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Differences in The Effects Of 15% Moringa Leaf (Moringa oleifera) Extract Gel and 70% Kecemcem (Spondias pinnata) Tree Bark Extract Gel on The Number of Gingiva Fibroblasts In Wistar Rats Postcurettage With Periodontitis Conditions Ramadhany, Eka Pramudita; Susilahati, Ni Luh Desy Ayu; Dewi, Ni Putu Vania Amelia
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 2 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i2.11775

Abstract

Introduction: Periodontitis is a prevalent global oral disease leading to increased dental tourism, including to Indonesia. One treatment for periodontitis is gingival curettage with adjuvant therapy to speed up wound healing. Studies suggest that moringa leaf extract and kecemcem tree bark contain active compounds with anti-inflammatory and antioxidant properties. This study compares the effects of 15% moringa leaf extract gel and 70% kecemcem tree bark extract gel on the number of gingival fibroblasts in Wistar rats after curettage under periodontitis conditions. Material and Methods: Wistar rats were divided into four groups: positive control (hyaluronic acid), negative control (CMC-Na), 15% moringa leaf treatment, and 70% kecemcem tree bark treatment. Periodontitis was induced by tying a silk thread to the mandibular side, followed by curettage with a Sub-Zero (Osung) curette. The rats were euthanized on days 3, 5, and 7. Histological preparations were made, and fibroblast counts were taken from three fields of view using a light microscope at 400x magnification. Results and Discussion: The average number of fibroblasts in the kecemcem tree bark treatment group was higher than in the moringa leaf treatment group. The Least Significant Difference Post Hoc test showed a significant difference (p < 0.05). Flavonoids, phenols, and β-sitosterol in kecemcem tree bark were more effective in increasing fibroblast numbers compared to moringa leaf extract, as indicated by the higher average fibroblast count. Conclusion: 70% kecemcem tree bark extract gel had a more significant effect than 15% moringa leaf extract gel in increasing gingival fibroblasts in Wistar rats after curettage with periodontitis.
Differences in The Effects of 15% Moringa Leaf (Moringa oleifera) Extract Gel and 70% Kecemcem (Spondias pinnata) Tree Bark on Gingiva Angiogenesis of Wistar Rats Post Curettage with Periodontitis Conditions Ramadhany, Eka Pramudita; Susilahati, Ni Luh Desy Ayu; Suryawan, Putu Vinia
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 3 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i3.11773

Abstract

Introduction: Periodontitis, with a fairly high prevalence in the world, drives the need for periodontal treatment. Adjuvant therapy is needed in curettage treatment in periodontitis patients to accelerate the wound healing process. Moringa leaf extract and kecemcem tree bark have efficacious content as antioxidants, anti-inflammatories, and wound healing properties. This study aims to determine the difference in the effect of 15% moringa leaf extract gel and 70% kecemcem tree bark on gingival angiogenesis in Wistar rats after curettage with periodontitis conditions. Materials and Methods: Wistar rats were divided into four groups: negative control (CMC-Na), positive control (hyaluronic acid), moringa leaf treatment, and kecemcem tree bark treatment. Periodontal pockets were induced by tying a silk thread to the mandibular incisors, then curettage was performed with a Sub-Zero curette (Osung). The mice were applied with gel types according to the group, then sacrificed on days 3, 5, and 7. Histological preparations were made for observation in three different fields of view using a light microscope with a magnification of 400x. Results and Discussion: The Average amount of angiogenesis in the kecemcem tree bark treatment group was higher than in all treatment groups. LSD results showed that there was a significant difference (p<0.05) between all treatment groups. Kecemcem tree bark gave higher results in increasing the amount of angiogenesis due to significant differences in concentration and the high content of β-sitosterol, which affects angiogenesis. Conclusion: There is a difference in the effect of 15% moringa leaf extract gel and 70% kecemcem tree bark on gingival angiogenesis in post-curettage Wistar rats with periodontitis conditions. Application of 70% kecemcem tree bark extract gel gave a better effect in increasing the amount of gingival angiogenesis in Wistar rats after curettage with periodontitis conditions.