Abdollahi-Mansoorkhani Hamid Reza, Soleimani Farzad, Mahmoudi Farshid
School of Dentistry, Endodontic Department, Islamic Azad University of Shiraz, Shiraz, IRN.
Cureus. 2022 Sep 19;14(9):e29327. doi: 10.7759/cureus.29327. eCollection 2022 Sep.
Background Considering the importance of irrigation in dental root canal treatment, there is an urgent need to find a risk-free bioactive and antibacterial endodontic solution. , an anaerobic gram-positive coccus, has been identified as the main reason for endodontic infections. Several studies have been conducted on and periapical infection. Nowadays, plants used in traditional medicine play a role that is widely appreciated by researchers. One of these herbs is ginger which shows an acceptable antimicrobial effect on . Due to the highly crucial role that irrigation plays in the success of endodontic treatment, a comprehensive survey based on several criteria, namely, scientific, technical, and empirical, is required to address the goal of determining the best endodontic solution. Methodology The most important criteria are antibacterial activity, risks and hazards, cost, and availability. In this study, the analytical network process (ANP), which is a multi-criteria decision-making method, was applied to determine the best endodontic irrigant. Results Several alternatives were investigated using the ANP. In this study, 5.25% sodium hypochlorite (NaOCl) and 2% chlorhexidine were at the top of the list. According to the sensitivity analysis, 10% ethanolic ginger extract showed comparable results to 2.5% NaOCl. Conclusions To carefully prioritize endodontic irrigants a wide range of standards and criteria should be considered. Considering the low risk, great wettability, and active compounds of ginger extract, it can be a promising viable risk-free solution for root canal treatments.
背景 考虑到冲洗在牙髓根管治疗中的重要性,迫切需要找到一种无风险的生物活性抗菌牙髓治疗溶液。变形链球菌,一种厌氧革兰氏阳性球菌,已被确定为牙髓感染的主要原因。关于变形链球菌和根尖周感染已经进行了多项研究。如今,传统医学中使用的植物发挥的作用受到研究人员的广泛认可。其中一种草药是生姜,它对变形链球菌显示出可接受的抗菌效果。由于冲洗在牙髓治疗成功中起着至关重要的作用,需要基于科学、技术和经验等多个标准进行全面调查,以实现确定最佳牙髓治疗溶液的目标。方法 最重要的标准是抗菌活性、风险和危害、成本以及可获得性。在本研究中,应用多标准决策方法——分析网络过程(ANP)来确定最佳牙髓冲洗剂。结果 使用ANP对几种替代方案进行了研究。在本研究中,5.25%次氯酸钠(NaOCl)和2%氯己定名列前茅。根据敏感性分析,10%乙醇生姜提取物显示出与2.5% NaOCl相当的结果。结论 为了仔细确定牙髓冲洗剂的优先级,应考虑广泛的标准和准则。考虑到生姜提取物的低风险、良好的润湿性和活性成分,它可能是一种有前景的可行的无风险根管治疗解决方案。