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Effect of Kangfuxin liquid combined with triamcinolone acetonide in oral submucosal fibrous degeneration


Xinyun Zhang
Shuntao Zhang
Enze Pu
Mingde Huang
Wei Xiao
Quanbing Wang
Chanjuan Liu
Lei Shen

Abstract

Purpose: To investigate the effect of Kangfuxin liquid combined with triamcinolone acetonide in the treatment of oral submucous fibrous degeneration.


Methods: A total of 140 patients with oral submucosal fibrous degeneration admitted to the outpatient clinic of Haiyan County  Stomatological Hospital, China from June 2020 to June 2023 were divided equally into study and control groups. The study group received  Kangfuxin liquid in addition to 1 mL triamcinolone acetonide (40 mg/mL) while the control group received 1 mL triamcinolone acetonide; therapeutic effects were compared after 4 weeks of treatment. Visual analogue scale (VAS) score, serum transforming growth factor  (TGF-β1), tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6) levels were determined. Also, whole blood viscosity (WBV), plasma  viscosity (PV), erythrocyte sedimentation rate (ESR), and incidence of adverse reactions were evaluated.


Result: The study group showed  significantly reduced pain levels compared to the control group, as well as lower mucosal damage areas and improved mouth opening  after 4 weeks of treatment compared to control group (p < 0.05). Also, the study group showed significantly lower TGF-β1, TNF-α and IL-6  compared to control group after treatment (p < 0.05). It showed significantly lower WBV, PV, and ESR compared to control group (p <  0.05). Furthermore, the study group showed significantly lower incidence of adverse reactions than the control group (p < 0.05). 


Conclusion: Kangfuxin liquid, when combined with triamcinolone acetonide, lowers pain, reduces the levels of STGF-β1, improves  hemorheology, and produces minimal adverse effects compared to triamcinolone alone. Future studies should focus on long-term  outcomes to better assess the therapeutic potential of this combined regimen. 


Journal Identifiers


eISSN: 1596-9827
print ISSN: 1596-5996