Darag, A., Fayyad, D., El Gammal, A., Soliman, A. (2017). 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, 20(1), 53-61. doi: 10.21608/scumj.2017.46987
Abeer M. Darag; Dalia M. Fayyad; Abd El Azeem M. El Gammal; Ashraf A. Soliman. "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, 20, 1, 2017, 53-61. doi: 10.21608/scumj.2017.46987
Darag, A., Fayyad, D., El Gammal, A., Soliman, A. (2017). '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, 20(1), pp. 53-61. doi: 10.21608/scumj.2017.46987
Darag, A., Fayyad, D., El Gammal, A., Soliman, A. 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, 2017; 20(1): 53-61. doi: 10.21608/scumj.2017.46987
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
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.
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