College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia; Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia.
College of Dental Medicine, QU Health, Qatar University, Doha, Qatar.
Eur Endod J. 2024 Aug 22;9(3):167-79. doi: 10.14744/eej.2024.65487.
OBJECTIVE: The use of propolis-based materials within endodontics to promote pulp wound healing or disinfect the root canal system has been a recent focus of scientists and clinicians. This is mainly because of the well-documented antimicrobial, anti-inflammatory, immunomodulatory and wound healing properties of propolis. This scoping review critically appraises the literature on the clinical applications of propolis-based compounds during endodontic therapy of primary and permanent teeth. METHODS: An electronic literature search was performed in Scopus, PubMed, and Web of Science up to and including October 2023 to identify studies assessing the use of propolis during endodontic therapy of primary and permanent teeth. A combination of relevant MeSh terms and keywords was used. Only human clinical studies written in English were included. The identified manuscripts were screened and assessed for inclusion by two independent authors. Eligible manuscripts were then subjected to critical appraisal and data extraction with the information being summarised according to their clinical application. RESULTS: A total of 26 human clinical studies were identified and included in the analysis. Propolis was investigated for use in the primary and permanent dentitions as a direct pulp capping or pulpotomy material as well as in root canal disinfection and root filling of teeth with non-vital pulps. Overall, the studies reported that the use of propolis was associated with promising outcomes in terms of efficacy to control inflammation, enhance tissue repair, and disinfection of the root canal system. However, a critical appraisal of the studies revealed a range of methodological and reporting deficiencies, resulting in unreliable results and conclusions in terms of the clinical outcomes reported. CONCLUSION: Although the studies on the use of propolis-based materials in endodontics reported promising clinical outcomes, they had a range of methodological and reporting flaws. Further well-designed and properly reported controlled clinical studies are essential to derive sound evidence-based conclusions on propolis-based materials. Furthermore, guidelines for quality assurance and safe use of propolis-based materials are necessary to enhance their production for commercial use in endodontics.
目的:在牙髓学中使用基于蜂胶的材料来促进牙髓伤口愈合或对根管系统进行消毒,这是最近科学家和临床医生关注的焦点。这主要是因为蜂胶具有良好记录的抗菌、抗炎、免疫调节和伤口愈合特性。本范围综述批判性地评估了关于蜂胶基化合物在乳牙和恒牙牙髓治疗中的临床应用的文献。
方法:在 Scopus、PubMed 和 Web of Science 中进行了电子文献检索,检索时间截至 2023 年 10 月,以确定评估蜂胶在乳牙和恒牙牙髓治疗中使用的研究。使用了相关的 MeSh 术语和关键词的组合。仅纳入以英语撰写的人类临床研究。两名独立作者对确定的手稿进行了筛选和纳入评估。合格的手稿随后进行批判性评估和数据提取,并根据其临床应用进行总结。
结果:共确定了 26 项人类临床研究,并纳入了分析。蜂胶被研究用于作为直接盖髓或牙髓切断术材料,以及用于根管消毒和非活力牙髓牙齿的根管填充。总体而言,这些研究报告称,蜂胶的使用在控制炎症、增强组织修复和根管系统消毒方面具有有希望的效果。然而,对这些研究的批判性评估显示出一系列方法学和报告缺陷,导致报告的临床结果不可靠。
结论:尽管牙髓学中使用基于蜂胶的材料的研究报告了有希望的临床结果,但它们存在一系列方法学和报告缺陷。需要进一步进行设计良好且正确报告的对照临床试验,以便从基于证据的角度得出有关蜂胶基材料的可靠结论。此外,需要制定质量保证和蜂胶基材料安全使用指南,以提高其用于牙髓学商业用途的生产。
Br Dent J. 2005-1-8
Acta Odontol Scand. 2019-5-30
Int Endod J. 2022-6
Aust Endod J. 2004-8
Molecules. 2022-7-19
Phytochem Rev. 2022
Int Endod J. 2022-6