Volume 4 Issue 1 (January-February), 2018

Original Articles

Efficacy of Various Irrigants in removing Triple Antibiotic Paste (TAP) from the Root Canal: An in-vitro study
D. Nitish Varma, Ch. Srinivas Kumar, V. Raja Sekhar

Background- Triple antibiotic paste (TAP), a combination of Ciprofloxacin, Metronidazole, and Minocycline is the mainstay in regenerative endodontics. Though combination of the antibiotics may change, it is found to be having some drawbacks when traces are left out in the root canal. Hence, its complete removal from the tooth in the subsequent stages of the treatment becomes very important. Aim- The aim of this study is to evaluate competence of various Irrigants in removing TAP from root canals. Materials and methodology- 35 Single rooted teeth were taken and decoronated followed by BMP of the root canal. Then root of each tooth was longitudinally cut into two halves and TAP was placed in the grooves and the root segments were reassembled. Based on the irrigant used, the teeth were then randomly assigned to normal saline group, 2% NaOCl group, 3% NaOCl with normal saline group, 17% EDTA group, and 2% CHG group. The roots were then disassembled to test for the remnants of TAP under stereomicroscope. Results- Amongst the Irrigants used, 3% NaOCl with normal saline was found to be the most efficient in removing TAP from the root canal. Though normal saline, 2% NaOCl, 17% EDTA, and 2% CHG were also able to remove TAP, they were not as efficacious as the combination in removing TAP from the root canals. Conclusion-NaOCl is routinely used for irrigation during endodontic procedures, and increasing its concentration and combining with normal saline can be a better option for irrigation during regenerative endodontic procedures.
Key words-TAP, NaOCl, CHG, EDTA

Corresponding author: D. Nitish Varma, Post graduate Student Department of Pedodontics and Preventive Dentistry, Gitam Dental College and Hospital, Visakhapatnam, Andhra Pradesh

 

This article may be cited as: Varma DN, Kumar CS, Sekhar VR. Efficacy of various irrigants in removing Triple antibiotic paste (TAP) from the root canal: An in-vitro study. Int J Res Health Allied Sci 2018; 4(1):31-34.

 
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