Efficacy of salvianolic acid B combined with triamcinolone acetonide in the treatment of oral submucous fibrosis

Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Mar;115(3):339-44. doi: 10.1016/j.oooo.2012.10.006. Epub 2012 Dec 20.

Abstract

Objective: The aim of this study was to investigate the effectiveness of triamcinolone acetonide (TA) and salvianolic acid B (SA-B) intralesional combined injection in the treatment of oral submucous fibrosis (OSF).

Material and methods: A randomized clinical trial was performed. TA, SA-B, and TA combined with SA-B were consecutively applied intralesionally weekly for 20 weeks. Mouth opening and burning sensation improvement as determined by a 100-mm visual analog scale were evaluated at weeks 10, 20, and 44.

Results: Forty-two subjects fulfilled the study without obvious adverse reactions. The net gain in mouth opening was 2.00 ± 1.21 mm in the TA group, 3.48 ± 2.23 mm in the SA-B group, and 5.50 ± 1.80 mm in the TA + SA-B group at week 44. The burning sensation improved by 3.05 ± 0.76 in the TA group, 4.96 ± 0.97 in the SA-B group, and 6.11 ± 0.93 in the TA + SA-B group by the end of the study.

Conclusions: TA + SA-B intralesional injections improved mouth open and burning sensation in these OSF patients.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-Inflammatory Agents / administration & dosage
  • Anti-Inflammatory Agents / therapeutic use*
  • Benzofurans / administration & dosage
  • Benzofurans / therapeutic use*
  • Drug Combinations
  • Drugs, Chinese Herbal / administration & dosage
  • Drugs, Chinese Herbal / therapeutic use*
  • Female
  • Follow-Up Studies
  • Glucocorticoids / administration & dosage
  • Glucocorticoids / therapeutic use*
  • Humans
  • Injections, Intralesional
  • Male
  • Mouth Mucosa / drug effects
  • Oral Submucous Fibrosis / drug therapy*
  • Pain Measurement
  • Paresthesia / drug therapy
  • Salvia miltiorrhiza*
  • Treatment Outcome
  • Triamcinolone Acetonide / administration & dosage
  • Triamcinolone Acetonide / therapeutic use*

Substances

  • Anti-Inflammatory Agents
  • Benzofurans
  • Drug Combinations
  • Drugs, Chinese Herbal
  • Glucocorticoids
  • salvianolic acid B
  • Triamcinolone Acetonide