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  1. Sari AF, Nirwana I, Yuliati A, Meizarini A, Rahayu RP, Palupi R, et al.
    Eur J Dent, 2024 Nov 07.
    PMID: 39510525 DOI: 10.1055/s-0044-1791243
    OBJECTIVES:  Pulp capping is a pivotal treatment in dentistry aimed at preserving pulp vitality. While calcium hydroxide has long been considered the gold standard in pulp capping materials, its long-term use can induce chronic inflammation, ultimately leading to pulp necrosis and affecting human health. In this context, ellagic acid, a natural compound with potent anti-inflammatory properties, emerged as a promising adjunct to mitigate inflammation associated with calcium hydroxide application, thereby sustaining pulp vitality. This study aimed to investigate the inflammatory response by alterations in neutrophil, macrophage, lymphocyte, and tumor necrosis factor-α (TNF-α) expression following the treatment with a combination of calcium hydroxide and ellagic acid.

    MATERIALS AND METHODS:  Dental pulp perforation was made on 27 male Wistar rats on the upper first molar and then pulp capped with calcium hydroxide and ellagic acid. The pulp of the control positive group was capped with calcium hydroxide, and the control group was not capped. The teeth were then extracted after 1, 3, and 7 days posttreatment. The differences in the number of neutrophils, macrophages, lymphocytes, and TNF-α expression were analyzed using one-way analysis of variance (ANOVA) and Tukey's honestly significant difference (HSD) test.

    RESULTS: The treatment combination of calcium hydroxide and ellagic acid showed the lowest neutrophil number and TNF-α expression compared with the other groups (p 

  2. Nirwana I, Bermani AT, Shahaniz Y, Ardialuna AF, Aryaputra SR, Asmoro VS, et al.
    J Appl Oral Sci, 2026;34:e20260544.
    PMID: 42961192 DOI: 10.1590/1678-7765-2026-0544
    INTRODUCTION: Zinc oxide-based periodontal dressings are widely used to protect surgical wounds, but conventional formulations have limited anti-inflammatory activity. Ellagic acid is a natural polyphenol with antioxidant and anti-inflammatory properties that may improve local wound-healing response.

    OBJECTIVE: This study evaluated the effect of a zinc oxide and ellagic acid wound dressing on fibroblast growth factor-2 (FGF-2) and vascular endothelial growth factor (VEGF) expression during early excisional wound healing.

    METHODOLOGY: Standardized 10×10 mm dorsal excision wounds were created in 20 male Wistar rats. Control wounds received a zinc oxide dressing, whereas treatment wounds received zinc oxide combined with ellagic acid and coconut fatty acids. Tissue samples were collected on days 3 and 7. FGF-2 and VEGF expression were evaluated using immunohistochemistry and quantified as the mean number of positively stained cells in ten microscopic fields. Data were assessed for normality and homogeneity of variance and analyzed using two-way ANOVA to evaluate the effects of dressing type, observation time, and their interaction, followed by Tukey's post hoc test.

    RESULTS: FGF-2 and VEGF expression were higher in the zinc oxide and ellagic acid groups than in the corresponding control groups on both days 3 and 7, with the highest expression observed in the treatment group on day 7. Two-way ANOVA showed significant effects of dressing type and observation time, as well as significant dressing × time interactions for both FGF-2 and VEGF.

    CONCLUSIONS: These findings indicate that the treatment-associated increase in growth factor expression was more pronounced on day 7. Zinc oxide and ellagic acid wound dressing increased FGF-2 and VEGF expression during early excisional wound healing, particularly on day 7. These findings suggest that adding ellagic acid to a zinc oxide-based dressing may support fibroblast-related tissue repair and angiogenic activity during the proliferative phase of wound healing.

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