Moringa (Moringa oleifera L.) Leaf Extract Gel Is Able to Reduce TNF-α and IL-6 Post Tooth Extraction in Male Wistar Rats (Rattus norvegicus)
DOI:
https://doi.org/10.46862/interdental.v22i1.13611Keywords:
Moringa leaf extract gel, inflammation, TNF-α, IL-6, tooth extractionAbstract
Background: Tooth extraction is a procedure that can cause injury to the soft tissue. The inflammatory phase that occurs during wound healing triggers a series of tissue changes mediated by the immune system and cytokines. TNF-α and IL-6 cytokine levels should decrease as the wound heals, but otherwise it will slow wound healing and lead to chronic inflammation. The purpose of this study was to determine the effect of the extract gel of Moringa leaves on the wound healing process
Materials and Methods: This research was conducted on 24 Wistar rats, which were randomly divided into four groups, 70%, 90% Moringa leaf extract gel group 70% and 90%, the control (+) oxyfresh gel, and the control (-) CMC-Na 2%. The left central incisor tooth was extracted, resulting in an injury to the gingival socket, and was given topical treatment every day for 7 days. Blood sampling from the orbital sinus was carried out on the 4th and 7th day after injury, and the levels of TNF-α and IL-6 were measured by ELISA. The data obtained was tested with two-way ANOVA and Post Hoc LSD.
Results: The lowest IL-6 was found in the 90% Moringa leaf extract gel group, with an average of 80.86 ± 1.91, while the lowest TNF-α was found in the 90% day 7 group with 80.56 ± 0.41. There were significant differences between the test groups and the observation time, with p <0.05.
Conclusion: Topical application of moringa oleifera gel was effective in reducing TNF-α.and.IL-6 levels after tooth extraction in Wistar rats
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References
Araújo TM De, Caldas LD. Tooth extractions in Orthodontics : first or second premolars ? Dent Press J Orthod 2019; 24(3): 88-98. Doi: 10.1590/2177-6709.24.3.088-098.bbo
2. Riset Kesehatan Dasar (Riskesdas). Laporan Riskesdas 2018 Nasional.pdf [Internet]. Lembaga Penerbit Balitbangkes. Kementerian Kesehatan RI; 2018. p. hal 156. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf
3. Kementerian Kesehatan RI. Laporan Nasional Survei Kesehatan Indonesia (SKI) 2023. Jakarta: Lembaga Penerbit Badan Kebijakan Pembangunan Kesehatan (BKPK); 2023. h. 235.
4. Salian SS, Durge KK, Dhadse P V. A Case Report of atraumatic tooth extraction followed by ridge preservation for implant- supported prosthetic rehabilitation using an alloplastic bone graft. Cureus 2023; 15(12):e50776. Doi: 10.7759/cureus.50776.
5. Latifa HN, Gunanti G, Noviana D, Widhyari SD. Konsentrasi IL-6 serum terhadap penyembuhan luka pasca pemasangan implan paduan logam pada babi (Sus scrofa). Acta Vet Indones. 2021; 9(1): 21–9. Doi: 10.29244/avi.9.1.21-29
6. Zahra AP, Carolia N. Obat anti-inflamasi nonsteroid (OAINS): gastroprotektif vs kardiotoksik. Majority 2017; 6: 153–8. http://repository.lppm.unila.ac.id/8442/
7. Sreelatha S, Padma PR. Antioxidant activity and total phenolic content of moringa oleifera leaves in two stages of maturity. Plant Food Hum Nutr 2009; 64(4): 303–11. Doi: 10.1007/s11130-009-0141-0
8. Susanty S. Metode Ekstraksi untuk perolehan kandungan flavanoid tertinggi dari ekstrak daun kelor (Moringa oleifera Lam). J Konversi 2019; 8(2): 31–6. Doi: 10.24853/konversi.8.2.6.
9. Saini RK, Sivanesan I, Keum YS. Phytochemicals of Moringa oleifera: a review of their nutritional, therapeutic and industrial significance. 3 Biotech 2016; 6(2): 203. Doi: 10.1007/s13205-016-0526-3
10. Larjava H. Oral Wound Healing Cell Biology and Clinical Management. Data L of CC-P, editor. Set in 10/12pt Times by SPi Publisher Services, Pondicherry, India; 2012.
11. Sugiharto S, Ramadany S, Handayani H, Achmad H, Mutmainnah N, Inayah NH, et al. Assessment of the anti-inflammatory activities of the moringa leaf extract in periodontitis cases through IL-6 cytokine analysis in Wistar (Rattus novergicus). Open Access Maced J Med Sci. 2022; 10(D): 124–30. Doi: 10.3889/oamjms.2022.8465
12. Elnar T V, Ailey TB. The wound healing process : an overview of the cellular and molecular Mechanisms 2009; 37(5): 1528–42. Doi: 10.1111/j.1524-475X.2009.00529.x
13. Jacobs R, Schoenaers J, Agbaje JO. Wound healing problems in the mouth. Front Physiol. 2016; 7(NOV): 1–13. Doi: 10.3389/fphys.2016.00507
14. Johnson BZ, Stevenson AW, Prêle CM, Fear MW, Wood FM. The role of IL-6 in skin fibrosis and cutaneous wound healing. Biomedicines 2020; 8(5): 1–18.Doi: 10.3390/biomedicines8050101
15. Sudha P, Asdaq SM, Dhamigi SS, Chandrakala GK. Anti-inflammatory effect of Naravelia zeylanica DC in rats. Avicenna Journal of Phytomedicine 2014; 4(2): 127–36. Doi: 10.22038/ajp.2014.1950
16. Masoumeh FT, Arulselvan P, Karthivashan G, Adam SK. Bioactive extract from moringa oleifera inhibits the pro ‑ inflammatory mediators in lipopolysaccharide stimulated macrophages.Pharmacogn Mag. 2015; 11(Sipply 4): S556-63. Doi: 10.4103/0973-1296.172961
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