay in killing by both medicaments. The two E. faecalis strains tested showed minor differences in their susceptibility to the disinfectants.

PMID: 16427463 [PubMed - indexed for MEDLINE]

Enterococcus faecalis: its role in root canal treatment failure and current concepts in retreatment.

J Endod. 2006 Feb;32(2):93-8

Authors: Stuart CH, Schwartz SA, Beeson TJ, Owatz CB

Enterococcus faecalis is a microorganism commonly detected in asymptomatic, persistent endodontic infections. Its prevalence in such infections ranges from 24% to 77%. This finding can be explained by various survival and virulence factors possessed by E. faecalis, including its ability to compete with other microorganisms, invade dentinal tubules, and resist nutritional deprivation. Use of good aseptic technique, increased apical preparation sizes, and inclusion of 2% chlorhexidine in combination with sodium hypochlorite are currently the most effective methods to combat E. faecalis within the root canal systems of teeth. In the changing face of dental care, continued research on E. faecalis and its elimination from the dental apparatus may well define the future of the endodontic specialty.

PMID: 16427453 [PubMed - indexed for MEDLINE]

Application of biologically-oriented dentin bonding principles to the use of endodontic irrigants.

Am J Dent. 2005 Aug;18(4):281-90

Authors: Garc&#xED;a-Godoy F, Loushine RJ, Itthagarun A, Weller RN, Murray PE, Feilzer AJ, Pashley DH, Tay FR

PURPOSE: To compare the removal of smear layer and the structure of the hybrid layer formed after the use of EDTA or MTAD solutions when used as a final flush. METHODS: Single-rooted extracted premolars (n=18) were collected and treated for root canal therapy using NaOCl irrigation followed by a final rinse of 17% EDTA, Biopure MTAD, or saline (negative control). The roots were obturated with gutta-percha and a hydrophilic HEMA-containing root canal sealer. The TEM specimens were impregnated with 50% silver nitrate to visualize sealing imperfections and nanoleakage. The structure of the coronal, middle and apical parts of root canal walls was examined using transmission electron microscopy. RESULTS: After NaOCl irrigation, a final rinse with BioPure MTAD or 17% EDTA completely removed the 2 microm-thick smear layer on mechanically instrumented root canal walls. The BioPure MTAD hybrid layer was thicker than the 17% EDTA hybrid layer. Both the BioPure MTAD and EDTA caused a collapse of the dentin matrix structure which impeded sealer infiltration and the formation of high quality hybrid layer bonding. The hybrid layers created in smear layer-covered dentin exhibited less potential for nanoleakage than the MTAD or EDTA hybrid layers.

PMID: 16296438 [PubMed - indexed for MEDLINE]

The smear layer in the root canal and its removal.

Folia Med (Plovdiv). 2004;46(4):47-51

Authors: Stamatova IV, Vladimirov SB

Instrumentation of the root canal during endodontic treatment produces a smear layer which is not uniformly attached to the canal wall. Its morphological structure comprises dentin particles, organic debris, odontoblast processes, microorganisms and their metabolic products. The view that has currently gained wide popularity holds that leaving the smear layer in the root canal contradicts the principles of efficient treatment as this might compromise the optimal progression of the healing process. The proven unfavorable effects of the smear layer on treatment outcome bring forward the necessity for additional application of agents aimed at its complete removal. As the smear layer has a complex structure, these agents should possess a potential for dealing with both its organic and inorganic components. The wide range of used medications includes different concentrations of sodium hypochlorite as a major irrigant of the root canal, chlorhexidine gluconate, chelating agents (EDTA), organic acids, combined preparations (MTAD), combined use of agents that can tackle both the organic and inorganic components. Lasers find manifold applications in various medical fields and can be regarded as a future solution to the problem of total smear layer removal. In the present review we have made a critical analysis of currently used agents placing the emphasis on the potential use of new medications, capable of attacking the smear layer.

PMID: 15962816 [PubMed - indexed for MEDLINE]

Partial elucidation of Trichogramma putative sex pheromone at trace levels by solid-phase microextraction and gas chromatography-mass spectrometry studies.

J Chromatogr A. 2005 Mar 4;1067(1-2):311-21

Authors: van Beek TA, Silva IM, Posthumus MA, Melo R

Virgin females of the minute parasitoid wasp Trichogramma turkestanica produce about 2 pg/h of two putative sex pheromonal compounds. These compounds could be successfully sampled during 20-50 h with SPME from 1.8 mL vials, containing 50-110 wasps and analysed by GC-MS. Accurate mass measurements at the 1 ng scale were possible with an internal standard of sulphur. One compound with MW 236 was identified as a C17H32 hydrocarbon while the other compound was the corresponding allylic alcohol with composition C17H32O. The alcohol could be silylated on-fibre and its mass spectrum suggested the presence of a conjugated 2,4-diene moiety. A miniaturised solvent extraction system for SPME needles, using 5 microL of acetone in a microtube was developed. After reaction of the extracted volatiles with the dienophile 4-methyl-1,2,4-triazoline-3,5-dione (MTAD), GC-MS of the MTAD adducts confirmed the presence of a diene. Interpretation of the combined mass spectral data, in combination with retention indexes of both compounds on non-polar and polar columns, suggested 2,6,8,12-tetramethyltrideca-2,4-diene and 2,6,8,12-tetramethyltrideca-2,4-dien-1-ol as most probable structures. These compounds have not been described previously. Biogenetically, they are most likely polyketides made up of a C4 starter unit that has been elongated with C2 and C3 units. Further biological and synthetic studies are necessary to prove their role as sex pheromone, confirm the proposed structures and determine the correct stereochemistry of the double bonds and the methyl groups.

PMID: 15844537 [PubMed - indexed for MEDLINE]

Relevance of nuclear localization and functions of RNA helicase A.

Int J Mol Med. 2005 Apr;15(4):555-60

Authors: Fujita H, Ohshima T, Oishi T, Aratani S, Fujii R, Fukamizu A, Nakajima T

RNA helicase A (RHA) regulates gene expression at transcriptional and post-transcriptional levels. It is also known that RHA shuttles between the nucleus and the cytoplasm. RHA possesses nuclear transport domain which functions as a nuclear localization signal (NLS) and nuclear export signal (NES), and predominantly localizes in the nucleus. Here, we identified regions that influence cellular localization of RHA. We showed that double-stranded RNA binding domain I and II (dsRBD I and II) positively localized to the cytoplasm. Mutational analysis revealed that RNA-binding ability was important to localization of dsRBD to the cytoplasm. RHA mutants lacking association with Pol II complexes were partially spilled from the nucleus. Furthermore, a minimal transactivation domain (MTAD), which is minimal region to interact with Pol II complexes, mainly localized to the nucleus in comparison with GFP. Our results indicated that the intracellular localization of RHA might be regulated by not only NLS and NES but also functional domains.

PMID: 15754013 [PubMed - indexed for MEDLINE]

Effect of MTAD on postoperative discomfort: a randomized clinical trial.

J Endod. 2005 Mar;31(3):171-6

Authors: Torabinejad M, Shabahang S, Bahjri K

The purpose of this study was to compare levels of postoperative discomfort after cleaning and shaping of root canals using two protocols for removal of smear layer. Seventy-three consecutive patients requiring root canal treatment were included. At random, canals were cleaned and shaped with one of the following protocols. In group 1, 5.25% sodium hypochlorite was used as the root canal irrigant. The smear layer was removed by placing 17% EDTA in the canal(s) for 1 min followed by a 5-ml rinse with 5.25% NaOCl. In group 2, canals were irrigated with 1.3% NaOCl; the smear layer was removed by placing MTAD in the canal(s) for 5 min. Access cavities were closed with a sterile cotton pellet and Cavit. The patients recorded degree of discomfort at various time intervals after cleaning and shaping on a visual analogue scale for 1 wk. No significant statistical difference was found in the degree of discomfort between the two groups (p = 0.58).

PMID: 15735462 [PubMed - indexed for MEDLINE]

[Determination of double bond position in conjugated dienes in sex pheromones of Dendrolimus spp]

Se Pu. 2004 Mar;22(2):97-100

Authors: Kong X, Zhao C, Zhang Z, Wang H

The dienophile 4-methyl-1,2,4-triazoline-3,5-dione (MTAD) adducts of conjugated diene compounds were used to locate the position of the conjugated double bonds in the parent compounds by high-resolution gas chromatography and electron impact mass spectrometry. Their mass spectra are marked by recognizable molecular ions and abundant diagnostic ions that allow the determination of the diene position. With the identification of the sex pheromone gland extracts of Yunnan pine caterpillar moth Dendrolimus houi as an example, the characteristics of reaction of (E, Z)-5,7-dodecadien-1-ol (E5, Z7-12: OH) and its corresponding aldehyde and acetate with MTAD are discussed. Potential problems in gas chromatographic analysis are also discussed.

PMID: 15712861 [PubMed - indexed for MEDLINE]

Portability of oxidase domains in nonribosomal peptide synthetase modules.

Biochemistry. 2004 Dec 21;43(50):15946-55

Authors: Schneider TL, Walsh CT

Oxazole and thiazole rings are present in numerous nonribosomal peptide natural products. Oxidase domains are responsible for catalyzing the oxidation of thiazolines and oxazolines to yield fully aromatic heterocycles. Unlike most domains, the placement of oxidase domains within assembly line modules varies. Noting this tolerance, we investigated the portability of an oxidase domain to a heterologous assembly line. The epimerase domain of PchE, involved in pyochelin biosynthesis, was replaced with the oxidase domain from MtaD, involved in myxothiazol biosynthesis. The chimeric module was expressed in soluble form as a flavin mononucleotide-containing flavoprotein. The functionality of the inserted oxidase domain was assayed within PchE and in transfer of the growing siderophore acyl chain from PchE to the next downstream module. While pyochelin-like product release was not observed downstream, the robust activity of the transplanted oxidase domain and the ability of the chimeric module to produce an advanced intermediate bound to the synthetase underscore the possibility of future engineering within nonribosomal peptide synthetase pathways using oxidase domains.

PMID: 15595851 [PubMed - indexed for MEDLINE]

The effect of MTAD on the coronal leakage of obturated root canals.

J Endod. 2004 Dec;30(12):890-2

Authors: Park DS, Torabinejad M, Shabahang S

The purpose of this study was to evaluate the effect of smear-layer removal using MTAD on coronal leakage of obturated root canals using a dye-leakage test. Fifty, extracted, single-rooted, human teeth were cleaned and shaped and divided into 5 equal groups of 10 each. The smear layer in groups 1 to 3 was left intact. The smear layer in groups 4 and 5 was removed using 17% EDTA or MTAD, respectively. After obturation of root canals, the access opening to each canal was filled with India ink for 48 h. The depth of coronal-dye penetration was measured using the Sigmascan software. ANOVA showed statistically significant differences among the groups (p < 0.05). Samples treated with MTAD yielded significantly less leakage than samples treated with sodium hypochlorite. The amount of dye penetration was not statistically different between teeth treated with MTAD or EDTA (p = 0.062).

PMID: 15564872 [PubMed - indexed for MEDLINE]

Efficient method to locate double bond positions in conjugated trienes.

J Chromatogr A. 2004 Sep 3;1048(1):59-65

Authors: Marques FA, Millar JG, McElfresh JS

The double bond positions of 11 conjugated trienes were unambiguously located through a simple derivatization method amenable to nanogram-scale analyses. The trienes were reacted with the powerful dienophile 4-methyl-1,2,4-triazoline-3,5-dione (MTAD), and the mass spectra of the resulting cycloadducts exhibited large diagnostic fragments which allowed the unequivocal location of the double bonds in the parent triene in most cases. Catalytic hydrogenation of the cycloadducts produced saturated compounds with characteristic mass spectral fragments from which the positions of the trienes in the parent compounds could be readily confirmed. Application of the method was demonstrated by the microscale identification of two conjugated triene and one conjugated diene components from extracts of the sex pheromone gland of the saturniid moth Automeris cecrops pamina.

PMID: 15453419 [PubMed - indexed for MEDLINE]

MTAD.

Northwest Dent. 2004 May-Jun;83(3):23-4

Authors: Chong C

PMID: 15287710 [PubMed - indexed for MEDLINE]

Rational design of a bimodular model system for the investigation of heterocyclization in nonribosomal peptide biosynthesis.

Chem Biol. 2004 Feb;11(2):261-71

Authors: Duerfahrt T, Eppelmann K, M&#xFC;ller R, Marahiel MA

Cyclization (Cy) domains in NRPS catalyze the heterocyclization of cysteine and serine/threonine to thiazoline and oxazoline rings. A model system consisting of the first two modules of bacitracin synthetase A fused to the thioesterase (Te) domain of tyrocidine synthetase was constructed (BacA1-2-Te) and shown to be active in production of the heterocyclic IleCys(thiazoline). Based on this model system, the feasibility of Cy domain module fusions was investigated by replacing the BacA2 Cy-A-PCP-module with modules of MbtB and MtaD from the biosynthesis systems of mycobactin and myxothiazol, revealing the formation of novel heterocyclic dipeptides. To dissect the reaction sequence of the Cy domain in peptide bond formation and heterocyclization, several residues of the BacA1-2-Te Cy domain were analyzed by mutagenesis. Two mutants exhibited formation of the noncyclic dipeptide, providing clear evidence for the independence of condensation and cyclization.

PMID: 15123287 [PubMed - indexed for MEDLINE]

Effect of MTAD on the bond strength to enamel and dentin.

J Endod. 2003 Dec;29(12):818-21

Authors: Machnick TK, Torabinejad M, Munoz CA, Shabahang S

The purpose of this study was to compare the effect of MTAD (a mixture of a tetracycline isomer [doxycycline], an acid [citric acid], and a detergent [Tween 80]) and phosphoric acid on the bond strength to enamel and dentin using a conventional OptiBond Solo Plus dentin adhesive system. One hundred flat surfaces (50 enamel/50 dentin) were prepared for bonding. Specimens were embedded in acrylic with the flat surface exposed. One of the following surface treatments was applied before bonding composite with Optibond Solo Plus (Kerr Corp): 1 min NaOCl/1 min EDTA; 1 min NaOCl/1 min MTAD; 30 s etch with H3PO4 (positive control), 2 min saline (negative control), or 20 min NaOCl/5 min MTAD (clinical protocol for MTAD). Shear bond strength was tested 30 min after bonding. Data were analyzed using a one-way ANOVA followed by the Student-Newman-Keuls multiple comparison method. Surface pretreatment with acid etch resulted in the greatest enamel bond strengths (p < 0.05). All surface pretreatments were superior to saline for dentinal bonding (p < 0.05). On the basis of our findings, it appears that teeth endodontically treated with the MTAD protocol for clinical use (20 min 1.3% NaOCl/5 min MTAD) may not need any additional dentin conditioning before the application of the dental adhesive.

PMID: 14686813 [PubMed - indexed for MEDLINE]

Effect of MTAD on flexural strength and modulus of elasticity of dentin.

J Endod. 2003 Nov;29(11):747-50

Authors: Machnick TK, Torabinejad M, Munoz CA, Shabahang S

The purpose of this study was to evaluate the effect of MTAD on the flexural strength and modulus of elasticity of dentin. Dentin bars were randomly assigned to eight groups treated with various concentrations of NaOCl (5.25%, 2.65%, 1.31%, 0.66%), 17% EDTA, MTAD, saline, or according to a clinical protocol with 1.3% NaOCl and then 5 min of MTAD. Specimens were subjected to flexural strength and modulus of elasticity tests. Two-sample t test (alpha = 0.05) showed no statistically significant differences between various groups except for a reduction in flexural strength for the 2-h MTAD group (p = 0.002) and the EDTA group (p = 0.002). A significant reduction of modulus of elasticity for the 2-h MTAD group (p < 0.001), EDTA group (p < 0.001), and 0.6% NaOCl (p < 0.002) also was noted. There was no significant difference in flexural strength and modulus of elasticity between the dentin bars exposed to saline or MTAD when applied according to the clinical protocol (p > 0.05). These results indicate that MTAD can be used as prescribed for clinical use without affecting the physical properties of the dentin.

PMID: 14651283 [PubMed - indexed for MEDLINE]

Evaluation of cytotoxicity of MTAD using the MTT-tetrazolium method.

J Endod. 2003 Oct;29(10):654-7

Authors: Zhang W, Torabinejad M, Li Y

Previous studies have shown that MTAD (a mixture of a tetracycline isomer, an acid, and a detergent) is an effective antibacterial irrigant as a final rinse to remove the smear layer from the instrumented surface of root canals. In this investigation we examined the cytotoxicity of MTAD compared with that of commonly used irrigants and medications. L929 fibroblasts were grown on cell culture plates and were placed in contact with various concentrations of test irrigants and medications. The cytotoxicity of these materials was evaluated 24 h after incubation using MTT assay. Means and standard deviations of absorbance were calculated for each group and statistically analyzed to determine presence or absence of significant difference between the means. The 50% inhibitory dose values were calculated, ranked, and statistically analyzed using the sign interval for median. Based on our results it seems that MTAD is less cytotoxic than eugenol, 3% H2O2, Ca(OH)2 paste, 5.25% NaOCl, Peridex, and EDTA and more cytotoxic than 2.63%, 1.31%, and 0.66% NaOCl.

PMID: 14606789 [PubMed - indexed for MEDLINE]

Effect of MTAD on Enterococcus faecalis-contaminated root canals of extracted human teeth.

J Endod. 2003 Sep;29(9):576-9

Authors: Shabahang S, Torabinejad M

The purpose of this investigation was to compare the antimicrobial effect of MTAD (a mixture of a tetracycline isomer, an acid, and a detergent) with that of NaOCl with and without EDTA. Eighty-five extracted human teeth were contaminated with Enterococcus faecalis for 4 weeks. After biomechanical instrumentation using 1.3% or 5.25% NaOCl as root canal irrigant, the root canal and the external surface of each tooth were exposed to a 5-min application of MTAD, 1.3% NaOCl, 5.25% NaOCl or a 1-min application of EDTA followed by irrigation with 5 ml of 1.3% NaOCl or 5.25% NaOCl. Teeth or dentin shavings were cultured to determine presence or absence of the test bacteria. Fisher's exact test showed that the combination of 1.3% NaOCl as a root canal irrigant and MTAD as a final rinse was significantly more effective against E. faecalis than the other regimens. The chi2 test showed no difference between the other regimens.

PMID: 14503830 [PubMed - indexed for MEDLINE]

In vitro antimicrobial efficacy of MTAD and sodium hypochlorite.

J Endod. 2003 Jul;29(7):450-2

Authors: Shabahang S, Pouresmail M, Torabinejad M

The purpose of this study was to compare the ability of a mixture of a tetracycline isomer, an acid, and a detergent (MTAD) with that of sodium hypochlorite (NaOCI) to disinfect human root canals that had been contaminated with whole saliva. One hundred and thirty-two root canals of extracted human teeth were cleaned and shaped using the passive step-back technique and rotary NiTi files. The smear layer was removed, and the teeth were autoclaved. Six autoclaved samples were transferred to sterile broth without contamination with saliva to serve as negative controls. Whole saliva was used to contaminate the root canals of the rest of the samples for 48 h. Six of these contaminated samples were irrigated with Brain Heart Infusion (BHI) broth and served as positive controls. The rest of the contaminated specimens were then divided into two experimental groups of 60 teeth each. In one group, the canals were irrigated with 1 ml MTAD, and the samples were immersed in 2 ml of the same solution for 5 min. In the second group, the specimens were similarly treated with 5.25% NaOCl. All samples were washed in BHI broth and then placed in another tube containing BHI broth and incubated for 96 h. Disinfection of the samples was determined based on presence or absence of turbidity in the broth 96 h later. Twenty-three of 60 teeth treated with NaOCl remained infected. Only one of 60 teeth treated with MTAD remained infected. Statistical analysis of the data using the Chi-square test showed a significant difference between the two groups (p < 0.0001).

PMID: 12877261 [PubMed - indexed for MEDLINE]

Aromatic residues are required for RNA helicase A mediated transactivation.

Int J Mol Med. 2003 Aug;12(2):175-80

Authors: Aratani S, Fujii R, Fujita H, Fukamizu A, Nakajima T

RNA helicase A (RHA) is a member of ATPase/helicase and regulates the transcription through recruitment of Pol II and/or by ATP dependent mechanisms. In CREB-dependent transcription, RHA recruits RNA polymerase (Pol) II to the CREB binding protein (CBP) via the minimal transactivation domain (MTAD). This region is well conserved among RHA homologues, whereas it is unique to RHA. The three conserved tryptophan residues in MTAD are critical for transactivation. To understand the importance of tryptophan residues on transactivation, we generated mutants in which tryptophan residues were replaced by other aromatic, bulky hydrophobic or small hydrophobic amino acids. Substitutions of tryptophan with either bulky hydrophobic or small hydrophobic amino acid decreased transcriptional activity, whereas aromatic residue had no effect. Moreover, these mutants with tryptophan to phenylalanine, activated CREB-dependent transcription. These results indicate that aromatic characteristics of tryptophan residues in MTAD are important for CREB-dependent transcription via RHA.

PMID: 12851713 [PubMed - indexed for MEDLINE]

The antimicrobial effect of MTAD: an in vitro investigation.

J Endod. 2003 Jun;29(6):400-3

Authors: Torabinejad M, Shabahang S, Aprecio RM, Kettering JD

Pulp and periradicular diseases are of microbial origin. To effectively clean the root canal system a disinfecting agent must be able to penetrate into difficult-to-reach areas and kill microorganisms with minimal damage to the host tissues. The purpose of this investigation was to test the ability of a mixture of a tetracycline isomer, an acid, and a detergent (MTAD) to kill Enterococcus faecalis and compare its efficacy to that of sodium hypochlorite (NaOCl) and ethylene diamine tetraacetic acid (EDTA). The zones of inhibition and minimum inhibitory concentrations were measured for these solutions. Measurement of zones of inhibition and determination of the minimum inhibitory concentrations showed that MTAD is as effective as 5.25% NaOCl and significantly more effective than EDTA (p < 0.0001). Furthermore, MTAD is significantly more effective in killing E. faecalis than NaOCl when the solutions are diluted (p < 0.0001). Measurement of the minimum inhibitory concentrations demonstrated that although MTAD is still effective in killing E. faecalis at 200x dilution, NaOCl ceases to exert its antibacterial activity beyond 32x dilution. EDTA did not exhibit any antibacterial activity. Based on the results of this study, it seems that MTAD is an effective solution in eradicating E. faecalis.

PMID: 12814224 [PubMed - indexed for MEDLINE]

Quantitative analysis of the solubilizing action of MTAD, sodium hypochlorite, and EDTA on bovine pulp and dentin.

J Endod. 2003 May;29(5):334-7

Authors: Beltz RE, Torabinejad M, Pouresmail M

Necrotic bovine pulp and dentin were used in this study as model tissues to represent the organic and inorganic components of the smear layer present in instrumented root canals. The capabilities of endodontic irrigants to dissolve pulverized forms of these tissues were compared. Lyophilized tissue samples were mixed for 2 h at 37 degrees C with MTAD, three concentrations of sodium hypochlorite (NaOCl), 17% EDTA, or isotonic saline. Undissolved tissues were rinsed with water and lyophilized. The change in tissue weight after exposure to an irrigant was measured to quantify solubilization. The results showed that various concentrations of NaOCl removed organic components of pulp and dentin effectively. As pulp solubilizers 5.25% and 2.60% NaOCl were equal (>90%), and 5.25% NaOCl was capable of dissolving virtually the entire organic component of dentin. EDTA was capable of solubilizing inorganic material in dentin and organic material in pulp and likely also in dentin. It dissolved >70% of the dentin and >51% of the pulp. The solubilizing effects of MTAD on pulp and dentin were somewhat similar to those of EDTA. The major difference between the actions of these solutions was a high binding affinity of doxycycline present in MTAD for the dentin.

PMID: 12775005 [PubMed - indexed for MEDLINE]

The first method for protection-deprotection of the indole 2,3-pi bond.

Org Lett. 2003 May 29;5(11):1999-2001

Authors: Baran PS, Guerrero CA, Corey EJ

[reaction: see text] The scope and generality of a new reaction of indoles with MTAD is discussed. In most cases the ene-type reaction proceeds within seconds or minutes at 0 degrees C to provide the urazole adducts in high yield. This reaction provides the first method for protecting the indole 2,3-double bond since the urazole adducts can be reconverted to the starting indole (retro-ene) simply by heating.

PMID: 12762706 [PubMed - indexed for MEDLINE]

The effect of various concentrations of sodium hypochlorite on the ability of MTAD to remove the smear layer.

J Endod. 2003 Apr;29(4):233-9

Authors: Torabinejad M, Cho Y, Khademi AA, Bakland LK, Shabahang S

Various organic acids, ultrasonic instruments, and lasers have been used to remove the smear layer from the surface of instrumented root canals. The purpose of this study was to investigate the effect of various concentrations of sodium hypochlorite (NaOCl) as an intracanal irrigant before the use of MTAD (a mixture of a tetracycline isomer, an acid, and a detergent) as a final rise to remove the smear layer. Ten operators, using a combination of passive step-back and rotary 0.04 taper, nickel-titanium files, prepared 80 single- and multirooted human teeth. Distilled water, four different concentrations of NaOCl, or MTAD was used as intracanal irrigant. The canals were then treated for 2 min with 5 ml of one of the following solutions as a final rinse: 5.25% NaOCl, sterile distilled water, 17% EDTA, or MTAD. The presence or absence of smear layer and the amount of erosion on the surface of the root canal walls at the coronal, middle, and apical portion of each canal were examined under a scanning electron microscope. The results show that although MTAD removes most of the smear layer when used as an intracanal irrigant, some remnants of the organic component of the smear layer remain scattered on the surface of the root canal walls. The effectiveness of MTAD to completely remove the smear layer is enhanced when low concentrations of NaOCl are used as an intracanal irrigant before the use of MTAD as a final rinse. This regimen does not seem to significantly change the structure of the dentinal tubules.

PMID: 12701769 [PubMed - indexed for MEDLINE]

A new solution for the removal of the smear layer.

J Endod. 2003 Mar;29(3):170-5

Authors: Torabinejad M, Khademi AA, Babagoli J, Cho Y, Johnson WB, Bozhilov K, Kim J, Shabahang S

Various organic acids, ultrasonic instruments, and lasers have been used to remove the smear layer from the surface of instrumented root canals. The purpose of this study was to investigate the effect of a mixture of a tetracycline isomer, an acid, and a detergent (MTAD) as a final rinse on the surface of instrumented root canals. Forty-eight extracted maxillary and mandibular single-rooted human teeth were prepared by using a combination of passive step-back and rotary 0.04 taper nickel-titanium files. Sterile distilled water or 5.25% sodium hypochlorite was used as intracanal irrigant. The canals were then treated with 5 ml of one of the following solutions as a final rinse: sterile distilled water, 5.25% sodium hypochlorite, 17% EDTA, or a new solution, MTAD. The presence or absence of smear layer and the amount of erosion on the surface of the root canal walls at the coronal, middle, and apical portion of each canal were examined under a scanning electron microscope. The results show that MTAD is an effective solution for the removal of the smear layer and does not significantly change the structure of the dentinal tubules when canals are irrigated with sodium hypochlorite and followed with a final rinse of MTAD.

PMID: 12669874 [PubMed - indexed for MEDLINE]

Low-temperature photosensitized oxidation of a guanosine derivative and formation of an imidazole ring-opened product.

J Am Chem Soc. 2002 Apr 17;124(15):3905-13

Authors: Sheu C, Kang P, Khan S, Foote CS

An organic-soluble guanosine derivative, 2',3',5'-O-(tert-butyldimethylsilyl)guanosine (1), was prepared and its photosensitized oxidation was carried out in several solvents at various temperatures. Singlet oxygen is the reactive oxidizing agent responsible for this reaction. Neither an endoperoxide nor a dioxetane intermediate was detected by low-temperature NMR even at -78 degrees C. A product (A) with an oxidized imidazole ring was the only major product detected at room temperature; this compound could be isolated by low-temperature column chromatography and was characterized by (1)H and (13)C and mass spectroscopy. CO(2) was the other major product. A small amount of the corresponding 8-oxo-7,8-dihydroguanosine derivative B was detected during the initial stage of the photooxidation and was shown to be intermediate in the formation of two products of extensive degradation, C and D. Reaction of 1 with the singlet oxygen analogues 4-methyl-1,2,4-triazoline-3,5-dione (MTAD) and 4-phenyl-1,2,4-triazoline-3,5-dione (PTAD) gave products consistent with a proposed mechanism involving the rearrangement of an initially formed endoperoxide to give A and B from reaction of 1 with singlet oxygen.

PMID: 11942827 [PubMed - indexed for MEDLINE]

Dual roles of RNA helicase A in CREB-dependent transcription.

Mol Cell Biol. 2001 Jul;21(14):4460-9

Authors: Aratani S, Fujii R, Oishi T, Fujita H, Amano T, Ohshima T, Hagiwara M, Fukamizu A, Nakajima T

RNA helicase A (RHA) is a member of an ATPase/DNA and RNA helicase family and is a homologue of Drosophila maleless protein (MLE), which regulates X-linked gene expression. RHA is also a component of holo-RNA polymerase II (Pol II) complexes and recruits Pol II to the CREB binding protein (CBP). The ATPase and/or helicase activity of RHA is required for CREB-dependent transcription. To further understand the role of RHA on gene expression, we have identified a 50-amino-acid transactivation domain that interacts with Pol II and termed it the minimal transactivation domain (MTAD). The protein sequence of this region contains six hydrophobic residues and is unique to RHA homologues and well conserved. A mutant with this region deleted from full-length RHA decreased transcriptional activity in CREB-dependent transcription. In addition, mutational analyses revealed that several tryptophan residues in MTAD are important for the interaction with Pol II and transactivation. These mutants had ATP binding and ATPase activities comparable to those of wild-type RHA. A mutant lacking ATP binding activity was still able to interact with Pol II. In CREB-dependent transcription, the transcriptional activity of each of these mutants was less than that of wild-type RHA. The activity of the double mutant lacking both functions was significantly lower than that of each mutant alone, and the double mutant had a dominant negative effect. These results suggest that RHA could independently regulate CREB-dependent transcription either through recruitment of Pol II or by ATP-dependent mechanisms.

PMID: 11416126 [PubMed - indexed for MEDLINE]

Stereochemistry in the reaction of 4-methyl-1,2,4-triazoline-3,5-dione (MTAD) with beta,beta dimethyl-p-methoxystyrene. Are open biradicals the reaction intermediates?

J Org Chem. 2001 Jun 1;66(11):3682-7

Authors: Stratakis M, Hatzimarinaki M, Froudakis GE, Orfanopoulos M

The reaction of 4-methyl-1,2,4-triazoline-3,5-dione (MTAD) with beta,beta-dimethyl-p-methoxystyrene (1) in chloroform affords four adducts: the ene, two stereoisomeric [4 + 2]/ene diadducts, and a minor product that is probably the double Diels-Alder diadduct. In methanol, only one regioisomeric methoxy adduct is formed. The stereochemistry of the reaction was examined by specific labeling of the anti methyl group of 1 as CD(3). In chloroform, the ene adduct is formed with >97% synselectivity, while the [4 + 2]/ene diadducts are formed with 20% loss of stereochemistry at the methyl groups. In methanol, the methoxy adducts are formed with almost complete loss of stereochemistry. A mechanism involving open biradicals is inconsistent with the experimental results. It is likely that the reaction proceeds through the formation of an aziridinium imide and an open zwitterionic intermediate. The aziridinium imide leads to the formation of the ene adduct. The open zwitterion, which has sufficient lifetime to rotate around the C-C bond, leads to the formation of a [4 + 2] cycloadduct, which reacts with a second molecule of MTAD in an ene-type mode to afford two stereoisomeric [4 + 2]/ene diadducts. In methanol, solvent captures the zwitterionic intermediate and forms the methoxy adduct. The relative distribution of the products in chloroform depends on the reaction temperature. Lower temperatures favor the ene reaction (entropically favorable), whereas at higher temperatures the [4 + 2]/ene diadducts become the major products.

PMID: 11374985 [PubMed]

Some Diels-Alder adducts of 6-vinyl-1-oxa-4-thiaspiro[4.5]dec-6-ene.

Acta Crystallogr C. 2001 Jan;57(Pt 1):82-5

Authors: Parvez M, Yadav VK, Senthil G

6-Vinyl-1-oxa-4-thiaspiro[4.5]dec-6-ene has been reacted with dienophiles, such as N-phenylmaleimide (NPM), N-methyltriazoline-2,5-dione (MTAD) and dimethylacetylene dicarboxylate (DMAD), to assess the 1,3-diastereofacial selection caused by the acetal function. In each case, a mixture of two diastereoisomers was produced. The crystal structures of the products of the addition of NPM and MTAD syn to the acetal oxygen, 2-phenyl-2,3,3a,4,5,5a,6,7,8,9,9a,9b-dodecahydro-1H-benz[e]isoindole-6-spiro-2'-[1',3']oxathiolane-1,3-dione, C20H21NO3S, (IIa), and 2-methyl-5,7,8,9,10,10a-hexahydro-1H-1,2,4-triazolo[1,2-a]cinnoline-7-spiro-2'-[1',3']oxathiolane-1,3-dione, C13H17N3O3S, (IIIa), respectively, and the product of the addition of DMAD syn to the acetal sulfur, dimethyl 1,2,3,4,4a,7-hexahydronaphthalene-1-spiro-2'-[1',3']oxathiolane-5,6-dicarboxylate, C16H20O5S, (IVb), have been determined. All three structures are composed of independent molecules separated by normal van der Waals distances. The 1-oxa-4-thia heterocyclic ring has an envelope conformation in the three structures and the S-Csp(3) bond distances differ significantly from each other, as observed in comparable structures; the remaining molecular dimensions are as expected.

PMID: 11173407 [PubMed]

The kulinkovich reaction on lactones. A convenient approach to functionalized cyclopropanols

J Org Chem. 2000 Dec 29;65(26):9245-8

Authors: Esposito A, Taddei M

PMID: 11149881 [PubMed - as supplied by publisher]