Razi Drug Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of Pharmacology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Pharmacol Rep. 2024 Jun;76(3):487-503. doi: 10.1007/s43440-024-00593-6. Epub 2024 Apr 12.
Oral diseases, including periodontal disorders, oral cancer, periodontitis, and mucositis are the major challenges for both patients and healthcare providers. These conditions often involve inflammation, oxidative stress, and impaired cellular processes, leading to symptoms ranging from discomfort to severe debilitation. Conventional treatments for such oral diseases exhibit constraints, prompting the investigation of innovative therapeutic approaches. Considering the anti-inflammatory, anti-oxidant, and anti-cancer effects of melatonin, this study was carried out to investigate the potential protective effects of melatonin in mitigating the severity of oral diseases. Studies indicate that melatonin influences the differentiation of periodontal stem cells, inhibits oral cancer progression, reduces inflammation associated with periodontitis, and alleviates the severity of oral mucositis. Melatonin has demonstrated potential efficacy in both preclinical and clinical investigations; however, findings are frequently heterogeneous and contingent upon contextual factors. This review provides a comprehensiveoverview of current state of knowledge in this domain, elucidating the multifaceted role that melatonin may assume in combatingoral diseases. Further research should be directed toward determining the most effective dosing, timing, and administration methods for melatonin-based therapies for oral diseases.
口腔疾病,包括牙周病、口腔癌、牙周炎和黏膜炎,是患者和医疗保健提供者面临的主要挑战。这些病症通常涉及炎症、氧化应激和受损的细胞过程,导致从不适到严重虚弱等各种症状。传统的口腔疾病治疗方法存在局限性,促使人们探索创新的治疗方法。鉴于褪黑素具有抗炎、抗氧化和抗癌作用,本研究旨在探讨褪黑素在减轻口腔疾病严重程度方面的潜在保护作用。研究表明,褪黑素影响牙周干细胞的分化,抑制口腔癌的进展,减轻与牙周炎相关的炎症,缓解口腔黏膜炎的严重程度。褪黑素在临床前和临床研究中都显示出了潜在的疗效;然而,研究结果常常存在异质性,并且取决于具体情况。本综述全面概述了该领域的现有知识,阐明了褪黑素在防治口腔疾病方面可能具有的多方面作用。应该针对口腔疾病的褪黑素疗法的最有效剂量、时间和给药方法进行进一步的研究。
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