The impact of melatonin on oral health: Current insights and future research directions

Tasneem Alomari, Omar Alomari , Russel J. Reiter
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Abstract

Melatonin, traditionally known for its role in sleep regulation, is emerging as a significant therapeutic agent in dental practice due to its antibacterial, antiviral, anti-inflammatory, and antioxidant properties. Present in saliva and locally secreted in the oral cavity, melatonin can protect gingival and periodontal tissues by reducing inflammation and oxidative damage. Additionally, it influences enamel maturation and has implications for systemic conditions such as diabetes, highlighting its relevance in dentistry. We propose integrating melatonin into oral healthcare practices by assessing patients' melatonin use, particularly those with inflammatory or systemic conditions, and recommending melatonin-based treatments like sublingual tablets or topical gels to enhance periodontal treatment, promote tissue repair, and reduce oral mucosal lesions. Public health initiatives should raise awareness of melatonin's preventive potential for high-risk populations, and policy frameworks should consider these findings in oral health guidelines. Rigorous clinical studies are essential to establish a solid empirical foundation for melatonin's protective effects on oral health outcomes, necessitating standardized clinical research to validate these preliminary findings.
褪黑激素对口腔健康的影响:当前见解和未来研究方向
褪黑素因其在调节睡眠方面的传统作用而闻名,但由于其抗菌、抗病毒、抗炎和抗氧化特性,它正在成为牙科实践中的一种重要治疗药物。褪黑素存在于唾液中并在口腔局部分泌,它可以通过减少炎症和氧化损伤来保护牙龈和牙周组织。此外,褪黑激素还能影响珐琅质的成熟,并对糖尿病等全身性疾病有一定的影响,这就突出了它在口腔医学中的重要性。我们建议将褪黑激素纳入口腔保健实践,评估患者使用褪黑激素的情况,尤其是那些患有炎症或全身性疾病的患者,并推荐褪黑激素治疗方法,如舌下含片或局部凝胶,以加强牙周治疗,促进组织修复,减少口腔黏膜病变。公共卫生活动应提高人们对褪黑激素对高危人群的预防潜力的认识,政策框架应在口腔健康指南中考虑这些发现。要为褪黑激素对口腔健康结果的保护作用建立坚实的经验基础,必须进行严格的临床研究,这就需要标准化的临床研究来验证这些初步发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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