World Journal of Dentistry

Register      Login

VOLUME 9 , ISSUE 5 ( September-October, 2018 ) > List of Articles

RESEARCH ARTICLE

In Vitro Comparative Assessment of Diffusion of ION from Calcium Hydroxide with Three Different Phytomedicine pastes through Dentin

Manoj G Chandak, Richa R Modi, Bharat JJ Rathi, Rakesh J Gogiya, Purva Bhutada

Keywords : Calcium hydroxide, Diffusion ability, Herbal pastes, ion diffusion, Ph

Citation Information : Chandak MG, Modi RR, Rathi BJ, Gogiya RJ, Bhutada P. In Vitro Comparative Assessment of Diffusion of ION from Calcium Hydroxide with Three Different Phytomedicine pastes through Dentin. World J Dent 2018; 9 (5):366-371.

DOI: 10.5005/jp-journals-10015-1564

License: CC BY-NC 4.0

Published Online: 01-10-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Aim: The main aim of the present study is in vitro assessment of the diffusion ability and degradation of calcium hydroxide from pastes prepared by using different vehicles to determine the influence of a vehicle on pH of calcium hydroxide [Ca(OH)2] pastes. Materials and methods: A total of 44 single-rooted premolar teeth were used in this study. The tooth crowns were removed and the root canals were prepared. Depending on the vehicle to be used for preparing calcium hydroxide pastes, four groups were made: group I: Ca(OH)2 saline paste (control group), group II: Ca(OH)2 neem, group III: Ca(OH)2 aloe vera, group IV: Ca(OH)2 turmeric paste. After biomechanical preparation, calcium hydroxide herbal paste dressings were applied and sealed with resin-based cement. The teeth were placed in containers with distilled water, and the pH of the water was measured at regular intervals over 3, 24, and 168 hours. Results: The present study showed all herbal pastes allowed the diffusion of ions, but pastes prepared with aloe vera showed more ion diffusion and a marked increase in pH, depicting better support for calcium hydroxide action. Conclusion: Aloe vera allows better diffusion of calcium hydroxide through dentinal tubules, thus enhancing its action, and advises its use as a vehicle for placing intracanal medicament. Clinical significance: Calcium hydroxide [Ca(OH)2] is the most common and effective intracanal medicament. However, CH is not so effective when used alone. Therefore combinations are required to enhance its clinical properties. To be effective, diffusion of hydroxyl ions are required for which vehicle plays a significant role.


PDF Share
  1. Dausage P, Dhirawani RB, Marya J, Dhirawani V, Kumar V. A Comparative Study of Ion Diffusion from Calcium Hydroxide with Various Herbal Pastes through Dentin. International journal of clinical pediatric dentistry. 2017 Jan;10(1):41.
  2. Farhad A, Mohammadi Z. Calcium hydroxide: a review. Int Dent J. 2005 Oct;55(5):293-301.
  3. Dutta B, Dhull KS, Das D, Samir PV, Verma RK, Singh N. Evaluation of Antimicrobial Efficacy of various Intracanal Medicaments in Primary Teeth: An in vivo Study. Int J Clin Pediatr Dent. 2017;10(3):267-271.
  4. Batista VE de S, Olian DD, Mori GG. Diffusion of hydroxyl ions from calcium hydroxide and Aloe vera pastes. Braz Dent J. 2014;25(3):212-216.
  5. Montero JC, Mori GG. Assessment of ion diffusion from a calcium hydroxide-propolis paste through dentin. Braz Oral Res. 2012 Aug;26(4):318-322.
  6. Antibacterial action of calcium hydroxide vehicles and calcium hydroxide pastes. - PubMed - NCBI [Internet]. [cited 2017 Nov 15]. Available from: https://www.ncbi.nlm.nih. gov/pubmed/23129141
  7. Pacios MG, de la Casa ML, de Bulacio M los A, López ME. Influence of different vehicles on the pH of calcium hydroxide pastes. J Oral Sci. 2004 Jun;46(2):107-111.
  8. Raghavendra SS, Balsaraf KD. Antifungal efficacy of Azadirachta indica (neem) - An in vitro study. Brazilian Journal of Oral Sciences. 2014 Oct 1;13:242-245.
  9. Haapasalo HK, Sirén EK, Waltimo TM, Orstavik D, Haapasalo MP. Inactivation of local root canal medicaments by dentine: an in vitro study. International Endodontic Journal. 2000 Mar;33(2):126-131.
  10. Porkaew P, Retief DH, Barfield RD, Lacefield WR, Soong SJ. Effects of calcium hydroxide paste as an intracanal medicament on apical seal. J Endod. 1990 Aug;16(8):369-374.
  11. Noushad MC, Balan B, Basheer S, Usman SB, Askar MM. Antimicrobial efficacy of different natural extracts against persistent root canal pathogens: An In vitro study. Contemporary clinical dentistry. 2018 Apr;9(2):177.
  12. Saha S, Nair R, Asrani H. Comparative Evaluation of Propolis, Metronidazole with Chlorhexidine, Calcium Hydroxide and Curcuma Longa Extract as Intracanal Medicament Against E.faecalis- An Invitro Study. J Clin Diagn Res. 2015 Nov;9(11):ZC19-21.
  13. Stuart CH, Schwartz SA, Beeson TJ, Owatz CB. Enterococcus faecalis: its role in root canal treatment failure and current concepts in retreatment. Journal of endodontics. 2006 Feb 1;32(2):93-98.
  14. Siqueira Jr JF, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. International endodontic journal. 1999 Sep;32(5):361-369.
  15. Mohammadi Z, Dummer PM. Properties and applications of calcium hydroxide in endodontics and dental traumatology. International endodontic journal. 2011 Aug;44(8):697-730.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.