The Effect of a Nature-Based Gel on Gingival Inflammation and the Proteomic Profile of Crevicular Fluid: A Randomized Clinical Trial

Evidence has shown the clear positive effects of nature-based products on biofilm control and improved gingival health. However, most studies have used in vitro models, have tested single natural components, or have not evaluated proteomic changes after treatment. This double-blind, parallel, random...

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Main Authors: Luciene Cristina Figueiredo, Bruno Bueno-Silva, Giovanna Denúncio, Nathalia Freitas Figueiredo, Daniele Ferreira da Cruz, Jamil A. Shibli, Maria Helena R. Borges, Valentim A. R. Barão, Doron Haim, Thabet Asbi, João Gabriel S. Souza
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Language:English
Published: MDPI AG 2024-11-01
Series:Gels
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Online Access:https://www.mdpi.com/2310-2861/10/12/772
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author Luciene Cristina Figueiredo
Bruno Bueno-Silva
Giovanna Denúncio
Nathalia Freitas Figueiredo
Daniele Ferreira da Cruz
Jamil A. Shibli
Maria Helena R. Borges
Valentim A. R. Barão
Doron Haim
Thabet Asbi
João Gabriel S. Souza
author_facet Luciene Cristina Figueiredo
Bruno Bueno-Silva
Giovanna Denúncio
Nathalia Freitas Figueiredo
Daniele Ferreira da Cruz
Jamil A. Shibli
Maria Helena R. Borges
Valentim A. R. Barão
Doron Haim
Thabet Asbi
João Gabriel S. Souza
author_sort Luciene Cristina Figueiredo
collection DOAJ
description Evidence has shown the clear positive effects of nature-based products on biofilm control and improved gingival health. However, most studies have used in vitro models, have tested single natural components, or have not evaluated proteomic changes after treatment. This double-blind, parallel, randomized, and controlled clinical trial evaluated the benefits of a nature-based gel in controlling gingival inflammation and its effects on the proteomic gingival crevicular fluid (GCF) profile. Gingivitis patients were distributed into the following groups: (1) nature-based gel containing propolis, aloe vera, green tea, cranberry, and calendula (n = 10); (2) control—conventional toothpaste (n = 10). GCF was collected and evaluated by means of liquid chromatography coupled with tandem mass spectrometry (LC–MS/MS). At 3 months, the groups showed similar clinical benefits (<i>p</i> < 0.05). A total of 480 proteins were identified across all groups. In a pooled comparison of both groups at both time points, exclusive proteins were identified in the nature-based gel (78) and the control (21) groups. The exclusive proteins identified for the toothpaste mainly acted in wound healing, and those for the nature-based gel mainly acted on immune system processes. The nature-based gel achieved similar clinical outcomes to conventional toothpaste. However, the nature-based gel markedly changed the proteomic profile of GCF after treatment, showing a profile associated with a host response.
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spelling doaj-art-86e8f54f517543a69ae38623d5c9921b2025-08-20T02:55:33ZengMDPI AGGels2310-28612024-11-01101277210.3390/gels10120772The Effect of a Nature-Based Gel on Gingival Inflammation and the Proteomic Profile of Crevicular Fluid: A Randomized Clinical TrialLuciene Cristina Figueiredo0Bruno Bueno-Silva1Giovanna Denúncio2Nathalia Freitas Figueiredo3Daniele Ferreira da Cruz4Jamil A. Shibli5Maria Helena R. Borges6Valentim A. R. Barão7Doron Haim8Thabet Asbi9João Gabriel S. Souza10Dental Research Division, Guarulhos University, Guarulhos 07023-070, SP, BrazilDental Research Division, Guarulhos University, Guarulhos 07023-070, SP, BrazilDental Research Division, Guarulhos University, Guarulhos 07023-070, SP, BrazilDental Research Division, Guarulhos University, Guarulhos 07023-070, SP, BrazilDental Research Division, Guarulhos University, Guarulhos 07023-070, SP, BrazilDental Research Division, Guarulhos University, Guarulhos 07023-070, SP, BrazilDepartment of Prosthodontics and Periodontology, Piracicaba Dental School, Universidade Estadual de Campinas (UNICAMP), Piracicaba 13414-903, SP, BrazilDepartment of Prosthodontics and Periodontology, Piracicaba Dental School, Universidade Estadual de Campinas (UNICAMP), Piracicaba 13414-903, SP, BrazilMaccabi-Dent Research Department, Maccabi Healthcare Fund, Tel-Aviv 6801298, IsraelDental Research Division, Guarulhos University, Guarulhos 07023-070, SP, BrazilDental Research Division, Guarulhos University, Guarulhos 07023-070, SP, BrazilEvidence has shown the clear positive effects of nature-based products on biofilm control and improved gingival health. However, most studies have used in vitro models, have tested single natural components, or have not evaluated proteomic changes after treatment. This double-blind, parallel, randomized, and controlled clinical trial evaluated the benefits of a nature-based gel in controlling gingival inflammation and its effects on the proteomic gingival crevicular fluid (GCF) profile. Gingivitis patients were distributed into the following groups: (1) nature-based gel containing propolis, aloe vera, green tea, cranberry, and calendula (n = 10); (2) control—conventional toothpaste (n = 10). GCF was collected and evaluated by means of liquid chromatography coupled with tandem mass spectrometry (LC–MS/MS). At 3 months, the groups showed similar clinical benefits (<i>p</i> < 0.05). A total of 480 proteins were identified across all groups. In a pooled comparison of both groups at both time points, exclusive proteins were identified in the nature-based gel (78) and the control (21) groups. The exclusive proteins identified for the toothpaste mainly acted in wound healing, and those for the nature-based gel mainly acted on immune system processes. The nature-based gel achieved similar clinical outcomes to conventional toothpaste. However, the nature-based gel markedly changed the proteomic profile of GCF after treatment, showing a profile associated with a host response.https://www.mdpi.com/2310-2861/10/12/772toothpastegingivitisproteomic
spellingShingle Luciene Cristina Figueiredo
Bruno Bueno-Silva
Giovanna Denúncio
Nathalia Freitas Figueiredo
Daniele Ferreira da Cruz
Jamil A. Shibli
Maria Helena R. Borges
Valentim A. R. Barão
Doron Haim
Thabet Asbi
João Gabriel S. Souza
The Effect of a Nature-Based Gel on Gingival Inflammation and the Proteomic Profile of Crevicular Fluid: A Randomized Clinical Trial
Gels
toothpaste
gingivitis
proteomic
title The Effect of a Nature-Based Gel on Gingival Inflammation and the Proteomic Profile of Crevicular Fluid: A Randomized Clinical Trial
title_full The Effect of a Nature-Based Gel on Gingival Inflammation and the Proteomic Profile of Crevicular Fluid: A Randomized Clinical Trial
title_fullStr The Effect of a Nature-Based Gel on Gingival Inflammation and the Proteomic Profile of Crevicular Fluid: A Randomized Clinical Trial
title_full_unstemmed The Effect of a Nature-Based Gel on Gingival Inflammation and the Proteomic Profile of Crevicular Fluid: A Randomized Clinical Trial
title_short The Effect of a Nature-Based Gel on Gingival Inflammation and the Proteomic Profile of Crevicular Fluid: A Randomized Clinical Trial
title_sort effect of a nature based gel on gingival inflammation and the proteomic profile of crevicular fluid a randomized clinical trial
topic toothpaste
gingivitis
proteomic
url https://www.mdpi.com/2310-2861/10/12/772
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