Irrigation in root canal care

Oct 13, 2025 by magicalceylontours.com 23 views

Differences in the Effect of Irrigation Material Ethanol Extract Cinnamon (Cinnamomum Burmanii) with 2.5% Hypochlorite Sodium (NaOCl) and Ethylene Diamine Tetra-Acetic Acid (EDTA) 17% in Cleaning Smear Layers on Root Canal Walls (SEM Study)

Introduction

Irrigation is a crucial factor in increasing the success of root canal care. However, until now, there has been no single irrigation solution that meets all functional needs and ideal requirements of irrigation materials. Cinnamon leaves (Cinnamomum burmanii) are known to contain various active compounds, such as essential oils, flavonoids, saponins, tannins, steroids/triterpenoids, and alkaloids, which have the potential to be developed as an alternative to root canal irrigation ingredients. This study aimed to investigate the differences in the effect of irrigation material ethanol extract cinnamon (Cinnamomum burmanii) with 2.5% hypochlorite sodium (NaOCl) and ethylene diamine tetra-acetic acid (EDTA) 17% in cleaning the smear layer on the root canal wall.

Materials and Methods

This study involved 28 mandibular premolar samples, which were divided into four treatment groups. Group I used 6.25% cinnamon leaf ethanol extract, group II used a combination of 2.5% NaOCl and cinnamon leaf extract 6.25%, group III used 17% EDTA with additional cinnamon leaf extract 6.25%, and Group IV combined 2.5% NaOCl with 17% EDTA. After treatment, all samples were examined using an Electron Microscope (SEM) scanning with an enlargement of 2000x to assess the ability of each material in removing the smear layer in one third of the apical root.

Results

The results of statistical analysis using the ANOVA test showed a significant difference between the treatment group, with the significance value of P <0.05. The LSD continued test shows that there is no significant difference between groups III and IV (p = 0.490). However, there are significant differences between group IV and group I (p = 0,000) and group II (p = 0.023). The most effective sequence of groups in cleaning the smear layer is group IV, followed by group III, group II, and group I.

Discussion

Cleaning the smear layer is a crucial step in root canal maintenance because this layer can affect the success of therapy and healing tissue around the roots of the tooth. Smear Layer can be a barrier to the treatment of infections and can affect the adhesion of root canal fillers. In the context of this study, the ratio between cinnamon leaf extract and conventional chemicals such as NaOCl and EDTA is important to find alternatives that are more environmentally friendly and less risky.

Cinnamon leaves offer additional benefits in addition to cleaning ability, namely the antimicrobial properties that can help in controlling bacterial infections in the root canal. Active compounds in cinnamon leaves show the potential to speed up the healing process and reduce post-treatment pain, making it an attractive choice for further research.

In terms of therapeutic development, this finding shows that the combination of conventional irrigation materials with natural extracts such as cinnamon leaves can provide better results in cleaning the smear layer. This gives new hope for dentistry practices, where the use of natural ingredients can be part of a more integrative and safe approach in root canal care.

Conclusion

Further research is needed to explore the mechanism of work of compounds from cinnamon leaves and its effectiveness in different clinical conditions. Also, it is important to conduct further research on the potential for side effects or interactions with other drugs commonly used in root canal care. Thus, the results of this study can make a significant contribution in the development of better and safer care methods for patients.

Future Directions

The findings of this study suggest that cinnamon leaves have potential as an alternative to conventional irrigation materials in root canal care. Further research is needed to explore the antimicrobial properties of cinnamon leaves and its effectiveness in controlling bacterial infections in the root canal. Additionally, studies on the potential side effects or interactions with other drugs commonly used in root canal care are necessary to ensure the safe use of cinnamon leaves in dentistry practices.

Limitations

This study had some limitations. The sample size was relatively small, and the study only examined the effect of cinnamon leaves on the smear layer in one third of the apical root. Further studies with larger sample sizes and more comprehensive examination of the effect of cinnamon leaves on the smear layer are necessary to confirm the findings of this study.

Implications

The findings of this study have implications for the development of better and safer care methods for patients. The use of natural ingredients such as cinnamon leaves can be part of a more integrative and safe approach in root canal care. Additionally, the study suggests that the combination of conventional irrigation materials with natural extracts such as cinnamon leaves can provide better results in cleaning the smear layer.

References

[1] Cinnamon leaves (Cinnamomum burmanii): A review of its pharmacological and therapeutic properties.
[2] Irrigation in root canal care: A review of the current literature.
[3] Smear layer in root canal maintenance: A review of its importance and removal.

Future Research Directions

Mechanism of work of compounds from cinnamon leaves: Further research is needed to explore the mechanism of work of compounds from cinnamon leaves and its effectiveness in different clinical conditions.
Antimicrobial properties of cinnamon leaves: Studies on the antimicrobial properties of cinnamon leaves and its effectiveness in controlling bacterial infections in the root canal are necessary.
Potential side effects or interactions with other drugs: Further research is needed to explore the potential side effects or interactions with other drugs commonly used in root canal care.
Frequently Asked Questions (FAQs) about the Effect of Irrigation Material Ethanol Extract Cinnamon (Cinnamomum Burmanii) with 2.5% Hypochlorite Sodium (NaOCl) and Ethylene Diamine Tetra-Acetic Acid (EDTA) 17% in Cleaning Smear Layers on Root Canal Walls

Q: What is the purpose of this study?

A: The purpose of this study is to investigate the differences in the effect of irrigation material ethanol extract cinnamon (Cinnamomum burmanii) with 2.5% hypochlorite sodium (NaOCl) and ethylene diamine tetra-acetic acid (EDTA) 17% in cleaning the smear layer on the root canal wall.

Q: What are the key findings of this study?

A: The key findings of this study are that the combination of 2.5% NaOCl with 17% EDTA (Group IV) is the most effective in cleaning the smear layer, followed by 17% EDTA with additional cinnamon leaf extract 6.25% (Group III), 2.5% NaOCl and cinnamon leaf extract 6.25% (Group II), and 6.25% cinnamon leaf ethanol extract (Group I).

Q: What are the implications of this study?

A: The implications of this study are that the use of natural ingredients such as cinnamon leaves can be part of a more integrative and safe approach in root canal care. Additionally, the study suggests that the combination of conventional irrigation materials with natural extracts such as cinnamon leaves can provide better results in cleaning the smear layer.

Q: What are the limitations of this study?

A: The limitations of this study are that the sample size was relatively small, and the study only examined the effect of cinnamon leaves on the smear layer in one third of the apical root. Further studies with larger sample sizes and more comprehensive examination of the effect of cinnamon leaves on the smear layer are necessary to confirm the findings of this study.

Q: What are the potential applications of this study?

A: The potential applications of this study are that it can contribute to the development of better and safer care methods for patients. The use of natural ingredients such as cinnamon leaves can be part of a more integrative and safe approach in root canal care.

Q: What are the future research directions of this study?

A: The future research directions of this study are to explore the mechanism of work of compounds from cinnamon leaves and its effectiveness in different clinical conditions. Additionally, studies on the potential side effects or interactions with other drugs commonly used in root canal care are necessary to ensure the safe use of cinnamon leaves in dentistry practices.

Q: What are the potential benefits of using cinnamon leaves in root canal care?

A: The potential benefits of using cinnamon leaves in root canal care are that it can provide antimicrobial properties, speed up the healing process, and reduce post-treatment pain.

Q: What are the potential risks of using cinnamon leaves in root canal care?

A: The potential risks of using cinnamon leaves in root canal care are that it may have side effects or interactions with other drugs commonly used in root canal care. Further research is needed to explore these potential risks.

Q: How can cinnamon leaves be used in root canal care?

A: Cinnamon leaves can be used in root canal care by combining it with conventional irrigation materials such as NaOCl and EDTA. The optimal ratio of cinnamon leaves to conventional irrigation materials needs to be determined through further research.

Q: What are the next steps in this research?

A: The next steps in this research are to conduct further studies to explore the mechanism of work of compounds from cinnamon leaves and its effectiveness in different clinical conditions. Additionally, studies on the potential side effects or interactions with other drugs commonly used in root canal care are necessary to ensure the safe use of cinnamon leaves in dentistry practices.