Authors :
Dr. Harshita Shekhawat; Dr. Manu Bansal; Dr. Yogini Shekhawat; Dr. Rebecca Shylla; Dr. Mahak Bhadouria; Dr. Shivani Agarwal
Volume/Issue :
Volume 11 - 2026, Issue 7 - July
Google Scholar :
https://tinyurl.com/2kemsnzm
Scribd :
https://tinyurl.com/4f9ssvsn
DOI :
https://doi.org/10.38124/ijisrt/26jul948
Note : A published paper may take 4-5
working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and
ResearchGate.
Abstract :
Successful Endodontic Treatment Depends On Effective Root Canal Disinfection And Smear Layer Removal.
Conventional Irrigants Such As Sodium Hypochlorite And Edta Are Effective But Possess Certain Limitations Including
Cytotoxicity And Dentinal Alterations. Herbal Irrigants And Biopolymers Have Gained Attention As Potential
Biocompatible Alternatives.
To Comparatively Evaluate The Smear Layer Removal And Antibacterial Efficacy Of Neem Extract And Neem–
Chitosan Combination With Conventional Irrigation Protocol Using Scanning Electron Microscopy (Sem) And Mic₅₀
Analysis.
Forty Extracted Human Single-Rooted Teeth Were Decoronated And Biomechanically Prepared. Samples Were
Randomly Divided Into Four Groups (N=10): Group I – Naocl + Edta, Group Ii – Neem Extract, Group Iii – Neem–Chitosan
Combination, And Group Iv – Saline. Irrigation Protocols Were Ultrasonically Activated. Smear Layer Removal At The
Apical Third Was Evaluated Using Sem And Scored According To Hülsmann’s Criteria. Antibacterial Efficacy Was
Assessed Using Mic₅₀ Microdilution Method Against Escherichia Coli And Staphylococcus Aureus. Statistical Analysis Was
Performed Using Kruskal–Wallis And Dunn’s Post Hoc Tests.
Keywords :
Neem Extract; Chitosan; Smear Layer; Sem; Root Canal Irrigants; Antibacterial Efficacy; Mic₅₀; Ultrasonic Activation.
References :
- Violich DR, Chandler NP. The smear layer in endodontics – a review. Int Endod J. 2010;43(1):2–15.
- Siqueira JF Jr, Rôças IN. Diversity of endodontic microbiota revisited. J Dent Res. 2009;88(11):969–981.
- McComb D, Smith DC. A preliminary scanning electron microscopic study of root canals after endodontic procedures. J Endod. 1975;1(7):238–242.
- Torabinejad M, Handysides R, Khademi AA, Bakland LK. Clinical implications of the smear layer in endodontics: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94(6):658–666.
- Zehnder M. Root canal irrigants. J Endod. 2006;32(5):389–398.
- Mohammadi Z. Sodium hypochlorite in endodontics: an update review. Int Dent J. 2008;58(6):329–341.
- Baumgartner JC, Mader CL. A scanning electron microscopic evaluation of four root canal irrigation regimens. J Endod. 1987;13(4):147–157.
- van der Sluis LWM, Versluis M, Wu MK, Wesselink PR. Passive ultrasonic irrigation of the root canal: a review of the literature. Int Endod J. 2007;40(6):415–426.
- Ahmad M, Pitt Ford TR, Crum LA, Walton AJ. Ultrasonic debridement of root canals: acoustic streaming and its possible role. J Endod. 1987;13(10):490–499.
- Mello I, Kammerer BA, Yoshimoto D, Macedo MC, Antoniazzi JH. Influence of final rinse technique on ability of ethylenediaminetetraacetic acid of removing smear layer. J Endod. 2010;36(3):512–514.
- Portenier I, Waltimo TMT, Haapasalo M. Enterococcus faecalis – the root canal survivor and ‘star’ in post-treatment disease. Endod Topics. 2003;6(1):135–159.
- Stuart CH, Schwartz SA, Beeson TJ, Owatz CB. Enterococcus faecalis: its role in root canal treatment failure and current concepts in retreatment. J Endod. 2006;32(2):93–98.
- Kandaswamy D, Venkateshbabu N. Root canal irrigants. J Conserv Dent. 2010;13(4):256–264.
- Haapasalo M, Shen Y, Wang Z, Gao Y. Irrigation in endodontics. Br Dent J. 2014;216(6):299–303.
- Abraham S, Vasconcelos BC, Kumar M, et al. Endodontic irrigants: a comprehensive review. J Pharm Bioallied Sci. 2015;7(Suppl 1):S1–S5.
- Ruksakiet K, Hanák L, Farkas N, et al. Antimicrobial efficacy of chlorhexidine and sodium hypochlorite in root canal disinfection: a systematic review and meta-analysis. J Endod. 2020;46(8):1032–1041.
- Mudenda S, Chomba M, Chabalenge B, et al. Phytochemical and antimicrobial activity of Azadirachta indica. Int J Pharm Pharmacol. 2020;4(1):1–8.
- Dutta A, Kundabala M. Comparative anti-microbial efficacy of Azadirachta indica irrigant with standard endodontic irrigants: a preliminary study. J Conserv Dent. 2010;13(3):138–141.
- Ghonmode WN, Balsaraf OD, Tambe VH, Saujanya KP, Patil AK, Kakde DD. Comparison of the antibacterial efficacy of neem leaf extract, grape seed extract and 3% sodium hypochlorite against E. faecalis. J Int Oral Health. 2013;5(6):61–66.
- Babaji P, Jagtap K, Lau H, et al. Comparative evaluation of antimicrobial effect of herbal irrigants and sodium hypochlorite against Enterococcus faecalis. Int J Clin Pediatr Dent. 2016;9(3):186–191.
- Mohanty S, Ramesh S, Jena A. Comparative antimicrobial efficacy of Neem, Triphala and chlorhexidine against Enterococcus faecalis. J Conserv Dent. 2020;23(2):165–170.
- Agnihotri A, Gill KS, Sharma S. Herbal irrigants in endodontics: a scoping review. J Conserv Dent. 2022;25(1):12–19.
- Setia P, Sikri VK, Sethi K. Comparative evaluation of smear layer removal efficacy of Neem leaf extract, Propolis and Orange oil using SEM: an in vitro study. J Conserv Dent. 2022;25(4):377–382.
- Chavate P, Dandekar A, Jadhav S. Comparative evaluation of ultrasonic and rotary agitation of herbal irrigants on smear layer removal: an SEM study. Indian J Dent Res. 2021;32(2):220–225.
- Krishnegowda SC, Basavanna RS, Panchajanya SB. Evaluation of irrigant activation systems on smear layer removal in apical third: an SEM study. J Clin Diagn Res. 2021;15(4):ZC20–ZC24.
- Sebatni MA, Kumar GS. Smear layer removal efficacy of herbal extracts used as endodontic irrigants: an SEM study. Int J Dent Sci Res. 2017;5(4):89–94.
- Goy RC, de Britto D, Assis OBG. A review of the antimicrobial activity of chitosan. Polímeros. 2009;19(3):241–247.
- del Carpio-Perochena AE, Bramante CM, de Andrade FB, et al. Chelating and antibacterial properties of chitosan nanoparticles on dentin. Restor Dent Endod. 2015;40(3):195–201.
- Abdelkafy WM, Elbackly RM, Gadallah FK. Efficacy of chitosan nanoparticles as final irrigant on smear layer removal and dentin mineral content. Eur Endod J. 2021;6(2):175–181.
- Al-Hashimy ZA, Al-Jadwaa AS. Effect of nano-chitosan as final irrigant on smear layer removal and dentinal tubule cleanliness: an SEM study. J Baghdad Coll Dent. 2021;33(3):15–22.
- Alkhudhairy FI, AlRefeai MH. Effect of chitosan nanoparticles and Rose Bengal photodynamic therapy on smear layer removal and antibacterial activity. Photodiagnosis Photodyn Ther. 2023;41:103221.
- İlhan B, Tarçın B, Özcan E. Chitosan versus EDTA for smear layer removal: systematic review and meta-analysis. Clin Oral Investig. 2023;27(4):1451–1462.
- Ferreira-Reguera A, et al. Effectiveness of chitosan in smear layer removal: systematic review of ex vivo studies. Int Endod J. 2025;58(2):145–158.
Successful Endodontic Treatment Depends On Effective Root Canal Disinfection And Smear Layer Removal.
Conventional Irrigants Such As Sodium Hypochlorite And Edta Are Effective But Possess Certain Limitations Including
Cytotoxicity And Dentinal Alterations. Herbal Irrigants And Biopolymers Have Gained Attention As Potential
Biocompatible Alternatives.
To Comparatively Evaluate The Smear Layer Removal And Antibacterial Efficacy Of Neem Extract And Neem–
Chitosan Combination With Conventional Irrigation Protocol Using Scanning Electron Microscopy (Sem) And Mic₅₀
Analysis.
Forty Extracted Human Single-Rooted Teeth Were Decoronated And Biomechanically Prepared. Samples Were
Randomly Divided Into Four Groups (N=10): Group I – Naocl + Edta, Group Ii – Neem Extract, Group Iii – Neem–Chitosan
Combination, And Group Iv – Saline. Irrigation Protocols Were Ultrasonically Activated. Smear Layer Removal At The
Apical Third Was Evaluated Using Sem And Scored According To Hülsmann’s Criteria. Antibacterial Efficacy Was
Assessed Using Mic₅₀ Microdilution Method Against Escherichia Coli And Staphylococcus Aureus. Statistical Analysis Was
Performed Using Kruskal–Wallis And Dunn’s Post Hoc Tests.
Keywords :
Neem Extract; Chitosan; Smear Layer; Sem; Root Canal Irrigants; Antibacterial Efficacy; Mic₅₀; Ultrasonic Activation.