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Comparative Evaluation Of The Antimicrobial Efficacy Of Sodium Hypochlorite With Propolis Against E-Faecalis

Author: 
Priyam Velani, Preetam Shah, Laxmi Lakade, Alok Patel, Chetan Bhat and Shweta Chaudhary
Subject Area: 
Health Sciences
Abstract: 

Introduction: Endodontic success relates to the ‘endodontic triad’ composed of instrumentation, disinfection and obturation, which are interwoven. Intricacies of the root canals in the primary teeth make it impossible for instrumentation alone to reach the finer, more tortuous aspects of the anatomy. Moreover, endodontic infections are polymicrobial in nature with a predominance of stubborn anaerobic organisms like E-Faecalis which further complicates the outcome. Irrigation thus permits efficient removal of the residual tissue and the microbial load. Although sodium hypochlorite remains a well accepted choice for irrigation, it possesses certain disadvantages like burning of surrounding tissues, damage to the permanent tooth follicles, tissue necrosis and chemical burns. Hence newer products with lesser disadvantages and potent antimicrobial activity like propolis are slowly gaining popularity in the pediatric population. Aim: The present study was undertaken to determine and compare the efficacy of sodium hypoclorite and propolis against E-Faecalis present in the infected root canals of the primary teeth. Materials and Methods: The selected teeth with dento-alveolar abscess were divided into two groups randomly. In Group A -11% Ethanolic extract of propolis and in Group B - 3% sodium hypochlorite were used as the irrigating solutions. The bacterial samples were collected both pre- and post-irrigation and were cultured. Results: A mean reduction of 85.2% and 92.2% in the microbial load was observed with propolis and sodium hypochlorite, respectively. The difference was found to be statistically insignificant. Conclusion: The present study puts forth the use of propolis as an effective root canal irrigant in pediatric patients with anti-microbial efficacy comparable to sodium hypochlorite. Additional research with propolis will further help in improving its properties and establishing it as a potent irrigant.

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