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Background: Restoration of endodontically treated teeth is one of the most challenging part of operative dentistry. The introduction of fiber-reinforced composite has provided a considerable opportunity to modify material's behavior and to enhance the response of existing materials. Aim: The aim of the study is to comparatively evaluate the efficacy of fiber-reinforced composite resins and nanohybrid resin impregnated with glass fibers as postendodontic restoration in molars. Materials and Methods: Fifty patients with deep occlusal carious lesion requiring root canal treatment were selected and treated. For postendodontic restoration, it was divided into Group A (Interlig) and Group B (ever-X posterior) which were eventually restored according to the manufacturer's instructions. Patients were recalled for evaluation at 3-, 6-, 12-month interval. The restorations were evaluated according to modified United States Public Health Service Criteria. Statistical Analysis: Chi-square test was used for intergroup comparison. Results: A statistically significant difference was noted in terms of fracture of tooth and ever-X posteriors proved to be a superior material and no statistically significant difference observed for marginal discoloration, marginal integrity, fracture of core-build up and secondary caries at the evaluation period of 1 year. Conclusion: Ever-X posteriors performed better than Interlig group as postendodontic restoration after 1 year of evaluation.

Aim: The study was designed to clinically evaluate biodentine and endosequence root repair material (ERRM) as direct pulp capping agent at 3 months, 6 months, and 12 months intervals. Materials and Methods: Sixty permanent posterior teeth with deep caries, without any signs of irreversible pulpitis were allotted into two experimental groups: Group I -Biodentine, Group II-ERRM. Follow-up evaluations were done. Every 24 h for 7 days, the pain was assessed using visual analog scale. Statistical Analysis: Paired t -test along with Pearson's Chi-square test was performed. Results: The success rate of clinical assessment at 12 months for biodentine group is 78.60% and ERRM Group is 64.70%. Conclusion: Biodentine group performed superior than ERRM group clinically at all-time interval and hence it can be successfully used to restore exposed vital tooth.

Elimination of bacteria from infected root canal systems is a challenging task. Various techniques have been described to reduce the number of bacteria within the root canal system, which include chemomechanical instrumentation, use of various irrigants to remove or dissolve organic and inorganic debris, and to destroy bacteria. The intracanal medicament plays a key role in the success of root canal treatment. With the rise in bacterial resistance to antibiotics, there is considerable interest in the development of other classes of antimicrobials for the control of infection. Natural products are known to play an important role in human life. The use of herbal products as mouthwash has been tried and tested in the literature. However, the use of herbal intracanal medicament has been shown promising results when used under in vitro conditions, but in vivo studies are very scarce. This may be due to the limited supporting literature available to use it as intracanal medicament in patients due to the ethical concern. Hence, the purpose of this review is to highlight the current guidelines (laid by the drugs and cosmetics act as per the Gazette of India) regarding the use of herbal medicaments for the clinical trials in endodontics.