Mennatallah S. Ahmed Farouk, Norhan A. El Dokky And Dalia M. Moheb,

ABSTRACT
Objective: To Test The Effectiveness Of Neem Leaf Extract In Resolving Pain, Swelling And Other Signs Of Periapical Infection Compared To Chlorhexidine Gluconate Used As Root Canal Irrigant In Pulpectomy Treatment For Primary Molars. Subjects And Methods: The Study Was Carried Out In The Pediatric Dentistry And Dental Public Health Department, Faculty Of Dentistry, Cairo University. Patients Attending The Outpatient Clinic Of The Department Presenting With One Or More Teeth Showing Signs Of Necrosis And Non-vitality Were Diagnosed And Examined For Their Eligibility. This Study Included 40 Non-vital Upper And Lower, First And Second Primary Molars. 20 Molars In Group I Were Irrigated With Natural Herbal Irrigant Of Neem Leaf Extract And 20 In Group II Were Irrigated With Chlorhexidine Gluconate Root Canal Irrigant. Intracanal Bacterial Counts Were Compared Before And After Irrigation Using Paper Points Then The Patients Were Followed Up For Resolution Of Pain And Swelling For 3 Months.

Results: There Was No Significant Difference Between The 2 Groups Considering The Bacterial Counts And Clinical Outcomes. Conclusion: Neem Leaf Extract Is Comparable To Chlorhexidine When Used As An Intracanal Irrigant.