Elsheikh, H., Rabie, M., Soliman, E., Sharaan, M. (2024). Evaluation of the antimicrobial action and cleaning ability of different naturally based vinegar used as endodontic irrigants. Dental Science Updates, 5(1), 117-129. doi: 10.21608/dsu.2024.207235.1171
Hend Elsheikh; Mohamed Ibraheem Rabie; Essam Samir Soliman; Marwa Elsayed Sharaan. "Evaluation of the antimicrobial action and cleaning ability of different naturally based vinegar used as endodontic irrigants". Dental Science Updates, 5, 1, 2024, 117-129. doi: 10.21608/dsu.2024.207235.1171
Elsheikh, H., Rabie, M., Soliman, E., Sharaan, M. (2024). 'Evaluation of the antimicrobial action and cleaning ability of different naturally based vinegar used as endodontic irrigants', Dental Science Updates, 5(1), pp. 117-129. doi: 10.21608/dsu.2024.207235.1171
Elsheikh, H., Rabie, M., Soliman, E., Sharaan, M. Evaluation of the antimicrobial action and cleaning ability of different naturally based vinegar used as endodontic irrigants. Dental Science Updates, 2024; 5(1): 117-129. doi: 10.21608/dsu.2024.207235.1171
Evaluation of the antimicrobial action and cleaning ability of different naturally based vinegar used as endodontic irrigants
1Endodontic Department, Faculty of Dentistry, Suez Canal University, Ismailia, Egypt
2Department of Veterinary Public Health, Faculty of Veterinary Medicine, Suez Canal University, Ismailia, Egypt.
Abstract
Introduction: Irrigation of the root canals is an important step during endodontic treatment. Irrigants serve to eradicate microbial infection and to remove the resulting smear layer. NaOCl/EDTA irrigation is the gold standard irrigation protocol. However, it has several side effects. So, it was urgent call to investigate herbal alternatives as potential endodontic irrigants. Aim: To evaluate the antimicrobial action and smear layer removal ability of apple, dates and pomegranate vinegars compared to NaOCl/ EDTA irrigation. Materials &Methods: Sixty-five sterile roots were infected with E.faecalis, incubated for three weeks then grouped into five groups; apple vinegar group, dates vinegar group, pomegranate vinegar group, NaOCl/EDTA group and control group, respectively. Three Microbial samples were obtained from the root canals: before irrigation, immediately after irrigation and one week after irrigation. The reduction% of mean Log10 CFU was calculated. Five roots from each group were split bucco-lingually, scanned with SEM and processed using ImageJ software. Statistical analysis was performed by applying the t-test, ANOVA (one and two way) followed by post hoc Tukey’s test at 95% significance level. Results: Dates vinegar group showed high antimicrobial action and smear layer removal ability comparable to NaOCl/EDTA group and the difference was statistically insignificant. Pomegranate and apple vinegar groups showed less antimicrobial action and smear layer removal ability than dates vinegar and NaOCl/EDTA which was statistically significant. Conclusion: Phenolic compounds in dates vinegar are responsible for its antimicrobial action and smear layer removal ability making it potential alternative to NaOCl/EDTA.
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