The Potential of Bilimbi Leaves (Averrhoa bilimbi Linn.) Extract as Irrigation Solution to Remove Smear Layer in Dental Root Canal: An Invitro Study
DOI:
https://doi.org/10.37275/bsm.v6i5.497Keywords:
Averrhoa Bilimbi Leaves Extract, Smear Layer, Pulpa, Dental Root Canal, Irrigation SolutionAbstract
Background: Root canal treatment is performed to eliminate the infection in the pulp tissue. One of the critical steps in root canal treatment is irrigation, which aims to clean debris and smear layer. This study aims to compare the effectiveness of star fruit extract (Averrhoa bilimbi Linn) at concentrations of 5%, 10%, 15%, and 20% with EDTA 17% in cleaning the smear layer on the one-third of apical root canals.
Methods: This type of research is an experimental in vitro laboratory with a post-test only control group design. The sample of this study consisted of 25 premolars which were randomly divided into five groups. The teeth were instrumented with a K-file and irrigated with the following materials: groups I, II, III, and IV using bilimbi leaves extract, each with concentrations of 5%, 10%, 15%, and 20% and group V (positive control). ) using 17% EDTA. SEM (scanning electron microscope) was used to measure the cleanliness score of the smear layer on the apical third of the root canal. This study showed that bilimbi leaves extract was able to clean the smear layer on the one-third of the apical root canal.
Results: The results of the Kruskal-Wallis statistical test showed a significant difference (p<0.05) between all treatment groups. The highest average smear layer cleanliness score in the apical third of the root canals was EDTA 17%, while the lowest average smear layer cleanliness score was 5% bilimbi leaves extract.
Conclusion: Bilimbi leaves extract with a concentration of 20% was considered more effective among the extract groups, and 17% EDTA was the most effective in cleaning the smear layer on one-third of the root canals.
Authors
- Windy Fanika Putri1*
- Steven Wijaya1
- Dian Soraya Tanjung1
- 1Dentistry Education Program, Faculty of Dentistry, Universitas Prima Indonesia, Medan, Indonesia
Corresponding author Windy Fanika Putri — windyfanikaa16@gmail.com
Article history
- Submitted
- Accepted
- Published
Downloads
Published
Issue
Section
License
Copyright and licensing
Copyright in each article remains with the author(s). Authors grant Bioscientia Medicina: Journal of Biomedicine and Translational Research a non-exclusive right of first publication and the right to identify itself as the original publisher. No exclusive transfer of copyright is required.
All articles are published under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0): https://creativecommons.org/licenses/by-nc-sa/4.0/. Users may copy, redistribute, remix, transform, and build upon the material for non-commercial purposes, provided appropriate attribution is given, a link to the license is supplied, changes are indicated, and adaptations are distributed under the same license.
The license applies to the article's scholarly content unless a credit line states otherwise. Third-party material may be subject to separate rights. Authors retain patent, trademark, moral, and research-data rights. The copyright year follows the article's publication date.
