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      Aplicación terapéutica del Aloe vera L. en Odontología Translated title: Therapeutic application of Aloe vera in dentistry

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          Abstract

          El Aloe vera L. es una planta de la familia Asphodelaceae usada de manera empírica desde hace más de 4000 años, para múltiples usos medicinales. En 1936, se publica la primera aplicación medicinal, lo que marca el inicio de su estudio científico riguroso, validando acciones farmacológicas antimicrobiana, antiinflamatoria, antioxidante y efectos cicatrizante, protector gástrico, antineoplásico, hipoglucemiante y hepatoprotector, entre otros. Por su acción antibacteriana, antiinflamatoria y cicatrizante se ha investigado su uso en el tratamiento de la enfermedad periodontal; en la prevención de gingivitis, caries dental y mucositis; así como en la formación de puente dentinario, en la regeneración de tejido óseo y mucoso, y en patologías como la fibrosis múltiple y el liquen plano bucal, entre otros. Esta revisión bibliográfica presenta una breve descripción botánica y de la composición química de la planta, así como de sus acciones farmacológicas, con énfasis en su aplicación Odontológica, donde las investigaciones en esta área son escasas, además de no contar en Venezuela con productos para tal fin. Su uso como biomaterial puede ser una alternativa a los fármacos convencionales en el tratamiento de la enfermedad periodontal de alta prevalencia mundial, en la pulpectomía, así como cicatrizante post exodoncia y en la prevención de caries dental, gingivitis y mucositis, basado en los resultados de las investigaciones reseñadas.

          Translated abstract

          Aloe vera L: is a plant of the family Asphodelaceae, which is used in herbal medicine empirically for more than 4000 years ago, because of its many medicinal uses. The first research of its medicinal use was in 1936, where he began his rigorous scientific study, validating their pharmacological actions antimicrobial, anti-inflammatory, antioxidant and healing effects, gastric protection, anticancer, hypoglycemic and hepatoprotective. By its antibacterial action, anti-inflammatory and healing was investigated for use in the treatment of periodontal disease in the prevention of gingivitis, dental caries and mucositis; in dentinal bridge formation, and the regeneration of bone tissue and mucosal and in diseases such as multiple fibrosis and oral lichen planus, among others. Thus, this article presents an literature review with a This literature review provides a brief botanical description and chemical composition of the plant, and its pharmacological actions, with emphasis on its application Dentistry, besides not having to Venezuela with products such end. Its use as a biomaterial can be an alternative to conventional treatment of periodontal disease highly prevalent worldwide in pulpotomy and post extraction healing and prevention of dental caries, gingivitis and mucositis based on research results outlined.

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          Most cited references77

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          Acemannan stimulates gingival fibroblast proliferation; expressions of keratinocyte growth factor-1, vascular endothelial growth factor, and type I collagen; and wound healing.

          Aloe vera has long been used as a traditional medicine for inducing wound healing. Gingival fibroblasts (GFs) play an important role in oral wound healing. In this study, we investigated the effects of acemannan, a polysaccharide extracted from Aloe vera gel, on GF proliferation; keratinocyte growth factor-1 (KGF-1), vascular endothelial growth factor (VEGF), and type I collagen production; and oral wound healing in rats. [(3)H]-Thymidine incorporation assay and ELISA were used. Punch biopsy wounds were created at the hard palate of male Sprague Dawley rats. All treatments (normal saline; 0.1% triamcinolone acetonide; plain 1% Carbopol; and Carbopol containing 0.5%, 1%, and 2% acemannan (w/w)) were applied daily. Wounded areas and histological features were observed at day 7 after treatment. From our studies, acemannan at concentrations of 2, 4, 8, and 16 mg/ml significantly induced cell proliferation (P<0.05). Acemannan concentrations between 2 - 16 mg/ml significantly stimulated KGF-1, VEGF, and type I collagen expressions (P<0.05). Wound healing of animals receiving Carbopol containing 0.5% acemannan (w/w) was significantly better than that of the other groups (P<0.05). These findings suggest that acemannan plays a significant role in the oral wound healing process via the induction of fibroblast proliferation and stimulation of KGF-1, VEGF, and type I collagen expressions.
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            Inhibitory activity of Aloe vera gel on some clinically isolated cariogenic and periodontopathic bacteria.

            Aloe vera is a medicinal plant with anti-inflammatory, antimicrobial, antidiabetic and immune-boosting properties. In the present study we investigated the inhibitory activities of Aloe vera gel on some cariogenic (Streptococcus mutans), periodontopathic (Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis) and an opportunistic periodontopathogen (Bacteroides fragilis) isolated from patients with dental caries and periodontal diseases. Twenty isolates of each of these bacteria were investigated for their sensitivity to Aloe vera gel using the disk diffusion and microdilution methods. S. mutans was the species most sensitive to Aloe vera gel with a MIC of 12.5 µg/ml, while A. actinomycetemcomitans, P. gingivalis, and B. fragilis were less sensitive, with a MIC of 25-50 µg/ml (P < 0.01). Based on our present findings it is concluded that Aloe vera gel at optimum concentration could be used as an antiseptic for prevention of dental caries and periodontal diseases.
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              Evaluation of antimicrobial efficacy of Aloe vera and its effectiveness in decontaminating gutta percha cones

              Aim: The aim of this study was to evaluate the antimicrobial efficacy of Aloe vera and to determine its effectiveness in decontaminating gutta percha cones. Materials and Methods: A concentrated extract of Aloe vera was used to check for the antimicrobial efficacy using the agar well diffusion method. Presence of zones’ of diffusion was identified against three common GP contaminants namely, E.coli, E.faecalis and Staph. aureus. New GP Cones, freshly taken out of the packet were then decontaminated for 1minute using Aloe vera gel and then placed in thioglycolate broth to check for the presence of turbidity. Results: The zones of inhibition on the agar plate were measured as 24mm,21mm and 24mm respectively. The broth remained clear even after 48 hours of incubation. Conclusion: We conclude that Aloe vera is indeed effective as a GP decontaminant and it holds a promising future as a medium for storage of GP cones.
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                Author and article information

                Journal
                s
                Salus
                Salus
                Universidad de Carabobo (Valencia, Carabobo, Venezuela )
                1316-7138
                December 2013
                : 17
                : 3
                : 42-50
                Affiliations
                [02] Valencia orgnameUniversidad de Carabobo orgdiv1Facultad Experimental de Ciencias y Tecnología (Facyt) orgdiv2Departamento de Biología Venezuela
                [01] Valencia orgnameUniversidad de Carabobo orgdiv1Facultad de Odontología orgdiv2Departamento de Estomatoquirúrgica Venezuela
                Article
                S1316-71382013000300007 S1316-7138(13)01700307
                05831b45-c365-405d-9bed-dc5de6240ab5

                http://creativecommons.org/licenses/by/4.0/

                History
                : May 2013
                : November 2013
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 61, Pages: 9
                Product

                SciELO Venezuela

                Self URI: Texto completo solamente en formato PDF (ES)
                Categories
                Artículos

                Aloe vera,oral pathology,endodontics,periodontics,therapeutic applications,patología bucal,endodoncia,periodoncia,aplicaciones terapéuticas

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