Infected Root Canals of Primary Molars
Conditions
Keywords
Primary molars, Garlic extract, Sodium hypochlorite, Pulpectomy
Brief summary
Garlic extract as herbal compound has potent antibacterial properties and can be used safely as an irrigant for pulpectomy procedure of primary molars root canals with high clinical and radiographic outcomes
Detailed description
Aim: This study indented to assess the clinical and radiographic assessment of garlic extract as an intracanal irrigant for pulpectomy of primary molars. Methodology: 91 child with 100 teeth submitted into this study were equally categorized into the test group (group 1) which irrigated with garlic extract and control group (group 2) that received sodium hypochlorite (NaOCl). Then, each group has been subjected to further specification according to the tooth preoperative clinical and radiographic features into has been into 2 subgroups. Clinical and radiographic success rates were checked at 3, 6 and 12 months. Fisher's exact test for binary variable was used for data analysis with p-value ≤ 0.05.
Interventions
OTHERGarlic extract
A 100 gram of garlic cloves has been cleaned, peeled and dried. Ethanol of 70% concentration was added for 60 seconds. The cloves were placed in a laminar airflow chamber for evaporation of residual ethanol. Using a sterile mortar and pestle, cloves were homogenized aseptically and filtered through a double layer paper. The fully concentrated extracted was diluted to the concentration of 25% with distilled water
OTHERNaOCl (COLTENE®)
Sodium hypochlorite
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
4 Years to 6 Years
Healthy volunteers
Yes
Inclusion criteria
1. Class I or II according to American Society of Anesthesiologists (ASA) 2. Irreversible pulpititis recognised through; (1) profuse bleeding from root canal orifices after complete debridement of coronal pulp tissue and cannot be dominated by moist cotton pellet. (2) History of lingered thermal pain spontaneous nocturnal pain 3. Necrotic pulp tissues which may be asymptomatic or manifested with dull ache pain 4. Pathological tooth mobility 5. Percussion sensitivity 6. Swelling close to involved tooth accompanied with or without fistula Radiographic characteristics of the root and supporting structures 1\. Normal radiographic findings 2\. Interruption of lamina dura 3\. Furcation radiolucency
Exclusion criteria
* Specifications of exclusion 1. Uncooperativeness of child and/or parents or caregivers behavior 2. Unrestorable tooth 3. Presence of internal root resorption 4. Presence of calcific metamorphosis inside root canals 5. Presence of root resorption exceeding one third of its length
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| oral examination | 12 months | Pain assessment using Visual Analog Score for pain |
| radiographic success or failure | 12 months | Radiographic assessment using periapical radiograph and score (0) applied for absence of radiolucency and score (1) for presence of radiolucency |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Types of failures | 12 months | detecting the percent of different failure types accompanied with pulpectomy procedures after using garlic as an irrigant solution. |
Outcome results
None listed