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Mancini L, Mancini V. Parodontgel® on Wound Healing and Patient-Reported Outcome Measures (PROMs) after Tunneled Coronally Advanced Flap (TCAF). Case Rep Dent 2024; 2024:5571545. [PMID: 38304282 PMCID: PMC10834094 DOI: 10.1155/2024/5571545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 01/12/2024] [Accepted: 01/16/2024] [Indexed: 02/03/2024] Open
Abstract
The adjunctive use of healing gels following periodontal plastic surgery is not common in clinical practice, and no definitive benefits have yet been demonstrated. Case Presentation. A 33-year-old male patient with a central lower incisor class RT1 recession sought treatment due to sensitivity and dissatisfaction with the appearance of his smile. The patient had no history of periodontal disease; however, he was under orthodontic treatment contributing to the gingival recession and irregular gum contours. Treatment. The patient underwent two sequential surgical procedures. Initially, an apically repositioned flap (APF) was performed to correct the frenulum reducing flap tension and improving the gum line aesthetics. Subsequently, after 8 weeks, a tunneled coronally advanced flap (TCAF) was executed to further refine the gum contours and achieve root coverage. Postoperative Healing Protocol. To enhance the healing process and alleviate postoperative discomfort, a healing gel containing hyaluronic acid as the active molecule was applied to the surgical sites. The gel was expected to reduce pain perception and minimize the need for painkiller intake during the critical first week of recovery. The patient was asked to fill a pain chart for the initial 7 days, recording pain levels on a visual analogue scale (VAS 0-10) and the number of paracetamol tablets taken as painkillers. Results. After both the APF and TCAF surgeries, the patient reported pain levels with a mean VAS score of 4.33 and 4.25, respectively. The painkiller intake during the first week was noted to be 3 tablets for the APF and 2 tablets for the TCAF. Notably, the application of the healing gel with hyaluronic acid did not cause any adverse reactions, indicating its potential safety and efficacy in this context. Conclusion. The application of a healing gel containing hyaluronic acid after periodontal plastic surgery showed promising results in reducing postoperative pain and the need for painkillers during the initial week of recovery. However, further investigations through randomized clinical trials are required to establish the potential benefits and broader applicability of such healing gel applications in the context of periodontal plastic surgery.
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Affiliation(s)
- Leonardo Mancini
- Center for Clinical Research and Evidence Synthesis in Oral Tissue Regeneration (CRITERION), Boston, Massachusetts, USA
- Clinic of Reconstructive Dentistry, Centre of Dental Medicine, University of Zurich, Zurich, Switzerland
- Private Practice, Avezzano, Italy
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Inchingolo F, Inchingolo AM, Latini G, Ferrante L, Trilli I, Del Vecchio G, Palmieri G, Malcangi G, Inchingolo AD, Dipalma G. Oxidative Stress and Natural Products in Orthodontic Treatment: A Systematic Review. Nutrients 2023; 16:113. [PMID: 38201943 PMCID: PMC10780648 DOI: 10.3390/nu16010113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Revised: 12/20/2023] [Accepted: 12/22/2023] [Indexed: 01/12/2024] Open
Abstract
In recent years, orthodontics, a specialized branch of dentistry, has evolved considerably in terms of both techniques and materials used. Aimed at correcting dental malocclusions and craniofacial anomalies, it improves the functionality and aesthetics of the face and oral cavity. However, orthodontic treatment, in its developmental stages, may induce oxidative stress (O.S.) phenomena, with an increase in the production of reactive oxygen species (ROS), damaging the dental and periodontal tissues involved, affecting the short-, medium- and long-term results. Studies on the antioxidant effects of natural products (e.g., resveratrol, green tea, turmeric, etc.) in the medical field have aroused considerable interest in recent years. A systematic literature review was conducted on the PubMed, Scopus, and Web of Science databases using natural products (N.P.s), O.S., and orthodontic as keywords. The study aims to consider the determinants of the increase in ROS occurring during orthodontic treatment and the possibility of natural products being able to control and neutralize biochemical phenomena by restoring the physiological process in which the balance between the production of ROS and the ability of the body's antioxidant system to neutralize them is in favor of the latter.
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Affiliation(s)
| | | | | | | | | | | | | | - Giuseppina Malcangi
- Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (F.I.); (A.M.I.); (G.L.); (L.F.); (I.T.); (G.D.V.); (G.P.); (A.D.I.); (G.D.)
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Mandurino M, Di Domenico GL, Baldani S, Collivasone G, Gherlone EF, Cantatore G, Paolone G. Dental Restorations. Bioengineering (Basel) 2023; 10:820. [PMID: 37508847 PMCID: PMC10376857 DOI: 10.3390/bioengineering10070820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 07/04/2023] [Indexed: 07/30/2023] Open
Abstract
Fulfilling a patient's request for a healthy, functional and esthetic smile represents a daily challenge for dental practitioners [...].
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Affiliation(s)
- Mauro Mandurino
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, Italy
| | | | - Sofia Baldani
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, Italy
| | - Giacomo Collivasone
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, Italy
| | | | - Giuseppe Cantatore
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, Italy
| | - Gaetano Paolone
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, Italy
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Tremolati M, Farronato M, Ferrantino L, Rusconi F, Lodi G, Maspero C. Clinical Performance Evaluation of a Hyaluronic Acid Dental Gel for the Treatment of Traumatic Ulcers in Patients with Fixed Orthodontic Appliances: A Randomized Controlled Trial. BIOENGINEERING (BASEL, SWITZERLAND) 2022; 9:bioengineering9120761. [PMID: 36550967 PMCID: PMC9774828 DOI: 10.3390/bioengineering9120761] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 11/29/2022] [Accepted: 11/30/2022] [Indexed: 12/12/2022]
Abstract
BACKGROUND A newly available gel containing hyaluronic acid (HA) and polyvinylpyrrolidone was tested for efficacy on traumatic oral ulcers (TOU) caused by fixed orthodontic appliances. METHODS A double-blind RCT was conducted to test the new gel versus a placebo. According to the sample size calculation, a total of 60 patients were considered sufficient and randomly allocated to one of the two groups out of a pool of 100 total patients who initially agreed to participate in the study. A VAS scale test and lesion measurements at T0, T1, and T2 were performed on the patients. RESULTS A total of 70 patients developed TOU, with 8 drop-outs; the intergroup comparison showed a statistically significant greater dimension of the lesion in the control group at T2 when compared to the test group. The pain experienced by the patients belonging to the test group was significantly lower than the pain in the patients in the control group Conclusions: Under the limitations of the study, the new formula might provide faster healing with less pain experienced by the patient when compared to a placebo.
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Affiliation(s)
- Marco Tremolati
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, 20100 Milan, Italy
| | - Marco Farronato
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, 20100 Milan, Italy
- Correspondence:
| | - Luca Ferrantino
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, 20100 Milan, Italy
| | - Francesca Rusconi
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, 20100 Milan, Italy
| | - Giovanni Lodi
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, 20100 Milan, Italy
| | - Cinzia Maspero
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, 20100 Milan, Italy
- Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20100 Milan, Italy
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Second-Degree Burns and Aloe Vera: A Meta-analysis and Systematic Review. Adv Skin Wound Care 2022; 35:1-9. [DOI: 10.1097/01.asw.0000875056.29059.78] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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The Comparison of Color Stability of Aloe Vera Gel and Chlorhexidine Solution on Acrylic Teeth. Int J Dent 2022; 2022:6196803. [PMID: 36310818 PMCID: PMC9616678 DOI: 10.1155/2022/6196803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Revised: 09/30/2022] [Accepted: 10/13/2022] [Indexed: 11/17/2022] Open
Abstract
Background There is insufficient knowledge about aloe vera color change property on acrylic teeth compared to other denture cleaners, especially chlorhexidine solution (CHX). Objective The present study aimed to compare the color change property of the aloe vera and chlorhexidine solution on denture acrylic teeth. Methods This study was experimental in vitro study design conducted in the dental laboratory of Tabriz University of Medical Sciences, Iran, 2021. The sample size in each group was 21 acrylic teeth which were randomly divided into aloe vera gel 100% and chlorhexidine solution 2% groups. Tooth colors were measured by a spectrophotometer (Spectro Shade Micro, MHT S.P.A., Milan, Italy). The immersion time in both groups was 36 hours. Data analyzed using an independent t-test was used at a 95% of confidence level. Results The comparison of the total color differences (ΔE) between the two groups was not statistically significant after 36 hours of immersion (P=0.440). In the chlorhexidine group, the brightness of teeth was lower than that in the aloe vera group (P=0.002). Conclusions Clinicians should be aware that aloe vera gel does not change the color of denture acrylic teeth after 36 hours of immersion similar to the chlorhexidine solution. For patients who cannot use chlorhexidine, aloe vera gel is a good cleaner for denture acrylic teeth without worrying about the color change of the denture. It can be considered an acceptable cleaner for denture acrylic teeth.
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Gao Q, Shang Y, Zhou W, Deng S, Peng C. Marine collagen peptides: A novel biomaterial for the healing of oral mucosal ulcers. Dent Mater J 2022; 41:850-859. [PMID: 35934799 DOI: 10.4012/dmj.2021-323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The purpose of this study was to analyze the therapeutic effects of marine collagen peptides (MCPs) from tilapia skin on oral mucosal ulcers in a rat model. CCK-8 and wound healing assays were performed in vitro to evaluate proliferation and migration of L929 cells after treatment with MCPs. The effects of MCPs on the healing of oral mucosal ulcers in a rat model were macroscopically and microscopically analyzed in vivo. Results showed that MCPs promoted proliferation and migration of L929 cells. Moreover, 75%MCPs enhanced the ulcer healing process, suppressed inflammatory response and up-regulated the expression levels of vascular endothelial growth factor (VEGF) and fibroblast growth factor (FGF). MCPs are potentially used as a new therapeutic strategy for oral mucosal ulceration.
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Affiliation(s)
- Qiuying Gao
- Department of Stomatology, The Second Hospital of Tianjin Medical University
| | - Yuli Shang
- Department of Stomatology, The Second Hospital of Tianjin Medical University
| | - Weiwei Zhou
- Department of Stomatology, The Second Hospital of Tianjin Medical University
| | - Shu Deng
- Henry M Goldman School of Dental Medicine, Boston University
| | - Cheng Peng
- Department of Stomatology, The Second Hospital of Tianjin Medical University
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Razia S, Park H, Shin E, Shim KS, Cho E, Kang MC, Kim SY. Synergistic effect of Aloe vera flower and Aloe gel on cutaneous wound healing targeting MFAP4 and its associated signaling pathway: In-vitro study. JOURNAL OF ETHNOPHARMACOLOGY 2022; 290:115096. [PMID: 35182666 DOI: 10.1016/j.jep.2022.115096] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/26/2021] [Revised: 01/30/2022] [Accepted: 02/07/2022] [Indexed: 06/14/2023]
Abstract
ETHNOPHARMACOLOGICAL RELEVANCE Aloe vera (L.) Burm. f. (Liliaceae family) is a well-known traditional medicinal plant, that has been used to treat a variety of illnesses, for decades ranging from cancer to skin disorders including wounds. It has been included in the traditional and herbal healthcare systems of many cultures around the world, as well as the pharmacopeia of different countries. Several in vitro and in vivo studies have also confirmed its potential antioxidant, anti-inflammatory, and wound-healing activities, etc. in the consistency of its historical and traditional uses. However, most studies to date are based on the A. vera gel and latex including its wound-healing effects. Very few studies have been focused on its flower, and rarely with its effects on cutaneous wound healing and its molecular mechanism. AIM OF THE STUDY To the best of our knowledge, this is the first study to report on the synergistic effect of the A. vera flower (AVF) and Aloe gel (PAG) on cutaneous wound-healing, as well as revealing its molecular mechanism targeting microfibril-associated glycoprotein 4 (MFAP4) and its associated signaling pathway. METHODS To investigate the synergistic effect of A. vera flower and Aloe gel in cutaneous wound healing, cell viability, and cell migration, as well proliferation assay was performed. This was followed by quantitative real-time polymerase chain reaction and Western blot analyses in wounded conditions to check the effects of this mixture on protein and mRNA levels in normal human dermal fibroblast (NHDF) cells. Moreover, small interfering RNA (siRNA) -mediated knockdown of MFAP4 in NHDF cells was performed followed by migration assay and cell cycle analysis, to confirm its role in cutaneous wound healing. Additionally, HaCaT cells were included in this study to evaluate its migratory and anti-inflammatory effects. RESULTS Based on our obtained results, the PAG and AVF mixture synergistically induced the proliferation, migration, and especially ECM formation of NHDF cells by enhancing the expression of MFAP4. Other extracellular components associated with MFAP4 signaling pathway, such as fibrillin, collagen, elastin, TGF β, and α-SMA, also increased at both the protein and mRNA levels. Subsequently, this mixture initiated the phosphorylation of the extracellular signal-regulated kinase (ERK) and AKT signaling pathways, and the S-phase of the cell cycle was also slightly modified. Also, the mixture induced the migration of HaCaT cells along with the suppression of inflammatory cytokines. Moreover, the siRNA-mediated knockdown highlighted the crucial role of MFAP4 in cutaneous wound healing in NHDF cells. CONCLUSION This study showed that the mixture of PAG and AVF has significant wound healing effects targeting MFAP4 and its associated signaling pathway. Additionally, MFAP4 was recognized as a new potential biomarker of wound healing, which can be confirmed by further in vivo studies.
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Affiliation(s)
- Sultana Razia
- Department of Life Science, University of Seoul, Seoul, 02504, South Korea; Department of Pharmacy, Jagannath University, Dhaka, 1100, Bangladesh
| | - Hyunsung Park
- Department of Life Science, University of Seoul, Seoul, 02504, South Korea
| | - Eunju Shin
- Univera Co., Ltd., Seoul, 04782, Republic of Korea
| | - Kyu-Suk Shim
- Univera Co., Ltd., Seoul, 04782, Republic of Korea
| | - Eunae Cho
- Univera Co., Ltd., Seoul, 04782, Republic of Korea
| | - Min Chol Kang
- College of Pharmacy, Gachon University, 191 Hambakmoero, Yeonsu-gu, Incheon, 21936, South Korea
| | - Sun Yeou Kim
- College of Pharmacy, Gachon University, 191 Hambakmoero, Yeonsu-gu, Incheon, 21936, South Korea.
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Pal M, Kumar S, Shenoy PA, Chaitanya TAK, Pratibha G, Bhat GS. Evaluation of Plaque Removal Efficacy of Dental Floss with/without Chlorhexidine Gel Coating in Patients with Gingivitis - A Clinical and Microbological Study. Open Access Maced J Med Sci 2020. [DOI: 10.3889/oamjms.2020.4141] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Chlorhexidine has shown anti-plaque and antimicrobial effects when used as a mouthwash and appears to be effective when used as a topical antiseptic agent.
AIM: The present study aimed to compare the efficacy of chlorhexidine gel coated dental floss with that of uncoated dental floss.
METHODS: This parallel, single-blinded, randomized controlled clinical trial Included 30 patients with moderate to severe gingivitis. The total population was randomly divided into three groups, with ten patients in each group. Group A received dental floss with 1% chlorhexidine gel, and Group B received only dental floss, while in Group C no dental floss was provided. All thirty volunteers were provided with standard toothpaste and toothbrush. Clinical parameters such as gingival index, plaque index, and bleeding index were recorded along with supragingival plaque sample collection for microbiological culture. Subjects were recalled after 15 days and clinical and microbiological analysis was performed. All parameters were re-assessed at the follow up visit after two weeks.
RESULTS: All the groups showed a significant reduction in values of plaque index, gingival index, and bleeding index, as well as the microbial counts post-enrollment in the study. A significant reduction in the bleeding indices was noticed in Group A in comparison to C (p < 0.05).
CONCLUSIONS: The use of dental floss coated with 1% chlorhexidine gluconate gel was effective as an interproximal aid for patients with moderate to severe gingivitis.
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