The effect of cacao bean extracts on the prevention of periodontal tissue breakdown in diabetic rats with orthodontic tooth movements

Objective: Proper management of orthodontic treatment in diabetic patients is essential due to the heightened risk of periodontal tissue breakdown associated with hyperglycemia. Cacao bean extracts (CBE) are known to reduce the inflammatory response and increase synthesis and angiogenesis in periodo...

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Main Authors: Nuzulul Hikmah, Mohamad Hidayat, Nur Permatasari, Aulanni'am Aulanni'am, Achmad Rudijanto
Format: Article
Language:English
Published: Elsevier 2024-07-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426824000915
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author Nuzulul Hikmah
Mohamad Hidayat
Nur Permatasari
Aulanni'am Aulanni'am
Achmad Rudijanto
author_facet Nuzulul Hikmah
Mohamad Hidayat
Nur Permatasari
Aulanni'am Aulanni'am
Achmad Rudijanto
author_sort Nuzulul Hikmah
collection DOAJ
description Objective: Proper management of orthodontic treatment in diabetic patients is essential due to the heightened risk of periodontal tissue breakdown associated with hyperglycemia. Cacao bean extracts (CBE) are known to reduce the inflammatory response and increase synthesis and angiogenesis in periodontitis. Therefore, this study aims to examine the effect of CBE on preventing periodontal tissue breakdown in diabetes with orthodontic force. Methods: A total of 25 Wistar rats were divided randomly into 5 groups, including non-diabetes, diabetes, diabetes cacao 125, 250, and 500 mg/kg BW. Diabetic rats were induced with the stratified dose of Streptozotocin, and a 30-g-force from orthodontic device was applied in all groups. Diabetes cacao group was given CBE for 7 days using a gastric probe. GCF samples were used to analyze the eNOS level through the ELISA method. NFκB, Collagen-1, and FGF-2 expression were then assessed using the immunohistochemical method, while the number of fibroblasts and blood vessels was observed using hematoxylin-eosin stained tissue. The data obtained were analyzed with one-way ANOVA and post hoc tests, with p < 0.05. Results: CBE at a dose of 250 mg/kg BW significantly increased eNOS level, Collagen-1, and FGF-2 expression, and the number of fibroblasts and blood vessels in diabetes groups. Meanwhile, the treatment decreased NFκB expression in diabetes groups (p < 0.05). Conclusion: This study proved that CBE increased periodontal ligament synthesis and angiogenesis and decreased inflammatory response, thereby preventing periodontal tissue breakdown in diabetic rat models with tooth movement.
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spelling doaj-art-d07d0e902700489fa6662d0360b3353e2025-01-24T04:45:06ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682024-07-01144384389The effect of cacao bean extracts on the prevention of periodontal tissue breakdown in diabetic rats with orthodontic tooth movementsNuzulul Hikmah0Mohamad Hidayat1Nur Permatasari2Aulanni'am Aulanni'am3Achmad Rudijanto4Doctoral Program in Medical Science, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia; Department of Dentistry-Biomedical Sciences, Oral and Maxillofacial Pathology, Faculty of Dentistry, Universitas Jember, Jember, Indonesia; Corresponding author. Department of Dentistry-Biomedical Sciences, Oral and Maxillofacial Pathology, Faculty of Dentistry, Universitas Jember, Jl. Kalimantan 37, Jember, 68121, Indonesia.Department of Orthopaedic, Saiful Anwar General Hospital, Faculty of Medicine, Universitas Brawijaya, Malang, IndonesiaDepartment of Pharmacology, Faculty of Medicine, Universitas Brawijaya, Malang, IndonesiaDepartment of Chemistry, Faculty of Mathematics and Natural Sciences, Universitas Brawijaya, Malang, IndonesiaDepartment of Internal Medicine, Saiful Anwar General Hospital, Faculty of Medicine, Universitas Brawijaya, Malang, IndonesiaObjective: Proper management of orthodontic treatment in diabetic patients is essential due to the heightened risk of periodontal tissue breakdown associated with hyperglycemia. Cacao bean extracts (CBE) are known to reduce the inflammatory response and increase synthesis and angiogenesis in periodontitis. Therefore, this study aims to examine the effect of CBE on preventing periodontal tissue breakdown in diabetes with orthodontic force. Methods: A total of 25 Wistar rats were divided randomly into 5 groups, including non-diabetes, diabetes, diabetes cacao 125, 250, and 500 mg/kg BW. Diabetic rats were induced with the stratified dose of Streptozotocin, and a 30-g-force from orthodontic device was applied in all groups. Diabetes cacao group was given CBE for 7 days using a gastric probe. GCF samples were used to analyze the eNOS level through the ELISA method. NFκB, Collagen-1, and FGF-2 expression were then assessed using the immunohistochemical method, while the number of fibroblasts and blood vessels was observed using hematoxylin-eosin stained tissue. The data obtained were analyzed with one-way ANOVA and post hoc tests, with p < 0.05. Results: CBE at a dose of 250 mg/kg BW significantly increased eNOS level, Collagen-1, and FGF-2 expression, and the number of fibroblasts and blood vessels in diabetes groups. Meanwhile, the treatment decreased NFκB expression in diabetes groups (p < 0.05). Conclusion: This study proved that CBE increased periodontal ligament synthesis and angiogenesis and decreased inflammatory response, thereby preventing periodontal tissue breakdown in diabetic rat models with tooth movement.http://www.sciencedirect.com/science/article/pii/S2212426824000915Cacao extractsDiabetesOrthodontic tooth movementsPeriodontal tissue
spellingShingle Nuzulul Hikmah
Mohamad Hidayat
Nur Permatasari
Aulanni'am Aulanni'am
Achmad Rudijanto
The effect of cacao bean extracts on the prevention of periodontal tissue breakdown in diabetic rats with orthodontic tooth movements
Journal of Oral Biology and Craniofacial Research
Cacao extracts
Diabetes
Orthodontic tooth movements
Periodontal tissue
title The effect of cacao bean extracts on the prevention of periodontal tissue breakdown in diabetic rats with orthodontic tooth movements
title_full The effect of cacao bean extracts on the prevention of periodontal tissue breakdown in diabetic rats with orthodontic tooth movements
title_fullStr The effect of cacao bean extracts on the prevention of periodontal tissue breakdown in diabetic rats with orthodontic tooth movements
title_full_unstemmed The effect of cacao bean extracts on the prevention of periodontal tissue breakdown in diabetic rats with orthodontic tooth movements
title_short The effect of cacao bean extracts on the prevention of periodontal tissue breakdown in diabetic rats with orthodontic tooth movements
title_sort effect of cacao bean extracts on the prevention of periodontal tissue breakdown in diabetic rats with orthodontic tooth movements
topic Cacao extracts
Diabetes
Orthodontic tooth movements
Periodontal tissue
url http://www.sciencedirect.com/science/article/pii/S2212426824000915
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