Effect of the application of curcumin (Curcuma Longa) oral gel on periodontal inflammation in patients with type 2 diabetes melitus

Nur Rahman Ahmad Seno Aji, V. Karina, Osa Amila Hafiyyah, K. Murdiastuti, Ahmad Syaify
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Abstract

Patients with Type 2 Diabetes mellitus (T2DM) were more prone to suffer from periodontitis due to unique alteration in host immune response. Application of curcumin oral gel as adjunctive therapy was expected to improve periodontal condition due to its anti-inflammatory properties. The objective of this study was to evaluate the effect of curcumin oral gel on periodontal inflammation in patients with T2DM. Sixteen periodontal pockets (n=16) from patients with T2DM were administered with curcumin oral gel using blunt cannula after periodontal curettage. Gingival Index (GI) and Periodontal Pocket Probing Depth (PPD) were evaluated a month after application. GI was assessed using visible sign of inflammation parameters including swelling, redness and bleeding upon probing. PPD was assessed using UNC-15 periodontal probe. The results were analyzed by Wilcoxon test (two related samples). The results showed that GI before treatment decreased by 51.61% a month post application. There was statistically significant difference (Sig 0.003) between GI mean before and after curcumin application. PPD decreased by 42.81% and showed statistically significant difference (Sig 0.000) by Wilcoxon Test. It is concluded that application of curcumin oral gel post curettage could decrease periodontal inflammation in patients with T2DM.
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姜黄素口服凝胶对2型糖尿病患者牙周炎症的影响
2型糖尿病(T2DM)患者由于其独特的宿主免疫反应改变而更容易发生牙周炎。姜黄素口服凝胶具有抗炎作用,有望改善牙周状况。本研究的目的是评估姜黄素口服凝胶对T2DM患者牙周炎症的影响。16例T2DM患者牙周袋(n=16)在牙周刮除后用钝管给予姜黄素口服凝胶。应用1个月后评估牙龈指数(GI)和牙周袋探测深度(PPD)。使用可见的炎症参数,包括探查时的肿胀、红肿和出血来评估GI。采用UNC-15牙周探针评估PPD。结果采用Wilcoxon检验(两个相关样本)进行分析。结果显示,治疗前GI在治疗后一个月下降51.61%。应用姜黄素前后的GI平均值差异有统计学意义(Sig 0.003)。经Wilcoxon检验,PPD降低42.81%,差异有统计学意义(Sig 0.000)。结论:T2DM患者刮除后应用姜黄素口服凝胶可减轻牙周炎症。
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