Background: In endodontic therapy, final irrigation is often done with sodium hypochlorite (NaOCl). This jeopardizes the bond strength between the epoxy resin sealer, used subsequently in obturation and radicular dentin. This study aimed to analyze the effect of natural antioxidants, 6.5% proanthocyanidin (PA) and 25% bamboo salt (BS) on the reversal of NaOCl-induced reduced bond strength of an epoxy resin sealer to dentin. Materials and Methods: Thirty-three single-rooted extracted human teeth were randomly divided into three groups based on the final irrigation protocol: group 1 (saline), Group 2 (6.5% PA), and Group 3 (25% BS). The canals were cleaned, shaped, and obturated with gutta-percha and AH Plus sealer. 1.5 mm-thick root slices made from coronal, middle, and apical thirds of the canal were subjected to push-out bond strength (PBS) testing. The data were statistically analyzed using Kruskal–Wallis and Dunn's post hoc test ( P < 0.05). Results: 5.25% NaOCl significantly decreased the bond strength of AH Plus to dentin ( P < 0.05). Both 6.5% PA and 25% BS were capable of reversing the compromised PBS of AH Plus to NaOCl-treated dentin. Conclusion: Final irrigation with antioxidants such as PA and BS eliminates the risk of reduced bond strength of AH Plus to root canal walls, which ensues following the use of NaOCl as an irrigant.
Objective: E. faecalis is one of the most commonly found species in persistent and secondary infections associated with endodontic failure. This in vitro study aimed to evaluate the depth of penetration and antimicrobial efficacy of 5% and 10% bamboo salt (BS), 2% chlorhexidine gel (CHX) and calcium hydroxide (CH) against E. faecalis . Methods: E. faecalis was inoculated in dentine blocks for 21 days following which the antibacterial efficacy of the experimental medicaments were quantatively assessed by harvesting the dentinal debris from depths of 200 µm and 400 µm from the block lumen on the 2 nd and 7 th day. The depth of penetration of the medicaments was measured using LIVE/DEAD BacLight stain under CLSM. Results: Results showed that the medicaments had varying degrees of antimicrobial efficacy and depth of penetration. Among the medicaments, CHX showed the highest antimicrobial activity on both the time intervals (P<0.05), followed by 10% BS, 5% BS and the least efficacy was observed in CH group. CHX and 10% BS exhibited the highest depth of penetration, which was proximate to the penetration of E. faecalis . Conclusion: It can be concluded that 10% bamboo salt can serve as a viable natural antimicrobial in endodontic therapy.
Sodium hypochlorite (NaOCl) remains the gold standard against which any new endodontic irrigant is compared. But, its inadvertent extrusion beyond the confines of the root canal can be caustic to vital periapical or periodontal tissues. There has been an increase in the use of herbal medicines as irrigants over the last two decades. Bamboo salt is a Korean folk medicine, which shows promising antimicrobial, antioxidant, and anti-inflammatory properties. The aim of this in vitro study was to comparatively evaluate the effectiveness of 1, 3, and 5% bamboo salt against Enterococcus faecalis and Candida albicans using agar diffusion test; 4% NaOCl was used as control. The experiment was performed in triplicate and the zone of inhibition (ZOI) was measured. The results of the present study showed that 4% NaOCl and 5% bamboo salt showed significantly higher mean ZOI than the other groups against E. faecalis; 4% NaOCl showed significantly higher mean ZOI than the other groups against C. albicans, followed by 5 and 3% bamboo salt. Hence, it can be concluded that 4% NaOCl proved to be the most effective antimicrobial against both the species; 5% bamboo salt was as effective as 4% NaOCl against E. faecalis, but significantly less effective against C. albicans.
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