Evidence map›Paper›PMID 41699568›Full record

ArticleBMC oral health2026

Antimicrobial effects of Propolis, calcium Hydroxide, triple antibiotic paste, and modified triple antibiotic paste on tubular dentin inoculated with a dual-species biofilm: an ex vivo study.

Zohreh Ahangari, Nazanin Zargar, Maryam Pourhajibagher, Rezvan Shahhosseini

Abstract read
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Endodontic potential of eugenol againstJournal of oral biology and craniofacial research
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zohreh AhangariSchool of Dentistry, Shahid Beheshti University of Medical Sciences, Daneshju Blvd, Evin Avenue, Chamran Highway, Tehran, 1983963113, Iran.
Nazanin ZargarSchool of Dentistry, Shahid Beheshti University of Medical Sciences, Daneshju Blvd, Evin Avenue, Chamran Highway, Tehran, 1983963113, Iran.
Maryam PourhajibagherDental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Rezvan ShahhosseiniPostgraduate Student of Endodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Rezvan70_12@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to compare the antimicrobial effects of Propolis, Calcium Hydroxide (CH), Triple Antibiotic Paste (TAP), and modified TAP (mTAP) as intracanal medicaments on tubular dentin inoculated with a dual-species biofilm. MATERIALS AND

methodsIn this ex vivo study, dentin cylinders were obtained from the root canals of 56 single-rooted extracted teeth, which were instrumented and inoculated with Enterococcus faecalis (E. faecalis) and Actinomyces naeslundii (A. naeslundii) suspensions to allow biofilm formation. After that, the cylinders were randomly assigned to five groups for a 7-day exposure to Propolis, TAP, mTAP (penicillin G), and Calcium Hydroxide (CH), and a no-medicament negative control group. Colonies were counted in dentin samples obtained from 200 μm to 400 μm depths and analyzed using ANOVA, Shapiro-Wilk, Levene, Tukey, robust Welch, Games-Howell, Fisher's exact, Wilcoxon, and paired t tests (α = 0.05).

resultsAll medicaments significantly decreased the colony counts (P < 0.05). CH, TAP, and mTAP showed similar optimal efficacy at both depths, whereas Propolis caused a significant reduction in bacterial count only at 200 μm (P = 0.047). Effect sizes were very high for both microorganisms. Dentin depth had a significant effect on the bacterial count of both microorganisms, and the load of both microorganisms was significantly lower at 400 μm than 200 μm depth (P < 0.001).

conclusionTAP and mTAP demonstrated high efficacy, and CH showed acceptable efficacy for elimination of E. faecalis and A. naeslundii dual-species biofilm. Propolis showed lower efficacy, highlighting the need for further modifications to enhance its penetration depth.

Indexed as

Anti-Bacterial AgentsAnti-Infective AgentsBiofilmsCalcium HydroxideDentinPropolisRoot Canal IrrigantsActinomycesEnterococcus faecalisHumansIn Vitro TechniquesMetronidazolePenicillin GAnti-Bacterial AgentsAnti-Infective AgentsCalcium HydroxideMetronidazolePenicillin GPropolisRoot Canal IrrigantsActinomyces naeslundiiAntibioticBiofilmsCalcium hydroxideEnterococcus faecalisPropolisRegeneration

Identifiers

PMID41699568
PMCPMC13015147

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.