Evidence map›Paper›PMID 41023659›Full record

ArticleBMC oral health2025

Evaluation of the effect of melatonin and ascorbic acid on bone healing in a rat model of osteoradionecrosis induced by tooth extraction.

Göksal Keldal, Sefa Çolak, Gülhan Güler Avcı, Fikret Gevrek

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Göksal KeldalDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokat Gaziosmanpaşa University, Ali Sevki Erek Yerleskesi,, Merkez/Tokat, 60100, Turkey. drgoksalkeldal@gmail.com.ORCID http://orcid.org/0000-0002-7784-9809
Sefa ÇolakDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokat Gaziosmanpaşa University, Ali Sevki Erek Yerleskesi,, Merkez/Tokat, 60100, Turkey.ORCID http://orcid.org/0000-0002-0807-9089
Gülhan Güler AvcıDepartment of Radiation Oncology, Faculty of Medicine, Tokat Gaziosmanpaşa University, Merkez, Tokat, 60030, Turkey.ORCID http://orcid.org/0000-0001-6802-2984
Fikret GevrekDepartment of Histology and Embryology, Faculty of Medicine, Tokat Gaziosmanpaşa University, Tokat, Turkey.ORCID http://orcid.org/0000-0002-3722-2542

Funding

Tokat Gaziosmanpasa University Scientific Research Project Unit TOGU BAP Project No: 2024-13
6 · The paper itself

Abstract

backgroundRadiotherapy applied in the treatment of head and neck cancers significantly increases the risk of developing osteoradionecrosis (ORN). As there is no universally accepted standard treatment protocol for ORN, evaluating the potential therapeutic effects of antioxidant agents such as melatonin and ascorbic acid is of great importance. This study aimed to investigate the effects of these agents on bone healing in an experimental ORN model through histopathological and immunohistochemical analyses.

methodsA total of 41 young-adult male Wistar-Albino rats were included in the study. All rats in the experimental groups received a single 20 Gy dose of radiotherapy, followed by tooth extraction seven days later. Group G3 received 20 mg/kg of melatonin intraperitoneally for 21 days post-RT and tooth extraction. Group G4 received 100 mg/kg of ascorbic acid intraperitoneally for 21 days. Group G5 received a combination of melatonin and ascorbic acid (20 mg/kg + 100 mg/kg) for the same duration. Immunohistochemical analyses were performed to evaluate bone healing, focusing on the expression of Bone Morphogenetic Protein-2 (BMP-2), Alkaline Phosphatase (ALP), Osteonectin (ONC), and Tartrate-Resistant Acid Phosphatase (TRAP).

resultsALP expression was significantly lower in the G2 group compared to both G1 and G5 (p < 0.05), although the difference was not significant when compared with G3 and G4. BMP-2 expression was significantly reduced in G2 compared to G1 (p < 0.05), but the differences between G2 and G3, G4, G5 were not statistically significant. ONC expression was significantly lower in G2 compared to G1 and G5 (p < 0.05), but not significantly different from G3 and G4. TRAP expression was higher in G2 than all other groups, though this difference did not reach statistical significance.

conclusionsThe findings indicate that melatonin and ascorbic acid may exert protective effects against ORN by enhancing bone healing.

trial registrationClinical trial number: not applicable.

Indexed as

AntioxidantsAscorbic AcidMelatoninOsteoradionecrosisTooth ExtractionWound HealingAcid PhosphataseAlkaline PhosphataseAnimalsBone Morphogenetic Protein 2Disease Models, AnimalIsoenzymesMaleRatsRats, WistarTartrate-Resistant Acid PhosphataseAcid PhosphataseAlkaline PhosphataseAntioxidantsAscorbic AcidBone Morphogenetic Protein 2IsoenzymesMelatoninTartrate-Resistant Acid PhosphataseAscorbic acidMandibleMelatoninOsteoradionecrosisRat

Identifiers

PMID41023659
PMCPMC12482573

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.