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Apple cider vinegar with mineral trioxide aggregate provides better immediate pain relief than Ethylene diamine tetraacetic acid, making it a more patient-friendly irrigation solution in endodontic procedures.
In a revolutionary randomized clinical trial on vital pulp therapy issued in “BMC Oral Health”, apple cider vinegar demonstrated a notable edge in pain relief compared to ethylene diamine tetra acetic acid (EDTA). While both the chelating agents maintained tooth health and function effectively, apple cider vinegar was linked to greatly reduced pain levels after the treatment.
This research by Yasmin Tawfik Mohamed Sobh and Mona Rizk Aboelwafa Ahmed focused on using mineral trioxide aggregate alongside either apple cider vinegar or 17% EDTA for treating carious exposed pulp in adult teeth with irreversible pulpitis. All in all, 40 patients with symptomatic irreversible pulpitis, aged 18 to 50, were randomly assigned to one of the two treatment groups as per the irrigation method (Apple cider or EDTA). Pain levels were meticulously recorded using a visual analogue scale (VAS) at various intervals—2, 6, 24, 48, and 72 hours after the procedure.
Success was judged based on radiographic and clinical reviews at 3, 6, and 12 months. At the 12-months follow-up, the rate of success was not clinically meaningful in both groups. However, apple cider provided better immediate pain relief than EDTA, with the latter group reporting higher pain levels at the 2-hour mark. By 48 hours, the use of apple cider led to the lowest pain scores, although both treatments yielded similar outcomes after 72 hours, highlighting the potential of apple cider vinegar in enhancing patient comfort during vital pulp therapy.
BMC Oral Health
The effect of two different contemporary chelating agents on vital pulp therapy in mature permanent teeth with irreversible pulpitis using bioceramic material: randomized clinical trial
Yasmin Tawfik Mohamed Sobh et al.
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