Anti-Inflammatory Efficacy of Curcumin as an Adjunct to Non-Surgical Periodontal Treatment: A Systematic Review and Meta-Analysis
What this study found
Curcumin as an adjunct to nonsurgical periodontal treatment showed an overall positive anti-inflammatory effect, improving gingival inflammation and sulcus bleeding, but it did not show consistent benefit for bleeding on probing. Gingival Index favored curcumin at multiple follow-ups, including 2 weeks MD = -0.51 (95% CI -0.74 to -0.28, p < 0.0001) and 6 weeks MD = -0.33 (95% CI -0.58 to -0.08, p = 0.01). Sulcus Bleeding Index also improved, for example at 6 weeks MD = -0.82 (95% CI -0.99 to -0.65, p < 0.0001) and 24 weeks MD = -0.22 (95% CI -0.35 to -0.09, p = 0.0006). Bleeding on probing…
- Study & population
- Systematic review and meta-analysis of 18 randomized controlled trials in adults with periodontal disease undergoing nonsurgical periodontal therapy.
- Intervention
- Curcumin was used as an adjunct to nonsurgical periodontal treatment, delivered in multiple formulations including gels, irrigation, mouthwash, nanogel, and chips.
- Key limitation
- The evidence is limited by substantial heterogeneity in curcumin formulation, dose, route, and follow-up duration across relatively small trials.
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Open PDFOriginal abstract
Objective: Curcumin has been used as an adjunct to non-surgical periodontal treatment. However, the efficacy of curcumin in the periodontal therapy remained controversial. This study aimed to evaluate the anti-inflammatory efficacy of curcumin as an adjunct to non-surgical periodontal treatment (NPT) by systematic review. Methods: Databases including Embase, PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), and ClinicalTrials.gov were searched to identify relevant RCTs on the use of curcumin as an adjunct to NPT for the treatment of periodontal disease from inception to July 21, 2021. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. Meta-analysis was then performed using Review Manager 5.3 software. Results: A total of 18 RCTs involving 846 patients/sites were included in this meta-analysis. The results of the meta-analysis revealed that as compared to NPT alone, curcumin as an adjunct to NPT resulted in significant reduction in gingival index (GI) at the 1-week (mean differences (MD) = −0.15, 95% confidence intervals (CI) −0.26 to −0.05, p = 0.005), 2-week (MD = −0.51, 95%CI −0.74 to −0.28, p < 0.0001), 3-week (MD = −0.34, 95%CI −0.66 to −0.02, p = 0.03), 4-week (MD = −0.25, 95%CI −0.48 to −0.02, p = 0.04) or 6-week (MD = −0.33, 95%CI −0.58 to −0.08, p = 0.01) follow-ups. Similar significant reductions were also observed for sulcus bleeding index (SBI) at 1, 2, 4, and 12 weeks. However, there were no statistically significant differences in reducing bleeding on probing (BOP) between curcumin as an adjunct and NPT alone at 4, 12, and 24 weeks. Conclusion: Based on the current evidence, curcumin demonstrates anti-inflammatory efficacies in terms of reducing GI and SBI compared with NPT alone. Moreover, curcumin is a natural herbal medicine with few side effects, and it is a good candidate as an adjunct treatment for periodontal disease.