Effect of the Combination of Demineralization Freeze Dried Dentin Matrix (DFDDM) and Moringa oleifera Lam on Osteoprotegerin (OPG) and Receptor Activator of Nuclear Factor Kapa B Ligand (RANKL) as a Marker of Bone Remodeling

Abstract

Background: The socket preservation has important role in alveolar bone resorption after tooth extraction. Various graft materials can be used in socket preservation must have osteoconductive, osteoinductive and osteoproliferation properties. Autogenous bone graft from dentin can be used because it has good osteoinductive and osteoconductive properties. One of the active substances of Moringa oleifera (MO) is flavonoids that have several beneficial characteristics as an anti‑inflammatory. The combination of anti-inflammatory with MO extract and Demineralization Freeze Dried Dentin Matrix (DFDDM) is expected to provide a good response to bone formation. Aim: To determine the potential of combination Moringa oleifera and DFDDM in formation of OPG and RANKL expression post extraction cavia cobaya’s tooth. Method: The mandibular incisors of 45 Cavia cobaya were extracted and divided into five groups subjected to different socket preservation treatments sequentially with MO, DFDDM, combination of MO and DFDDM, Gamacha® and polyethylene glycol (PEG). The cavia cobaya were examined on days 7, 14 and 21 after which the specimens were sacrificed and examined using an immunohistochemical technique. The resulting data were then analyzed using one‑way ANOVA and Tukey’s honestly significant difference tests. Result: The One Way Anova test results showed a significant difference in OPG and RANKL between the groups (p