Efeito do extrato de Punica granatum Linn (romã) no controle do biofilme e da inflamação gengival após cirurgia periodontal: um estudo clínico.

Abstract

INTRODUCTION: Punica granatum Linn (pomegranate) has satisfied the desire for natural products, presenting antibacterial and anti-inflammatory properties. The objective of this work was to evaluate the effect of the aqueous extract of pomegranate on the tissue repair and on the control of the supragingival biofilm, in the postoperative periodontal surgeries for aesthetic smile correction by means of the clinical aesthetic crown augmentation technique with osteotomy. METHODOLOGY: This is a clinical study conducted on 17 patients with indications of pink smile aesthetic correction who were divided into two groups according to the product used as a mouth rinse in the postoperative period. In the test group, they used aqueous extract of Punica granatum Linn (pomegranate) and in the positive control group, gold standard for this purpose, 0.12% chlorhexidine digluconate. In both groups, patients rinsed 10 mL of each solution for 1 minute, twice a day, for 14 days. Periodontal clinical parameters such as plaque index (PI), probing bleeding index (PSS), and probing depth (PS) were collected before surgery and at 7, 15, and 21 days postoperatively. RESULTS: The pomegranate extract reduced the amount of tooth surfaces with stained biofilm; reduced gingival bleeding in the operated area and kept the probing depth at levels compatible with periodontal health and lower than the control group. CONCLUSION: The aqueous extract of pomegranate showed encouraging results as an adjunct to the mechanical control of supragingival biofilm in gingivectomy surgical wounds. However, more clinical studies should be conducted especially with larger sample size.