Amaliya Amaliya, Budhirahardjo Indri, Hendiani Ina
Departement of Periodontology, Dental Faculty, Universitas Padjadjaran, West Java, Indonesia.
Periodontal Clinic, Indonesian Naval Dental Institute Raden Eddy Martadinata, Central Jakarta.
Eur J Dent. 2023 May;17(2):403-410. doi: 10.1055/s-0042-1748197. Epub 2022 Jun 27.
The present work aimed to evaluate the effect of lemongrass extract incorporated in a resorbable periodontal dressing on gingival wound healing microscopically, following gingivectomy in rats.
Thirty healthy adult male Sprague-Dawley rats were used in this study. Gingivectomy was performed on anterior area of lower jaw in the labial surface of central incisive and, subsequently, wound areas were covered with povidone iodine gel (group P, positive control, = 10), lemongrass resorbable dressing (group L, = 10), and a cellulose-based dressing containing myrrh (group M, positive control, = 10). Histological changes were monitored in days 4, 7, and 14 postsurgery to evaluate fibroblast and collagen deposition as repair stage of healing process.
One-way analysis of variance (ANOVA) followed by Tukey's post hoc for multiple comparisons were employed to measure differences between pairs of means, p-value of 0.05 was considered statistically significant.
We observed significant difference repair parameters of the healing process between surgical sites treated with lemongrass periodontal dressing and control groups. Wounds treated with lemongrass dressing had greater fibroblast compared with control groups in 4 and 7 days after surgery ( ≤ 0.05).
The results suggest positive potential therapeutic effects for this new formulation of periodontal dressing on acceleration of surgical wound healing that lead to improvement of periodontal treatment consequences following gingivectomy.
本研究旨在通过显微镜观察,评估可吸收性牙周敷料中添加柠檬草提取物对大鼠牙龈切除术后牙龈伤口愈合的影响。
本研究使用了30只健康的成年雄性Sprague-Dawley大鼠。在大鼠下颌前部中切牙唇面进行牙龈切除术,随后伤口分别用聚维酮碘凝胶覆盖(P组,阳性对照组,n = 10)、柠檬草可吸收敷料覆盖(L组,n = 10)以及含没药的纤维素基敷料覆盖(M组,阳性对照组,n = 10)。在术后第4天、第7天和第14天监测组织学变化,以评估成纤维细胞和胶原蛋白沉积情况,作为愈合过程的修复阶段。
采用单因素方差分析(ANOVA),随后进行Tukey事后多重比较,以测量均值对之间的差异,p值小于0.05被认为具有统计学意义。
我们观察到,用柠檬草牙周敷料治疗的手术部位与对照组相比,愈合过程的修复参数存在显著差异。术后第4天和第7天,用柠檬草敷料治疗的伤口与对照组相比,有成纤维细胞数量更多(p≤0.05)。
结果表明,这种新型牙周敷料对加速手术伤口愈合具有积极的潜在治疗效果,可改善牙龈切除术后的牙周治疗效果。