Table 2.
Outcomes of studies included in systematic review and meta-analysis.
| No | Author, Year | Total Sample | TestGroup (sample/plate) |
Control Group |
Sample Medium |
Medicaments | Last Medicament Duration | Last Inoculation Period | Outcome Measure | Outcome Evaluation Method | Result |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Athiban et al, 2012 | 1plate/3parts | 1part | 2parts | Agar diffusion plate | NaOCl, Aloe vera, Normal saline | 24 h | 24 h | Zone of inhibitory | diameters of the zones in millimeter(mm) |
Mean inhibition diameter (mm) Aloe vera = 21 mm NaOCl = 23 mm Saline = 0.0 mm |
| 2 | Leila Bazvand et al, 2013 | 90 samples | 60 (15each) | 30 (15each) |
Extracted single rooted teeth | *TAM, CHX gel, Propolis, Aloe vera gel, Normal saline | 7 days | 21 days | colony-forming units | Colonies counted by blinded microbiologist |
Mean colony count (Cfu/μL) TAM = 73.3 ± 310.4 CHX = 880 ± 574.7 Propalis = 2933.3 ± 2880.1 Aloe vera = 9200 ± 4601.2 Saline = 33333.3 ± 9759 |
| 3 | Karkare et al, 2015 | 3plates/ 3parts | 6parts | 3parts | Agar diffusion plate | NaOCl, Hydro-alcoholic extract of Aloe vera and Garlic | 24 h | 24 h | Zone of inhibitory | diameters of the zones in millimeter(mm) |
Mean inhibition region (mm) Aloe vera (saturated) = 13 ± 0.81Garlic (saturated) = 10.66 ± 0.942 NaOCl = 16.33 ± 2.49 |
| 4 | Sahebi S. 2013 | 60 Samples |
40 (20each) |
20 (20each) |
Extracted single rooted teeth | Aloe Vera gel, Normal Saline, NaOCl |
48 h | 48 h | colony-forming units | Bacterial colonies counted |
Mean colony count (Cfu/mL) Aloe vera = 2.21 × 108 ± 0.98 × 108 Saline = 2.27 × 108 ± 0.95 × 108 NaOCl = 0.0 |
| 5 | Bhardwaj et al, 2012 | 180 samples | 150 (30each) |
30 (30each) |
Extracted single rooted teeth | CaOH, Saline, Papain gel, Morinda citrifolia gel, Aloe vera, CHX | 5 days | 21 days | colony-forming units | Bacterial colonies counted |
Mean colony count at 5 day (400 µm depth, Cfu/µL) CHX = 0.0 Morinda citrifolia = 0.52 x105 Aloe vera = 1.04x105 Papain = 1.31 x105 CaOH = 1.24x105 Saline = 3.84x105 |
| 6 | Abbas Abbaszadegan et al, 2014 | 108 samples | 90 (10each/per 14 days) | 18 (3each/per 14 days) | Extracted single rooted teeth | CaOH, Zataria multiflora, Aloe vera, sterile saline |
14 days | 21 days | colony-forming units | Bacterial colonies counted |
Median Percentage reduction of the log10 c.f.u./mL Ataria Multiflora Bois = 89% CaOH = 86% Aloe vera = 85% Saline = 1% |
| 7 | Babaji et al, 2016 | 60 samples | 48 (12each) | 12 (12each) |
Agar diffusion plate | NaOCl, M. citrifolia, Neem extract, Aloe vera, Distilled water | 24 h | 24 h | Zone of inhibitory | diameters of the zones in millimeter(mm) |
Mean of inhibition zone in mm NaOCl = 28.6 ± 1.15 M Citrifolia = 22.7 ± 1.12 Naeem = 18.3 ± 1.06 Aloe vera = 14.7 ± 1.04 Distilled water = 0 |
| 8 | Ehsani et al. 2013 | 24 well plates | Not given | Not given | Agar diffusion plate | Propolis hydro-alcoholic extract, Aloe vera, CHX, Distilled water, Ethanol | 24 h | 24 h | Minimal inhibitory concentration (MIC)/ minimum bactericidal concentration (MBC) | Serial dilution and plated method |
Mean of inhibition zone in mm CHX = 8.7 ± 0.5Propalis (aqueous extract) = 0.0 Aloe vera = 17.3 ± 1.3 |
| 9 | Ismail et al, 2020 | 3plates/divided into 5 portions | 9portion | 6portion | Agar diffusion plate | MP$, Aloe vera, MP + AV, CaOH, DMSO# | 18-24 h | 18-24 h | Minimal inhibitory concentration (MIC)/ minimum bactericidal concentration (MBC) | Turbidity measured through micro-plate reader/sub-culturing on plates |
Mean of inhibition zone in mm (*) MP extract = 6.21 ± 0.046 CaOH = 5.51 ± 0.006 Aloe Vera = 5.05 ± 0.012 |
| 10 | Ghasem et al, 2020 | 130 samples | 40 (20each) | 20 (20each) |
Extracted single rooted teeth | Aloe vera, CaOH, PBS= | 24 h | 6 weeks | colony-forming units | colony count machine |
Mean colony count at 6 week interval (Cfu/mL) Aloe vera = 136.36x108 ± 323.33 x108 CaOH = 27501.66 x108 ± 36570.34 x108 PBS = 95000 x108 ± 12247.44 x108 |
| 11 | Sailaja et al, 2020 | 80 samples | 60 (10each) | 20 (10 each) |
Contaminated GP cones | Q Mix 2 in 1+, NaOCl, chitosan, Aloe vera juice, Amla juice, Pancha tulsi | 9 days | 23 h | colony-forming units | Digital colony counter. |
Mean colony count in Cfu/mL Q Mix 2 in 1 = 5.6 x10-1 NaOCl = 15.6x10-1 Chitosan = 79.2 x10-1 Aloe vera = 69.00x10-1 Amla Juice = 8.90 x10-1 PanchaTulsi = 2.80x10-1 |
| 12 | Thilla S Vinothkumar et al, 2012 | 42 samples | 30 (6each) | 12 (6each) |
Extracted single rooted teeth | Curcuma longa (CL), Azadiracta indica (AI), Aloebarbadensis (AV) , Myristica fragrans (MF), Terminalia chebula (TC) |
24 h | 21 days | qPCR* | Thermal cycler | Mean cells/ mL CL = 32.16 x108 ± 1.27 x108 AL = 33.94 x108 ± 0.70 x108 TC = 32.44 x108 ± 0.88 x108 MF = 31.84 x108 ± 0.62 Saline = 24.01x108 ± 0.96 x108 NaOCl = 34.20 x108 ± 0.83 x108 Aloe vera = 28.58 x108 ± 1.11 x108 TC = 23.6% |
| 13 | Ramamurthy Varshini et al, 2019 | 80 samples | 64 (16each) | 16 (16each) |
Extracted single rooted teeth | Normal saline, CaOH, Aloe vera, Ricinus communis (castor oil), fresh lemon extract. | 7 days | 21 days | Fluorescent stained scan | Observed under confocal laser scanning microscope with x20 magnification |
Mean remaining live bacterial count/µL Saline = 49849.60 ± 14664.13 Ca(OH)2 = 4717.20 ± 1877.59 Aloe vera = 10528.60 ± 11403.08 Castor oil = 38771.40 ± 22977.22 Lemon = 11574.40 ± 14757.77 |
| 14 | Valera et al, 2013 | 72 samples | 60 (12each) | 12 (12each) |
Extracted single rooted teeth | NaOCl, CHX Castor oil (Ricinus communis), Glycolic ginger, Glycolic Aloe vera, Sterile saline solution | 7 days | 21 days | colony-forming units | Bacterial colonies counted |
Mean log colony count in Cfu/mL NaOCl = 0.0 CHX = 0.0 Castor oil = 3.49 x108 Ginger = 3.49 x108 Aloe vera = 5.73 x108 Saline = 5.46 x108 |
| 15 | Goud et al, 2018 | 80 samples | 60 (20 each) | 20 (20 each) | Extracted single rooted teeth | NaOCl, CHX, Aloe vera, Saline | 24 h | 3 days | colony-forming units | Bacterial colonies counted |
Mean log colony-forming units in Per mL NaOCl = 2.76 ± 0.18 CHX = 1.36 ± 1.18 Aloe vera = 2.88 ± 0.09 Saline = 3.20 ± 0.08 |
| 16 | Vasudeva et al, 2017 | 210 samples | 180 (30each) | 30 (30each) |
Extracted single rooted teeth | Saline, CHX, Honey, Aloe vera gel, Curcuma longa, Propolis, CaOH |
5 days | 21 days | colony-forming units | Colonies counted at two depths of dentin block (200 and 400 mm) |
Mean count in Cfu/mL at 5 day, (400 µm depth) CHX = 0.10 ± 0.31 Propolis = 2.80 ± 0.632 Curcuma longa = 3.10 ± 0.567 Honey = 8.40 ± 0.84 CaOH = 9.30 ± 1.05 Aloe vera = 12.90 ± 0.73 Saline = 20.30 ± 0.48 |
| 17 | M. C. Noushad et al, 2018 | 5 plate/ 25parts | 20 parts | 5parts | Disc Diffusion/Agar culture plates | Aloe vera, Cashew apple extract, Guava leaf extract, Papaya leaf extract, NaOCl | 24 h | 24 h | zones of inhibition | diameters of the zones in millimeter(mm) |
Means diameter in mm NaOCl = 25.4 ± 1.19 Cashew apple = 14.1 ± 0.41 Guava leaf = 12.5 ± 0.5 Aloe vera = 7.2 ± 0.75 Papaya leaf = 6.3 ± 0.83 |
| 18 | Eskandarinezhad et al, 2022 | 72 samples | 54 (18each) | 18 (18each) |
Extracted single rooted teeth | CaOH, Curcumin paste, Aloe vera gel, Normal saline | 1 week | 6 week | colony-forming units | Bacterial colonies counted |
Mean colony-forming unit per ml CaOH = 7.4 × 102 ± 5.2 × 102 Curcumin = 6.3 × 102 ± 4.6 × 102 Aloe vera = 1.5 × 103 ± 1.1 × 103 Saline = 1.2 × 105 ± 8.1 × 102 |
*Quantitative polymerase chain reaction.
(*) To avoid confounder effect results of combine MP + AV excluded (mean = 8.11 ± 0.015).