Vedic medicines - an innovative irrigant and its effect on push out bond strength of different endodontics sealers - an invitro study.

Introduction: The bond strength of root canal sealer is the amount of force required to break the connection between a bonded sealer and the root dentin surface. Now a day’s synthetic irrigants are only used as root canal irrigants but they cause harm to root-dentin surrounding soft tissue and adjacent bone. To reduce these factors ayurvedic medicine takes part in innovation. Though the perception is incorrect, on balance herbal medicines are still much safer than synthetic drugs. Aim: To compare the Push-out bond strength of different endodontic sealers using ayurvedic intracanal irrigants. Methodology: Sixty single-rooted permanent upper anterior teeth were selected. All teeth were decoronated at the level of CEJ. Root length was specified at 15mm. All teeth were prepared with universal Protaper until F3 according to manufacturer instruction. All samples were randomly divided according to the different irrigants and sealers used. Group I: Kutkrumin + Perma evolution; Group II: Kutkrumin + Apexit plus; Group III: Chlorhexidine 2% + Perma evolution; Group IV: Chlorhexidine 2% + Apexit plus; Group V: Sodium hypo chloride 5.25% + Perma evolution; Group VI: Sodium hypo chloride 5.25% + Apexit plus. All samples were finally irrigated with normal saline. Then sealers were applied using lentulospiral. Samples were sectioned into 2 mm disc thickness. By using a universal testing machine push-out bond strength was performed. Results and Statistical Analysis: According to one-way ANOVA with a level of confidence of 95%, Kutkrumin and Chlorhexidine with Perma evolution as a sealer showed the highest bond strength values (p <0.005) when compared with other groups whereas, chlorhexidine with apexit plus sealer had the most minor bond strength among other groups. Kutkrumin and sodium hypochlorite with apexit plus sealer showed equivalent bond strength this was presented by intergroup analysis post hoc Tukey test. Adhesive failures were predominant in all groups. Conclusion: Kutkrumin with Perma evolution as a resin-based sealer showed better outcomes when compared with chemical irrigants like sodium hypochlorite and chlorhexidine.