Herbal Sealers in Endodontics – A Systematic Review

Root canal infections usually occur due to many micro-organisms, among which most frequent are the obligatory anaerobes. One of the predominantly found microbes is Candida albicans that requires special attention. Herbs have and are being used for health ailments and avoiding diseases that include epidemics for decades. A lot of plants are used as Phytomedicines in the dental profession because they have various biological and antimicrobial effects.  Various irritants are used such as NaOCl, Chlorhexidine, hydrogen peroxide, ethylenediaminetetraacetic acid (EDTA), citric acid etc. to eradicate microbes. However, these irrigants may have several disadvantages. In Endodontics, plants and their extract can be used as irrigant and intracanal medicament to prevent the potential side effects caused by conventional chemical agents.  Less toxic herbal products are being used since ancient era, and they are Triphala, Morinda citrofolia, Propolis, Azadirachta indica, Carvacrol, Green tea, Orange oil, tea tree oil, Arctium lappa, Garlic extract etc. Most commonly used are Triphala, Morinda citrofolia, Propolis, Azadirachta indica, Green tea, Garlic extract. Such herbal preparations are derived from the roots, leaves, seeds, stems and flowers of medicinal plants. This systematic review aims to enlighten and focus on various herbal products that can be used in endodontics to eradicate the root canal infection and to create the environment necessary for periapical healing. This is essential for successful Root canal treatment.