Clinical and Radiographic Outcome of Herbal Medicine Versus Standard Pulpotomy Medicaments in Primary Molars: A Systematic Review
Dr. Divya Subramanyam,
No 20, Venkateshwara Nagar, East Phase, Kodungaiyur, Chennai-600118, Tamil Nadu, India.
Introduction: Various medicaments has been used for many years as a pulpotomy medicament that has its own advantages and disadvantages. Recently, there has been the use of herbal medicine as a pulpotomy medicament due to its good antibacterial effect and least complications compared to standard chemically synthesized pulpotomy medicaments.
Aim: The aim of this systematic review was to analyse the existing literature on the effectiveness of herbal medicine compared to standard pulpotomy medicaments in primary molars.
Materials and Methods: Information was collected from Electronic databases (PubMed, Cochrane Library, LILACS, Google scholar, Science Direct and SIGLE) and hand search was also done in International Journal of Paediatric Dentistry (September 2011-March 2016), Journal of clinical Paediatric Dentistry (September 2011â€“March 2016) and International Journal of Current Research and Academic Review (September 2013- March 2016). Only those articles which met the inclusion criteria were selected. Literature abstracts and full text articles were analysed in this review.
Results: A total of six articles were included in this systematic review. All were randomized clinical trials which evaluated the clinical and radiographic success or outcomes of herbal medicine such as allium sativum, ankaferd blood stopper, elaegnus angustifolia, propolis compared with standard pulpotomy medicaments in primary teeth. The overall clinical and radiographic outcomes were not significantly different in all the studies. All the included studies recorded high risk of bias. There is lack of strong evidence to support the use of herbal medicine to replace standard pulpotomy medicaments.
Conclusion: There seems to be a lacunae of strong and long term evidence to support the use of herbal medicines. Therefore, more quality randomized controlled trials with long term follow up, to evaluate the clinical success of herbal medicine to replace the gold standard agents of conventional pulpotomy is required.