Skip to main content
Top
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Root Planing | Research

Efficacy of curcumin gel as an adjunct to scaling and root planing on salivary procalcitonin level in the treatment of patients with chronic periodontitis: a randomized controlled clinical trial

Authors: Reham Abdel-Fatah, Bassant Mowafey, Azza Baiomy, Samah Elmeadawy

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

The aim of the study

To evaluate the effect of curcumin gel combined with scaling and root planing (SRP) on salivary procalcitonin in periodontitis treatment.

Materials and methods

seventy patients were selected from the Department of Oral Medicine and Periodontology, Faculty of Dentistry, Mansoura University, and sixteen patients were excluded. Patients in groups II and III included stage II grade A periodontitis. The participants were classified into three groups: group I as a negative control group (individuals with healthy gingiva), group II (SRP) were treated with SRP, and group III (curcumin gel) which was applied weekly for four weeks after SRP. Clinical indices (plaque index (PI), gingival index (GI), clinical attachment level (CAL), and probing depth (PD)) and saliva samples for procalcitonin (PCT) assessment using an enzyme-linked immunosorbent assay (ELISA) test were collected and measured at both baselines and after six weeks.

Results

This randomized controlled clinical trial registered on ClinicalTrials.gov (NCT05667376) and first posted at 28/12/2022 included Fifty-four patients (20 male; 34 female). Regarding the age and sex distribution, there was no statistically significant difference between the three studied groups (p > 0.05). There was no significant statistical difference regarding PI, GI, PPD, and CAL between group II and group III at baseline p (> 0.05). However, there was a significant statistical difference regarding the clinical parameters at baseline of both group II and group III as compared to group I (p ≤ 0.05). At six weeks after treatment, group III showed greater improvement in the PI, PD, and CAL as opposed to group II (p ≤ 0.05). Regarding PCT values, at baseline, there wasn’t a statistically significant difference between group II and group III (p > 0.05). However, there was a significant statistical difference between group II, group III, and group I (p ≤ 0.05). At six weeks after treatment, there was a statistically significant decrease in PCT levels of both group II and III (p ≤ 0.05).

Conclusion

The application of curcumin gel was found to have a significant effect on all clinical indices as opposed to SRP.
Footnotes
1
Acid etchant pre-bent needle tip with 25 G and 0.5 mm.
 
2
A graduated 1 mm UNC 15 probe.
 
3
Human Procalcitonin ELISA Kit (Cat. No E0977Hu) was used for the assessment of PCT levels in the collected samples according to manufacturer instructions. Bioassay Technology laboratory, China.
 
Literature
1.
go back to reference Savage A et al. A systematic review of definitions of periodontitis and methods that have been used to identify this Disease. 2009. 36(6): p. 458–67. Savage A et al. A systematic review of definitions of periodontitis and methods that have been used to identify this Disease. 2009. 36(6): p. 458–67.
2.
go back to reference Kassebaum N et al. Global burden of severe tooth loss: a systematic review and meta-analysis 2014. 93(7_suppl): p. 20S-28S. Kassebaum N et al. Global burden of severe tooth loss: a systematic review and meta-analysis 2014. 93(7_suppl): p. 20S-28S.
3.
go back to reference Tonetti MS, Greenwell H. and K.S.J.J.o.p. Kornman, Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. 2018. 89: p. S159–72. Tonetti MS, Greenwell H. and K.S.J.J.o.p. Kornman, Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. 2018. 89: p. S159–72.
4.
go back to reference Kinane DF. Stathopoulou, and P.N.J.N.r.D.p. papapanou. Periodontal Dis. 2017;3(1):1–14. Kinane DF. Stathopoulou, and P.N.J.N.r.D.p. papapanou. Periodontal Dis. 2017;3(1):1–14.
5.
go back to reference Puri K et al. Effect of controlled-release Periochip™ on clinical and microbiological parameters in patients of chronic periodontitis. 2013. 17(5): p. 605. Puri K et al. Effect of controlled-release Periochip™ on clinical and microbiological parameters in patients of chronic periodontitis. 2013. 17(5): p. 605.
6.
go back to reference Teughels W et al. Adjunctive effect of systemic antimicrobials in periodontitis therapy: a systematic review and meta-analysis. 2020. 47: p. 257–81. Teughels W et al. Adjunctive effect of systemic antimicrobials in periodontitis therapy: a systematic review and meta-analysis. 2020. 47: p. 257–81.
7.
go back to reference Hosadurga RR et al. Evaluation of the efficacy of 2% curcumin gel in the treatment of experimental periodontitis. 2014. 6(4): p. 326. Hosadurga RR et al. Evaluation of the efficacy of 2% curcumin gel in the treatment of experimental periodontitis. 2014. 6(4): p. 326.
8.
go back to reference Gupta SC et al. Discovery of curcumin, a component of golden spice, and its miraculous biological activities. 2012. 39(3): p. 283–99. Gupta SC et al. Discovery of curcumin, a component of golden spice, and its miraculous biological activities. 2012. 39(3): p. 283–99.
9.
go back to reference Aggarwal BB, et al. Curcumin-free turmeric exhibits anti-inflammatory and anticancer activities: identification of novel components of turmeric. Mol Nutr Food Res. 2013;57(9):1529–42.CrossRefPubMed Aggarwal BB, et al. Curcumin-free turmeric exhibits anti-inflammatory and anticancer activities: identification of novel components of turmeric. Mol Nutr Food Res. 2013;57(9):1529–42.CrossRefPubMed
10.
go back to reference Guimarães MR et al. Potent anti-inflammatory effects of systemically administered curcumin modulate periodontal Disease in vivo. 2011. 46(2): p. 269–79. Guimarães MR et al. Potent anti-inflammatory effects of systemically administered curcumin modulate periodontal Disease in vivo. 2011. 46(2): p. 269–79.
11.
go back to reference Izui S, et al. Antibact Activity Curcumin against Periodontopathic bacteria. 2016;87(1):83–90. Izui S, et al. Antibact Activity Curcumin against Periodontopathic bacteria. 2016;87(1):83–90.
12.
go back to reference Zambrano LM et al. Local administration of curcumin-loaded nanoparticles effectively inhibits inflammation and bone resorption associated with experimental periodontal Disease. 2018. 8(1): p. 1–11. Zambrano LM et al. Local administration of curcumin-loaded nanoparticles effectively inhibits inflammation and bone resorption associated with experimental periodontal Disease. 2018. 8(1): p. 1–11.
13.
go back to reference Zhou T, et al. Curcumin Inhibits Inflammatory Response and bone loss during Experimental Periodontitis in rats. 2013;71(2):349–56. Zhou T, et al. Curcumin Inhibits Inflammatory Response and bone loss during Experimental Periodontitis in rats. 2013;71(2):349–56.
14.
go back to reference Anitha V et al. Comparative evaluation of natural curcumin and synthetic chlorhexidine in the management of chronic periodontitis as a local drug delivery: a clinical and microbiological study. 2015. 26(1): p. 53. Anitha V et al. Comparative evaluation of natural curcumin and synthetic chlorhexidine in the management of chronic periodontitis as a local drug delivery: a clinical and microbiological study. 2015. 26(1): p. 53.
15.
go back to reference Kaur H et al. Evaluation of curcumin gel as adjunct to scaling & root planing in management of periodontitis-randomized clinical & biochemical investigation. 2019. 19(2): p. 171–8. Kaur H et al. Evaluation of curcumin gel as adjunct to scaling & root planing in management of periodontitis-randomized clinical & biochemical investigation. 2019. 19(2): p. 171–8.
16.
go back to reference Bhatia M, et al. Novel Therapeutic Approach for the Treatment of Periodontitis by Curcumin. 2014;8(12):ZC65. Bhatia M, et al. Novel Therapeutic Approach for the Treatment of Periodontitis by Curcumin. 2014;8(12):ZC65.
17.
go back to reference Kaur S et al. Evaluation of anti-inflammatory effects of systemically administered curcumin, lycopene and piperine as an adjunct to scaling and root planing: a clinical study. 2017. 38(3–4): p. 117. Kaur S et al. Evaluation of anti-inflammatory effects of systemically administered curcumin, lycopene and piperine as an adjunct to scaling and root planing: a clinical study. 2017. 38(3–4): p. 117.
18.
go back to reference Cekici A et al. Inflammatory and immune pathways in the pathogenesis of periodontal Disease. 2014. 64(1): p. 57–80. Cekici A et al. Inflammatory and immune pathways in the pathogenesis of periodontal Disease. 2014. 64(1): p. 57–80.
19.
go back to reference Iannitti T et al. Role of free radicals and antioxidant defences in oral cavity-related pathologies 2012. 41(9): p. 649–661. Iannitti T et al. Role of free radicals and antioxidant defences in oral cavity-related pathologies 2012. 41(9): p. 649–661.
20.
go back to reference Li Y et al. The oral fluid MEMS/NEMS chip (OFMNC): diagnostic & translational applications 2005. 18(1): p. 3–5. Li Y et al. The oral fluid MEMS/NEMS chip (OFMNC): diagnostic & translational applications 2005. 18(1): p. 3–5.
21.
go back to reference Kaufman E. I.B.J.J.o.c.p. Lamster. Anal Saliva Periodontal Diagnosis: Rev. 2000;27(7):453–65. Kaufman E. I.B.J.J.o.c.p. Lamster. Anal Saliva Periodontal Diagnosis: Rev. 2000;27(7):453–65.
22.
go back to reference Sager R, et al. Procalcitonin-guided diagnosis and antibiotic stewardship revisited. BMC Med. 2017;15(1):1–11.CrossRef Sager R, et al. Procalcitonin-guided diagnosis and antibiotic stewardship revisited. BMC Med. 2017;15(1):1–11.CrossRef
23.
go back to reference Isola G et al. Analysis of galectin-3 levels as a source of coronary Heart Disease risk during periodontitis. 2021. 56(3): p. 597–605. Isola G et al. Analysis of galectin-3 levels as a source of coronary Heart Disease risk during periodontitis. 2021. 56(3): p. 597–605.
24.
go back to reference Ye C et al. Clinical study showing a lower abundance of Neisseria in the oral microbiome aligns with low birth weight pregnancy outcomes 2022: p. 1–14. Ye C et al. Clinical study showing a lower abundance of Neisseria in the oral microbiome aligns with low birth weight pregnancy outcomes 2022: p. 1–14.
25.
go back to reference Fileto Mazzonetto AL et al. Clinical, radiographic, and patient-centered outcomes after use of enamel matrix proteins for the treatment of intrabony defects in patients with aggressive periodontitis: a 12‐month multicenter clinical trial. 2021. 92(7): p. 995–1006. Fileto Mazzonetto AL et al. Clinical, radiographic, and patient-centered outcomes after use of enamel matrix proteins for the treatment of intrabony defects in patients with aggressive periodontitis: a 12‐month multicenter clinical trial. 2021. 92(7): p. 995–1006.
26.
go back to reference Isola G et al. Impact of periodontitis on gingival crevicular fluid miRNAs profiles associated with Cardiovascular Disease risk. 2023. 58(1): p. 165–74. Isola G et al. Impact of periodontitis on gingival crevicular fluid miRNAs profiles associated with Cardiovascular Disease risk. 2023. 58(1): p. 165–74.
27.
go back to reference Liu FT, G.A.J. .A.o.t.N.Y.A.o.S. Rabinovich. Galectins: Regulators of Acute and Chronic Inflammation. 2010;1183(1):158–82. Liu FT, G.A.J. .A.o.t.N.Y.A.o.S. Rabinovich. Galectins: Regulators of Acute and Chronic Inflammation. 2010;1183(1):158–82.
28.
go back to reference Loimaranta V et al. Galectin-3-binding protein: a multitask glycoprotein with innate immunity functions in viral and bacterial Infections. 2018. 104(4): p. 777–86. Loimaranta V et al. Galectin-3-binding protein: a multitask glycoprotein with innate immunity functions in viral and bacterial Infections. 2018. 104(4): p. 777–86.
29.
go back to reference Agnello L et al. Galectin-3 in acute coronary syndrome. 2017. 50(13–14): p. 797–803. Agnello L et al. Galectin-3 in acute coronary syndrome. 2017. 50(13–14): p. 797–803.
30.
go back to reference Carrol E. Thomson, and C.J.I.j.o.a.a. Hart. Procalcitonin as a Marker of sepsis. 2002;20(1):1–9. Carrol E. Thomson, and C.J.I.j.o.a.a. Hart. Procalcitonin as a Marker of sepsis. 2002;20(1):1–9.
31.
go back to reference Polepalle T et al. Acute phase proteins and their role in periodontitis: a review. 2015. 9(11): p. ZE01. Polepalle T et al. Acute phase proteins and their role in periodontitis: a review. 2015. 9(11): p. ZE01.
32.
go back to reference Redman R et al. Salivary and serum procalcitonin and C-reactive protein as biomarkers of periodontitis in United States veterans with osteoarthritis or rheumatoid arthritis. 2016. 91(2): p. 77–85. Redman R et al. Salivary and serum procalcitonin and C-reactive protein as biomarkers of periodontitis in United States veterans with osteoarthritis or rheumatoid arthritis. 2016. 91(2): p. 77–85.
33.
go back to reference KELEŞ GÇ et al. The role of periodontal Disease on acute phase proteins in patients with coronary Heart Disease and Diabetes. 2007. 37(1): p. 39–44. KELEŞ GÇ et al. The role of periodontal Disease on acute phase proteins in patients with coronary Heart Disease and Diabetes. 2007. 37(1): p. 39–44.
34.
go back to reference Simon L et al. Serum procalcitonin and C-reactive protein levels as markers of bacterial infection: a systematic review and meta-analysis 2004. 39(2): p. 206–217. Simon L et al. Serum procalcitonin and C-reactive protein levels as markers of bacterial infection: a systematic review and meta-analysis 2004. 39(2): p. 206–217.
35.
go back to reference Schuetz P, Albrich W. and B.J.B.m. Mueller, Procalcitonin for diagnosis of infection and guide to antibiotic decisions: past, present and future 2011. 9(1): p. 1–9. Schuetz P, Albrich W. and B.J.B.m. Mueller, Procalcitonin for diagnosis of infection and guide to antibiotic decisions: past, present and future 2011. 9(1): p. 1–9.
36.
go back to reference Meier MA, et al. Procalcitonin-guided antibiotic treatment in patients with positive blood cultures: a patient-level meta-analysis of randomized trials. Clin Infect Dis. 2019;69(3):388–96.CrossRefPubMed Meier MA, et al. Procalcitonin-guided antibiotic treatment in patients with positive blood cultures: a patient-level meta-analysis of randomized trials. Clin Infect Dis. 2019;69(3):388–96.CrossRefPubMed
37.
go back to reference Selvadurai K, Varadhan KB, Venkatesh PM. Effects of non-surgical periodontal therapy on procalcitonin levels of gingival crevicular fluid and serum in subjects with different periodontal conditions. J Int Acad Periodontol. 2019;21(3):111–7.PubMed Selvadurai K, Varadhan KB, Venkatesh PM. Effects of non-surgical periodontal therapy on procalcitonin levels of gingival crevicular fluid and serum in subjects with different periodontal conditions. J Int Acad Periodontol. 2019;21(3):111–7.PubMed
38.
go back to reference Hendek MK, Erdemir EO, Kisa U. Evaluation of salivary procalcitonin levels in different periodontal Diseases. J Periodontol. 2015;86(6):820–6.CrossRefPubMed Hendek MK, Erdemir EO, Kisa U. Evaluation of salivary procalcitonin levels in different periodontal Diseases. J Periodontol. 2015;86(6):820–6.CrossRefPubMed
39.
go back to reference Carrol E, Thomson A, Hart C. Procalcitonin as a marker of sepsis. Int J Antimicrob Agents. 2002;20(1):1–9.CrossRefPubMed Carrol E, Thomson A, Hart C. Procalcitonin as a marker of sepsis. Int J Antimicrob Agents. 2002;20(1):1–9.CrossRefPubMed
40.
go back to reference Gottumukkala SN, Sudarshan S, Mantena SR. Comparative evaluation of the efficacy of two controlled release devices: chlorhexidine chips and indigenous curcumin based collagen as local drug delivery systems. Contemp Clin Dent. 2014;5(2):175–81.CrossRefPubMedPubMedCentral Gottumukkala SN, Sudarshan S, Mantena SR. Comparative evaluation of the efficacy of two controlled release devices: chlorhexidine chips and indigenous curcumin based collagen as local drug delivery systems. Contemp Clin Dent. 2014;5(2):175–81.CrossRefPubMedPubMedCentral
41.
go back to reference Caton JG, et al. A new classification scheme for periodontal and peri-implant Diseases and conditions–introduction and key changes from the 1999 classification. Wiley Online Library; 2018. pp. S1–S8. Caton JG, et al. A new classification scheme for periodontal and peri-implant Diseases and conditions–introduction and key changes from the 1999 classification. Wiley Online Library; 2018. pp. S1–S8.
42.
go back to reference Jaswal R, et al. Comparative evaluation of single application of 2% whole turmeric gel versus 1% chlorhexidine gel in chronic periodontitis patients: a pilot study. J Indian Soc Periodontology. 2014;18(5):575–80.CrossRef Jaswal R, et al. Comparative evaluation of single application of 2% whole turmeric gel versus 1% chlorhexidine gel in chronic periodontitis patients: a pilot study. J Indian Soc Periodontology. 2014;18(5):575–80.CrossRef
43.
go back to reference Silness J. and H.J.A.o.s. Löe, Periodontal Disease in pregnancy II. Correlation between oral hygiene and periodontal condition. 1964. 22(1): p. 121–35. Silness J. and H.J.A.o.s. Löe, Periodontal Disease in pregnancy II. Correlation between oral hygiene and periodontal condition. 1964. 22(1): p. 121–35.
44.
go back to reference Löe H. and J.J.A.o.s. Silness, Periodontal Disease in pregnancy I. Prevalence and severity. 1963. 21(6): p. 533–51. Löe H. and J.J.A.o.s. Silness, Periodontal Disease in pregnancy I. Prevalence and severity. 1963. 21(6): p. 533–51.
45.
go back to reference Carranza F, Camargo P. The Periodontal Pocket, Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors Carranza’s clinical periodontology. Saunders Elsevier, China; 2006. Carranza F, Camargo P. The Periodontal Pocket, Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors Carranza’s clinical periodontology. Saunders Elsevier, China; 2006.
46.
go back to reference Lindhe J et al. Consensus report: chronic periodontitis 1999. 4(1): p. 38–38. Lindhe J et al. Consensus report: chronic periodontitis 1999. 4(1): p. 38–38.
47.
go back to reference Varghese MK, Nagarathna D, L.J.I.J.R.A P, Scariya. Curcumin and Metronidazole in Periodontal Therapy. 2014;5(6):680–4. Varghese MK, Nagarathna D, L.J.I.J.R.A P, Scariya. Curcumin and Metronidazole in Periodontal Therapy. 2014;5(6):680–4.
48.
go back to reference Sharma V, D.S.J.I.J.o.D S, Kalsi. Eff Topical Application Curcuma longa Extract Treat Early Periodontal Dis. 2016;8(3):118. Sharma V, D.S.J.I.J.o.D S, Kalsi. Eff Topical Application Curcuma longa Extract Treat Early Periodontal Dis. 2016;8(3):118.
49.
go back to reference Roopa D, et al. Curcumin: A Herbal Approach in the Management of Gingivitis. 2016;3(1):1–5. Roopa D, et al. Curcumin: A Herbal Approach in the Management of Gingivitis. 2016;3(1):1–5.
50.
go back to reference Nagasri M et al. Efficacy of curcumin as an adjunct to scaling and root planning in chronic periodontitis patients: a clinical and microbiological study. 2015. 7(Suppl 2): p. S554. Nagasri M et al. Efficacy of curcumin as an adjunct to scaling and root planning in chronic periodontitis patients: a clinical and microbiological study. 2015. 7(Suppl 2): p. S554.
51.
go back to reference Elavarasu S et al. Evaluation of superoxide dismutase levels in local drug delivery system containing 0.2% curcumin strip as an adjunct to scaling and root planing in chronic periodontitis: a clinical and biochemical study. 2016. 8(Suppl 1): p. S48. Elavarasu S et al. Evaluation of superoxide dismutase levels in local drug delivery system containing 0.2% curcumin strip as an adjunct to scaling and root planing in chronic periodontitis: a clinical and biochemical study. 2016. 8(Suppl 1): p. S48.
52.
go back to reference Greenstein G. J.T.J.o.t.A.D.A., nonsurgical periodontal therapy in 2000: a literature review. 2000. 131(11): p. 1580–92. Greenstein G. J.T.J.o.t.A.D.A., nonsurgical periodontal therapy in 2000: a literature review. 2000. 131(11): p. 1580–92.
53.
go back to reference Pistorius A et al. Efficacy of subgingival irrigation using herbal extracts on gingival inflammation. 2003. 74(5): p. 616–22. Pistorius A et al. Efficacy of subgingival irrigation using herbal extracts on gingival inflammation. 2003. 74(5): p. 616–22.
54.
go back to reference Hirasawa M et al. Improvement of periodontal status by green tea catechin using a local delivery system: a clinical pilot study. 2002. 37(6): p. 433–8. Hirasawa M et al. Improvement of periodontal status by green tea catechin using a local delivery system: a clinical pilot study. 2002. 37(6): p. 433–8.
55.
go back to reference Podzimek S et al. Salivary markers for periodontal and general diseases 2016. 2016. Podzimek S et al. Salivary markers for periodontal and general diseases 2016. 2016.
56.
go back to reference Renjith A. and L.J.J.o.I.S.o.P. Sujatha, Estimation and correlation of procalcitonin in saliva and serum of chronic periodontitis patients before and after nonsurgical periodontal therapy: an analytical comparative study. 2021. 25(1): p. 29. Renjith A. and L.J.J.o.I.S.o.P. Sujatha, Estimation and correlation of procalcitonin in saliva and serum of chronic periodontitis patients before and after nonsurgical periodontal therapy: an analytical comparative study. 2021. 25(1): p. 29.
57.
go back to reference Cugini M, et al. The effect of scaling and root planing on the clinical and microbiological parameters of periodontal Diseases: 12-month results. J Clin Periodontol. 2000;27(1):30–6.CrossRefPubMed Cugini M, et al. The effect of scaling and root planing on the clinical and microbiological parameters of periodontal Diseases: 12-month results. J Clin Periodontol. 2000;27(1):30–6.CrossRefPubMed
58.
go back to reference Cugini M et al. The effect of scaling and root planing on the clinical and microbiological parameters of periodontal diseases: 12-month results 2000. 27(1): p. 30–36. Cugini M et al. The effect of scaling and root planing on the clinical and microbiological parameters of periodontal diseases: 12-month results 2000. 27(1): p. 30–36.
59.
go back to reference Behal R et al. Evaluation of local drug-delivery system containing 2% whole turmeric gel used as an adjunct to scaling and root planing in chronic periodontitis: a clinical and microbiological study. 2011. 15(1): p. 35. Behal R et al. Evaluation of local drug-delivery system containing 2% whole turmeric gel used as an adjunct to scaling and root planing in chronic periodontitis: a clinical and microbiological study. 2011. 15(1): p. 35.
60.
go back to reference Hugar SS et al. Influence of application of chlorhexidine gel and curcumin gel as an adjunct to scaling and root planing: a interventional study. 2016. 7(2): p. 149. Hugar SS et al. Influence of application of chlorhexidine gel and curcumin gel as an adjunct to scaling and root planing: a interventional study. 2016. 7(2): p. 149.
61.
go back to reference Siddharth M et al. A comparative evaluation of subgingivally delivered 2% curcumin and 0.2% chlorhexidine gel adjunctive to scaling and root planing in chronic periodontitis. 2020. 21(5): p. 494–9. Siddharth M et al. A comparative evaluation of subgingivally delivered 2% curcumin and 0.2% chlorhexidine gel adjunctive to scaling and root planing in chronic periodontitis. 2020. 21(5): p. 494–9.
62.
go back to reference Ravishankar P et al. Effect of local application of curcumin and ornidazole gel in chronic periodontitis patients. 2017. 7(4): p. 188. Ravishankar P et al. Effect of local application of curcumin and ornidazole gel in chronic periodontitis patients. 2017. 7(4): p. 188.
63.
go back to reference Preas II. H.L., Effects of anti-inflammatory agents on serum levels of calcitonin precursors during human experimental endotoxemia. 2001. 184(3): p. 373–6. Preas II. H.L., Effects of anti-inflammatory agents on serum levels of calcitonin precursors during human experimental endotoxemia. 2001. 184(3): p. 373–6.
64.
go back to reference D’Aiuto F et al. Periodontitis and systemic inflammation: control of the local Infection is associated with a reduction in serum inflammatory markers. 2004. 83(2): p. 156–60. D’Aiuto F et al. Periodontitis and systemic inflammation: control of the local Infection is associated with a reduction in serum inflammatory markers. 2004. 83(2): p. 156–60.
65.
go back to reference Isola G et al. Impact of N-terminal pro‐B‐type natriuretic peptide and related inflammatory biomarkers on periodontal treatment outcomes in patients with periodontitis: An explorative human randomized‐controlled clinical trial 2023. Isola G et al. Impact of N-terminal pro‐B‐type natriuretic peptide and related inflammatory biomarkers on periodontal treatment outcomes in patients with periodontitis: An explorative human randomized‐controlled clinical trial 2023.
66.
go back to reference Cynthia RJ et al. Estimation of serum procalcitonin (ProCT/PCT) levels in Periodontally Healthy individuals and chronic Periodontitis patients with type II Diabetes Mellitus–An Original Research. 2022. 14(Suppl 1): p. S955. Cynthia RJ et al. Estimation of serum procalcitonin (ProCT/PCT) levels in Periodontally Healthy individuals and chronic Periodontitis patients with type II Diabetes Mellitus–An Original Research. 2022. 14(Suppl 1): p. S955.
67.
go back to reference Bassim C, et al. Salivary Procalcitonin and Periodontitis in Diabetes. 2008;87(7):630–4. Bassim C, et al. Salivary Procalcitonin and Periodontitis in Diabetes. 2008;87(7):630–4.
68.
go back to reference Mohan R et al. Utility of procalcitonin as an early diagnostic marker of bacteremia in individuals with periodontitis stage II and III. 2021. 92(7): p. 968–74. Mohan R et al. Utility of procalcitonin as an early diagnostic marker of bacteremia in individuals with periodontitis stage II and III. 2021. 92(7): p. 968–74.
69.
go back to reference Hendek MK. Erdemir, and U.J.J.o.p. Kisa. Evaluation of Salivary Procalcitonin Levels in Different Periodontal Diseases. 2015;86(6):820–6. Hendek MK. Erdemir, and U.J.J.o.p. Kisa. Evaluation of Salivary Procalcitonin Levels in Different Periodontal Diseases. 2015;86(6):820–6.
Metadata
Title
Efficacy of curcumin gel as an adjunct to scaling and root planing on salivary procalcitonin level in the treatment of patients with chronic periodontitis: a randomized controlled clinical trial
Authors
Reham Abdel-Fatah
Bassant Mowafey
Azza Baiomy
Samah Elmeadawy
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03512-y

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue