海巴戟、三七和山茶提取物作为初级磨牙根管冲洗剂的抗菌功效比较:随机临床试验

Lumbini Pathivada, Dhani Kapur, Jayalakshmi Pandranki, Karthik M Krishna, Prem K Kajapuram, Brij Kumar
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引用次数: 0

摘要

目的评估使用海巴戟(M. citrifolia)、三七(Triphala)和山茶(C. sinensis)作为牙髓切除术后落叶磨牙的冲洗剂对减少微生物负荷的作用:这是一项随机对照临床试验,涉及 150 名 6 至 9 岁儿童的多根乳磨牙,每组 30 颗,分别用枸橼叶(I 组)、三七(II 组)、山茶(III 组)、洗必泰(CHX)(IV 组)和生理盐水(V 组)灌洗。在所有情况下,用无菌纸点从牙槽骨内采集两个微生物样本,一个在第一次冲洗前,另一个在牙髓拔除后立即采集。首次就诊时,使用 10 毫升实验性冲洗剂进行间歇性冲洗,完成清洁和塑形。3 天后,再次进入根管,用 5 毫升试验灌洗剂冲洗根管,并采集第二份微生物样本。获得的所有微生物样本都在厌氧条件下在血琼脂上进行培养。使用菌落计数器对菌落形成单位(CFU)进行计数。数据分析采用配对学生 t 检验和 Tukey 后检验:结果:对所有组的前后样本进行分析后发现,CHX、海巴戟和三七的细菌量均有显著下降(p ≤ 0.001):结论:海巴戟(M. citrifolia)和Triphala具有有效的抗菌功效,可作为CHX的替代根管灌洗剂,而C. sinensis与普通生理盐水一样不能有效减少微生物数量:Pathivada L, Kapur D, Pandranki J, et al:随机临床试验。Int J Clin Pediatr Dent 2024;17(5):511-517.
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Comparison of Antimicrobial Efficacy of Morinda citrifolia, Triphala, and Camellia sinensis Extracts as Root Canal Irrigants in Primary Molars: A Randomized Clinical Trial.

Objective: To evaluate the reduction of microbial loading using Morinda citrifolia (M. citrifolia), Triphala, and Camellia sinensis (C. sinensis) as irrigating agents in deciduous molars after pulpectomy.

Materials and methods: A controlled, randomized clinical trial involving 150 multirooted deciduous molars from both genders between 6 and 9 years old children were included, 30 molars irrigated with M. citrifolia (group I), Triphala (group II), C. sinensis (group III), chlorhexidine (CHX) (group IV), and saline (group V) each. In all cases, two microbiological samples from within the canal were taken with sterile paper points, one before the first irrigation and the other immediately after pulp extirpation. Cleaning and shaping were completed with intermittent irrigation with 10 mL of experimental irrigants in the initial visit. After 3 days, reentry to the root canal was obtained, rinsed with 5 mL of the test irrigants, and the second microbial sample was collected. All the microbial samples obtained were cultured under anaerobic conditions on blood agar. The colony-forming units (CFUs) were counted using a colony counter. Data was analyzed using paired student t-test and Tukey's post hoc test.

Results: After analysis of the pre- and postsamples in all groups, a strong significant decrease in bacterial load (p ≤ 0.001) was found with CHX, M. citrifolia, and Triphala.

Conclusion: Morinda citrifolia (M. citrifolia) and Triphala, with effective antimicrobial efficacy, can be suggested as an alternative root canal irrigant as CHX, while C. sinensis was found ineffective in reducing microbial count as normal saline.

How to cite this article: Pathivada L, Kapur D, Pandranki J, et al. Comparison of Antimicrobial Efficacy of Morinda citrifolia, Triphala, and Camellia sinensis Extracts as Root Canal Irrigants in Primary Molars: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2024;17(5):511-517.

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