The effectiveness of Turmeric gel in the healing of donor site for Free Gingival Graft

Q4 Dentistry

Dentistry 3000 Pub Date : 2023-04-07 DOI:10.5195/d3000.2023.380

Zuhir Alasfar, Rowaida Saymeh, Mays Khazem

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Abstract

BACKGROUND: Preparation of turmeric extract gel with a concentration of 10% and comparing it with non-eugenol gingival dressing (Coe-PakTM) in the healing and re-epithelialization of palatal donor site after free gingival graft, and reduction of postoperative pain.MATERIALS AND METHODS: This study was conducted on twenty-two patients with lack of attached gingival tissue for various reasons and received soft tissue augmentation via free gingival grafts. Participants were randomly divided into two equal groups: group I (test) was treated with 10% turmeric gel while group II (control) was treated with (Coe-PakTM). Both pain level index which assessed by using the Visual Analogue Scale (VAS) and Analgesic consumption index were recorded for 7 days after surgery. The healing index, the color match index, and the re-epithelialization index were assessed on days 7, 14, 21, and 28. Finally, wound size index was measured via periodontal Probe at baseline and days 7, 14, 21, 28, and after 2 months.RESULTS: Group I showed significant pain reduction measured by VAS and analgesic consumption on day 3, 4, 5, 6, 7 (p<0.05) with no significant difference on the first two days (p>0.05). Group I demonstrated significant acceleration in the initial healing process during the 1st week (p=0.002) and 2nd week (p=0.01) with no significant difference between both groups in the 3rd and 4th weeks (p>0.05). Group I showed statistically higher VAS for the color match on day 7, 14, 21, and 28. No statistical difference was noted between the groups after two months. There was no statistical difference between groups I and II in the re-epithelialization and wound size index at any of the follow-up periods (p>0.05).CONCLUSION: 10% turmeric extract gel showed relief of post-operative pain, acceleration of the healing process, and better outcomes in terms of the color match for the palatal wound after free gingival grafting procedure comparing to the Coe-PakTM periodontal dressing.KEYWORDS: Curcumin; Free gingival graft; periodontal dressing; donor site

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姜黄凝胶对游离牙龈移植物供区愈合的影响

背景：制备浓度为10%的姜黄提取物凝胶，并将其与非丁香酚牙龈敷料（Coe-PakTM）在游离牙龈移植后腭供区的愈合和上皮化以及减轻术后疼痛方面进行比较。材料和方法：本研究对22例因各种原因缺乏附着牙龈组织的患者进行了研究，并通过游离牙龈移植物进行了软组织增强。参与者被随机分为两组：第一组（试验组）用10%姜黄凝胶治疗，而第二组（对照组）用（Coe-PakTM）治疗。术后7天，记录使用视觉模拟量表（VAS）评估的疼痛水平指数和镇痛药消耗指数。在第7、14、21和28天评估愈合指数、颜色匹配指数和再上皮化指数。最后，在基线和第7、14、21、28天以及2个月后通过牙周探针测量伤口大小指数。结果：I组在第3、4、5、6天通过VAS和镇痛剂消耗测量显示疼痛显著减轻，7（p0.05）。I组在第1周（p=0.002）和第2周（p=0.001）显示出初始愈合过程的显著加速，而在第3周和第4周两组之间没有显著差异（p>0.05）。第7天、第14天、第21天和第28天，I组的颜色匹配VAS显示出更高的统计学意义。两个月后两组间无统计学差异。结论：10%姜黄提取物凝胶能减轻术后疼痛，加速愈合进程，与Coe-PakTM牙周敷料相比，在游离牙龈移植术后腭部伤口的颜色匹配方面取得了更好的结果。关键词：姜黄素；游离牙龈移植物；牙周敷料；供体部位

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