Comparison of curcumin topical nanogel and chlorhexidine mouthwash for the treatment of chronic gingivitis: A randomized clinical trial

Document Type : Original Article

Authors

1 Associate Professor, Department of Periodontology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

2 Student of Dentistry, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

3 Resident, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

4 Private Practice, Mashhad, Iran

Abstract

BACKGROUND AND AIM: Gingivitis is an inflammation of oral soft tissue without attachment loss as a result of bacterial aggregation. The aim of this study was to compare the effect of topical curcumin nanodrug gel and chlorhexidine (CHX) mouthwash on the treatment of gingivitis.
METHODS: In this study, 40 patients who had generalized chronic gingivitis and symptoms of redness and inflammation of the gums, as well as bleeding on probing (BOP) without attachment loss were enrolled and divided into two groups of 20 members. In one group, scaling and root planing (SRP) with the use of CHX 0.2% (twice a day for a week) was prescribed, and in the other group, SRP was done with the use of topical curcumin 1% nanogel (once a day), which was injected in gingival sulcus. Then, plaque index (PI), gingival index (GI), and BOP were measured and compared at three times (before treatment, 2 weeks and one month after treatment). 5 patients did not attend in the follow-up sessions; therefore, the results were presented with 35 patients.
RESULTS: BOP, GI, and PI significantly reduced in the first, second, and third times in both CHX and curcumin groups (P ≤ 0.04). The average of PI in CHX group was higher than that in curcumin group in the second and third times, but the difference was statistically significant only in the third time (P = 0.014).
CONCLUSION: Based on the results of this study, curcumin as an herbal compound in gel form significantly improves gum status and clinical parameters (BOP, GI, and PI); therefore, it can be used in addition to mechanical treatments.

Keywords


  1. Lovegrove JM. Dental plaque revisited: Bacteria associated with periodontal disease. J N Z Soc Periodontol 2004; (87): 7-21.
  2. Sharva V, Reddy V, Bhambal A, Agrawal R. Prevalence of gingivitis among children of urban and rural areas of Bhopal District, India. J Clin Diagn Res 2014; 8(11): ZC52-ZC54.
  3. Zarandi A, Salahaddin S, Faramarzi M. Efficacy of different concentrations of chlorhexidine mouthwash on plaque accumulation and periodontal parameters. J Periodontol Implant Dent 2016; 8(1): 8-11.
  4. Lang NP, Tan WC, Krahenmann MA, Zwahlen M. A systematic review of the effects of full-mouth debridement with and without antiseptics in patients with chronic periodontitis. J Clin Periodontol 2008; 35(8 Suppl): 8-21.
  5. Flotra L, Gjermo P, Rolla G, Waerhaug J. Side effects of chlorhexidine mouth washes. Scand J Dent Res 1971; 79(2): 119-25.
  6. Samuels N, Grbic JT, Saffer AJ, Wexler ID, Williams RC. Effect of an herbal mouth rinse in preventing periodontal inflammation in an experimental gingivitis model: A pilot study. Compend Contin Educ Dent 2012; 33(3): 204-11.
  7. Biglari H, Saeidi M, Sohrabi Y, Khaksefidi R, Rahdar S, Narooie MR, et al. Persica a miracle in the protect and promote oral and dental health. International Journal of Pharmacy and Technology 2016; 8(3): 17957-67.
  8. Gupta RK, Gupta D, Bhaskar DJ, Yadav A, Obaid K, Mishra S. Preliminary antiplaque efficacy of aloe vera mouthwash on 4 day plaque re-growth model: Randomized control trial. Ethiop J Health Sci 2014; 24(2): 139-44.
  9. Moghbel A, Farajzadeh A, Aghel N, Agheli H, Raisi N. Formulation and evaluation of green tea mouthwash: A new, safe and nontoxic product for children and pregnant women. Toxicol Lett 2009; 189(Suppl): S257.
  10. Gottumukkala SN, Koneru S, Mannem S, Mandalapu N. Effectiveness of sub gingival irrigation of an indigenous 1% curcumin solution on clinical and microbiological parameters in chronic periodontitis patients: A pilot randomized clinical trial. Contemp Clin Dent 2013; 4(2): 186-91.
  11. Van der Weijden FA, Van der Sluijs E, Ciancio SG, Slot DE. Can chemical mouthwash agents achieve plaque/gingivitis control? Dent Clin North Am 2015; 59(4): 799-829.
  12. Loe H. The gingival index, the plaque index and the retention index Systems. J Periodontol 1967; 38(6): Suppl-6.
  13. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J 1975; 25(4): 229-35.
  14. Kandwal A, Mamgain RK, Mamgain P. Comparative evaluation of turmeric gel with 2% chlorhexidine gluconate gel for treatment of plaque induced gingivitis: A randomized controlled clinical trial. Ayu 2015; 36(2): 145-50.
  15. Prasad M, Patthi B, Singla A, Gupta R, Jankiram C, Kumar JK, et al. The clinical effectiveness of post-brushing rinsing in reducing plaque and gingivitis: A systematic review. J Clin Diagn Res 2016; 10(5): ZE01-ZE07.
  16. van der Ouderaa FJ. Anti-plaque agents. Rationale and prospects for prevention of gingivitis and periodontal disease. J Clin Periodontol 1991; 18(6): 447-54.
  17. Nagpal M, Sood S. Role of curcumin in systemic and oral health: An overview. J Nat Sci Biol Med 2013; 4(1): 3-7.
  18. Mali AM, Behal R, Gilda SS. Comparative evaluation of 0.1% turmeric mouthwash with 0.2% chlorhexidine gluconate in prevention of plaque and gingivitis: A clinical and microbiological study. J Indian Soc Periodontol 2012; 16(3): 386-91.
  19. Stoyell KA, Mappus JL, Gandhi MA. Clinical efficacy of turmeric use in gingivitis: A comprehensive review. Complement Ther Clin Pract 2016; 25: 13-7.
  20. Singh V, Pathak AK, Pal M, Sareen S, Goel K. Comparative evaluation of topical application of turmeric gel and 0.2% chlorhexidine gluconate gel in prevention of gingivitis. Natl J Maxillofac Surg 2015; 6(1): 67-71.