Keywords
propolis; intracanal medicament; root canal treatment; successful; calcium hydroxide
How to Cite
Use of propolis with calcium hydroxide as an intracanal medicament in asymptomatic apical periodontitis. A case report. (2021). Odontoestomatología, 23(37). https://doi.org/10.22592/ode2021n37a9
Abstract
Various civilizations have used honey and its products for therapeutic purposes throughout history because of their healing effects. There is a renewed interest in the use of apitherapy as an adjunct in various medical treatments. Propolis stands out for its bactericidal, anti-inflammatory, and anti-cancer properties, among others. This paper aims to describe the case of a lower left first molar diagnosed with pulp necrosis and asymptomatic periapical periodontitis that was managed with a mixture of propolis and calcium hydroxide as an intracanal medicament between appointments. A bone repair process was observed during this period. It is concluded that propolis is a viable alternative as a calcium hydroxide adjuvant when intracanal medication is indicated.
References
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2. Ørstavik D, Ford P. Essential Endodontics. London: Blackwell Science; 1999. 410 pp.
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10. Marcucci M. Propolis: chemical composition, biological properties and therapeutic activity. Apidolog. 1995; 28: 83-99.
11. Tronstad L, Andreasen JO, Hasselgren G, Kristerson L, Riis I. Ph changes in dental tissues after root canal filling with calcium. J Endod 1981; 7(1): 17-21.
12. Esberard M. Changes in pH at the Dentin Surface in Roots Obturated with Calcium Hydroxide Pastes. J Endod 1996; 22(8):134-38.
13. Andrade F, Almeida P. Evaluation of pH levels and calcium ion release in various calcium hydroxide endodontic dressings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97: 388-92.
14. Ahuja V, Ahuja A. Apitherapy - A sweet approach to dental diseases. Part II: Propolis. J. Academy Adv Dental Research. 2011; 2(2): 1-7.
15. Rezende G, Acosta L, Baroni D. In vitro antimicrobial activity of endodontic pastes with propolis extracts and calcium hydroxide. Braz Dent J 2008; 19(4): 301-305.
16. Victorino F, Franco S. Pharmacological evaluation of propolis solutions for endodontic use. Pharma Biol. 2007; 45(9): 721-727.
17. Koru O, Toksoy F. In a vitro antimicrobial activity of propolis samples from different geographical origins against certain oral pathogens. Anaerobe. 2007; 13:140-145.
18. Wieckiewicz W, Miernik M, Wieckiewicz M, and Morawiec T. Does propolis help to maintain Oral health? Evid Based Complement Alternat Med. 2013:1-8.
19. Ahangari Z, Naseri M. Propolis: Chemical composition and its applications in endodontics. Iran Endod J. 2018; 13(3):285-292.
20. Estrela C, Pécora JD, Souza-Neto MD, Estrela CRA, Bammann LL. Effect of vehicle on antimicrobial properties of calcium hydroxide pastes. Braz Dent J. 1999; 10: 63-72.
21. Sathorn C, Parashos P, Messer H. Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis. Int Endod J 2007; 40: 2-10.
22. Pimenta H, Violante I, Musis C, Borges A, Aranha A. In vitro effectiveness of Brazilian brown propolis against Enterococcus faecalis. Braz Oral Res. 2015; 29(1): 1-6.
23. Victorino R, Bramante C, Watanabe E, Ito I, Franco S, Hidalgo M. Antibacterial activity of propolis-based toothpastes for endodontic treatment. Braz. J. Pharm. Sci. 2009; 45(4): 795-800.
24. Jaiswal N, Dakshita S, Udai S, Kanwardeep S, Urja A, Shivika G. Evaluation of antibacterial efficacy of Chitosan, Clorhexidine, Propolis and Sodium hypoclorite on Enterococcus faecalis biofilm: an in vitro study. J Clin Exp Dent. 2017; 9(9): 1066-74.
25. Kalyoncuoglu E, Gönülol N, Özsezer E, Bodrumlu E. Effect of Propolis as a root canal irrigant on bond strength to dentin. J Appl Biomater Funct Mater. 2015; 13(4):362-366.
26. El-Tayeb M, Abu-Seida A, El Ashry S, El-Hady S.. Evaluation of antibacterial activity of propolis on regenerative potential of necrotic immature permanent teeth in dogs. BMC Oral Health. 2019; 19(174): 1-12.
27 Shabbir J, Qazi F, Farooqui W, Ahmed S. Effect of propolis paste as intracanal medicament on post-endodontic pain: a double blind randomized clinical trial. Int J Environ Res Public Health. 2020; 17(2): 445.
28. Toker H, Ozan F, Ozer H, Ozdemir H. A morphometric and histopathologic evaluation of the effects of propolis on alveolar bone loss in experimental periodontitis in rats. J Periodontol. 2008; 79(6): 1089-94.
29. Pileggi R, Antony K, Johnson K. Propolis inhibits osteoclast maturation. Dent Traumat. 2009; 25(6): 584–588.
2. Ørstavik D, Ford P. Essential Endodontics. London: Blackwell Science; 1999. 410 pp.
3. Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol 1965; 20: 340-349.
4. Pumarola J, Canalda C. Endodoncia. 3ra ed. Barcelona: Masson; 2001. 367 pp.
5. Nair PNR. Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med. 2004; 15(6): 348-381.
6. Kawashima N, Wadachi R, Suda H, Yeng T, Parashos P. Root canal medicaments. Int Dent J. 2009; 59(1): 5-11.
7. Parolia A, Thomas S, Kundabala M, Mohan M. Propolis and its potential uses in oral health. Int J Med and Medic Sci. 2010; 2(7): 210-215.
8. Lavandera I. Curación de heridas sépticas con miel de abejas. Rev Cubana Cir. 2011; 50(2): 187-196.
9. Cabrera L, Rodriguez G. Actividad antibacteriana de miel de abejas multiflorales de cuatro zonas apícolas del estado Zulia, Venezuela. Rev Científ FCV-LUZ. 2003; 3(8): 205-211.
10. Marcucci M. Propolis: chemical composition, biological properties and therapeutic activity. Apidolog. 1995; 28: 83-99.
11. Tronstad L, Andreasen JO, Hasselgren G, Kristerson L, Riis I. Ph changes in dental tissues after root canal filling with calcium. J Endod 1981; 7(1): 17-21.
12. Esberard M. Changes in pH at the Dentin Surface in Roots Obturated with Calcium Hydroxide Pastes. J Endod 1996; 22(8):134-38.
13. Andrade F, Almeida P. Evaluation of pH levels and calcium ion release in various calcium hydroxide endodontic dressings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97: 388-92.
14. Ahuja V, Ahuja A. Apitherapy - A sweet approach to dental diseases. Part II: Propolis. J. Academy Adv Dental Research. 2011; 2(2): 1-7.
15. Rezende G, Acosta L, Baroni D. In vitro antimicrobial activity of endodontic pastes with propolis extracts and calcium hydroxide. Braz Dent J 2008; 19(4): 301-305.
16. Victorino F, Franco S. Pharmacological evaluation of propolis solutions for endodontic use. Pharma Biol. 2007; 45(9): 721-727.
17. Koru O, Toksoy F. In a vitro antimicrobial activity of propolis samples from different geographical origins against certain oral pathogens. Anaerobe. 2007; 13:140-145.
18. Wieckiewicz W, Miernik M, Wieckiewicz M, and Morawiec T. Does propolis help to maintain Oral health? Evid Based Complement Alternat Med. 2013:1-8.
19. Ahangari Z, Naseri M. Propolis: Chemical composition and its applications in endodontics. Iran Endod J. 2018; 13(3):285-292.
20. Estrela C, Pécora JD, Souza-Neto MD, Estrela CRA, Bammann LL. Effect of vehicle on antimicrobial properties of calcium hydroxide pastes. Braz Dent J. 1999; 10: 63-72.
21. Sathorn C, Parashos P, Messer H. Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis. Int Endod J 2007; 40: 2-10.
22. Pimenta H, Violante I, Musis C, Borges A, Aranha A. In vitro effectiveness of Brazilian brown propolis against Enterococcus faecalis. Braz Oral Res. 2015; 29(1): 1-6.
23. Victorino R, Bramante C, Watanabe E, Ito I, Franco S, Hidalgo M. Antibacterial activity of propolis-based toothpastes for endodontic treatment. Braz. J. Pharm. Sci. 2009; 45(4): 795-800.
24. Jaiswal N, Dakshita S, Udai S, Kanwardeep S, Urja A, Shivika G. Evaluation of antibacterial efficacy of Chitosan, Clorhexidine, Propolis and Sodium hypoclorite on Enterococcus faecalis biofilm: an in vitro study. J Clin Exp Dent. 2017; 9(9): 1066-74.
25. Kalyoncuoglu E, Gönülol N, Özsezer E, Bodrumlu E. Effect of Propolis as a root canal irrigant on bond strength to dentin. J Appl Biomater Funct Mater. 2015; 13(4):362-366.
26. El-Tayeb M, Abu-Seida A, El Ashry S, El-Hady S.. Evaluation of antibacterial activity of propolis on regenerative potential of necrotic immature permanent teeth in dogs. BMC Oral Health. 2019; 19(174): 1-12.
27 Shabbir J, Qazi F, Farooqui W, Ahmed S. Effect of propolis paste as intracanal medicament on post-endodontic pain: a double blind randomized clinical trial. Int J Environ Res Public Health. 2020; 17(2): 445.
28. Toker H, Ozan F, Ozer H, Ozdemir H. A morphometric and histopathologic evaluation of the effects of propolis on alveolar bone loss in experimental periodontitis in rats. J Periodontol. 2008; 79(6): 1089-94.
29. Pileggi R, Antony K, Johnson K. Propolis inhibits osteoclast maturation. Dent Traumat. 2009; 25(6): 584–588.