{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T13:26:41Z","timestamp":1786973201683,"version":"build-2736575974"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Dent. Med."],"abstract":"<jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Canker sores are among the most common oral mucosal lesions with an unclear etiology. Recurrent aphthous stomatitis (RAS) causes considerable pain and discomfort, affecting quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare the efficacy of placental extract gel (PEG) and curcumin gel in the management of recurrent aphthous stomatitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and design<\/jats:title>\n                    <jats:p>A randomized clinical trial conducted in the Department of Public Health Dentistry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and material<\/jats:title>\n                    <jats:p>\n                      Thirty participants diagnosed with RAS were randomly allocated into two groups: Group I (PEG,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915) and Group II (Curcumin gel,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915). Ulcer size and pain intensity were evaluated at baseline, day 3, and day 7 using standardized clinical measurements and a visual analog scale. Recurrence rates were assessed at 1, 2, 3, and 6 months. Acceptability of the intervention was evaluated using a structured questionnaire.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical analysis<\/jats:title>\n                    <jats:p>\n                      An independent\n                      <jats:italic>t-<\/jats:italic>\n                      test, a Chi-square test, and repeated measures ANOVA were used for the analysis, with significance set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both groups showed significant reductions in ulcer size and pain scores by day 3 and day 7 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), with improvements observed in both interventions. However, the recurrence rate was higher in the curcumin group than in the other group. No adverse effects were reported in either group, although 40% of participants in the curcumin group reported an unpleasant taste.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both placental extract gel and curcumin gel were effective in reducing pain and ulcer size in recurrent aphthous stomatitis. Placental extract gel demonstrated lower recurrence rates compared with curcumin gel. No adverse effects were observed in either group; however, this study was not powered to detect differences in safety outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/trialsearch.who.int\/Trial2.aspx?TrialID=CTRI\/2023\/11\/059637<\/jats:ext-link>\n                      , Identifier: CTRI\/2023\/11\/059637.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fdmed.2026.1783623","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:50:14Z","timestamp":1786971014000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of the efficacy of placental extract gel vs. curcumin gel in the treatment of oral aphthous ulcer: a randomized clinical trial"],"prefix":"10.3389","volume":"7","author":[{"given":"Seemadevi","family":"Thangeswaran","sequence":"first","affiliation":[{"name":"Department of Public Health Dentistry, NIMS Dental College & Hospital","place":["Rajasthan, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naganandini","family":"S","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, NIMS Dental College & Hospital","place":["Rajasthan, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Maniangat Luke","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, College of Dentistry, Ajman University","place":["Ajman, United Arab Emirates"]},{"name":"Center for Medical and Bio-Allied Health Sciences Research (CMBAHSR), Ajman University","place":["Ajman, United Arab Emirates"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Saleh Hamad","family":"Ingafou","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, College of Dentistry, Ajman University","place":["Ajman, United Arab Emirates"]},{"name":"Center for Medical and Bio-Allied Health Sciences Research (CMBAHSR), Ajman University","place":["Ajman, United Arab Emirates"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e49288","DOI":"10.7759\/cureus.49288","article-title":"Prevalence of aphthous stomatitis: a cross-sectional epidemiological study","volume":"15","author":"Reddy","year":"2023","journal-title":"Cureus"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e15500","DOI":"10.1111\/dth.15500","article-title":"Recurrent aphthous stomatitis: a comprehensive review and recommendations on therapeutic options","volume":"35","author":"Lau","year":"2022","journal-title":"Dermatol Ther"},{"key":"B3","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1016\/j.medcli.2023.05.007","article-title":"Recurrent aphthous stomatitis. Estomatitis aftosa recurrente","volume":"161","author":"Conejero Del Mazo","year":"2023","journal-title":"Med Clin (Barc)"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1155","DOI":"10.22092\/ari.2021.356055.1767","article-title":"Oral aphthous: pathophysiology, clinical aspects and medical treatment","volume":"76","author":"Gasmi Benahmed","year":"2021","journal-title":"Arch Razi Inst"},{"key":"B5","doi-asserted-by":"publisher","first-page":"771","DOI":"10.3390\/medicina58060771","article-title":"Efficacy of topical intervention for recurrent aphthous stomatitis: a network meta-analysis","volume":"58","author":"Liu","year":"2022","journal-title":"Medicina (B Aires)"},{"key":"B6","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1007\/978-3-030-56153-6_13","article-title":"The clinical use of curcumin for the treatment of recurrent aphthous stomatitis: a systematic review of clinical trials","volume":"1291","author":"Gharibpour","year":"2021","journal-title":"Adv Exp Med Biol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"17","DOI":"10.4103\/jiaomr.jiaomr_225_21","article-title":"Therapeutic evaluation of 5% topical amlexanox paste and 2% curcumin oral gel in the management of recurrent aphthous stomatitis\u2014a randomized clinical trial","volume":"34","author":"Gauthaman","year":"2022","journal-title":"J Indian Acad Oral Med Radiol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"167","DOI":"10.18773\/austprescr.2014.067","article-title":"Topical corticosteroids and oral mucosa","volume":"37","author":"Daly","year":"2014","journal-title":"Aust Prescr"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1225","DOI":"10.1080\/09546634.2020.1819529","article-title":"Efficacy of curcumin for recurrent aphthous stomatitis: a systematic review","volume":"33","author":"Al-Maweri","year":"2022","journal-title":"J Dermatolog Treat"},{"key":"B10","doi-asserted-by":"publisher","first-page":"325","DOI":"10.12968\/jowc.2006.15.7.26937","article-title":"Effect of placental-extract gel and cream on non-healing wounds","volume":"15","author":"Tiwary","year":"2006","journal-title":"J Wound Care"},{"key":"B11","doi-asserted-by":"publisher","first-page":"2255","DOI":"10.21608\/edj.2022.127998.2029","article-title":"The effectiveness of placental extract gel in the treatment of recurrent aphthous stomatitis: randomized clinical study","volume":"68","author":"Shaimaa","year":"2022","journal-title":"Egypt Dent J"},{"key":"B12","doi-asserted-by":"publisher","first-page":"221","DOI":"10.4097\/kja.19049","article-title":"Randomization in clinical studies","volume":"72","author":"Lim","year":"2019","journal-title":"Korean J Anesthesiol"},{"key":"B13","first-page":"254","article-title":"The association of recurrent aphthous stomatitis with general health and oral health related quality of life among dental students","volume":"14","author":"Ziaei","year":"2022","journal-title":"Int J Physiol Pathophysiol Pharmacol"},{"key":"B14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15761\/JMT.1000118","article-title":"Placental therapy: an insight to their biological and therapeutic properties","volume":"1","author":"Shing","year":"2017","journal-title":"J Med Ther"},{"key":"B15","doi-asserted-by":"publisher","first-page":"138","DOI":"10.4103\/2230-973X.138346","article-title":"Comparison of effectiveness of curcumin with triamcinolone acetonide in the gel form in treatment of minor recurrent aphthous stomatitis: a randomized clinical trial","volume":"4","author":"Deshmukh","year":"2014","journal-title":"Int J Pharma Investig"},{"key":"B16","doi-asserted-by":"publisher","first-page":"111888","DOI":"10.1016\/j.biopha.2021.111888","article-title":"Pharmacological properties and underlying mechanisms of curcumin and prospects in medicinal potential","volume":"141","author":"Fu","year":"2021","journal-title":"Biomed Pharmacother"},{"key":"B17","doi-asserted-by":"publisher","first-page":"4927430","DOI":"10.1155\/2019\/4927430","article-title":"Curcumin attenuates asthmatic airway inflammation and mucus hypersecretion involving a PPAR\u03b3-dependent NF-\u03baB signaling pathway in vivo and in vitro","author":"Zhu","year":"2019","journal-title":"Mediat Inflamm"},{"key":"B18","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1016\/j.phrs.2016.07.004","article-title":"Effect of curcumin on circulating interleukin-6 concentrations: a systematic review and meta-analysis of randomized controlled trials.","volume":"111","author":"Derosa","year":"2016","journal-title":"Pharm. Res"},{"key":"B19","doi-asserted-by":"publisher","first-page":"e24742","DOI":"10.1097\/MD.0000000000024742","article-title":"Altered oral microbiota composition associated with recurrent aphthous stomatitis in young females","volume":"100","author":"Zhu","year":"2021","journal-title":"Medicine (Baltimore)"},{"key":"B20","doi-asserted-by":"publisher","first-page":"27150","DOI":"10.3402\/jom.v7","article-title":"The oral mucosal and salivary microbial community of Beh\u00e7et\u2019s syndrome and recurrent aphthous stomatitis","volume":"7","author":"Seoudi","year":"2015","journal-title":"J. Oral Microbiol"},{"key":"B21","doi-asserted-by":"publisher","first-page":"e130","DOI":"10.1111\/ijd.13101","article-title":"Total antioxidant status and oxidative stress in recurrent aphthous stomatitis","volume":"55","author":"Tugrul","year":"2015","journal-title":"Int J Dermatol"},{"key":"B22","doi-asserted-by":"publisher","first-page":"487","DOI":"10.2174\/1871527311312040007","article-title":"Curcumin, an active constituent of the ancient medicinal herb Curcuma longa L.: some uses and the establishment and biological basis of medical efficacy","volume":"12","author":"Witkin","year":"2013","journal-title":"CNS Neurol Disord Drug Targets"},{"key":"B23","doi-asserted-by":"publisher","first-page":"17","DOI":"10.3352\/jeehp.2021.18.17","article-title":"Sample size determination and power analysis using the G*power software","volume":"18","author":"Kang","year":"2021","journal-title":"J Educ Eval Health Prof"},{"key":"B24","doi-asserted-by":"publisher","first-page":"e62694","DOI":"10.7759\/cureus.62694","article-title":"Depression, anxiety, stress, and pain severity in patients with recurrent aphthous stomatitis: a cross-sectional study","volume":"16","author":"Shinkre","year":"2024","journal-title":"Cureus"}],"container-title":["Frontiers in Dental Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdmed.2026.1783623\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:50:15Z","timestamp":1786971015000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdmed.2026.1783623\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,17]]},"references-count":24,"alternative-id":["10.3389\/fdmed.2026.1783623"],"URL":"https:\/\/doi.org\/10.3389\/fdmed.2026.1783623","relation":{},"ISSN":["2673-4915"],"issn-type":[{"value":"2673-4915","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,17]]},"article-number":"1783623"}}