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Journal of Indian Society of Pedodontics and Preventive Dentistry Official publication of Indian Society of Pedodontics and Preventive Dentistry
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Year : 2020  |  Volume : 38  |  Issue : 4  |  Page : 374-380

Comparative evaluation of the efficacy of different herbal irrigants on the removal of smear layer of primary teeth: A scanning electron microscopy study

1 Department of Pedodontics and Preventive Dentistry, People's College of Dental Sciences and Research, Bhopal, Madhya Pradesh, India
2 Department of Pedodontics and Preventive Dentistry, Index Dental College, Indore, Madhya Pradesh, India
3 Department of Pedodontics and Preventive Dentistry, Bankey Bihari Dental College and Research Center, Ghaziabad, Uttar Pradesh, India
4 Department of Pedodontics and Preventive Dentistry, Lincoln University College, PJ, Malaysia
5 Department of Pedodontics and Preventive Dentistry, Mansarover Dental College, Bhopal, Madhya Pradesh, India

Correspondence Address:
Dr. Parimala Tyagi
Department of Pedodontics and Preventive Dentistry, People's College of Dental Sciences and Research, Bhopal - 462 010, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JISPPD.JISPPD_315_20

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Aim and Objectives: The aim and objectives of this study are to evaluate and compare the effectiveness of Myristica fragrans – Nutmeg, Terminalia chebula – Myrobolan, Ocimum sanctum-tulsi, and 2.5% sodium hypochlorite (NaOCl) on the removal of the smear layer by the scanning electron microscope (SEM). Settings and Design: Endodontic treatment aims at disinfection and then obturation of root canal system in to prevent re-infection. Root canal irrigants play a pivotal role in the disinfection process. One of the important properties of an irrigant is the removal of complete smear layer and debris. Smear layer has the potential to protect bacteria within the dentinal tubules; therefore removal may be prudent. Smear layer removal increases the bond strength of resin sealers which results in better apical seal. Materials and Methods: Forty extracted single-rooted, primary teeth were allocated randomly into four groups of ten each: Group 1 – NaOCl, Group 2 – Nutmeg, Group 3 – Myrobolan, and Group 4 – Tulsi. Samples were stored in sterile saline (0.9% NaCl) and then decoronated at the level of the cementoenamel junction. Working length was determined followed by appropriate irrigation. The roots were split into two halves with a chisel and were stored in 2.5% glutaraldehyde solution for 24 h. After fixation, the samples were dehydrated in ethanol series (70, 90, and 95 and twice at 100%). Each specimen was mounted on Al stub and sputter coated with a 20 nm layer of gold. Samples were then examined using a SEM quantum 60 at magnification of ×2000. Results: Tulsi demonstrated the most statistically significant results followed by myrobolan and nutmeg extract. All herbal extracts were found to be significantly effective than 2.5% NaOCl. Conclusion: Tulsi, nutmeg and myrobolan can be effectively used as an irrigant in primary teeth.


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