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

• Published in: Journal of the College of Physicians and Surgeons--Pakistan Vol. 34; no. 3; pp. 267 - 271
• Main Authors: Mazhar, Mashal, Naz, Shazia, Zahra, Ambreen, Bashir, Nazia, Hussain, Muhammad Asdaq
• Format: Journal Article
• Language: English
• Published: Pakistan College of Physicians and Surgeons Pakistan 01-03-2024
• Subjects: Care and treatment; Chemical properties; Dental caries; Garlic; Health aspects; Methods; Root canal therapy; Pakistan
• ISSN: 1022-386X; 1681-7168
• DOI: 10.29271/jcpsp.2024.03.267

To 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.
A 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.
Forty 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.
There 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.
Allium sativum oil was found an effective alternative to Formocresol.
Formocresol, Allium sativum, Non-vital pulpotomy, Primary teeth, Randomised controlled trial.