Background:
The goal for placement of intracanal medicament during pulpal therapy procedures is to eradicate the bacteria and the exotoxins from the infected root canal, thereby preventing and controlling pulpal and periradicular infections. Chemo-mechanical preparation is considered an essential step in root canal disinfection; but to accomplish the total elimination of bacteria in highly complex root canal anatomy is difficult. Intracanal medicaments help eliminate bacteria by remaining in the root canal, and calcium hydroxide has been recommended as one of the most effective antimicrobial dressings during endodontic therapy. The herbal agents offer an alternative to synthetic compounds. They have been considered either non-toxic or less toxic. The rapid increase in antibiotic-resistant strains and side effects caused by synthetic drugs have prompted researchers to look for herbal alternatives.
Aim and Objective:
The
in vitro
study aims to evaluate and compare the antibacterial activity of triphala and calcium hydroxide against
Enterococcus faecalis
as an intracanal medicament
Materials and Methods:
The antimicrobial efficacy of triphala and calcium hydroxide was evaluated against
E. faecalis
cultured and incubated for various time frames in 42 intact, caries-free, human, single-rooted teeth with straight roots and mature apices. The comparison of the number of counted colonies after each incubation time and based on the type of drug used inside the canal is evaluated using non-parametric Kruskal–Wallis test and Mann–Whitney
U
test, respectively. Statistical analysis was done using SPSS version 14.0.
Results:
Efficacy of calcium hydroxide against
Enterococcus faecalis
was best in the first 72-hr time duration compared with triphala. Triphala showed significant antimicrobial activity against
Enterococcus faecalis
that was closely parallel to the calcium hydroxide group in one week. Calcium hydroxide and triphala had complete eradication of
Enterococcus faecalis
in a given one-month time duration.
Early childhood caries is indeed a devastative situation for both patients’ parents and pediatric dentists. The primary goal in treating severe early childhood caries is to restore normal function such as maintenance of mesiodistal and vertical dimension, prevention of alteration of mastication, phonetics (due to premature loss), development of parafunctional habits, and prevention of psychological problems affecting the self-esteem of a child. The restoration of primary dentition with extensive carious lesions is a complex clinical challenge of several dimensions. The severity of this condition in maxillary anterior teeth has prompted the extraction of teeth due to inadequate esthetic treatment options. The only concern with the severely destructed primary incisors is a lack of crown structure, which fails to support and adhere to a composite crown. Clinicians have preferred many restorative modalities for esthetic rehabilitation of badly decayed anterior primary teeth with numerous root canal retentive post and core systems with appropriate techniques to preserve those teeth until they are replaced by permanent teeth. This review highlights the various posts, their indications, principles, ideal properties, and the current concepts on their use in pediatric dentistry.
How to cite this article
Martin AG, Shivashakarappa PG, Arumugam S,
et al.
Posts in Primary Teeth–Past to Present: A Review of Literature. Int J Clin Pediatr Dent 2021;14(5):705–710.
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