Anil Anu, Gujjari Sheela Kumar, Venkatesh Madhugiri Prakash
Department of Periodontology, JSS Dental College and Hospital, JSSAHER, Mysore, Karnataka, India.
Department of Pharmaceutics, JSS College of Pharmacy, JSS Academy of Higher Research, Mysore, Karnataka, India.
J Indian Soc Periodontol. 2019 Sep-Oct;23(5):461-468. doi: 10.4103/jisp.jisp_700_18.
Management of pain and discomfort is important to make the postoperative period as pleasant as possible. Nonsteroidal anti-inflammatory drugs are traditionally prescribed; however, they are associated with numerous side effects. As a result, nutraceuticals such as curcumin are widely used for its well-known safety and medicinal values. Hence, the aim of this study is to evaluate the efficacy of a curcumin mucoadhesive film for postsurgical pain control.
This was a split-mouth study, consisting of 15 systemically healthy patients with 30 sites, who were randomly allocated into test (curcumin mucoadhesive film) and control (placebo mucoadhesive film) groups using coin toss method. A questionnaire was given to patients to evaluate the postoperative pain and swelling and the number of rescue medications taken. Statistical analyses used were Friedman test, Wilcoxon signed-rank test, and McNemar's test.
No adverse effects were reported and healing was uneventful in all patients. The Numerical rating scale pain score showed significantly lesser pain at 1, 2, 3, 4, 5, and 24 h in the test group. Significantly more number of analgesics was consumed in total in the control group than that in the test group.
Within the limitations of this study, it may be concluded that curcumin mucoadhesive film showed promising results in reducing postoperative pain and swelling over a period of 1 week, hence showing its analgesic effect after periodontal surgeries.
控制疼痛和不适对于使术后时期尽可能舒适很重要。传统上会开具非甾体类抗炎药;然而,它们有许多副作用。因此,姜黄素等营养保健品因其众所周知的安全性和药用价值而被广泛使用。因此,本研究的目的是评估姜黄素粘膜粘附膜用于术后疼痛控制的疗效。
这是一项双盲研究,由15名全身健康的患者、共30个部位组成,通过抛硬币的方法将他们随机分为试验组(姜黄素粘膜粘附膜)和对照组(安慰剂粘膜粘附膜)。向患者发放问卷以评估术后疼痛、肿胀情况以及服用的急救药物数量。所使用的统计分析方法有弗里德曼检验、威尔科克森符号秩检验和麦克尼马尔检验。
所有患者均未报告不良反应,愈合过程顺利。数字评分量表疼痛评分显示,试验组在1、2、3、4、5和24小时时疼痛明显减轻。对照组总共消耗的镇痛药数量明显多于试验组。
在本研究的局限性范围内,可以得出结论,姜黄素粘膜粘附膜在减轻术后疼痛和肿胀方面显示出有希望的结果,为期1周,因此显示出其在牙周手术后的镇痛效果。