Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Efficacy of Topically Applied Curcumin 1% as Alternative or Complementary to Triamcinolone Acetonate in Treatment of Oral Lichen Planus (Randomize Control Trial)

Version 1 : Received: 23 September 2024 / Approved: 23 September 2024 / Online: 24 September 2024 (00:17:02 CEST)

How to cite: Kotb, S.; Alaa El Din, B.; Edrees, M. The Efficacy of Topically Applied Curcumin 1% as Alternative or Complementary to Triamcinolone Acetonate in Treatment of Oral Lichen Planus (Randomize Control Trial). Preprints 2024, 2024091822. https://doi.org/10.20944/preprints202409.1822.v1 Kotb, S.; Alaa El Din, B.; Edrees, M. The Efficacy of Topically Applied Curcumin 1% as Alternative or Complementary to Triamcinolone Acetonate in Treatment of Oral Lichen Planus (Randomize Control Trial). Preprints 2024, 2024091822. https://doi.org/10.20944/preprints202409.1822.v1

Abstract

Aim of study: to evaluate the therapeutic impact of topically applied curcumin as Alternative or Complementary to Triamcinolone Acetonate in Treatment of Oral Lichen Planus. Background: Oral lichen planus (OLP) is a chronic inflammatory disorder affecting the mucous membranes, believed to be an immune-mediated condition. Its persisting nature can lead to extended discomfort for those affected. The primary symptoms are pain and a burning sensation, with a potential risk of malignancy if not properly managed, necessitating lifelong clinical monitoring. Presently, OLP is considered a significant challenge due to the absence of a definitive cure. Patients & patients: Thirty patients with oral lichen planus were divided into three groups, 10 patients each: Group A: ten patients with OLP were received topical triamcinolone acetonide. Group B: ten patients with OLP were received topical curcumin. Group C: ten patients with oral lichen planus were received topical triamcinolone acetonide combiend with topical curcumin. For six weeks. Each patient was examined at baseline, 1 and 3months of therapy. Pain was scored using the visual analogue scale. Salivary level of interleukin 6 were estimated at baseline, 1 and 3months evaluation periods. Results: Significant decrease in pain score was observed in all groups and there was a statistically significant difference between them at all treatment periods in favor to group C . 2 Additionally, all groups showed a decrease in the size of lesions which was greater in group A,C compared to the B group. A significant reduction of the mean interlukin6 continued down to 3 months in all groups with statistically insignificant difference between them at three months, while statistically significant difference in favor to group C at 1month was observed. Conclusion: The results proved the benefit of curcumin as a promising medication when used in combination with conventional therapy in treatment of OLP patients. However, further longterm studies with large sample size are needed.

Keywords

Immune mediate inflammatory diseases; Oral lichen planus; Interlukin 6; topical corticosteroids; Curcumin

Subject

Medicine and Pharmacology, Dentistry and Oral Surgery

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