PENATALAKSANAAN MUKOBIOADHESIF EKSTRAK GAMBIR (Uncaria gambir) TERHADAP LESI ULSERASI RONGGA MULUT

Siti Rusdiana Puspa Dewi, Pudji Handayani, Hestiningsih Tyas, Destriarum Destriarum, Adelina Putri Sari

Abstract


Lesi ulserasi merupakan penyakit jaringan lunak mulut yang banyak dijumpai. Pendekatan perawatan terhadap lesi ulserasi dengan menggunakan bioadhesif bertujuan untuk mendapatkan efek terapi maksimal dari suatu zat aktif. Tanaman gambir (Uncaria gambir) adalah suatu jenis tanaman yang banyak dikembangkan sebagai obat herbal karena memiliki senyawa aktif seperti katekin. Tujuan dari penelitian ini adalah untuk mengevaluasi efek mukobioadhesif ekstrak gambir terhadap lesi ulserasi rongga mulut. Penelitian ini menggunakan metode pretest-posttest control group. 24 sampel dibagi menjadi dua kelompok, kelompok yang diberi mukobioadhesif ekstrak gambir dan kelompok yang diberi mukobioadhesif plasebo selama 7 hari dengan aturan pakai 3 kali sehari. Tingkat keparahan rasa sakit yang diukur dengan skala VAS, luas lesi ulserasi, dan durasi penyembuhan dievaluasi dan dianalisis dengan SPSS ver. 22. Hasil penelitian menunjukkan bahwa penggunaan mukobiadhesif ekstrak gambir mampu mengurangi rasa sakit dan luas lesi, serta mampu menurunkan durasi penyembuhan secara signifikan dibandingkan dengan plasebo. Dapat disimpulkan bahwa penatalaksanaan mukobioadhesif ekstrak gambir berpotensi dalam mengurangi rasa sakit dan mempercepat penyembuhan lesi ulserasi rongga mulut.  


References


Sivapathasundharam B, Sundararaman P, Kannan K. Oral ulcers-A review. J. Dent Oral Disord. 2018; 4(4): 1098-119

Minhas S, Sajjad A, Kashif M, Taj F,Al Waddani H, Khurshid Z. Oral Ulcers Presentation in Systemic Diseases: An Update. Open Access Maced J Med Sci. 2019 Oct 15; 7(19): 3341–7

Ofluoglu D, Ergun S, Warnakulasuriya S, Namdar-Oekiner F, Tanyeri H. An evaluation of the efficacy of a topical gel with triester glycerol oxide (tgo) in the treatment of minor recurrent aphthous stomatitis in a Turkish cohort: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial. Med Oral Patol Oral Cir Bucal. 2017; (2): 159–66

Kumar P, Malik A, Singh A, Mittan S, Bharali R. Preparation and evaluation of saquinavir mesylate oral suspension. Int. J Drug Form. Res.2011; 2: 229-36

Gupta SK, Singhvi IJ, Shirsat M, Karwani G, Agarwal A. Buccal adhesive drug delivery system: a review. Asian J Biochem. Pharm. Res. 2011; 2(1): 105–14

Haghpanah P, Moghadamnia AA, Zarghami A, Motallebnejad M. Muco-bioadhesive containing ginger officinale extract in the management of recurrent aphthous stomatitis: A randomized clinical study. Caspian J Intern Med. 2015; 6(1): 3–8

Amtha R, Marcia M, Aninda AI. Plester sariawan efektif dalam mempercepat penyembuhan stomatitis aftosa rekuren dan ulkus traumatikus. Majalah Kedokteran Gigi Indonesia 2017; 3(2): 69–75

Handayani F, Siswanto E, Pangesti LAT. Uji aktivitas ekstrak etanol gambir (Uncaria gambir roxb.) terhadap penyembuhan luka bakar pada kulit punggung mencit putih jantan (Mus musculus). Jurnal Ilmiah Manuntung 2015; 1(2): 133–9

Dewi SRP, Ginting MPK, Anggraini NR, Parisa N, Handayani P, Chairanie S. Evaluation of the effect of gambier (Uncaria gambier) extract for treatment of reccurent aphthous stomatitis. Int Res. J. Pharm. 2019; 11: 1-5

Rismana E, Ningsih S, Fachrudin F. In vitro study of xanthine oxidase inhibitory of gambir (Uncaria gambir) hunter roxb extracts: Original Article. Pharmacogn J. 2017; 9(6): 862–5

Dewi SRP, Fatonah A. The Effect of betel quid extract on wound healing process in male Wistar rats (Rattus norvegicus L.). Asian J Appl. Sci. 2019; 7(6): 788-97.

Dzialo M, Mierziak J, Korzun U, Preisner M, Szopa J, Kulma A. The potential of plant phenolics in prevention and therapy of skin disorders. Int J. Mol Sci. 2016; 17(2): 160

Dewi SRP, Pratiwi A, Theodorus. The effect of gambier extract (Uncaria gambir [Roxb.] )as antiseptic on gingival wound in rats. Odonto Dent. J. 2018; 5(1): 80-7

Fitzpatrick SG, Cohen DM, Clark AN. Ulcerated lesions of the oral mucosa: clinical and histological review. Head Neck Pathol. 2019; 13(1): 91-102

Babu A, Malathi L, Kasthuri M, Jimson S. Ulcerative lesions of the oral cavity-an overview. Biomed Pharmacol J. 2017; 10(1): 401-5

Silva L. A literature review of inflammation and its relationship with the oral cavity. Glob J Infect Dis Clin Res 2016; 2(1): 1-7

Fan FY, Sang LX, Jiang M. Catechins and their therapeutic benefits to inflammatory bowel disease. Molecules 2017; 22 (3): 484

Pambayun R, Putri R, Santoso B, Widowati TW, Dewi SRP. Anti-inflammatory effect of betel quid on mucosal of mucosal wound of male Wistar (Rattus novergicus) rats. Int. J. Applied. Pharm. 2019; 11(4): 79- 83.

Gopal J, Muthu M, Paul D, Kim DH, Chun S. Bactericidal activity of green tea extracts: the importance of catechin containing nano particles. Sci Rep. 2016; 6: 1971

Mota, de Lima MA, Landim JSP, Targino TSS, da Silva SFR. Evaluation of the anti-inflammatory and analgesic effects of green tea (Camellia sinensis) in mice. Acta Cirúrgica Brasileira. 2015; 30(4): 242-6.

Dewi SRP, Kamaluddin MT, Theodorus, Pambayun R. Anticariogenic effect of gambier (Uncaria gambir [Roxb].) extract on enamel tooth surface exposed by Streptococcus mutans. Int. J. Health Res. Sci. 2016; 6(8): 171-9.

Verawati E, Pambayun R, Widowati TW, Santoso B, Dewi SRP. Antibacterial activity toward Streptococcus mutans and antioxidant from traditional betel chew formulation of Indonesia. J. Mocrobiol Biochem Tech. 2017; 9(6): 316-20.

Pambayun R, Utami DP, Widowati TW, Santoso B, SRP Dewi. Antiseptic effect of betel quid extract on lip mucosal Wound of male Wistar (Rattus novergicus) Rats. J Int. Dent Med Res. 2018; 11(2): 621-7

Bowler PG, Duerden BI, Armstrong DG. Wound microbiology associated approaches to wound management. Clin Microbiol Rev. 2001; 14(2): 244-69

Fitzmaurice SD, Sivamani RK, Isseroff RR. Antioxidant therapies for wound healing: a clinical guide to currently commercially available products. Skin Pharmacol. Physiol. 2011; 24: 113-26

Kang MH, Kim BH. Oral wound healing effects of acai berry water extracts in rat oral mucosa. Toxicol Res. 2018; 34(2): 97-102

Yeni G, Sa’id EG, Syamsu K, Mardliyati E. Penentuan Kondisi Terbaik Ekstraksi Antioksidan dari Gambir Menggunakan Metode Permukaan Respon. Jurnal Litbang Industri 2014; 4(1): 39-48

Ningsih E, Rahayuningsih S. Extraction, isolation, characteristisation and antioxidant activity assay of catechin gambir (Uncaria gambir (Hnter). Roxb). Al-Kimia 2019; 7(2): 177-88

Kumar B, Kashjap N, Avinash A, Chevvuri R, Sagar MK, Shrikan K. The composition, function and role of saliva in maintaining oral health: a review. Int. J. Contemp. Dent. Med. Rev. 2017: 1-6

Pandey P, Saini M, Neeta. Mucobioadhesive drug delivery system: an overview. Evaluation Pharm. Biol. 2017; 4(4): 183-7

Reddy PC, Chaitanya KSC, Rao YM. A review on bioadhesive buccal drug delivery systems: current status of formulation anf evaluation methods. Daru 2011; 19(6): 385-403




DOI: https://doi.org/10.24815/cdj.v13i2.19279

Article Metrics

Abstract view : 11 times

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Cakradonya Dental Journal

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

VISITORS

This work is licensed under a Creative Commons Attribution 4.0 International License.

Editorial Office Address

Faculty of Dentistry Universitas Syiah Kuala
Kopelma Darussalam, Banda Aceh, Aceh, Indonesia - 23111

ISSN: 2085-546X, E-ISSN: 2622-4720