In vitro evaluation of plants as storage media for avulsed teeth: A systematic review. 2020

Kêmelly Karolliny Moreira Resende, and Geovanna Pascoal Faria, and Daniele Lucca Longo, and Lázara Joyce Oliveira Martins, and Cláudio Rodrigues Rezende Costa
Faculty of Dentistry, University of Rio Verde, Rio Verde, Brazil.

OBJECTIVE Dental avulsion is defined as the complete displacement of a tooth from its socket owing to trauma. The treatment outcome depends on storage of the avulsed teeth in media capable of maintaining the viability of periodontal ligament cells, when immediate replantation is not possible. To maintain the viability of periodontal ligament cells, plants can be used as a storage medium because of their pharmacological and phytotherapic properties. The aim of this study was to evaluate the effect of plants on the tissue repair following tooth replantation. METHODS This systematic review was conducted according to the PRISMA guidelines and included articles collected in the Cochrane, LILACS, PubMed, Science Direct, Scopus and Web of Science databases, plus articles found in the grey literature. The articles were screened for partial reading using the Endnote and Rayyan platform. The methodology of studies was evaluated by using the OHAT and GRADE. RESULTS In the initial search, 2361 articles were obtained, only 51 articles were submitted to complete reading, and 35 articles were selected for the qualitative analysis. The evaluated plants had a potential effect on cell viability and proliferation. The articles evaluated mainly the action of plants on cells of the periodontal ligament. Propolis, coconut water and Aloe vera were the most common storage medium. CONCLUSIONS The methodological limitations persist, and the evaluation of the pharmacological potential of plants on dental tissues still requires more research.

UI MeSH Term Description Entries
D010513 Periodontal Ligament The fibrous CONNECTIVE TISSUE surrounding the TOOTH ROOT, separating it from and attaching it to the alveolar bone (ALVEOLAR PROCESS). Alveolodental Ligament,Alveolodental Membrane,Gomphosis,Alveolodental Ligaments,Alveolodental Membranes,Gomphoses,Ligament, Alveolodental,Ligament, Periodontal,Membrane, Alveolodental,Periodontal Ligaments
D011429 Propolis A resinous substance obtained from beehives that is used traditionally as an antimicrobial. It is a heterogeneous mixture of many substances. Bee Bread,Bee Glue,Bread, Bee,Glue, Bee
D003059 Cocos A plant genus of the family ARECACEAE. It is a tropical palm tree that yields a large, edible hard-shelled fruit from which oil and fiber are also obtained. Coconut,Cocoanut,Cocos nucifera,Coco,Cocoanuts,Coconuts,Cocos nuciferas,nucifera, Cocos
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000504 Aloe A plant genus of the family ASPHODELACEAE which is used medicinally. It contains anthraquinone glycosides such as aloin-emodin or aloe-emodin (EMODIN). Aloe vera
D014084 Tooth Avulsion Partial or complete displacement of a tooth from its alveolar support. It is commonly the result of trauma. (From Boucher's Clinical Dental Terminology, 4th ed, p312) Avulsed Tooth,Dislocation, Tooth,Tooth Luxation,Avulsion, Tooth,Avulsions, Tooth,Dislocations, Tooth,Luxation, Tooth,Luxations, Tooth,Tooth Avulsions,Tooth Dislocation,Tooth Dislocations,Tooth Luxations,Tooth, Avulsed
D014090 Tooth Replantation Reinsertion of a tooth into the alveolus from which it was removed or otherwise lost. Reimplantation, Tooth,Replantation, Tooth,Tooth Reimplantation,Reimplantations, Tooth,Replantations, Tooth,Tooth Reimplantations,Tooth Replantations
D019188 Organ Preservation Solutions Solutions used to store organs and minimize tissue damage, particularly while awaiting implantation. Solutions, Organ Preservation,Tissue Preservation Solutions,Preservation Solutions, Organ,Preservation Solutions, Tissue,Solutions, Tissue Preservation

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