Abstract
Aims: The current study aims to evaluate the antimicrobial effect of honey as a root canal medicament,and to make a sort of comparison with the currently used root canal medicament (formocresol).Materials and Methods: Fifty two uniradicular teeth were chosen. Microbiological sample wasobtained from the root canal at the beginning of the first appointment, instrumentation and irrigation ofthe root canal followed by good dryness for the root canal, application of intra canal medicament dependingon the patient group, temporary dressing for the tooth, the samples were then transferred formicrobiological study.At the beginning of the second appointment (2-3 days later), the tooth was isolated,the temporary dressing was removed and the microbiological samples of the root canal contentswere taken and complete the same sequence in the same manner as previously mentioned with the firstappointment. The sample transferred for microbiological study .The same procedure was done at thebeginning of the third appointment (2-3 days later) from the second appointment, the microbiologicalstudy was done in the Microbiology Laboratory, Department of Dental Basic Sciences, College of Dentistry,University of Mousl. Results: Comparing the antimicrobial effect between solutions of honey,formocresol, there is no significant differences between these materials when used as root canal medicament.Conclusion: This current study revealed that (H4 20% V/V) honey solution has antimicrobialeffect when used as intracanal medicament.
Highlights
The aims of endodontic therapy are to remove pathogenic bacteria from the pulp system, shape the system appropriately and obturate it in three dimensions with a suitable material which should be done under a septic condition [1].Following thorough instrumentation of an infected root canal, there will be significant reduced number of bacteria, but it is well documented that instrumentation alone can't clean all the internal surface of the root canal
The patients were divided randomly into four groups: ♦ Group I: 13 patients, normal saline was used as root canal irrigant and honey at solution of (H4: 20 %) as intracanal medicament ♦ Group II: 13 patients, normal saline was used as root canal irrigant and formocresol was used as intracanal medicament. ♦ Group III: 13 patients, sodium hypochlorite at concentration of 5.25 % was used as a root canal irrigant solution, and honey at solution of (H4: 20%) as intracanal medicament. ♦ Group IV: 13 patients, sodium hypochlorite at concentration of 5.25 % was used as root canal irrigant and formocresol as intracanal medicament
From each root canal for all 52 teeth, in group I, group II, group III and group IV, both aerobic and anaerobic bacterial counts were taken at the beginning of the first, the second and the third appointment
Summary
Following thorough instrumentation of an infected root canal, there will be significant reduced number of bacteria, but it is well documented that instrumentation alone can't clean all the internal surface of the root canal. Bacteria can be found on the root canal walls, within the dentinal tubules and in the lateral canals. The intracanal medicaments were designed and proposed for the followings: the antimicrobical activity in the pulp and periapex, the neutralization of the canal remnants to render them inert, the control or prevention of post treatment pain, the introduction of hard tissue formation, the control of exudation & the control of inflammatory root resorption[3]. Honey usually used for the treatment of mouth ulcers, infection and erosion of the gingiva and maxilla after bone grafting and stomatitis during radiotherapy. It is indicated that the honey has a role as therapeutic agent in the oral diseases[6]
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