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    Antibacterial and anti-inflammatory efficacy of N-acetyl cysteine in endodontic treatment: a scoping review

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    NAC paper-BMC oral heatlh 2022.pdf (982.2Kb)
    Date
    2022-09-12
    Author
    Abdulrab, Saleem
    Mostafa, Nawras
    Al-Maweri, Sadeq Ali
    Abada, Hisham
    Halboub, Esam
    Alhadainy, Hatem A.
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    Abstract
    BACKGROUND: This scoping review systematically summarized the available evidence about the efficacy of N-acetyl cysteine (NAC) as an intracanal antibacterial and/or anti-inflammatory. METHODS: PubMed, Scopus, Web of Science, and Google scholar search engines/databases were searched up to February 2022 to retrieve relevant studies. The studies were evaluated for eligibility criteria, and identifying relevant studies. RESULTS: Out of 193 studies, 15 fulfilled the inclusion criteria and were processed for data extraction. Thirteen in vitro studies assessed antibacterial/antibiofilm efficacy of NAC, and reported good and promising efficacy: NAC was found as efficacious as the comparators (chlorhexidine, sodium hypochlorite, calcium hydroxide), or even showed higher efficacy. Regarding the anti-inflammatory efficacy of NAC, one in vitro study found it equivalent to, while one clinical trial revealed it more efficacious than calcium hydroxide. CONCLUSIONS: There is accumulating evidence on the anti-microbial and anti-inflammatory efficacy of NAC in context of endodontics. However, further clinical trials with robust methodology and objective and reliable clinical, biological and microbial outcomes are warranted to translate its use for clinical practice on humans.
    URI
    https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85137689733&origin=inward
    DOI/handle
    http://dx.doi.org/10.1186/s12903-022-02433-6
    http://hdl.handle.net/10576/34507
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    • Dental Medicine Research [‎424‎ items ]

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