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

https://doi.org/10.22146/majkedgiind.69036

Nur Rahman Ahmad Seno Aji(1*), Vincensia Maria Karina(2), Osa Amila Hafiyyah(3), Kwartarini Murdiastuti(4), Ahmad Syaify(5)

(1) Department of Periodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(2) Department of Periodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(3) Department of Periodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(4) Department of Periodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(5) Department of Periodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

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.


Keywords


diabetics periodontics; curcumin; diabetes mellitus

Full Text:

PDF


References

1. Graves DT, Ding Z, Yang Y. The impact of diabetes on periodontal diseases. Periodontol
2000. 2020; 82(1): 214-224. doi: 10.1111/prd.12318

2. Syaify A. Pengaruh level HbA1c terhadap fungsi fagositosis neutrofil (PMN) pada penderita periodontitis diabetika. Majalah Kedokteran Gigi Indonesia. 2012; 19(2): 93-97. doi: 10.22146/majkedgiind.9375

3. Sanz M, Ceriello A, Buysschaert M, Chapple I, Demmer RT, Graziani F, Herrera D, Jepsen
S, Lione L, Madianos P, Mathur M, Montanya E, Shapira L, Tonetti M, Vegh D. Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the international diabetes Federation and the European Federation of Periodontology. Diabetes Res Clin Pract. 2018; 137: 231-241.
doi: 10.1016/j.diabres.2017.12.001

4. Chang PC, Lim LP. Interrelationships of periodontitis and diabetes: a review of the
current literature. J Dent Sci. 2012; 7(3): 272-282. doi: 10.1016/j.jds.2012.02.002

5. Albandar JM, Susin C, Hugher FJ. Manifestation of systemic disease and condition that affect
the periodontal attachment apparatus: Case definitions and diagnostic considerations. J
Periodontol. 2017; 89 (Suppl 1): S183-S203. doi: 10.1002/JPER.16-0480

6. Witjaksono W, Abusamah R, Kannan TP. Clinical evaluation in periodontitis patient
after curettage. Dental Journal (Majalah Kedokteran Gigi). 2006; 39(3): 102-106.
doi: 10.20473/j.djmkg.v39.i3.p102-106

7. Elburki MS. Systemic host modulation therapy in the treatment of periodontal disease.
Biomed J Sci & Tech Res. 2018; 7(3): 1-4. doi: 10.26717/BJSTR.2018.07.001513

8. Gupta SC, Patchva S, Aggarwal BB. Therapeutic roles of curcumin: lessons
learned from clinical trials. AAPS J. 2013; 15(1): 195-218. doi: 10.1208/s12248-012-9432-8

9. Ravishankar PL, Kumar YP, Anila EN, Chakraborty P, Malakar M, Mahalaksmi R. Effect of local application of curcumin and ornidazole gel in chronic periodontitis patient. Int J Pharm Investig. 2017; 7(4): 188-192. doi: 10.4103/jphi.JPHI_82_17

10. Farjana HN, Chandrasekaran SC, Gita B. Effect of oral curcuma gel in gingivitis
management-a pilot study. J Clin Diagn Res. 2014; 8(12): ZC08-ZC10.
doi: 10.7860/JCDR/2014/8784.5235

11. Cheungsamarn S, Rattanamongkolgul S, Luechapudiporn R, Phisalaphong C,
Jirawatnotai S. Curcumin extract for prevention of Type II Diabetes. Diabetes Care. 2012; 35(11): 2121- 2127. doi: 10.2337/dc12-0116

12. Heng MCY. Topical curcumin: a review of mechanisms and uses in dermatology. Int J
Dermatol Clin Res. 2017; 3(1): 010-017. doi: 10.17352/2455-8605.000020

13. Her C, Venier-Julienne MC, Roger E. Improvement of curcumin bioavailability for
medical applications. Medicinal & Aromatic Plants. 2018; 7(6): 326.
doi: 10.4172/2167-0412.1000326

14. Liu Z, Ying Y. The inhibitory effect of curcumin on virus-induced cytokine storm
and its potential use in the associated severe pneumonia. Front Cell Dev Biol. 2020; 8: 479.
doi: 10.3389/fcell.2020.00479

15. Spampinato SF, Caruso GI, Pasquale RD, Sortino MA, Merlo S. The treatment of
impaired wound healing in diabetes: looking among old drugs. Pharmaceuticals. 2020;
13(4): 60. doi: 10.3390/ph13040060

16. Abiko Y, Selomovic D. The Mechanism of protracted wound healing on oral mucosa in diabetes. Bosn J Basic Med Sci. 2010; 10(3): 186-191. doi: 10.17305/bjbms.2010.2683

17. Takei HH. Phase I periodontal therapy in carranza’s clinical periodontology, 13th
Edition. Philadelphia: Section IV. 2019; Chapter 47: 506-508.

18. Pippi R. Post-Surgical clinical monitoring of soft tissue healing in periodontal and implant
surgery. Int J Med Sci. 2017; 14(8): 721-728. doi: 10.7150/ijms.19727

19. Akbik D, Ghadiri M, Chrzanowski W, Rohanizadeh R. Curcumin as a wound healing
agent. Life Sci. 2014; 116(1): 1-7. doi: 10.1016/j.lfs.2014.08.016



DOI: https://doi.org/10.22146/majkedgiind.69036

Article Metrics

Abstract views : 1022 | views : 1435

Refbacks

  • There are currently no refbacks.




Copyright (c) 2021 Majalah Kedokteran Gigi Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


 

 View My Stats


real
time web analytics