Natural Therapeutic Options in Endodontics - A Review

Nagendrababu, Venkateshbabu; Anand, Suresh; Abarajithan, Mohan; Sheriff, Sultan Omer; Pulikkotil, Shaju Jacob; Nath, Sonia

doi:10.2174/1874210601610010214

Cited by 23 publications

(16 citation statements)

References 119 publications

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“…The search for bio-friendly and more biocompatible irrigants made us determined to undertake this study, also considering the rising interest in natural alternatives to chemical antiseptics and antimicrobials, in particular EO and probiotics. Herbal products, due to their biocompatibility are used in many medical fields [32].…”

Section: Discussionmentioning

confidence: 99%

Essential Oils as Alternatives for Root-Canal Treatment and Infection Control against Enterococcus faecalis—A Preliminary Study

et al. 2021

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Since natural alternatives are needed in dentistry for the treatment of root canal, where the standard irrigant is NaOCl with significant toxicity, the aim of the study was to assess the antibacterial properties of non-chemical root-canal irrigants (aqueous extracts of oregano, thyme, lemongrass, melaleuca and clove essential oils) against Enterococcus faecalis. For this, aqueous extracts of each essential oil (AqEO) were prepared. A solution of sodium hypochlorite (NaOCl) was used as a positive standard against which the antimicrobial effects of AqEO could be reported. The root canals of seven teeth were inoculated with 20 µL of Enterococcus faecalis ATCC29212 inoculum and incubated overnight at 37 °C. All the teeth canals were instrumented and were irrigated with the corresponding AqEO, NaOCl and saline solution, then rinsed with saline. Bacteriological samples for each canal post-instrumentation were collected with sterile paper points which were inoculated on culture media. A second processing followed the same methodology but involved only irrigation and no instrumentation. Using instrumentation, thyme and clove completely inhibited Enterococcus faecalis growth. Without instrumentation, clove and oregano AqEOs completely reduced the bacterial load as seen in direct inoculation, but bacterial growth was observed in all the samples after enrichment, except for NaOCl. Nevertheless, the turbidity of the enrichment media was lower for the samples irrigated with AqEOs than for control. In conclusion, AqEOs of thyme, oregano and clove showed a promising antibacterial effect, especially when teeth instrumentation was performed.

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Section: Discussionmentioning

confidence: 99%

Essential Oils as Alternatives for Root-Canal Treatment and Infection Control against Enterococcus faecalis—A Preliminary Study

et al. 2021

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“…There are alternatives perhaps that could be considered as alternatives to isopropyl alcohol, such as Aloe Vera-based products, essential oils (e.g. Propolis) and plant extracts [38] (Venkateshbabu et al 2016), however this is outside the scope of this paper (e.g. McReynolds 2018 [39]).…”

Section: 64765mentioning

confidence: 99%

Environmental sustainability in endodontics. A life cycle assessment (LCA) of a root canal treatment procedure

et al. 2020

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Background To analyse via life cycle analysis (LCA) the global resource use and environmental output of the endodontic procedure. Methodology An LCA was conducted to measure the life cycle of a standard/routine two-visit RCT. The LCA was conducted according to the International Organization of Standardization guidelines; ISO 14040:2006. All clinical elements of an endodontic treatment (RCT) were input into OpenLCA software using process and flows from the ecoinvent database. Travel to and from the dental clinic was not included. Environmental outputs included abiotic depletion, acidification, freshwater ecotoxicity/eutrophication, human toxicity, cancer/non cancer effects, ionizing radiation, global warming, marine eutrophication, ozone depletion, photochemical ozone formation and terrestrial eutrophication. Results An RCT procedure contributes 4.9 kg of carbon dioxide equivalent (CO2 eq) emissions. This is the equivalent of a 30 km drive in a small car. The main 5 contributors were dental clothing followed by surface disinfection (isopropanol), disposable bib (paper and plastic), single-use stainless steel instruments and electricity use. Although this LCA has illustrated the effect endodontic treatment has on the environment, there are a number of limitations that may influence the validity of the results. Conclusions The endodontic team need to consider how they can reduce the environmental burden of endodontic care. One immediate area of focus might be to consider alternatives to isopropyl alcohol, and look at paper, single use instrument and electricity use. Longer term, research into environmentally-friendly medicaments should continue to investigate the replacement of current cytotoxic gold standards with possible natural alternatives. Minimally invasive regenerative endodontics techniques designed to stimulate repair or regeneration of damaged pulp tissue may also be one way of improving the environmental impact of an RCT.

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“…Coconut oil [15] Ocimum sanctum 6% w/w [16] Aloe vera mouthwash [17] Nasal decongestion Chinese herbal spray Lemon leaves Uci plants…”

Section: Use Of Tm In Different Conditionsmentioning

confidence: 99%

“…The following properties that were derived from plants were of widespread interest in dentistry; these include: antiseptics, antibacterial, antimicrobial, antifungal, antioxidant, antiviral and analgesic [15]. For example, several plant extracts such as propolis, noni fruit, burdock root, and neem leaf had been used in the field of periodontics and endodontics as intra-canal medications with excellent results [16]. This showed that herbal agents could be the next novel medicine in the global dental therapy.…”

Section: Introductionmentioning

confidence: 99%

Use of traditional medicine for dental care by different ethnic groups in New Zealand

Guo

Low

et al. 2020

BMC Oral Health

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Background There is an increasing public interest in the use of TM internationally, yet there is a paucity of research on the use of TM by the public in the dental setting. This study aimed to explore the views, use of and access to TM in dentistry among different ethnic groups residing in New Zealand. Methods Qualitative study and in-depth interviews were used. An individual semi-structured questionnaire was used to collect data. Interviews were recorded, transcribed, and analysed using an inductive approach to identify the main themes. Results Three main themes were extracted from interviews with 14 participants from diverse cultural backgrounds: [1] the perspectives of TM varied among different ethnic groups and included the involvement of spirituality, the environment, knowledge and usage of TM. [2] The TM that was used by different ethnic groups included plants, herbs, massage, and other forms of healing. Reasons for choosing traditional or western medicines generally included family tradition, access to TM, and finding a competent traditional healer. [3] The barriers in accessing TM included the paucity of traditional healers, difficulty accessing plants and cost, therefore most would look for a substitution or alternative treatment. Conclusion Even though the access to these TM in New Zealand was a challenge for the majority of the participants, they are still considered the first-line treatment for the majority. This study provided dental practitioners an insight into the different sort of TM used by the population. By understanding and acknowledging the use of TM, dental practitioners could create a supportive environment for patients to disclose their use of TM and allow them to educate patients on the use of TM.

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Natural Therapeutic Options in Endodontics - A Review

Cited by 23 publications

References 119 publications

Essential Oils as Alternatives for Root-Canal Treatment and Infection Control against Enterococcus faecalis—A Preliminary Study

Essential Oils as Alternatives for Root-Canal Treatment and Infection Control against Enterococcus faecalis—A Preliminary Study

Environmental sustainability in endodontics. A life cycle assessment (LCA) of a root canal treatment procedure

Use of traditional medicine for dental care by different ethnic groups in New Zealand

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