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Suez Canal University Medical Journal SCU-MJ

The Official Journal of Faculty of Medicine, Suez Canal University

Founded in 1998

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  1. SCU teaching hospital
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Current Issue Article, Volume 20, Issue 2, October 2017

In vivo Evaluation of Antimicrobial Effect of Propolis, Miswak, Green Tea Compared to Sodium Hypochlorite and Chlorhexidine as Root Canal Irrigants in Necrotic Infected Single Rooted Teeth

Abeer M. Darag, Dalia M. Fayyad, Abd El Azeem M. El Gammal, Ashraf A. Soliman*


Aim: To assess clinically, radiographically and laboratory the antimicrobial effect of propolis, miswak, green tea, sodium hypochlorite and chlorhexidine on necrotic teeth with apical peridontitis. Materials and Methods: A total of 50 patients with chronic apical periodontitis in a permanent mature single–rooted tooth with a necrot-ic pulp were included. Root canals were instrumented using Revo S NiTi files and dif-ferent irrigants: Sodium hypochlorite 3% (NaOCl), 2% chlorhexidine (CHX), 20% etha-nolic extract of Egyptian propolis, 20% ethanolic extract of Miswak and 20% ethanolic extract of Green tea. Root canals were sampled before (S1) and immediately after the chemo- mechanical preparation (S2). The samples (S1&S2) were transferred for cul-turing and incubation (both aerobically and anaerobically). The patients were re-evaluated both clinically and radiographically after 1, 3 and 6 months). Results: CHX group showed the highest mean % reduction in Log10 of anaerobic bacterial counts (95.5±8.0). CHX group showed non-statistically significant difference from NaOCl (86.2±16.7) and Propolis (84.4±9.7). Miswak group showed statistically significantly lower mean % reduction (75.6±19.1) than CHX group and NaOCl group, but non-statistically significant difference from Propolis group. Green tea group showed the lowest statistically significant mean % reduction in Log10 of anaerobic bacterial counts (50.10±10.35). Conclusion: Propolis, Salvadora Perisca and green tea alcoholic extracts at 20% concentration showed considerable antimicrobial effect against chronic apical periodontitis microbes generally and E. faecalis definitely. Keywords: E.faecalis, herbal irrigants, chronic apical periodontitis.