Colchicine as a therapeutic drug in the management of oral submucous fibrosis - A randomized clinical study

Aim: The present study was planned to clinically determine the effectiveness of colchicine as a monotherapy in oral submucous fibrosis (OSMF) patients. Materials and Methods: Thirty OSMF patients were enrolled in the study and randomly divided into two groups by permuted-block randomization. Group A...

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Main Authors: Somisetty V M. Mounika, Rakesh K Manne, Natarajan Kannan, Swapna S Beeraka, Prathi V Sarath, Kanamarlapudi V Saikiran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Indian Academy of Oral Medicine and Radiology
Subjects:
Online Access:http://www.jiaomr.in/article.asp?issn=0972-1363;year=2021;volume=33;issue=3;spage=236;epage=241;aulast=M.
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author Somisetty V M. Mounika
Rakesh K Manne
Natarajan Kannan
Swapna S Beeraka
Prathi V Sarath
Kanamarlapudi V Saikiran
author_facet Somisetty V M. Mounika
Rakesh K Manne
Natarajan Kannan
Swapna S Beeraka
Prathi V Sarath
Kanamarlapudi V Saikiran
author_sort Somisetty V M. Mounika
collection DOAJ
description Aim: The present study was planned to clinically determine the effectiveness of colchicine as a monotherapy in oral submucous fibrosis (OSMF) patients. Materials and Methods: Thirty OSMF patients were enrolled in the study and randomly divided into two groups by permuted-block randomization. Group A: Patients were treated with 0.5 mg colchicine (Goutnil) tablets twice daily for 3 months. Whereas, in Group B, intralesional injection of dexamethasone 2 mL, hyaluronidase 1,500 IU with 2 mL lignocaine HCl biweekly for 4–6 weeks were given. For all the individuals, baseline parameters like mouth opening, buccal mucosal flexibility, burning sensation, and tongue protrusion were recorded and reassessment was done at 1, 3, and 6 months followed by statistical analysis. Results: A significant decrease in the Visual Analogue Scale (VAS) score for severity of burning sensation was observed in Group A whereas mouth opening and tongue protrusion were higher in Group B patients. Statistically significant differences in the buccal mucosal flexibility were appreciable in the intragroup comparisons of both the groups from baseline to 6-month follow-up. Conclusion : Colchicine can be suggested as an adjuvant drug for reducing the burning sensation for the OSMF patients in whom steroids are contraindicated.
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spelling doaj.art-26dd59cc8ea9429aae9c8f97235f35eb2022-12-21T19:09:00ZengWolters Kluwer Medknow PublicationsJournal of Indian Academy of Oral Medicine and Radiology0972-13632021-01-0133323624110.4103/jiaomr.jiaomr_108_21Colchicine as a therapeutic drug in the management of oral submucous fibrosis - A randomized clinical studySomisetty V M. MounikaRakesh K ManneNatarajan KannanSwapna S BeerakaPrathi V SarathKanamarlapudi V SaikiranAim: The present study was planned to clinically determine the effectiveness of colchicine as a monotherapy in oral submucous fibrosis (OSMF) patients. Materials and Methods: Thirty OSMF patients were enrolled in the study and randomly divided into two groups by permuted-block randomization. Group A: Patients were treated with 0.5 mg colchicine (Goutnil) tablets twice daily for 3 months. Whereas, in Group B, intralesional injection of dexamethasone 2 mL, hyaluronidase 1,500 IU with 2 mL lignocaine HCl biweekly for 4–6 weeks were given. For all the individuals, baseline parameters like mouth opening, buccal mucosal flexibility, burning sensation, and tongue protrusion were recorded and reassessment was done at 1, 3, and 6 months followed by statistical analysis. Results: A significant decrease in the Visual Analogue Scale (VAS) score for severity of burning sensation was observed in Group A whereas mouth opening and tongue protrusion were higher in Group B patients. Statistically significant differences in the buccal mucosal flexibility were appreciable in the intragroup comparisons of both the groups from baseline to 6-month follow-up. Conclusion : Colchicine can be suggested as an adjuvant drug for reducing the burning sensation for the OSMF patients in whom steroids are contraindicated.http://www.jiaomr.in/article.asp?issn=0972-1363;year=2021;volume=33;issue=3;spage=236;epage=241;aulast=M.colchicinedexamethasonehyaluronidaseintralesional injectionsoral submucous fibrosis
spellingShingle Somisetty V M. Mounika
Rakesh K Manne
Natarajan Kannan
Swapna S Beeraka
Prathi V Sarath
Kanamarlapudi V Saikiran
Colchicine as a therapeutic drug in the management of oral submucous fibrosis - A randomized clinical study
Journal of Indian Academy of Oral Medicine and Radiology
colchicine
dexamethasone
hyaluronidase
intralesional injections
oral submucous fibrosis
title Colchicine as a therapeutic drug in the management of oral submucous fibrosis - A randomized clinical study
title_full Colchicine as a therapeutic drug in the management of oral submucous fibrosis - A randomized clinical study
title_fullStr Colchicine as a therapeutic drug in the management of oral submucous fibrosis - A randomized clinical study
title_full_unstemmed Colchicine as a therapeutic drug in the management of oral submucous fibrosis - A randomized clinical study
title_short Colchicine as a therapeutic drug in the management of oral submucous fibrosis - A randomized clinical study
title_sort colchicine as a therapeutic drug in the management of oral submucous fibrosis a randomized clinical study
topic colchicine
dexamethasone
hyaluronidase
intralesional injections
oral submucous fibrosis
url http://www.jiaomr.in/article.asp?issn=0972-1363;year=2021;volume=33;issue=3;spage=236;epage=241;aulast=M.
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