Grade IV oral mucositis treatment with Brazilian green propolis mucoadherent gel

Green propolis is collected by Apis mellifera from the flowers and buds of Baccharis dracunculifolia. It has several chemical compounds that confer anti-inflammatory, antimicrobial, healing, and antioxidant biological activities. To report a series of clinical cases in the treatment of oral mucositi...

Full description

Saved in:
Bibliographic Details
Main Authors: Diogo Alvarenga Silva, Patrícia Carlos Caldeira, Silvia Ferreira de Sousa, Vagner Rodrigues Santos
Format: Article
Language:English
Published: Open Exploration 2023-10-01
Series:Exploration of Drug Science
Subjects:
Online Access:https://www.explorationpub.com/uploads/Article/A100822/100822.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1825199565587873792
author Diogo Alvarenga Silva
Patrícia Carlos Caldeira
Silvia Ferreira de Sousa
Vagner Rodrigues Santos
author_facet Diogo Alvarenga Silva
Patrícia Carlos Caldeira
Silvia Ferreira de Sousa
Vagner Rodrigues Santos
author_sort Diogo Alvarenga Silva
collection DOAJ
description Green propolis is collected by Apis mellifera from the flowers and buds of Baccharis dracunculifolia. It has several chemical compounds that confer anti-inflammatory, antimicrobial, healing, and antioxidant biological activities. To report a series of clinical cases in the treatment of oral mucositis (OM) in patients with cancer undergoing radiotherapy in the head and neck region. Rapid treatment of OM means restoring quality of life to patients and lowering the cost of cancer treatment for public health. There male patients with oral carcinoma undergoing radiotherapy treatment were followed between August 2018 and April 2019. The patients presented themselves to the clinics in the Faculty of Dentistry of Federal University of Minas Gerais with erythematous and ulcerated coalescing lesions with purulent fibrin pseudomembranes in the oral mucosa, classified as grade IV OM according to the World Health Organization. The patients complained about the inability to eat, drink, and speak, which caused the radiotherapy interruption. After completing the clinical forms, anamnesis, and proper oral hygiene of each patient, a mucoadherent gel containing 5% propolis was prescribed for daily use, with a 3 time-a-day application every 8 h. After 7 days of use, there was an 80% lesion reduction, with total remission after 15 days of its application. The rapid response with total remission of lesions seems to be related to the chemical composition of propolis. Clinical and cellphone monitoring of patients, weekly and daily, respectively, were essential for successful treatment. The patients were monitored for one year, being encouraged to make constant use of the gel to control hyposalivation caused by changes in the salivary glands during radiotherapy.
format Article
id doaj-art-4c28baac7c0a4075b6b46420bc118f0f
institution Kabale University
issn 2836-7677
language English
publishDate 2023-10-01
publisher Open Exploration
record_format Article
series Exploration of Drug Science
spelling doaj-art-4c28baac7c0a4075b6b46420bc118f0f2025-02-08T03:49:04ZengOpen ExplorationExploration of Drug Science2836-76772023-10-011531232110.37349/eds.2023.00022Grade IV oral mucositis treatment with Brazilian green propolis mucoadherent gelDiogo Alvarenga Silva0https://orcid.org/0000-0002-5602-228XPatrícia Carlos Caldeira1https://orcid.org/0000-0002-9179-0145Silvia Ferreira de Sousa2https://orcid.org/0000-0001-7820-4749Vagner Rodrigues Santos3https://orcid.org/0000-0002-5370-4867Departamento de Clínica, Patologia e Cirurgia Odontológicas, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte CEP 31270-901, BrazilDepartamento de Clínica, Patologia e Cirurgia Odontológicas, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte CEP 31270-901, BrazilDepartamento de Clínica, Patologia e Cirurgia Odontológicas, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte CEP 31270-901, BrazilDepartamento de Clínica, Patologia e Cirurgia Odontológicas, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte CEP 31270-901, BrazilGreen propolis is collected by Apis mellifera from the flowers and buds of Baccharis dracunculifolia. It has several chemical compounds that confer anti-inflammatory, antimicrobial, healing, and antioxidant biological activities. To report a series of clinical cases in the treatment of oral mucositis (OM) in patients with cancer undergoing radiotherapy in the head and neck region. Rapid treatment of OM means restoring quality of life to patients and lowering the cost of cancer treatment for public health. There male patients with oral carcinoma undergoing radiotherapy treatment were followed between August 2018 and April 2019. The patients presented themselves to the clinics in the Faculty of Dentistry of Federal University of Minas Gerais with erythematous and ulcerated coalescing lesions with purulent fibrin pseudomembranes in the oral mucosa, classified as grade IV OM according to the World Health Organization. The patients complained about the inability to eat, drink, and speak, which caused the radiotherapy interruption. After completing the clinical forms, anamnesis, and proper oral hygiene of each patient, a mucoadherent gel containing 5% propolis was prescribed for daily use, with a 3 time-a-day application every 8 h. After 7 days of use, there was an 80% lesion reduction, with total remission after 15 days of its application. The rapid response with total remission of lesions seems to be related to the chemical composition of propolis. Clinical and cellphone monitoring of patients, weekly and daily, respectively, were essential for successful treatment. The patients were monitored for one year, being encouraged to make constant use of the gel to control hyposalivation caused by changes in the salivary glands during radiotherapy.https://www.explorationpub.com/uploads/Article/A100822/100822.pdfhead and neck cancerradiotherapyoral mucositisgreen propolis gel
spellingShingle Diogo Alvarenga Silva
Patrícia Carlos Caldeira
Silvia Ferreira de Sousa
Vagner Rodrigues Santos
Grade IV oral mucositis treatment with Brazilian green propolis mucoadherent gel
Exploration of Drug Science
head and neck cancer
radiotherapy
oral mucositis
green propolis gel
title Grade IV oral mucositis treatment with Brazilian green propolis mucoadherent gel
title_full Grade IV oral mucositis treatment with Brazilian green propolis mucoadherent gel
title_fullStr Grade IV oral mucositis treatment with Brazilian green propolis mucoadherent gel
title_full_unstemmed Grade IV oral mucositis treatment with Brazilian green propolis mucoadherent gel
title_short Grade IV oral mucositis treatment with Brazilian green propolis mucoadherent gel
title_sort grade iv oral mucositis treatment with brazilian green propolis mucoadherent gel
topic head and neck cancer
radiotherapy
oral mucositis
green propolis gel
url https://www.explorationpub.com/uploads/Article/A100822/100822.pdf
work_keys_str_mv AT diogoalvarengasilva gradeivoralmucositistreatmentwithbraziliangreenpropolismucoadherentgel
AT patriciacarloscaldeira gradeivoralmucositistreatmentwithbraziliangreenpropolismucoadherentgel
AT silviaferreiradesousa gradeivoralmucositistreatmentwithbraziliangreenpropolismucoadherentgel
AT vagnerrodriguessantos gradeivoralmucositistreatmentwithbraziliangreenpropolismucoadherentgel