Enhancement of Periodontal Healing by Application of a Novel Ointment Compared with Hyaluronic Acid, Histological Observation in Animal Model

Abstract

Objectives: The early healing of the periodontal wound in oral cavity may be critical to the treatment outcome. Thus, we made a novel ointment based on natural constituents that our recent investigation suggested a positive therapeutic effects on gingival wounds. The present study was conducted to evaluate the role of this novel biomaterial on periodontal wound healing including soft as well as hard tissue. Materials and Methods: Experimental periodontitis was induced by wire tied around the cement-enamel junction of I2, P1, P3 and M1 in six adult, healthy beagle dogs. After 3 months, mucoperiostal flap elevated and root surfaced was thoroughly scaled and planed. Randomly, three materials including our ointment with two different ratios including materials A and B and hyluronic acid were applied topically and then the flaps were repositioned and sutured. Three dogs at day 7 and the three remaining ones two weeks post-surgery were sacrificed and histological changes were monitored. Results: The result of this study showed that the local applications of this novel ointment promoted the healing process particularly fibroblast proliferation and collagen density remarkably in comparison with hyaluronic acid and control group. Besides, histological finding of our material revealed that in general terms had all the hallmarks of complete healing two weeks post operatively. Conclusion: Our novel material appeared to have outstanding effect on periodontal wound healing which can improve the periodontal healing consequences and provide better strength of periodontal wound flap. From a clinical standpoint, it could play an important role for better repair in diabetic patients who frequently present difficulties in mucosal and cutanous wound healing.

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Habiboallah, G. , Mahdi, Z. , Nasroallah, S. , Massoud, Z. , Ehsan, B. , Mina, Z. and Kamran, S. (2014) Enhancement of Periodontal Healing by Application of a Novel Ointment Compared with Hyaluronic Acid, Histological Observation in Animal Model. Modern Research in Inflammation, 3, 71-81. doi: 10.4236/mri.2014.33009.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Sachs, H.A., Farnoush, A. and Checchi, L. (1984) Current Status of Periodontal Dressing. Journal of Periodontology, 55, 689-696. http://dx.doi.org/10.1902/jop.1984.55.12.689
[2] Smeekens, J.P., Maltha, J.C. and Renggli, H.H. (1992) Histological Evaluation of Surgically Treated Oral Tissues after Application of Photocuring Periodontal Dressing Material: An Animal Study. Journal of Clinical Periodontology, 19, 641-645. http://dx.doi.org/10.1111/j.1600-051X.1992.tb01712.x
[3] Fraser, J.R.E., Laurent, T.C. and Laurent, U.B.G. (1997) Hyaloronan: Its Nature, Distribution, Functions and Turns over. Journal of Internal Medicine, 242, 27-33.
http://dx.doi.org/10.1046/j.1365-2796.1997.00170.x
[4] Le Baron, R.G., Zimmermann, D.R. and Rouslahti, E. (1992) Hyaluronate Binding Properties of Versican. Journal of Biological Chemistry, 267, 10003-10010.
[5] King, S.R., Hickerson, W.L. and Proctor, K.G. (1991) Beneficial Actions of Exogenous Hyaluronic Acid on Wound Healing. Surgery, 109, 76-86.
[6] Moseley, R., Waddington, R.J. and Embery, G. (2002) Hyaluronan and Its Potential Role in Periodontal Healing. Dental Update, 29, 144-168.
[7] Pistorius, A., Martin, M., Willershausen, B. and Rockmann, P. (2005) The Clinical Application of Hyaluronic Acid in Gingivitis Therapy. Quintessence International, 36, 531-538.
[8] Jentsch, H., Pomowski, R., Kundt, G. and Gocke, R. (2003) Treatment of Gingivitis with Hyaluronan. Journal of Clinical Periodontology, 30, 159-164.
http://dx.doi.org/10.1034/j.1600-051X.2003.300203.x
[9] Xu, Y., Hofling, K., Fimmers, R., Frentzen, M. and Jervoe-Storm, P.M. (2004) Clinical and Microbiological Effect of Topical Subgingival Application of Hyaluronic Acid Gel Adjunctive to Scaling and Root Planning in the Treatment of Chronic Periodontitis. Journal of Periodontology, 75, 1114-1118.
http://dx.doi.org/10.1902/jop.2004.75.8.1114
[10] Rajspaksa, S.P., Cowin, A., Adams, D. and Wormald, P.J. (2005) The Effect of a Hyaluronic Acid—Based Pack on Mucosal Healing in a Sheep Model of Sinusitis. American Journal of Rhinology, 19, 572-576.
[11] Ghanbari, H., Saghravanian, N., Zakery, M., Mahdavi Shahri, N., Zakery, M.A.S., Bardaran Nasseri, E., Zareian Jahromi, M. and Parsaei, H. (2008) Histological Evaluation of Curcuma Longa-Ghee Formulation and Hyaluronic Acid on Gingival Healing in Dog. Journal of Ethnopharmacology, 120, 335-341.
http://dx.doi.org/10.1016/j.jep.2008.09.011
[12] Ruthig, D.J. and Meckling-Gill, A.K. (1999) Both (n-3) and (n-6) Fatty Acid Stimulate Wound Healing in the Rat Intestinal Epithelial Cell Line. Journal of Nutrition, 129, 1791-1798.
[13] Calder, P.C., Yaqoob, P., Thies, F., Wallace, F.A. and Miles, E.A. (2002) Fatty Acid and Lymphocyte Functions. British Journal of Nutrition, 87, 31-48. http://dx.doi.org/10.1079/BJN2001455
[14] Vure, P. and Avinash, K.D. (2006) Evaluation of Ghee Based Formulation for Wound Healing Activity. Journal of Ethnopharmacology, 107, 38-47. http://dx.doi.org/10.1016/j.jep.2006.02.006
[15] Hema, S.D., Shankar, K.M. and Bhushan, P. (2011) Wound Healing Activity of Topical Application Forms Based on Ayurveda. Evidence-Based Complementary and Alternative Medicine, 8, 1-10.
[16] Mani, H., Sidhu, G.S., Kumari, R., Gaddipati, J.P., Seth, P. and Maheshwari, R.K. (2002) Curcumin Differentially Regulates TGF-β1, Its Receptors and Nitric Oxide Synthesis during Impaired Wound Healing. Biofactors, 16, 29-43. http://dx.doi.org/10.1002/biof.5520160104
[17] Gurmel, S., Anoop, K., Deep, T., Krishna, K. and Gyanendra, K. (1998) Enhancement of Wound Healing by Curcumin in Animals. Wound Repair and Regeneration, 6, 167-177.
http://dx.doi.org/10.1046/j.1524-475X.1998.60211.x
[18] Jagetia, G.C. and Rajanikant, G.K. (2004) Role of Curcumin, a Naturally Occuring Phenolic Compound of Tumeric in Accelerating the Repair of Exicision Wound in Mice Whole-Body Exposed to Various Doses of Gamma-Radiation. Journal of Surgical Research, 120, 127-138.
http://dx.doi.org/10.1016/j.jss.2003.12.003
[19] Panchatcharam, M., Miriyala, S., Gayathri, V.S. and Suguna, L. (2006) Curcumin Improves Wound Healing by Modulating Collagen and Decreasing Reactive Oxygen Species. Molecular Cellular Biochemistry, 290, 87-96. http://dx.doi.org/10.1007/s11010-006-9170-2
[20] Scardino, M.E., Swaim, S.F., Strain, E.A., Hoffman, C.E., Oligive, G.K. and Hanson, R.A. (1999) The Effect of Omega-3 Fatty Acid Diet Enrichment on Wound Healing. Veterinary Dermatology, 10, 283-290. http://dx.doi.org/10.1046/j.1365-3164.1999.00148.x
[21] Martin, P., Hopkinson-Wooley, J. and McClusky, J. (1992) Growth Factor and Cutanous Wound Repair. Program of Growth factor Research, 4, 24-44.
[22] Cardose, C.R., Souza, M.A., Ferro, E.A., Favoreto Jr., S. and Pena, J.D.O. (2004) Influence of Topical Administration of n-3 and n-6 Essential and n-9 Nonessential Fatty Acid on the Healing of Cutanous Wounds. Wound Repair and Regeneration, 12, 235-243.
http://dx.doi.org/10.1111/j.1067-1927.2004.012216.x
[23] Mustoe, T.A., Pierce, G.F., Morishima, C. and Devel, T.F. (1991) Growth Factors Induce Acceleration of Tissue Repair through Direct and Inductive Activities in a Rabbit Dermal Ulcer Model. Journal of Clinical Investigation, 87, 694-703. http://dx.doi.org/10.1172/JCI115048
[24] Sidhu, G.S., Mani, H., Gaddipati, J.P., Singh, A.K., Seth, P. and Banavdha, K.K. (1999) Curcumin Enhances Wound Healing in Streptozotocin Induced Diabetic Rats and Genetically Diabetic Mice. Wound Repair and Regeneration, 6, 362-374. http://dx.doi.org/10.1046/j.1524-475X.1999.00362.x
[25] Baliga, M.S., Jagetia, O.C., Rao, S.K. and Babu, K. (2003) Evaluation of Nitric Oxide Scavenging Activity of Certain Spices in Vitro: A Preliminary Study. Nahrung, 4, 261-264.
http://dx.doi.org/10.1002/food.200390061
[26] Davidson, J.M., Lillian, B.N., Kenneth, N.B., Jeffrey, S.W. and Antonio, M. (1991) Hyaluronate Derivatives and Their Application to Wound Healing: Preliminary Observation. Clinical Materilas, 8, 171-177.
http://dx.doi.org/10.1016/0267-6605(91)90027-D
[27] Min, H.U., Sabelman, E., Yang, C., Chang, J. and Hert, V.R. (2003) Three-Dimensional Hyaluronic Acid Graft Promotes Healing and Reduces Scar Formation in Skin Incision Wounds. Journal of Biomedical Materials Research, 678, 586-592.
[28] Lee, A.H., Swaim, S.F. and Yang, S.T. (1984) Effects of Gentamicin Solution and Cream on Healing of Open Wounds. American Journal of Veterinary Research, 45, 1487-1492.
[29] Swaim, S.F., Riddel, K.P. and McGuire, J.A. (1992) Effects of Topical Medicine on the Healing of Open Pad Wounds in Dogs. Journal of American Animal Hospital Association, 28, 499-502.

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