Comparison of curcumin with intralesional steroid injections in Oral Submucous Fibrosis – A randomized, open-label interventional studyKey message

Introduction: Oral Submucous Fibrosis (OSMF) is precancerous condition caused by areca nut chewing characterized by restricted mouth opening, burning sensation and stiffness & blanching of oral mucosa. Complete regression of the condition had not been achieved in all cases with any of the pr...

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Main Authors: Monu Yadav, K. Aravinda, Vasu S. Saxena, K. Srinivas, P. Ratnakar, Jyothi Gupta, Arti Saluja Sachdev, Peeyush Shivhare
Format: Article
Language:English
Published: Elsevier 2014-09-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426814000608
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author Monu Yadav
K. Aravinda
Vasu S. Saxena
K. Srinivas
P. Ratnakar
Jyothi Gupta
Arti Saluja Sachdev
Peeyush Shivhare
author_facet Monu Yadav
K. Aravinda
Vasu S. Saxena
K. Srinivas
P. Ratnakar
Jyothi Gupta
Arti Saluja Sachdev
Peeyush Shivhare
author_sort Monu Yadav
collection DOAJ
description Introduction: Oral Submucous Fibrosis (OSMF) is precancerous condition caused by areca nut chewing characterized by restricted mouth opening, burning sensation and stiffness & blanching of oral mucosa. Complete regression of the condition had not been achieved in all cases with any of the present treatment regimens. Curcumin is (diferuloylmethane), a yellow pigment in curry powder, exhibits anti-oxidant, anti-inflammatory, and pro-apoptotic activities. Hence an interventional study was undertaken to establish the efficacy of curcumin in OSMF patients. Settings & design: A randomized open label, interventional study was conducted in forty patients with clinically and histologically proven Oral Submucous Fibrosis. Materials & methods: Forty patients with clinically and histologically proven Oral Submucous Fibrosis were selected for the study and were randomly divided into 2 groups. The first group was treated with weekly intralesional injection of 4 mg Dexamethasone & 1500 I.U Hyaluronidase and the second group by oral administration of two Curcumin tablets (Turmix 300 mg) per day for 3 months each. Improvement of burning sensation, interincisal distance and tongue protrusion was evaluated on a weekly basis. Results: Burning sensation improved in both the groups from early to late stages. Complete resolution of burning sensation was noted with turmix. The mean increase in interincisal distance was 3.13 mm and 1.25 mm respectively in groups 1 &2. The interincisal distance improved in both the groups, with significant results at the end of first month. Tongue protrusion showed greater recovery at the end of 1st month in group 1 when compared with group 2. Conclusion: Turmix is beneficial and effective in reducing burning sensation in early OSMF patients.
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spelling doaj-art-c5fd32ea2e5f40aca7ac7d29abb881552025-08-20T02:02:01ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682014-09-014316917310.1016/j.jobcr.2014.11.003Comparison of curcumin with intralesional steroid injections in Oral Submucous Fibrosis – A randomized, open-label interventional studyKey messageMonu Yadav0K. Aravinda1Vasu S. Saxena2K. Srinivas3P. Ratnakar4Jyothi Gupta5Arti Saluja Sachdev6Peeyush Shivhare7Department of Oral Medicine & Radiology, Career Postgraduate Institute of Dental Sciences and Hospital, Lucknow, Uttar Pradesh, IndiaDepartment of Oral Medicine & Radiology, Swami Devi Dyal Hospital and Dental College, Barwala, Haryana, IndiaDepartment of Oral Medicine & Radiology, Career Postgraduate Institute of Dental Sciences and Hospital, Lucknow, Uttar Pradesh, India; Corresponding author. Tel.: +91 9621133227.Department of Oral Medicine & Radiology, Career Postgraduate Institute of Dental Sciences and Hospital, Lucknow, Uttar Pradesh, IndiaDepartment of Oral Medicine & Radiology, Career Postgraduate Institute of Dental Sciences and Hospital, Lucknow, Uttar Pradesh, IndiaDepartment of Oral Medicine & Radiology, Career Postgraduate Institute of Dental Sciences and Hospital, Lucknow, Uttar Pradesh, IndiaDepartment of Oral Medicine & Radiology, Career Postgraduate Institute of Dental Sciences and Hospital, Lucknow, Uttar Pradesh, IndiaDepartment of Oral Medicine & Radiology, Raja Rajeswari Dental College, Bangalore, Karnataka, IndiaIntroduction: Oral Submucous Fibrosis (OSMF) is precancerous condition caused by areca nut chewing characterized by restricted mouth opening, burning sensation and stiffness & blanching of oral mucosa. Complete regression of the condition had not been achieved in all cases with any of the present treatment regimens. Curcumin is (diferuloylmethane), a yellow pigment in curry powder, exhibits anti-oxidant, anti-inflammatory, and pro-apoptotic activities. Hence an interventional study was undertaken to establish the efficacy of curcumin in OSMF patients. Settings & design: A randomized open label, interventional study was conducted in forty patients with clinically and histologically proven Oral Submucous Fibrosis. Materials & methods: Forty patients with clinically and histologically proven Oral Submucous Fibrosis were selected for the study and were randomly divided into 2 groups. The first group was treated with weekly intralesional injection of 4 mg Dexamethasone & 1500 I.U Hyaluronidase and the second group by oral administration of two Curcumin tablets (Turmix 300 mg) per day for 3 months each. Improvement of burning sensation, interincisal distance and tongue protrusion was evaluated on a weekly basis. Results: Burning sensation improved in both the groups from early to late stages. Complete resolution of burning sensation was noted with turmix. The mean increase in interincisal distance was 3.13 mm and 1.25 mm respectively in groups 1 &2. The interincisal distance improved in both the groups, with significant results at the end of first month. Tongue protrusion showed greater recovery at the end of 1st month in group 1 when compared with group 2. Conclusion: Turmix is beneficial and effective in reducing burning sensation in early OSMF patients.http://www.sciencedirect.com/science/article/pii/S2212426814000608Conventional therapyCurcuminIntralesional dexamethasoneOral Submucous FibrosisTurmix
spellingShingle Monu Yadav
K. Aravinda
Vasu S. Saxena
K. Srinivas
P. Ratnakar
Jyothi Gupta
Arti Saluja Sachdev
Peeyush Shivhare
Comparison of curcumin with intralesional steroid injections in Oral Submucous Fibrosis – A randomized, open-label interventional studyKey message
Journal of Oral Biology and Craniofacial Research
Conventional therapy
Curcumin
Intralesional dexamethasone
Oral Submucous Fibrosis
Turmix
title Comparison of curcumin with intralesional steroid injections in Oral Submucous Fibrosis – A randomized, open-label interventional studyKey message
title_full Comparison of curcumin with intralesional steroid injections in Oral Submucous Fibrosis – A randomized, open-label interventional studyKey message
title_fullStr Comparison of curcumin with intralesional steroid injections in Oral Submucous Fibrosis – A randomized, open-label interventional studyKey message
title_full_unstemmed Comparison of curcumin with intralesional steroid injections in Oral Submucous Fibrosis – A randomized, open-label interventional studyKey message
title_short Comparison of curcumin with intralesional steroid injections in Oral Submucous Fibrosis – A randomized, open-label interventional studyKey message
title_sort comparison of curcumin with intralesional steroid injections in oral submucous fibrosis a randomized open label interventional studykey message
topic Conventional therapy
Curcumin
Intralesional dexamethasone
Oral Submucous Fibrosis
Turmix
url http://www.sciencedirect.com/science/article/pii/S2212426814000608
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