Evaluation of smear layer removal and antimicrobial efficacy of intracanal herbal irrigants

Aim: To evaluate and compare the efficiency of Triphala, Neem, the combination of Triphala, Neem and 3% sodium hypochlorite (NaOCI) in the removal of smear layer (SL) evaluated using scanning electron microscope (SEM) and antimicrobial efficacy against standard culture strains of Enterococcus faecal...

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Main Authors: Garikina Manasa, Mallela G Manoj Kumar, Srinivas Nallanchakrava, G Naga Sri Bala, Kakumanu Nageshwar Rao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Endodontology
Subjects:
Online Access:http://www.endodontologyonweb.org/article.asp?issn=0970-7212;year=2023;volume=35;issue=1;spage=35;epage=42;aulast=Manasa
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author Garikina Manasa
Mallela G Manoj Kumar
Srinivas Nallanchakrava
G Naga Sri Bala
Kakumanu Nageshwar Rao
author_facet Garikina Manasa
Mallela G Manoj Kumar
Srinivas Nallanchakrava
G Naga Sri Bala
Kakumanu Nageshwar Rao
author_sort Garikina Manasa
collection DOAJ
description Aim: To evaluate and compare the efficiency of Triphala, Neem, the combination of Triphala, Neem and 3% sodium hypochlorite (NaOCI) in the removal of smear layer (SL) evaluated using scanning electron microscope (SEM) and antimicrobial efficacy against standard culture strains of Enterococcus faecalis. Methods: Seventy-five extracted human permanent teeth were divided into Group I control and Group II experimental, which was further subdivided into Group IIA, IIB, IIC, IID with 3% NaOCI, 5% Triphala extract, 7.5% Neem extract, and alternate use of Triphala and Neem and extracts as irrigants, respectively. The microbial sample was streaked on the agar plates to check colony-forming units/ml (CFU's) after inoculation and incubation at pre- and postirrigation. Teeth that were instrumented, and irrigated were split longitudinally, and examined using SEM under ×400, ×1000 to determine the debris and SL. Results: Statistically significant reduction of CFU's was noted at postirrigation in Sub Group IIA, IIB, IIC, and IID with a mean rank of 31.77, 46.7, 34.53, and 9, respectively. SL removal was significant (P = 0.001), with Group IID exhibiting a lower mean rank, followed by B, C, A, and Group I. Conclusion: The antimicrobial effect and SL removal efficacy were maximum for Group IID, which can be considered an effective herbal alternative in endodontic therapies.
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spelling doaj.art-682b50e3a865491091085f489eeefdf52023-05-18T05:16:26ZengWolters Kluwer Medknow PublicationsEndodontology0970-72122023-01-01351354210.4103/endo.endo_146_22Evaluation of smear layer removal and antimicrobial efficacy of intracanal herbal irrigantsGarikina ManasaMallela G Manoj KumarSrinivas NallanchakravaG Naga Sri BalaKakumanu Nageshwar RaoAim: To evaluate and compare the efficiency of Triphala, Neem, the combination of Triphala, Neem and 3% sodium hypochlorite (NaOCI) in the removal of smear layer (SL) evaluated using scanning electron microscope (SEM) and antimicrobial efficacy against standard culture strains of Enterococcus faecalis. Methods: Seventy-five extracted human permanent teeth were divided into Group I control and Group II experimental, which was further subdivided into Group IIA, IIB, IIC, IID with 3% NaOCI, 5% Triphala extract, 7.5% Neem extract, and alternate use of Triphala and Neem and extracts as irrigants, respectively. The microbial sample was streaked on the agar plates to check colony-forming units/ml (CFU's) after inoculation and incubation at pre- and postirrigation. Teeth that were instrumented, and irrigated were split longitudinally, and examined using SEM under ×400, ×1000 to determine the debris and SL. Results: Statistically significant reduction of CFU's was noted at postirrigation in Sub Group IIA, IIB, IIC, and IID with a mean rank of 31.77, 46.7, 34.53, and 9, respectively. SL removal was significant (P = 0.001), with Group IID exhibiting a lower mean rank, followed by B, C, A, and Group I. Conclusion: The antimicrobial effect and SL removal efficacy were maximum for Group IID, which can be considered an effective herbal alternative in endodontic therapies.http://www.endodontologyonweb.org/article.asp?issn=0970-7212;year=2023;volume=35;issue=1;spage=35;epage=42;aulast=Manasaantimicrobial efficacyenterococcus faecalisneemsmear layertriphala
spellingShingle Garikina Manasa
Mallela G Manoj Kumar
Srinivas Nallanchakrava
G Naga Sri Bala
Kakumanu Nageshwar Rao
Evaluation of smear layer removal and antimicrobial efficacy of intracanal herbal irrigants
Endodontology
antimicrobial efficacy
enterococcus faecalis
neem
smear layer
triphala
title Evaluation of smear layer removal and antimicrobial efficacy of intracanal herbal irrigants
title_full Evaluation of smear layer removal and antimicrobial efficacy of intracanal herbal irrigants
title_fullStr Evaluation of smear layer removal and antimicrobial efficacy of intracanal herbal irrigants
title_full_unstemmed Evaluation of smear layer removal and antimicrobial efficacy of intracanal herbal irrigants
title_short Evaluation of smear layer removal and antimicrobial efficacy of intracanal herbal irrigants
title_sort evaluation of smear layer removal and antimicrobial efficacy of intracanal herbal irrigants
topic antimicrobial efficacy
enterococcus faecalis
neem
smear layer
triphala
url http://www.endodontologyonweb.org/article.asp?issn=0970-7212;year=2023;volume=35;issue=1;spage=35;epage=42;aulast=Manasa
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