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Evaluation of Antimicrobial Potency of Garlic Lemon Extract Irrigant Versus Physiological Saline Irrigant

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L'étude clinique NCT06759766 est un essai interventionnel pour Necrotic Primary Teeth. Son statut actuel est : pas encore en recrutement. Le recrutement est prévu pour commencer le 1 janvier 2025, avec un objectif de 38 participants. Dirigé par l'Université du Caire, l'essai devrait être terminé d'ici le 1 janvier 2026. Les données du site ClinicalTrials.gov ont été mises à jour pour la dernière fois le 7 janvier 2025.
Résumé succinct
To evaluate the antimicrobial potency of Garlic Lemon extract irrigant versus physiological saline irrigant following partial pulpectomy in primary molars.
Description détaillée
Pulpectomy is a suitable treatment of primary teeth with irreversible pulpitis, necrosis, or periodontitis due to caries or trauma. Due to the complex nature of the deciduous root canal system makes total removal of necrotic tissue by instrumentation alone impossible. Therefore, irrigation is a replenishing step to create a disinfectant atmosphere inside the root canal.

A variety of antiseptic and antibacterial irrigating solutions have been used such as (NaOCl), (CHX), and (EDTA). Due to their adverse effects, safety issues and cytotoxic reactions, Herbal products can be an alternative to these irrigants based on their previous history in medical field.

Herbal extracts such as garlic (Allium sativum) Shows a wide range of therapeutic effects due to the presence of allicin, ajoene & other thiosulfinates. It has antibacterial effect against wide range of gram-positive and gram-negative bacteria, anti-inflammatory, antioxidant, antiviral, antifungal, antitumor, immunomodulatory effects and tissue-dissolving capacity (Siddique, et al., 2020). According to (Elheeny., 2019) Allium sativum extract can be used efficiently as an irrigant for pulpectomy of primary molar root canals.

Lemon (Citrus Limon) as well has curative properties such as, antibacterial, antiviral, antifungal, anti-inflammatory, anti-cancerous activities and removal of the smear layer as well. Due to presence of ascorbic acid, phenolic acids, polyphenols, and dietary fibers.

the combination of Garlic-Lemon has been tested in adult teeth as an irrigant and showed an effective result equal to NaOCl (Siddique, et al., 2020).However, there is no studies have been performed to assess the combination of Garlic-lemon extract as an irrigant in deciduous molars.

Titre officiel

Evaluation of Antimicrobial Potency of Garlic Lemon Extract Irrigant Versus Physiological Saline Irrigant Following Partial Pulpectomy in Primary Molars: A Randomized Clinical Trial

Conditions
Necrotic Primary Teeth
Publications
Articles scientifiques et travaux de recherche publiés sur cet essai clinique:
Autres identifiants de l'essai
  • CU 30/12/2025
Numéro NCT
Date de début (réel)
2025-01-01
Dernière mise à jour publiée
2025-01-07
Date de fin (estimée)
2026-01-01
Inscription (estimée)
38
Type d'essai
Interventionnel
PHASE
N/A
Statut
Pas encore en recrutement
Objectif principal
Traitement
Plan d'attribution
Randomisé
Modèle d'intervention
Parallèle
Masquage
Double aveugle
Bras / Interventions
Groupe de participants/BrasIntervention/Traitement
Comparateur actifGarlic-Lemon Extract irrigant
garlic (Allium sativum) Shows a wide range of therapeutic effects due to the presence of allicin, ajoene \& other thiosulfinates. It has antibacterial effect against wide range of gram-positive and gram-negative bacteria, anti-inflammatory, antioxidant, antiviral, antifungal, antitumor, immunomodulatory effects and tissue-dissolving capacity (Siddique, et al., 2020). According to (Elheeny., 2019) Allium sativum extract can be used efficiently as an irrigant for pulpectomy of primary molar root canals. Lemon (Citrus Limon) as well has curative properties such as, antibacterial, antiviral, antifungal, anti-inflammatory, anti-cancerous activities and removal of the smear layer as well. Due to presence of ascorbic acid, phenolic acids, polyphenols, and dietary fibers. the combination of Garlic-Lemon has been tested in adult teeth as an irrigant and showed an effective result equal to NaOCl (Siddique, et al., 2020).
Garlic-lemon Extract Irrigant
garlic (Allium sativum) Shows a wide range of therapeutic effects due to the presence of allicin, ajoene \& other thiosulfinates. It has antibacterial effect against wide range of gram-positive and gram-negative bacteria, anti-inflammatory, antioxidant, antiviral, antifungal, antitumor, immunomodulatory effects and tissue-dissolving capacity (Siddique, et al., 2020). According to (Elheeny., 2019) Allium sativum extract can be used efficiently as an irrigant for pulpectomy of primary molar root canals. Lemon (Citrus Limon) as well has curative properties such as, antibacterial, antiviral, antifungal, anti-inflammatory, anti-cancerous activities and removal of the smear layer as well. Due to presence of ascorbic acid, phenolic acids, polyphenols, and dietary fibers. the combination of Garlic-Lemon has been tested in adult teeth as an irrigant and showed an effective result equal to NaOCl (Siddique, et al., 2020).
Comparateur actifphysiological saline irrigant
Normal saline solution exhibits no adverse effects on the developing successors; Serves primarily to facilitate root canal cleaning during the irrigation process, in comparison to other commercial synthetic irrigants such as Sodium hypochlorite (NaOCl), Chlorhexidine (CHX), Ethylenediamine tetra acetic acid (EDTA) which exhibit potential side effects and cytotoxic reactions (Sayadizadeh et al., 2019).
Physiological Saline
Normal saline solution exhibits no adverse effects on the developing successors; Serves primarily to facilitate root canal cleaning during the irrigation process, in comparison to other commercial synthetic irrigants such as Sodium hypochlorite (NaOCl), Chlorhexidine (CHX), Ethylenediamine tetra acetic acid (EDTA) which exhibit potential side effects and cytotoxic reactions (Sayadizadeh et al., 2019).
Critère principal d'évaluation
Critères d'évaluationDescription de critèresPériode
bacterial count
colony forming unit (CFU) quantitative measure
pre and after irrigation within the same visit
Critères d'éligibilité

Âges éligibles
Enfant
Âge minimum
4 Years
Sexes éligibles
Tous
Accepte les volontaires en bonne santé
Oui
  1. The children's age range from four to seven years from both sexes.
  2. Presence of localized swelling, sinus and pain on percussion which indicate non vital pulp.
  3. Presence of periapical and furcation radiolucency in periapical radiograph.
  4. Absence of history of systemic disease which would contraindicate pulp therapy e.g. infective endocarditis.
  5. No previous history of antibiotics administration or last dose was taken from at least two weeks.

  1. Presence of advanced physiologic or pathologic root resorption in X-ray.
  2. Uncooperative children.
  3. Teeth with unrestorable crowns.
  4. Teeth with abnormal anatomy and calcified canals.
Partie responsable de l'essai
Nourhan Yasser Yousef Mohamed, Investigateur principal, principle investigator, Cairo University
Contact central de l'essai
Contact: Nourhan Y Yousef, masters researcher, 00201066085773, [email protected]
Contact: Rasha M Hatem, Assoc.Prof., 00201001670222, [email protected]
Aucune donnée sur les lieux ou centres d'investigation disponible