Investigating how well a turmeric extract gel helps in wound healing after the surgical removal of gingival pigmentation

ISRCTN ISRCTN69571802
DOI https://doi.org/10.1186/ISRCTN69571802
Submission date
25/11/2024
Registration date
29/11/2024
Last edited
29/11/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
This study aimed to prepare turmeric extract gel with a concentration of 10% and compare it with a non-eugenol periodontal dressing (Coe-Pak) after the surgical removal of gingival pigmentation (black gums). This was carried out by evaluating wound healing, pain, the number of painkillers taken, bleeding on probing, plaque and the patient's esthetic and surgical satisfaction.

Who can participate?
Patients aged over 18 years with gingival pigmentation and good oral health

What does the study involve?
The study involves the removal of gingival pigmentation by a surgical scalpel on the upper jaw. The surgical procedure was performed in two phases, a week apart, and either the conventional dressing or the turmeric extract gel were applied.

What are the possible benefits and risks of participating?
The potential benefits of participating in this study are esthetic and the potential risks are almost non-existent.

Where is the study run from?
Damascus University (Syria)

When is the study starting and how long is it expected to run for?
March 2023 to March 2024

Who is funding the study?
Damascus University (Syria)

Who is the main contact?
Nadia Dibeh, dibehnadia@gmail.com

Contact information

Dr Nadia Dibeh
Scientific, Principal Investigator

Almazzeh
Damascus
-
Syria

ORCiD logoORCID ID 0009-0002-3654-546X
Phone +963 (0)45196074
Email nadia3.dibeh@damascusuniversity.edu.sy
Prof Rowaida Saymeh
Public

Almazzeh
Damascus
-
Syria

Phone +963 (0)933348834
Email rowaidah.saymeh@damascusuniversity.edu.sy

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)University/medical school/dental school
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleEfficiency evaluation of applying curcuma longa extract gel as a dressing after surgical gingival depigmentation
Study hypothesisTurmeric extract gel is expected to reduce post-operative pain, the number of analgesics taken by the individuals, bleeding on probing, plaque accumulation, enhance the healing process of the wound and re-epithelialization, and improve patient's esthetic and surgical satisfaction, compared to coe-pak dressing.
Ethics approval(s)

Approved 14/05/2023, Damascus University - Faculty of Dental Medicine (Almazah, Damascus, Nil known, Syria; +963 (0)113341864; manger@hcsr.gov.sy), ref: 223445

ConditionPatients with bilateral class 3 or 4 of Hedin's classification of gingival pigmentation
InterventionGingival depigmentation was performed by a surgical scalpel in a split-mouth manner on the upper jaw of the research sample. The surgical procedure was performed in two phases, a week apart, and both the Coe-Pak and the turmeric extract gel 10% were applied to a randomly selected side using the coin toss method.
Intervention typeProcedure/Surgery
Primary outcome measure1. Pain measured using a Visual Analogue Scale (VAS) 0-100 and by recording the number of analgesics taken by the individuals at baseline, on the day of surgery and daily from post-surgical day 1 to 7
2. Wound healing assessment the Wound Healing Index (WHI) at 1, 2, 3, and 4 weeks post-surgery
Secondary outcome measuresThe following secondary outcome measures are assessed at 1, 2, 3, and 4 weeks post-surgery:
1. Re-epithelialization index measured using toluidine blue and image J program
2. The patient's oral health measured using bleeding on probing index (BOP), plaque index (PI)
3. Patient satisfaction measured using a Visual Analogue Scale (VAS) 0-100
Overall study start date15/03/2023
Overall study end date08/03/2024

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit50 Years
SexBoth
Target number of participants12 patients (24 sites)
Total final enrolment16
Participant inclusion criteria1. Good general health
2. There are no contraindications to periodontal surgery
3. Patients with bilateral, physiologic gingival pigmentation in the buccal maxillary gingiva, classified as class 3 or class 4 according to Hedin's classification
4. Good oral health: PI <1, BOP <10%
5. All patients are over 18 years old
Participant exclusion criteria1. Patients with systemic diseases or conditions associated with gingival pigmentation and could affect healing and coagulation
2. Drugs intake, especially those associated with gingival pigmentation
3. Periodontal diseases
4. Smokers and alcoholics
5. Pregnancy and lactation
Recruitment start date22/08/2023
Recruitment end date30/01/2024

Locations

Countries of recruitment

  • Syria

Study participating centre

Damascus University
Department of Periodontology Faculty of Dental Medicine
Mazzah
Damascus
-
United Kingdom

Sponsor information

Damascus University
University/education

Albaramka
Damascus
-
Syria

Phone +963 (0)1133923192
Email info@damascusuniversity.edu.sy
Website http://www.damascusuniversity.edu.sy
ROR logo "ROR" https://ror.org/03m098d13

Funders

Funder type

University/education

Damascus University
Government organisation / Universities (academic only)
Alternative name(s)
University of Damascus, جَامِعَةُ دِمَشْقَ, DU
Location
Syria

Results and Publications

Intention to publish date10/12/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe datasets generated during and/or analyzed during the current study are/will be available upon request from Prof. Dr Rowaida Saymeh (rowaidah.saymeh@damascusuniversity.edu.sy). All of the patients' data will be available upon request. Consent was obtained from the participants.

Editorial Notes

29/11/2024: Study's existence confirmed by the Damascus University - Faculty of Dental Medicine.