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REVIEW ARTICLE
Year : 2020  |  Volume : 41  |  Issue : 3  |  Page : 148-158

Azadirachta indica A. juss, Morinda citrifolia L. and Triphala as herbal endodontic irrigants: A scoping review


1 Department of Pedodontic, Dr HSJIDS, Panjab University, Chandigarh, India
2 Department of Conservative Dentistry, Dr HSJIDS, Panjab University, Chandigarh, India
3 Department of Periodontics, Sudha Rustagi Dental College, Faridabad, Haryana, India

Correspondence Address:
Archna Agnihotri
Department of Pedodontics, Dr Harvansh Singh Judge Institute of Dental Sciences, Sector-25, Chandigarh - 160 025
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ayu.AYU_102_20

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Background: The success of the root canal treatment depends on the complete elimination of the microflora, biofilms and smear layer from the pulp space. A wide variety of chemical endodontic irrigants are available to achieve disinfection and thorough debridement besides mechanical means. However, detrimental properties such as allergic potential, cytotoxicity, antimicrobial resistance and safety concerns have intrigued researchers over the years to look for safer options. Aim: The review is aimed at providing comprehensive information of the studies evaluating the efficacy of Azadirachta indica A. juss (A. indica), Morinda citrifolia L. (M. citrifolia) and Triphala (fruits of Emblica officinalis Gaertn., Terminalia chebula (Gaertn.) Roxb. and Terminalia belerica Retz.) as herbal endodontic irrigants. Materials and methods: The literature review was conducted using indexed databases (PubMed, Google Scholar, Cochrane) electronically for publications in peer-reviewed journals for relevant articles evaluating the efficacy of A. indica, Triphala, M. citrifolia as endodontic irrigant from the year 1985-March 2020. Results: A total of 58 studies were identified for full text reviewing after duplicate removal and screening title and abstracts. A total of 32 studies were included and processed for data extractions. Conclusion: Various in-vitro/in-vivo studies utilizing these herbal irrigants have documented promising results and hold the potential to replace chemical endodontic irrigants in routine practice but more preclinical and clinical trials are needed to substantiate these results before they can conclusively be recommended as intracanal irrigating solutions.


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