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REVIEW

Natural and Synthetic Drugs Approached for the Treatment of Recurrent Aphthous Stomatitis Over the Last Decade

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Pages 1297-1312 | Received 14 Nov 2023, Accepted 10 Apr 2024, Published online: 22 Apr 2024

References

  • Jurge S, Kuffer R, Scully C, Porter SR. Mucosal disease series. Number VI. Recurrent aphthous stomatitis. Oral Dis. 2006;12(1):1–21. doi:10.1111/j.1601-0825.2005.01143.x
  • Cui RZ, Bruce AJ, Rogers RS. Recurrent aphthous stomatitis. Clin Dermatol. 2016;34(4):475–481. doi:10.1016/J.CLINDERMATOL.2016.02.020
  • Ślebioda Z, Szponar E, Kowalska A. Etiopathogenesis of recurrent aphthous stomatitis and the role of immunologic aspects: literature review. Arch Immunol Ther Exp. 2014;62(3):205–215. doi:10.1007/S00005-013-0261-Y/TABLES/3
  • Hussein A, Darwazeh Azmi MG, Al-Jundi S. Prevalence of oral lesions among Jordanian children. Saudi J Oral Sci. 2017;4(1):12. doi:10.4103/1658-6816.200135
  • Zhu Z, He Z, Xie G, Fan Y, Shao T. Altered oral microbiota composition associated with recurrent aphthous stomatitis in young females. Medicine. 2021;100(10):E24742. doi:10.1097/MD.0000000000024742
  • Bankvall M, Sjöberg F, Gale G, Wold A, Jontell M, Östman S. The oral microbiota of patients with recurrent aphthous stomatitis. J Oral Microbiol. 2014;6:1–11. doi:10.3402/jom.v6.25739
  • Gomes VB, Porter S. Review Ulcerative Lesions of the Mouth: an Update. Int J Med. 2007;62(6):769–780.
  • Mandasari M, Rahmayanti F. Identification of stress as a predisposing factor in minor recurrent aphthous stomatitis: a case report. J Case Rep Dental Med. 2022;4:56–59. doi:10.20956/jcrdm.v4i3.213
  • Belenguer-Guallar I, Jiménez-Soriano Y, Claramunt-Lozano A. Treatment of recurrent aphthous stomatitis. A literature review. J Clin Exp Dent. 2014;6(2):168–174. doi:10.4317/jced.51401
  • Vitamia C, Iftinan GN, Latarissa IR, et al. α-Mangostin hydrogel film with chitosan alginate base for recurrent aphthous stomatitis (RAS) treatment: study protocol for double-blind randomized controlled trial. Front Pharmacol. 2024:15. doi:10.3389/FPHAR.2024.1353503
  • Minervini G, Franco R, Marrapodi MM, et al. Correlation between Temporomandibular Disorders (TMD) and Posture Evaluated trough the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): a Systematic Review with Meta-Analysis. J Clin Med. 2023;12(7). doi:10.3390/jcm12072652
  • Messadi DV, Younai F. Aphthous ulcers. Dermatol Ther. 2010;23(3):281–290. doi:10.1111/j.1529-8019.2010.01324.x
  • Rattan J, Schneider M, Arber N, Gorsky M, Dayan D. Sucralfate suspension as a treatment of recurrent aphthous stomatitis. J Intern Med. 1994;236(3):341–343. doi:10.1111/j.1365-2796.1994.tb00805.x
  • Liu X, Guan X, Chen R, Hua H, Liu Y, Yan Z. Repurposing of Yunnan Baiyao as an alternative therapy for minor recurrent aphthous stomatitis. Evid Based Complement Alternat Med. 2012;2012:284620. doi:10.1155/2012/284620
  • Huo X, Han N, Liu L. Effect of different treatments on recurrent aphthous stomatitis: laser versus medication. Lasers Med Sci. 2021;36(5):1095–1100. doi:10.1007/s10103-020-03166-0
  • Yilmaz HG, Albaba MR, Caygur A, Cengiz E, Boke-Karacaoglu F, Tumer H. Treatment of recurrent aphthous stomatitis with Er, Cr:YSGG laser irradiation: a randomized controlled split mouth clinical study. J Photochem Photobiol B. 2017;170:1–5. doi:10.1016/j.jphotobiol.2017.03.011
  • Albrektson M, Hedström L, Bergh H. Recurrent aphthous stomatitis and pain management with low-level laser therapy: a randomized controlled trial. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117(5):590–594. doi:10.1016/j.oooo.2014.01.228
  • Barrons RW. Treatment strategies for recurrent oral aphthous ulcers. Am J Health Syst Pharm. 2001;58(1):41–43.
  • Lavaee F, Ghasemi M, Amiri MA, Farshidfar N. The Comparative Effects of Rhus Coriaria and Triamcinolone in Patients with Recurrent Aphthous Stomatitis: a Single-Blinded Randomized Controlled Clinical Trial. Biomed Res Int. 2022;2022:5067. doi:10.1155/2022/5855067
  • Bakhshi M, Mahboubi A, Jaafari MR, Ebrahimi F, Tofangchiha M, Alizadeh A. Comparative Efficacy of 1% Curcumin Nanomicelle Gel and 2% Curcumin Gel for Treatment of Recurrent Aphthous Stomatitis: a Double-Blind Randomized Clinical Trial. J Evidence-Based Dental Practice. 2022;22(2):101708. doi:10.1016/j.jebdp.2022.101708
  • Raman P, Pity R, Krithika CL, Anand SN, Subramani GP. Topical Curcumin and Triamcinolone Acetonide in Recurrent Minor Aphthous Ulcers: a Pilot Trial. Journal of Contemporary Dental Practice. 2020;21(8):884–890. doi:10.5005/JP-JOURNALS-10024-2901
  • Deshmukh R, Bagewadi A. Comparison of effectiveness of curcumin with triamcinolone acetonide in the gel form in treatment of minor recurrent aphthous stomatitis: a randomized clinical trial. Int J Pharm Investig. 2014;4(3):138. doi:10.4103/2230-973x.138346
  • Shao Y, Zhou H. Clinical evaluation of an oral mucoadhesive film containing chitosan for the treatment of recurrent aphthous stomatitis: a randomized, double-blind study. J Dermatological Treat. 2020;31(7):739–743. doi:10.1080/09546634.2019.1610548
  • Rahmani F, Moghadamnia AA, Kazemi S, Shirzad A, Motallebnejad M. Effect of 0.5% Chitosan mouthwash on recurrent aphthous stomatitis: a randomized double-blind crossover clinical trial. Electron Physician. 2018;10(6):6912–6919. doi:10.19082/6912
  • Abbasi F, Rasoulzadeh Z, Yavari A. The effect of sage (Salvizan gel) compared to triamcinolone acetonide on the treatment of recurrent aphthous stomatitis: a double-blinded randomized clinical trial. BMC Oral Health. 2023;23(1):1–5. doi:10.1186/s12903-023-02861-y
  • Aggour RL, Mahmoud SH, Abdelwhab A. Evaluation of the effect of probiotic lozenges in the treatment of recurrent aphthous stomatitis: a randomized, controlled clinical trial. Clin Oral Investig. 2021;25(4):2151–2158. doi:10.1007/s00784-020-03527-7
  • Molania T, Malekzadeh Shafaroudi A, Saeedi M, et al. Evaluation of cinnamaldehyde mucoadhesive patches on minor recurrent aphthous stomatitis: a randomized, double-blind, placebo-controlled clinical trial. BMC Oral Health. 2022;22(1):1–7. doi:10.1186/s12903-022-02248-5
  • Nosratzehi T, Akar A. Efficacy of Omega-3 in Treatment of Recurrent Aphthous Stomatitis: a Randomised, Double-blind, Placebo-controlled Study. Chin J Dent Res. 2016;19(3):159–164. doi:10.3290/j.cjdr.a36681
  • Hadian Z, Moghadamnia AA, Kazemi S, Shirzad A. Effect of Omega-3 on Recurrent Aphthous Stomatitis and Improvement Quality of Life. Int J Dent. 2021;2021:7575. doi:10.1155/2021/6617575
  • El Khouli AM, El-Gendy EA. Efficacy of omega-3 in treatment of recurrent aphthous stomatitis and improvement of quality of life: a randomized, double-blind, placebo-controlled study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117(2):191–196. doi:10.1016/j.oooo.2013.09.003
  • Rogulj AA, Alajbeg IZ, Brailo V, et al. Topical NAVS naphthalan for the treatment of oral lichen planus and recurrent aphthous stomatitis: a double blind, randomized, parallel group study. PLoS One. 2021;16(4 April):1–14. doi:10.1371/journal.pone.0249862
  • Kürklü-Gürleyen E, Öğüt-Erişen M, Çakır O, Uysal Ö, Ak G. Quality of life in patients with recurrent aphthous stomatitis treated with a mucoadhesive patch containing citrus essential oil. Patient Prefer Adherence. 2016;10:967–973. doi:10.2147/PPA.S106530
  • Arafa MG, Ghalwash D, El-Kersh DM, Elmazar MM. Propolis-based niosomes as oromuco-adhesive films: a randomized clinical trial of a therapeutic drug delivery platform for the treatment of oral recurrent aphthous ulcers. Sci Rep. 2018;8(1):1–14. doi:10.1038/s41598-018-37157-7
  • Gavanji S, Larki B, Bakhtari A. The effect of extract of Punica granatum var. pleniflora for treatment of minor recurrent aphthous stomatitis. Integr Med Res. 2014;3(2):83–90. doi:10.1016/j.imr.2014.03.001
  • Darakhshan S, Malmir M, Bagheri F, et al. The effects of pomegranate peel extract on recurrent aphthous stomatitis. Curr Issues Pharm Med Sci. 2019;32(3):115–120. doi:10.2478/cipms-2019-0021
  • Tavangar A, Soleymani B, Ghalayani P, Zolfaghary B, Farhad A. The efficacy of Punica granatum extract in the management of recurrent aphthous stomatitis. J Res Pharm Pract. 2013;2(2):88. doi:10.4103/2279-042x.117389
  • Tavangar A, Aslani A, Nikbakht N. Comparative Study of Punica granatum Gel and Triadent Oral Paste Effect on Recurrent Aphthous Stomatitis, a Double Blind Clinical Trial. J Dent. 2019;20(3):184–189. doi:10.30476/DENTJODS.2019.44913
  • El-Haddad SA, Asiri FY, Al-Qahtani HH, Al-Ghmlas AS. Efficacy of honey in comparison to topical corticosteroid for treatment of recurrent minor aphthous ulceration: a randomized, blind, controlled, parallel, double-center clinical trial. Quintessence Int. 2014;45(8):691–701. doi:10.3290/j.qi.a32241
  • Romero-Cerecero O, Zamilpa A, Tortoriello J. Pilot study that evaluated the clinical effectiveness and safety of a phytopharmaceutical elaborated with an extract of Ageratina pichinchensis in patients with minor recurrent aphthous stomatitis. J Ethnopharmacol. 2015;173:225–230. doi:10.1016/j.jep.2015.06.021
  • Umpreecha C, Bhalang K, Charnvanich D, Luckanagul J. Efficacy and safety of topical 0.1% cannabidiol for managing recurrent aphthous ulcers: a randomized controlled trial. BMC Complement Med Ther. 2023;23(1):1–11. doi:10.1186/s12906-023-03886-0
  • Pedersen AML, Bukkehave KH, Bennett EP, Twetman S. Effect of Lozenges Containing Lactobacillus reuteri on the Severity of Recurrent Aphthous Ulcers: a Pilot Study. Probiotics Antimicrob Proteins. 2020;12(3):819–823. doi:10.1007/s12602-019-09586-x
  • Vaziri S, Mojarrab M, Osein FMH, Najafi F, Ghobadi A. Evaluation of anti-aphthous activity of decoction of Nicotiana tabacum leaves as a mouthwash: a placebo-controlled clinical study. Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan / sponsored by All-China Association of Traditional Chinese Medicine. Acad Traditional Chine Med. 2016;36(2):160–164. doi:10.1016/s0254-6272(16)30022-x
  • Rafieian N, Abdolsamadi H, Moghadamnia A, et al. Efficacy of alum for treatment of recurrent aphthous stomatitis. Caspian J Intern Med. 2016;7(3):201–206.
  • Puspa Dewi SR, Karina Ginting MP, Anggraini NR, Parisa N, Handayani P, Chairani S. Evaluation of the effect of gambier (Uncaria gambier) extract for treatment of recurrent aphthous stomatitis. International Research Journal of Pharmacy. 2020;11(1):27–31. doi:10.7897/2230-8407.11015
  • Du Q, Ni S, Guo L, et al. Effects of Zingiber officinalis (WILLD.) ROSC. Membranes on minor recurrent aphthous stomatitis: a randomized pragmatic trial. J Traditional Chine Med Sci. 2018;5(1):58–63. doi:10.1016/j.jtcms.2018.02.004
  • 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.
  • Yousef NJ, Aljoujou AA, Mashlah AM, Hajeer MY. Assessment of the Effectiveness of Aloe vera Versus Amlexanox in the Treatment of Recurrent Aphthous Ulcers: a Three-Arm Placebo-Controlled Randomized Clinical Trial. Cureus. 2022;14(10):1–8. doi:10.7759/cureus.30693
  • Mansour G, Ouda S, Shaker A, Abdallah HM. Clinical efficacy of new aloe vera- and myrrh-based oral mucoadhesive gels in the management of minor recurrent aphthous stomatitis: a randomized, double-blind, vehicle-controlled study. J Oral Pathol Med. 2014;43(6):405–409. doi:10.1111/jop.12130
  • Halim DS, Abdullah NA, Alam MK, Samsee SNB, May TS. Comparison of the effectiveness between virgin coconut oil (VCO) and triamcinolone for treatment of minor recurrent aphthous stomatitis (RAS). International Medical Journal. 2014;21(3):319–320.
  • Jiang XW, Zhang Y, Zhu YL, et al. Effects of berberine gelatin on recurrent aphthous stomatitis: a randomized, placebo-controlled, double-blind trial in a Chinese cohort. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;115(2):212–217. doi:10.1016/j.oooo.2012.09.009
  • Elamrousy WA, Mortada A, Shoukheba M. Evaluation of Novel Topical Camel Whey Protein Gel for the Treatment of Recurrent Aphthous Stomatitis: randomized Clinical Study. J Int Soc Prev Community Dent. 2021;11(5):574–581. doi:10.4103/jispcd.JISPCD_172_21
  • Ansari M, Hashemipour M, Farsinejad A, et al. Clinical efficacy of a buccoadhesive paste from Fenugreek seeds (Trigonella foenum graecum L.) on recurrent aphthous stomatitis: in-vitro assessment of non-toxic concentration and pilot trial. Adv Integr Med. 2022;9(1):17–21. doi:10.1016/j.aimed.2021.06.001
  • Raeesi V, Arbabi-Kalati F, Akbari N, Hamishekar H. Comparison effectiveness of the bioadhesive paste containing licorice 5% with bioadhesive paste without drug in the management of recurrent aphthous stomatitis. Acta Med Mediterr. 2015;31(7):1331–1335.
  • Seyyedi SA, Sanatkhani M, Pakfetrat A, Olyaee P. The therapeutic effects of chamomilla tincture mouthwash on oral aphthae: a randomized clinical trial. J Clin Exp Dent. 2014;6(5):e535–e538. doi:10.4317/jced.51472
  • Andishe Tadbir A, Pourshahidi S, Ebrahimi H, Hajipour Z, Memarzade MR, Shirazian S. The effect of Matricaria chamomilla (chamomile) extract in Orabase on minor aphthous stomatitis, a randomized clinical trial. J Herb Med. 2015;5(2):71–76. doi:10.1016/j.hermed.2015.05.001
  • Ghorbani A, Akbari J, Boorboor M, Nekoukar Z, Eslami G. Evaluation of zinc sulfate mucoadhesive formulation on recurrent aphthous stomatitis: a randomized double-blind, placebo-controlled clinical trial. BMC Oral Health. 2020;20(1):1–6. doi:10.1186/s12903-020-01194-4
  • Al-Oudah GA, AL-Ameedee AH, Shwailiya SAS. Activity of zinc oral dispersible tablet on marjory clinical type of recurrent aphthous stomatitis ulceration, a clinical trial human study. Ann Trop Med Public Health. 2020;23(12). doi:10.36295/ASRO.2020.231201
  • Habibzadeh S, Sheikh Rahimi M, Edalatkhah H, Piri H, Maleki N. Effectiveness of booster dose of tetanus and diphtheria toxoids (Td) vaccine in management of recurrent aphthous stomatitis: a prospective, randomized, triple-blind and placebo-controlled clinical trial. J Dermatological Treat. 2021;32(3):361–366. doi:10.1080/09546634.2019.1654597
  • Sharda N, Shashikanth MC, Kant P, Jain M. Levamisole and low-dose prednisolone in the treatment of recurrent aphthous stomatitis. J Oral Pathol Med. 2014;43(4):309–316. doi:10.1111/jop.12126
  • Vijayabala GS, Kalappanavar AN, Annigeri RG, Sudarshan R, Shettar SS. Single application of topical doxycycline hyclate in the management of recurrent aphthous stomatitis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116(4):440–446. doi:10.1016/j.oooo.2013.06.015
  • Shrivastava K, Naidu G, Deshpande A, Handa H, Raghuvanshi V, Gupta M. Comparative evaluation of the efficacy of topical amlexanox 5% oral paste and triamcinolone acetonide 0.1% oral paste in the treatment of Recurrent Aphthous Stomatitis (RAS). J Indian Acad Oral Med Radiol. 2018;30(3):235–240. doi:10.4103/jiaomr.jiaomr_40_18
  • Alsahaf S, Alkurdi KA, Challacombe SJ, Tappuni AR. Topical betamethasone and systemic colchicine for treatment of recurrent aphthous stomatitis: a randomised clinical trial. BMC Oral Health. 2023;23(1):709. doi:10.1186/s12903-023-03335-x
  • Halboub E, Alkadasi B, Alakhali M, et al. N-acetylcysteine versus chlorhexidine in treatment of aphthous ulcers: a preliminary clinical trial. J Dermatological Treat. 2021;32(6):649–653. doi:10.1080/09546634.2019.1688231
  • Eslami G, Ghorbani A, Akbari J, Farmoudeh A, Faghih F, Moghimi M. Efficacy of Oral Mucoadhesive N-acetylcysteine Tablets in Treatment of Recurrent Aphthous Stomatitis: a Randomized Double-Blind, Placebo-Controlled Clinical Trial. Front Dent. 2023;20:1–8. doi:10.18502/fid.v20i18.12824
  • El-Wakeel NM, Dawoud MHS. Topical insulin-liposomal formulation in management of recurrent aphthous ulcers: a randomized placebo-controlled trial. J Investig Clin Dent. 2019;10(4):1–6. doi:10.1111/jicd.12437
  • Zeng Q, Shi X, Yang J, et al. The efficacy and safety of thalidomide on the recurrence interval of continuous recurrent aphthous ulceration: a randomized controlled clinical trial. J Oral Pathol Med. 2020;49(4):357–364. doi:10.1111/jop.12960
  • Borhan-Mojabi K, Mirmiran F, Nassiri-Asl M, Nazeman P, Jahanihashemi H. Therapeutic Effects of “Ibuprofen, Diphenhydramine and Aluminium MgS” on Recurrent Aphthous Stomatitis: a Randomized Controlled Trial. J Dent (Tehran). 2014;11(2):167–171.
  • Yarom N, Zelig K, Epstein JB, Gorsky M. The efficacy of minocycline mouth rinses on the symptoms associated with recurrent aphthous stomatitis: a randomized, double-blind, crossover study assessing different doses of oral rinse. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;123(6):675–679. doi:10.1016/j.oooo.2017.02.013
  • Ofluoglu D, Ergun S, Warnakulasuriya S, Namdar-Pekiner 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;22(2):e159–e166. doi:10.4317/medoral.21469
  • Parvathi Devi MK, Dnsv R, Koppal S, Byatnal AR, Rukmangada T, Byatnal AA. Efficacy of rebamipide and levamisole in the treatment of patients with recurrent aphthous ulcer - A comparative study. Journal of Clinical and Diagnostic Research. 2014;8(11):ZC119–ZC122. doi:10.7860/JCDR/2014/10295.5202
  • Owlia M, Mirzadeh M, Mehrpoor G. Penicillin in oral aphthosis, new insight for an old drug: a randomized, double-blind, controlled clinical trial. J Res Med Sci. 2020;25:95. doi:10.4103/jrms.JRMS_748_19
  • Suhandi C, Alfathonah SS, Hasanah AN. Potency of Xanthone Derivatives from Garcinia mangostana L. for COVID-19 Treatment through Angiotensin-Converting Enzyme 2 and Main Protease Blockade: a Computational Study. Molecules. 2023;28(13). doi:10.3390/MOLECULES28135187
  • Dhama K, Karthik K, Khandia R, et al. Medicinal and Therapeutic Potential of Herbs and Plant Metabolites / Extracts Countering Viral Pathogens – current Knowledge and Future Prospects. Curr Drug Metab. 2018;19. doi:10.2174/1389200219666180129145252
  • Kaileh M, Vanden Berghe W, Boone E, Essawi T, Haegeman G. Screening of indigenous Palestinian medicinal plants for potential anti-inflammatory and cytotoxic activity. J Ethnopharmacol. 2007;113(3):510–516. doi:10.1016/j.jep.2007.07.008
  • Eisen D, Lynch DP. Selecting topical and systemic agents for recurrent aphthous stomatitis. Cutis. 2001;68(3):201–206.
  • Delgado DA, Lambert BS, Boutris N, et al. Validation of Digital Visual Analog Scale Pain Scoring With a Traditional Paper-based Visual Analog Scale in Adults. J Am Acad Orthop Surg Glob Res Rev. 2018;2(3):e088. doi:10.5435/JAAOSGlobal-D-17-00088
  • Karimi A, Majlesi M, Rafieian-Kopaei M. Herbal versus synthetic drugs; beliefs and facts. J Nephropharmacol. 2015;4(1):27–30.
  • Furnham AF. Alternative and Complementary Healing Practices. International Encyclopedia of the Social & Behavioral Sciences. 2001;404–407. doi:10.1016/B0-08-043076-7/03905-X
  • Lau SH, Herman H, Rahmat M. Studi perbandingan tingkat pengetahuan masyarakat tentang obat herbal dan obat sintetik di campagayya kelurahan panaikang Kota makassar. Jurnal Farmasi Sandi Karsa. 2019;5(1):33.
  • Femiano F, Lanza A, Buonaiuto C, et al. Guidelines for diagnosis and management of aphthous stomatitis. Pediatr Infect Dis J. 2007;26(8):728–732. doi:10.1097/INF.0b013e31806215f9
  • Messier C, Epifano F, Genovese S, Grenier D. Licorice and its potential beneficial effects in common oro-dental diseases. Oral Dis. 2012;18(1):32–39. doi:10.1111/j.1601-0825.2011.01842.x
  • Chaudhuri K, Nair KK, Ashok L. Salivary levels of TNF-α in patients with recurrent aphthous stomatitis: a cross-sectional study. J Dent Res Dent Clin Dent Prospects. 2018;12(1):45–48. doi:10.15171/joddd.2018.007
  • Kovalik AC, Bisetto P, Pochapski MT, Campagnoli EB, Pilatti GL, Santos FA. Effects of an orabase formulation with ethanolic extract of Malva sylvestris L. in oral wound healing in rats. J Med Food. 2014;17(5):618–624. doi:10.1089/jmf.2013.0001
  • Suhandi C, Wilar G, Lesmana R, et al. Propolis-Based Nanostructured Lipid Carriers for α-Mangostin Delivery: formulation, Characterization, and In Vitro Antioxidant Activity Evaluation. Molecules. 2023;28(16). doi:10.3390/MOLECULES28166057
  • Mohammed S, Abdulraheem S. Evaluate the efficiency of sage (Salvia officinalis) and curcumin mouthwash in the treatment of recurrent aphthous stomatitis)(comparative study). Al-Rafidain Dental Journal. 2021;48.
  • Abdulrab S, Halboub E, Barngkgei I, Al-hebshi N. N-Acetylcysteine as a Candidate Therapeutic for Recurrent Aphthous and Aphthous-Like Ulcers. Dent Hypotheses. 2017;8:17–22. doi:10.4103/2155-8213.202028
  • A M. Etiology and pathophysiology of recurrent aphthous stomatitis: a review. Int J Curr Res Rev. 2014;6:16–22.
  • Moraes TM, Kushima H, Moleiro FC, et al. Effects of limonene and essential oil from Citrus aurantium on gastric mucosa: role of prostaglandins and gastric mucus secretion. Chem Biol Interact. 2009;180(3):499–505. doi:10.1016/j.cbi.2009.04.006
  • Kudur MH, Hulmani M. Rebamipide: a Novel Agent in the Treatment of Recurrent Aphthous Ulcer and Behcet’s Syndrome. Indian J Dermatol. 2013;58(5):352–354. doi:10.4103/0019-5154.117298
  • Rodu B, Mattingly G. Oral mucosal ulcers: diagnosis and management. J Am Dent Assoc. 1992;123(10):83–86. doi:10.14219/jada.archive.1992.0268
  • ALtaei TS, AI-Jubouri RH. Evaluation of the efficacy of alum suspension in treatment of recurrent ulcerative ulceration. J Baghdad College Dentistry. 2005;17(2):45–48.
  • Attia EAS, Belal DMI, El Samahy MH, El Hamamsy MH. A pilot trial using topical regular crystalline insulin vs. aqueous zinc solution for uncomplicated cutaneous wound healing: impact on quality of life. Wound Repair Regen. 2014;22(1):52–57. doi:10.1111/wrr.12122
  • Negut I, Grumezescu V, Grumezescu AM. Treatment Strategies for Infected Wounds. Molecules. 2018;23(9). doi:10.3390/molecules23092392
  • Tarakji B, Gazal G, Al-Maweri SA, Azzeghaiby SN, Alaizari N. Guideline for the diagnosis and treatment of recurrent aphthous stomatitis for dental practitioners. J Int Oral Health. 2015;7(5):74–80.
  • Tsuchiya H. Membrane Interactions of Phytochemicals as Their Molecular Mechanism Applicable to the Discovery of Drug Leads from Plants. Molecules. 2015;20(10):18923–18966. doi:10.3390/molecules201018923
  • Suhandi C, Mohammed AFA, Wilar G, El-Rayyes A, Wathoni N. Effectiveness of Mesenchymal Stem Cell Secretome on Wound Healing: a Systematic Review and Meta-analysis. Tissue Eng Regen Med. 2023;20(7):1053–1062. doi:10.1007/S13770-023-00570-9
  • Suharyani I, Fouad Abdelwahab Mohammed A, Muchtaridi M, Wathoni N, Abdassah M. Evolution of Drug Delivery Systems for Recurrent Aphthous Stomatitis. Drug Des Devel Ther. 2021;15:4071–4089. doi:10.2147/DDDT.S328371
  • Boddupalli BM, Mohammed ZNK, Nath RA, Banji D. Mucoadhesive drug delivery system: an overview. J Adv Pharm Technol Res. 2010;1(4):381–387. doi:10.4103/0110-5558.76436
  • Shaikh R, Raj Singh TR, Garland MJ, Woolfson AD, Donnelly RF. Mucoadhesive drug delivery systems. J Pharm Bioallied Sci. 2011;3(1):89–100. doi:10.4103/0975-7406.76478
  • Bakhshi M, Gholami S, Mahboubi A, Jaafari MR, Namdari M. Combination Therapy with 1% Nanocurcumin Gel and 0.1% Triamcinolone Acetonide Mouth Rinse for Oral Lichen Planus: a Randomized Double-Blind Placebo Controlled Clinical Trial. Dermatol Res Pract. 2020;2020:4298193. doi:10.1155/2020/4298193
  • Ossama M, Lamie C, Tarek M, Wagdy HA, Attia DA, Elmazar MM. Management of recurrent aphthous ulcers exploiting polymer-based Muco-adhesive sponges: in-vitro and in-vivo evaluation. Drug Deliv. 2021;28(1):87–99. doi:10.1080/10717544.2020.1858999
  • Wathoni N, Yuniarsih N, Cahyanto A, Muhctaridi M. Α-Mangostin Hydrogel Film Based Chitosan-Alginate for Recurrent Aphthous Stomatitis. Applied Sciences. 2019;9(23). doi:10.3390/app9235235
  • Laffleur F, Küppers P. Adhesive alginate for buccal delivery in aphthous stomatitis. Carbohydr Res. 2019;477:51–57. doi:10.1016/j.carres.2019.03.009
  • Farid RM, Wen MM. Promote Recurrent Aphthous Ulcer Healing with Low Dose Prednisolone Bilayer Mucoadhesive Buccal Film. Curr Drug Deliv. 2017;14(1):123–135. doi:10.2174/1567201813666160316122548
  • Sharma A, Yadav N, Ram Murti SS, Author C, Ram MS. Review On Mucoadhesive Buccal Drug Delivery For The Treatment Of Aphthous Ulcers. J Pharmaceutical Negative Results. 2022;13(9). doi:10.47750/pnr.2022.13.S09.1297
  • Sizílio RH, Galvão JG, Trindade GGG, et al. Chitosan/pvp-based mucoadhesive membranes as a promising delivery system of betamethasone-17-valerate for aphthous stomatitis. Carbohydr Polym. 2018;190:339–345. doi:10.1016/j.carbpol.2018.02.079
  • Colley HE, Said Z, Santocildes-Romero ME, et al. Pre-clinical evaluation of novel mucoadhesive bilayer patches for local delivery of clobetasol-17-propionate to the oral mucosa. Biomaterials. 2018;178:134–146. doi:10.1016/j.biomaterials.2018.06.009
  • Li CL, Huang HL, Wang WC, Hua H. Efficacy and safety of topical herbal medicine treatment on recurrent aphthous stomatitis: a systemic review. Drug Des Devel Ther. 2015;10:107–115. doi:10.2147/DDDT.S96589
  • Chinna Reddy P, Chaitanya KSC, Madhusudan Rao Y. A review on bioadhesive buccal drug delivery systems: current status of formulation and evaluation methods. Daru. 2011;19(6):385–403.
  • Milanda T, Cindana Mo’o FR, Mohammed AFA, et al. Alginate/Chitosan-Based Hydrogel Film Containing α-Mangostin for Recurrent Aphthous Stomatitis Therapy in Rats. Pharmaceutics. 2022;14(8). doi:10.3390/pharmaceutics14081709