Curcumin Versus Corticosteroids for Symptomatic Oral Lichen Planus: A Systematic Review and Meta-Analysis

IF 2.2 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Sadeq A. Al-Maweri, Gamilah Al-Qadhi, Ahmed Yaseen Alqutaibi, Nadhem M. Sallam, Mounzer Assad, Mahfoudh A. Abdulghani, Marwan Mansoor Ali Mohammed
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引用次数: 0

Abstract

Objectives

The management of oral lichen planus (OLP) is challenging, with no definitive cure available. This systematic review and meta-analysis aimed to assess the efficacy of curcumin in managing OLP.

Material and Methods

A comprehensive search of PubMed, Scopus, Web of Science, and Google Scholar was conducted for relevant clinical trials published up to March 31, 2025. All clinical trials comparing the efficacy of curcumin to corticosteroids were included. A meta-analysis was conducted on studies with available numerical data to assess the efficacy of curcumin relative to the control group.

Results

Eleven clinical trials, involving 499 OLP patients, were included in this review, with nine studies were incorporated into the meta-analysis. All studies reported curcumin to be efficacious in alleviating the signs and symptoms of OLP. Pooled data showed significantly better efficacy of curcumin in reducing pain at 1 week (SMD, −0.70; 95% CI, −1.33, −0.07; p = 0.03; I2 = 66%) compared with corticosteroids. However, no significant differences were observed between the two groups at the 2-, 4-, and 12-week follow-ups. Additionally, curcumin and corticosteroids demonstrated comparable efficacy in clinical improvement of lesions across different time points.

Conclusions

The available evidence suggests that curcumin has promising effects in managing OLP. However, due to methodological limitations, including significant heterogeneity among the studies and a high risk of bias in most of them, further well-designed studies with adequate follow-up periods are needed.

Abstract Image

姜黄素与皮质类固醇治疗症状性口腔扁平苔藓:系统综述和荟萃分析
目的口腔扁平苔藓(OLP)的治疗具有挑战性,目前尚无明确的治疗方法。本系统综述和荟萃分析旨在评估姜黄素治疗OLP的疗效。材料与方法综合检索PubMed、Scopus、Web of Science、谷歌Scholar,检索截止2025年3月31日已发表的相关临床试验。所有比较姜黄素与皮质类固醇疗效的临床试验均被纳入。一项荟萃分析对研究进行了可用的数值数据,以评估姜黄素相对于对照组的疗效。结果本综述纳入了11项临床试验,涉及499例OLP患者,其中9项研究纳入meta分析。所有研究都报道姜黄素对缓解OLP的症状和体征有效。综合数据显示,姜黄素在1周时减轻疼痛的疗效明显优于皮质类固醇(SMD, - 0.70; 95% CI, - 1.33, - 0.07; p = 0.03; I2 = 66%)。然而,在2周、4周和12周的随访中,两组之间没有观察到显著差异。此外,姜黄素和皮质类固醇在不同时间点病变的临床改善方面表现出相当的疗效。结论姜黄素对OLP有较好的治疗作用。然而,由于方法学的局限性,包括研究之间的显著异质性和大多数研究的高偏倚风险,需要进一步精心设计的研究和足够的随访期。
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来源期刊
Clinical and Experimental Dental Research
Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.30
自引率
5.60%
发文量
165
审稿时长
26 weeks
期刊介绍: Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.
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