• J Coll Physicians Surg Pak · Mar 2024

    Randomized Controlled Trial

    Allium Sativum Oil as an Alternative Non-Vital Pulpotomy Medicament in Primary Teeth - A Randomised Controlled Trial.

    • Mashal Mazhar, Shazia Naz, Ambreen Zahra, Nazia Bashir, and Muhammad Asdaq Hussain.
    • Department of Operative Dentistry, University College of Dentistry, University of Lahore, Lahore, Pakistan.
    • J Coll Physicians Surg Pak. 2024 Mar 1; 34 (3): 267271267-271.

    ObjectiveTo use Allium sativum oil as non-vital pulpotomy medicament in primary teeth by evaluating its antibacterial effect (Colony-Forming Units/ml- CFU/ml), against Streptococcus mutans and Lactobacillus acidophilus.Study DesignA double-blinded, randomised controlled trial. Place and Duration of the Study: Paediatric Dentistry Department, de' Montmorency College of Dentistry, Lahore in collaboration with the Microbiology Department, Lahore General Hospital, from October 2022 to February 2023.MethodologyForty patients aged between 4 to 8 years, each containing at least one non-vital primary molar, were randomly divided into Group A (Formocresol) and Group B (Allium sativum oil) using the lottery method. Non-vital pulpotomy (NVP) was performed by removing the coronal necrotic pulp. Sterile paper points were dipped in the root canals and taken to the laboratory. Cotton pellets soaked in the respective medicaments were placed over the root canal orifices and filled temporarily. Patients were recalled after one week. Samples were again taken, and the tooth was restored. Comparison was made between bacterial count at baseline and after one week of treatment, and it was expressed as CFU/ml.ResultsThere was a significant reduction in median Streptococcus mutans and Lactobacillus acidophilus bacterial count in each group after one week of treatment (p <0.001). Formocresol showed a higher average reduction (30300 ± 14060) compared to Allium sativum oil (24850 ± 9121). However, statistically, the difference was insignificant (p = 0.314) indicating both the medicaments possessed comparable antibacterial effects.ConclusionAllium sativum oil was found an effective alternative to Formocresol.Key WordsFormocresol, Allium sativum, Non-vital pulpotomy, Primary teeth, Randomised controlled trial.

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