Original Article

Year : 2021

Volume : Volume 12

Issue : Issue 5

Strategic Evaluation of Efficacy of Different Irrigants in Effective Removal of Triple Antibiotic Paste from the Canal Spaces: An Original Research Study

Dr. Shubhra Malik

Address for correspondence :
Dr. Shubhra Malik
dr.shubhramalik@gmail.com

Abstract


Background and Aim: Literature has well evidenced that triple antibiotic paste (TAP) can be successfully used in restricting pathogenesis in root canal milieu. However, its efficient removal is also very technique sensitive and must be performed efficiently. This study was conducted to strategically evaluate the efficacy of three common root canal irrigants in removal of TAP from the canal spaces. Stereomicroscope was used to score the effectiveness of studied irrigating solutions. Materials and Methods: This study was conducted on 15 extracted single-rooted tooth samples. Sterilized glass vials were used to make the accurate impressions of the all root samples individually using silicon impression materials. TAP was prepared and painted equally in the canal area of only one half. These vial assemblies were incubated for 1 week. Three popular root canal irrigants were analyzed, that is, BioPure MTAD (Group 1), chlorhexidine gluconate (Group 2), and 5.25% NaOCl (Group 3). Individual root halves were separated and examined under stereomicroscope. Scoring system of 1–4 was used to assess the amount of residual TAP in the canal. Results thus obtained were compiled and sent for necessary statistical analysis. Results: All tabulated information were sent for statistical analysis using statistical software Statistical Package for the Social Sciences version 21. BioPure MTAD was very efficient and demonstrated 1 score in four out of five samples. Level of significance evaluation using Pearson Chi-square test (for Groups 1, 2, and 3) showed highly significant P value. Standard deviation for all three groups was ranging from 1.033 to 1.102. Standard error was in the range of 0.642–0.902 for all three studied groups. Comparison of the three study groups using one-way ANOVA revealed significant (P = 0.001). Conclusion: Within the limitations of the study, authors concluded that BioPure MTAD was most effective root canal irrigant for efficient cleaning of TAP. About 5.25% NaOCl was found to be least effective among all three tested root canal irrigating solutions.

Keywords: BioPure MTAD, NaOCl, Triple antibiotic paste, Stereomicroscope.