Aloe vera Extract Sheet and Egg Albumin (Gallus domesticus) Reduce the Number of Lymphocytes on Gingival Incision Wound
DOI:
https://doi.org/10.21776/ub.jkb.2023.032.04.2Keywords:
Aloe vera, free-range chicken albumin, tissue glue, wound healingAbstract
An incision in the oral cavity is a dental procedure performed in surgical procedures. Suturing is the gold standard in primary wound closure care, however, suturing can cause tissue trauma, scars, and secondary infections. Cyanoacrylate adhesive is one of the alternative tissue glue for wound closure but it has inflammatory risk as suturing, potential toxicity, and accidental adhesion risks. Aloe vera extract sheet based combined with free-range chicken egg albumin is expected to be an alternative method for wound healing of gingival incisions. This study aimed to investigate the effect of administration of Aloe vera extract wound healing sheet (WHS) and free-range chicken egg albumin on the number of lymphocytes in the gingival incision wound as the inflammatory response. Experimental laboratory research with a posttest-only control group design was conducted in 24 male rats (Rattus norvegicus Wistar strain) with an incised gingiva, divided into four groups, namely T1 (50% WHS concentration and chicken egg albumin), T2 (100% WHS concentration and chicken egg albumin), PC (positive control with suturing), NC (negative control without treatment). The treatment was carried out for seven days. The data obtained were analyzed statistically using One-way ANOVA and Post Hoc LSD. The use of Aloe vera extract WHS and free-range chicken egg albumin (T1 and T2) reduced the number of lymphocytes compared to control groups (PC and NC; p<0.05). WHS and chicken egg albumin can shorten the inflammatory process in wound healing which is characterized by lower lymphocyte counts compared to the control groups.
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Sudira IW, Dada IKA, and Gustara IWMA. Perbandingan Tingkat Kesembuhan Luka pada Kulit Kelinci yang Dijahit Benang Bedah Absorbable (Catgut) dan Nonabsorbable (Silk). Jurnal Veteriner. 2019; 20(3): 378-383.
Mustika DG, Kerdena IM, and Pemayun IGAGP. Efektivitas Plester Luka pada Aplikasi Penutup Luka Insisi Pasca Operasi. Buletin Veteriner Udayana. 2015; 7(2): 137-145.
Azmat CE and Council M. Wound Closure Techniques. (Online) January 2022. https://www.ncbi.nlm.nih.gov/books/NBK470598 [accessed 2022 Oct 13].
Oladega AA, James O, and Adeyemo WL. Cyanoacrylate Tissue Adhesive or Silk Suture for Closure of Surgical Wound Following Removal of an Impacted Mandibular Third Molar: A Randomized Controlled Study. Journal of Cranio-Maxillofacial Surgery. 2019; 47(1): 93-98.
Rosyada AG, A'ziza WA, Putri MEA, Rochmawati M. Wound Healing Sheet with Aloe Vera Extract and Free-Range Chicken Egg Albumin (Gallus domesticus) for Healing of Gingival Incisions. Padjajaran Journal of Dental Researchers and Students. 2022; 6(2): 165-174.
Ballester AM, Cerda DG, Moure BP, Martinez JMM, and Carsi JML. Use of Cyanoacrylate Adhesives in Dermal Lesions: A Review. Journal of Adhesion Science and Technology. 2014; 28(6): 573-597.
Xu K, Liu Y, Bu S, et al. Egg Albumen is a Fast and Strong Medical Adhesive Glue. Advanced Healthcare Material. 2017; 6(19): 1-10.
Perera AGN and Tavarez MM. 2-octyl Cyanoacrylate. (Online) January 2022. https://www.ncbi.nlm.nih.gov/books/NBK532293/ [accessed 2022 Oct 13].
Brock G. The Occasional Wound “Gluing”. Canadian Journal of Rural Medicine. 2016; 21(4): 113-116.
Izzaty A, Dewi N, and Pratiwi DIN. Extract Haruan (Channa Striata) Decreases Lymphocyte Count in Inflammatory Phase of Wound Healing Process Effectively. Formerly Jurnal Dentofasial. 2014; 13(3): 176-181.
Teplicki E, Ma Q, Castillo DE, et al. The Effects of Aloe vera on Wound Healing in Cell Proliferation, Migration, and Viability. Wounds. 2018; 30(9): 263-268.
Ruauw EF, Wantania FE, and Leman MA. Pengaruh Lidah Buaya (Aloe vera) terhadap Waktu Penutupan Luka Sayat pada Mukosa Rongga Mulut Tikus Wistar. Pharmacon Jurnal Ilmiah Farmasi. 2016; 5(2): 22-28.
Shah R, Domah F, Shah N, and Domah J. Surgical Wound Healing in the Oral Cavity: A Review. Dental Update. 2020; 47(2): 135-143.
Toma AI, Fuller JM, Willet NJ, and Goudy SL. Oral Wound Healing Models and Emerging Regenerative Therapies. Translational Research. 2021; 236: 17-34.
Hikmawati D, Rohmadanik AR, Putra AP, Siswanto, Aminatun. The Effect of Aloe vera Extract Variation in Electrospun Polyvinyl Alcohol (PVA)-Aloe Vera-Based Nanofiber Membrane. Journal of Physics: Conference Series. 2018; 2018: 1-9.
Kartiwa RA, Sovani I, Enus S, Boediono A, and Miraprahesti RN. Albumin Telur Sebagai Lem pada Operasi Cangkok Konjungtiva. Majalah Kedokteran Bandung. 2016; 48(4): 241-248.
Ramadhani N, Herlina, and Pratiwi AC. Perbandingan Kadar Protein pada Telur Ayam dengan Metode Spektrofotometri Sinar Tampak. Kartika: Jurnal Ilmiah Farmasi. 2018; 6(2): 53-56.
Thriruvoth FM, Mohapatra DP, Kumar D, Chittoria SRK, Nandhagopal V. Current Concepts in the Physiology of Adult Wound Healing. Plastic and Aesthetic Research. 2015; 2: 250-256.
Riyani NJ, Pasaribu R, and Mardiyantoro F. Evaluasi Jumlah Limfosit Pasca Aplikasi Lendir Bekicot (Achatina fulica) pada Soket Tikus Wistar (Rattus norvegicus). Sinnun Maxillofacial Journal. 2021; 3(1): 42-49.
Politis C, Schoenaers J, Jacobs R, and Agbaje JO. Wound Healing Problems in the Mouth. Frontiers in Physiology. 2016; 7: 1-13.
Lee J, Kim EH, Shin D, and Roh JL. Accelerated Oral Wound Healing Using a Pre-Vascularized Mucosal Cell Sheet. Scientific Reports. 2017; 7(1): 1-10.
Prakoso YA and Kurniasih. The Effect of Aloe vera Cream on the Expression of CD4+ and CD8+ Lymphocytes in Skin Wound Healing. Journal of Tropical Medicine. 2018; 2018: 1-5.
Hekmatpou D, Mehrabi F, Rahzani K, and Aminiyan A. The Effect of Aloe vera Clinical Trials on Prevention and Healing of Skin Wound: A Systematic Review. Iranian Journal of Medical Science. 2019; 44(1): 1-9.
Zeng WM, Parus A, Barnes CW, et al. Aloe Vera-Mechanisms of Action, Uses, and Potential Uses in Plastic Surgery and Wound Healing. Surgical Science. 2020; 11(10): 312-328.
Nasution MFW and Muslimdjas Y. Effectivity Test of 50% and 100% Honey concentration with Povidone Iodine on the Healing of Cutting Wounds in Mice (Mus musculus). Jurnal Ilmiah Mahasiswa Kedokteran Indonesia. 2020; 8(3): 47-53.
Heng HC, Zulfakar MH, and Ng PY. Pharmaceutical Applications of Aloe vera. Indonesia Journal of Pharmacy. 2018; 29(3): 101-116.
Naini MA, Samadnejad AZ, Mehrvarz S, et al. Anti-Inflammatory, Antioxidant, and Healing-Promoting Effects of Aloe vera Extract in the Experimental Colitis in Rats. Evidence-Based Complementary and Alternative Medicine. 2021; 2021: 1-12.
Utariani A, Rahardjo E, and Perdanakusuma DS. Effects of Albumin Infusion on Serum Levels of Albumin, Proinflammatory Cytokines (TNF-Α, IL-1, and IL-6), CRP, and MMP-8; Tissue Expression of EGRF, ERK1, ERK2, TGF-Β, Collagen, and MMP-8; and Wound Healing in Sprague Dawley Rats. International Journal of Inflammation. 2020; 2020: 1-13.
Pratiwi, Hadisaputro S, Sudirman, Ta'adi, and Sunarjo L. The Effectiveness of Hydrogel from Snakehead Fish Extract (Chana Striata) on Wound Healing of Grade II Ulcer in Type II Diabetes Mellitus Patients. International Journal of Nursing and Health Services. 2021; 4(2): 215-222.
Koga AY, Pereira AV, Lipinski LC, and Oliveira MR. Evaluation of Wound Healing Effect of Alginate Films Containing Aloe vera (Aloe barbadensis Miller) Gel. Journal of Biomaterials Applications. 2018; 32(9): 1212-1221.
Koga AY, Felix JC, Silvestre RGM, et al. Evaluation of Wound Healing Effect of Alginate Film Containing Aloe vera Gel and Cross-Linked with Zinc Chloride. Acta Cirúrgica Brasileira. 2020; 35(5): 1-11.
Mustofa M, Kurniawaty Evy, Prabowo AY, and Carolia N. Perbedaan Penyembuhan Hecting Wound Tikus Putih Jantan Sprague Dawley dengan Wharton's Jelly. Jurnal Ilmiah Kesehatan Sandi Husada. 2021; 10(2): 676-682.
Harti AS, Murharyati A, Sulisetyawati D, and Oktariani M. The Effectiveness of Snail Mucus (Achatina Fulica) and Chitosan Toward Limfosit Proliferation in Vitro. Asian Journal of Pharmaceutical and Clinical Research. 2018; 11(3): 85-88.
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