Review Article

Comparison of Herbal Agents with Sodium Hypochlorite as Root Canal Irrigant: A Systematic Review of In Vitro Studies

Table 3

Methodology assessment.

Author and yearMicrobial inoculationRoot canal preparation (instruments used and size of preparation)Irrigation protocolVolume of irrigantTime of irrigationNeedle used for irrigationIrrigant activation devices used

Ok et al. 2015 [5]E. faecalis (ATCC 29212) cultured in a BHI agar suspension adjusted to 1 × 108 CFUProTaper NiTi rotary files 30.06% taperNo protocol mentioned6 ml of each irrigant2 minNot mentioned in the studyNil
Pujar et al. 2011 [11]E. faecalis cultured in a BHI agar (strain not mentioned)Step back upto 40 K fileNo protocol mentioned3 ml of each irrigant10 minsNot mentioned in the studyNil
Choudhary et al. 2018 [12]E. faecalis (MTCC 2729) and C. albicans (MTCC 1637) in a BHI agar is inoculated in 5 mL of suspension to obtain 1 : 1010 dilutionStep back upto 40 K fileDuring canal preparation, 3 mL of respective irrigant was used for 15 mins after enlargement, 2 mL of irrigant solution was used to rinse debris in the canals for another 5 min. Sterile normal saline (2 mL) was used as a final rinse5 ml of each irrigant20 mins30-gauge needleNil
Sedigh-Shams et al. 2015 [13]C. albicans in sabouraud dextrose agar suspensions adjusted to 1.5 × 108 CFUProTaper NiTi rotary files 30.06% taperDuring canal preparation, 10 ml of respective irrigants were used. Groups 1 and 2 were irrigated with 2 ml of sterile distilled water to remove the remaining Z. multiflora EO. Group 3 were irrigated with 2 ml of 4% sterile sodium thiosulfate solution to neutralize the remaining NaOCl10 ml of each irrigant12–14 mins27-gauge needleNil
Rosaline et al. 2013 [14]E. faecalis (ATCC 29212) cultured in tryptone bile X-glucuronide agar suspensions adjusted to 1 × 106 cells/mlNot mentioned in the studyAll the specimens were treated with 5.25% NaOCl for 30 min followed by 5 mmol/L 17% EDTA for 5 mins. After which, the final irrigants were usedNot mentioned about the volume of final rinseFinal irrigation for 30 minsNot mentioned in studyNil
Gupta–Wadhwa et al. 2016 [15]E. faecalis (ATCC 29212) suspensions adjusted to 1.5 × 108 CFUProTaper NiTi rotary files 30.06% taperInitially, 2 mL of experimental extract for 30 s; during instrumentation, the canal was irrigated with 2 mL of the tested extract. After instrumentation experimental, extract was left undisturbed for 60 s and then finally irrigated with 2 mL of 3% NaOCl followed by 5 mL of 17% EDTA for 1 min and again with 2 mL of experimental extract20 ml used in each canal6mins 30 s approx.30-gauge needleNil
Sharifian et al. 2009 [16]E. faecalis (ATCC 29212)Specimens enlarged low-speed round burs of ISO sizes 025, 027, 029, 031, and 033No protocol was mentionedNot mentioned20 mins contact time of irrigantNot mentionedNil
Divia et al. 2018 [17]E. faecalis (ATCC 29212)Step back upto 50 k fileNo protocol was mentionedNot mentionedNot mentionedNot mentionedNil
Kumar et al. 2018 [18]E. faecalis (strain not mentioned)Step back up to 30K sizeNo protocol was mentioned6 ml of irrigantsAt the rate of 2 ml/15 seconds25-gauge needleNil