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International Journal of
Dental Sciences
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VOL. 7, ISSUE 3 (2025)
Current concepts and advances in intracanal medicaments in Endodontics: A comprehensive review
Authors
Dr. Shah Sharvil, Dr. Rao Dinesh, Dr. Panwar Sunil
Abstract
Intracanal medicaments are essential for achieving effective microbial control in endodontic treatment, especially in teeth with necrotic pulps and apical periodontitis. While mechanical instrumentation and irrigation form the primary foundation for root canal disinfection, they are often inadequate in eliminating all microorganisms from the complex root canal system. Medicaments serve as interappointment dressings that continue to disinfect the canal space, neutralize bacterial byproducts, and support periapical healing. Over time, the use of intracanal medicaments has evolved from basic chemical disinfectants to sophisticated formulations, including calcium hydroxide, antibiotic pastes, herbal alternatives, and nanoparticle-based therapies. This review presents an in-depth analysis of their classification, mechanisms, indications, limitations, and emerging innovations such as antimicrobial photodynamic therapy and bioactive nanomaterials. Emphasis is placed on evidence-based selection tailored to specific clinical scenarios, microbial challenges, and regenerative goals.
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Pages:43-47
How to cite this article:
Dr. Shah Sharvil, Dr. Rao Dinesh, Dr. Panwar Sunil "Current concepts and advances in intracanal medicaments in Endodontics: A comprehensive review". International Journal of Dental Sciences, Vol 7, Issue 3, 2025, Pages 43-47
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