In vivo Evaluation of Antimicrobial Effect of Propolis, Miswak, Green Tea Compared to Sodium Hypochlorite and Chlorhexidine as Root Canal Irrigants in Necrotic Infected Single Rooted Teeth | ||||
Suez Canal University Medical Journal | ||||
Article 7, Volume 20, Issue 1, March 2017, Page 53-61 PDF (760.5 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/scumj.2017.46987 | ||||
View on SCiNiTO | ||||
Authors | ||||
Abeer M. Darag1; Dalia M. Fayyad2; Abd El Azeem M. El Gammal3; Ashraf A. Soliman 4 | ||||
1Department of Endodontics, Faculty of Dentistry, Tanta University, Egypt | ||||
2Department of Endodontics, Faculty of Dentistry, Suez Canal University, Egypt | ||||
3Department of Bacteriology, Mycology and Immunology, Faculty of Veterinary Medicine, Suez Canal University, Egypt | ||||
4Department of Endodontics, Faculty of Dentistry, Suez Canal University, Egypt | ||||
Abstract | ||||
Aim: To assess clinically, radiographically and laboratory the antimicrobial effect of propolis, miswak, green tea, sodium hypochlorite and chlorhexidine on necrotic teeth with apical peridontitis. Materials and Methods: A total of 50 patients with chronic apical periodontitis in a permanent mature single–rooted tooth with a necrotic pulp were included. Root canals were instrumented using Revo S NiTi files and different irrigants: Sodium hypochlorite 3% (NaOCl), 2% chlorhexidine (CHX), 20% ethanolic extract of Egyptian propolis, 20% ethanolic extract of Miswak and 20% ethanolic extract of Green tea. Root canals were sampled before (S1) and immediately after the chemomechanical preparation (S2). The samples (S1&S2) were transferred for culturing and incubation (both aerobically and anaerobically). The patients were re-evaluated both clinically and radiographically after 1, 3 and 6 months). Results: CHX group showed the highest mean % reduction in Log10 of anaerobic bacterial counts (95.5±8.0). CHX group showed non-statistically significant difference from NaOCl (86.2±16.7) and Propolis (84.4±9.7). Miswak group showed statistically significantly lower mean % reduction (75.6±19.1) than CHX group and NaOCl group, but non-statistically significant difference from Propolis group. Green tea group showed the lowest statistically significant mean % reduction in Log10 of anaerobic bacterial counts (50.10±10.35). Conclusion: Propolis, Salvadora Perisca and green tea alcoholic extracts at 20% concentration showed considerable antimicrobial effect against chronic apical periodontitis microbes generally and E. faecalis definitely. | ||||
Keywords | ||||
E.faecalis; herbal irrigants; chronic apical periodontitis | ||||
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