EFFECTIVENESS OF CHITOSAN FILM ON NEUTROPHILS AND MACROPHAGES COUNTS IN THE HEALING OF GINGIVAL INSICION IN WISTAR RATS (RATTUS NORVEGICUS)

Authors

  • IRMA ERVINA Department of Periodontics, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
  • AUDRY TRACY M. S. Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
  • VANNY ANASTASYA Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
  • THANIA AZARYA R. Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
  • PITU WULANDARI Department of Periodontics, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia

DOI:

https://doi.org/10.22159/ijap.2025.v17s5.10

Keywords:

Chitosan film, Chitosan, Neutrophils, Macrophage, Wound healing

Abstract

Objective: Incisional wounds caused by surgical interventions often result in complications, including infections. Chitosan is a promising material to promote healing. This study aimed is to determine the effectiveness of chitosan film as a periodontal dressing on the number of neutrophils and macrophages in chitosan film.

Methods: This in vivo experimental study used 36 rats with 3 mm gingival incisions. Rats were divided into three groups: chitosan film (treatment), Ora-Aid (positive control), and placebo (negative control). Dressings were applied twice daily for seven days. Rats were euthanized on days 1, 3, and 7 for neutrophil analysis, and on days 3, 7, and 14 for macrophage evaluation.

Results: The study showed that on day one, neutrophil counts were highest in the chitosan group, followed by the positive control, and lowest in the placebo group, with a significant difference (p<0.05). Neutrophil numbers decreased in all groups over time. By days 3 and 7, there was no significant difference between the Ora-Aid and chitosan groups (p>0.05). On day 3, macrophage counts were highest in the chitosan film group, followed by Ora-Aid and placebo, with a significant difference (p<0.05). By day 7, no significant difference was found between the chitosan and positive control groups (p>0.05).

Conclusion: Chitosan film demonstrates a higher number of neutrophils and macrophages during the early stages of healing compared to placebo. Therefore, chitosan film may be considered a potential wound dressing material to accelerate the healing process.

References

1. Carranza Fermin A, Takei Henry H. The treatment plan. In: Carranza’s clinical periodontology. 12th ed. Philadelphia: Saunders, Elsevier; 2015. p. 125-6.

2. Cho YD, Kim KH, Lee YM, Ku Y, Seol YJ. Periodontal wound healing and tissue regeneration: a narrative review. Pharmaceuticals (Basel). 2021;14(5):456. doi: 10.3390/ph14050456, PMID 34065862.

3. Kathariya R, Jain H, Jadhav T. To pack or not to pack: the current status of periodontal dressings. J Appl Biomater Funct Mater. 2015 Jul 7;13(2):73-86. doi: 10.5301/jabfm.5000215.

4. Baghani Z, Kadkhodazadeh M. Periodontal dressing: a review article. J Dent Res Dent Clin Dent Prospects. 2013;7(4):183-91. doi: 10.5681/joddd.2013.040, PMID 24578815.

5. Kang S, Jang EJ, Jo HM, Kang SS, Lee MS, Yun SY. Effects of a topically applied oral wound dressing film on intra-oral wound healing in rabbits. In vivo (Athens, Greece). 2022;36(4):1745-52. doi: 10.21873/invivo.12887, PMID 35738630.

6. Min HS, Kang DY, Lee SJ, Yun SY, Park JC, Cho IW. A clinical study on the effect of attachable periodontal wound dressing on postoperative pain and healing. J Dent Rehabil Appl Sci. 2020;36(1):21-8. doi: 10.14368/jdras.2020.36.1.21.

7. Islam MM, Shahruzzaman M, Biswas S, Nurus Sakib M, Rashid TU. Chitosan-based bioactive materials in tissue engineering applications a review. Bioact Mater. 2020;5(1):164-83. doi: 10.1016/j.bioactmat.2020.01.012, PMID 32083230.

8. Gani A, Yulianti R, Supiaty S, Rusdy M. Application of chitosan and hydroxyapatite in periodontal tissue regeneration: a review. Open Access Maced J Med Sci. 2022;10(F):224-8. doi: 10.3889/oamjms.2022.8423.

9. Kim Y, Zharkinbekov Z, Raziyeva K, Tabyldiyeva L, Berikova K, Zhumagul D. Chitosan-based biomaterials for tissue regeneration. Pharmaceutics. 2023;15(3):807. doi: 10.3390/pharmaceutics15030807, PMID 36986668.

10. Silvia EI, Amalia M. Effectiveness of chitosan nanoparticle containing 0,7% tetracyclines on clinical parameters and fibroblast growth: factors-2 rat models IJAP. 2024;16(2):43-50. doi: 10.22159/ijap.2024.v16s2.10.

11. El Assal MI, Samuel D. Optimization of rivastigmine chitosan nanoparticles for neurodegenerative Alzheimer; in vitro and ex vivo characterizations. Int J Pharm Pharm Sci. 2022;14(1):17-27. doi: 10.22159/ijpps.2022v14i1.43145.

12. El Assal MI, El Menofy NG. Chitosan nanoparticles as drug delivery system for cephalexin and its antimicrobial activity against multidrug-resistant bacteria. Int J Pharm Pharm Sci. 2019;11(7):14-5. doi: 10.22159/ijpps.2019v11i7.33375.

13. Astuti WD, Ervina I, Wilson, Amalia M, Syahputra A, Nasution RO. Effectiveness of chitosan-loaded tetracycline in periodontitis-induced rats. Int J App Pharm. 2024;16(2):64-8. doi: 10.22159/ijap.2024.v16s2.14.

14. Ananda RT, Ervina I. The role of chitosan in periodontal therapy. Cakradonya Dent J. 2022;14(1):26-34.

15. Rungelrath V, Kobayashi SD, De Leo FR. Neutrophils in innate immunity and systems biology-level approaches. Wiley Interdiscip Rev Syst Biol Med. 2020;12(1):e1458. doi: 10.1002/wsbm.1458, PMID 31218817.

16. Wilgus TA, Roy S, McDaniel JC. Neutrophils and wound repair: positive actions and negative reactions. Adv Wound Care (New Rochelle). 2013;2(7):379-88. doi: 10.1089/wound.2012.0383, PMID 24527354.

17. Leong M, Phillips LG. Wound healing. In: Sabiston textbook of surgery. 19th ed. Amsterdam: Elsevier Saunders; 2012. p. 151-77. doi: 10.1016/B978-1-4377-1560-6.00007-X.

18. Sularsih S. The effect of chitosan with different molecular weights on tumor necrosis factor alpha (TNF-α) expression in tooth extraction wound healing in Rattus norvegicus rats. JMKG. 2016;5(1):15-22.

19. Bhagawan WS, Kusumawati D, Annisa R, Zatalini DF. Formulation and activity of HPMC-chitosan gel on the healing process of second-degree burn wounds in Wistar rats (Rattus norvegicus). Proceeding SENFIKS. 2020;1(1):67-79.

20. Krishnarth N. Formulation and evaluation of muccoadhesive buccal patches for delivery of atenolol. Int J Pharm. 2024;4(3):166-70.

21. Feldman AT, Wolfe D. Tissue processing and hematoxylin and eosin staining. Methods Mol Biol. 2014;1180:31-43. doi: 10.1007/978-1-4939-1050-2_3, PMID 25015141.

22. Valente J, Godinho L, Pintado C, Baptista C, Kozlova V, Marques L. Neuroorganoleptics: organoleptic testing based on psychophysiological sensing. Foods. 2021;10(9):1974. doi: 10.3390/foods10091974, PMID 34574083.

23. Karakucuk A, Tort S. Formulation optimization and in vitro evaluation of hyaluronic acid buccal films containing Benzydamine hydrochloride. Duzce Universitesi Saglık Bilimleri Enstitusu Dergisi. 2021;11(3):325-30. doi: 10.33631/duzcesbed.833024.

24. Inayah S, Febrina L, Tobing NE, Fadraersada J. Formulation and evaluation of mucoadhesive buccal patch formulation of celecoxib. Proceeding Mulawarman Pharm Conf. 2018;8(1):177–83. doi: 10.25026/mpc.v8i1.321.

25. Chouhan P, Saini TR. Hydroxypropyl-β-cyclodextrin: a novel transungual permeation enhancer for development of topical drug delivery system for onychomycosis. J Drug Deliv. 2014;2014:950358. doi: 10.1155/2014/950358.

26. Colobatiu L, Gavan A, Potarniche AV, Rus V, Diaconeasa Z, Mocan A. Evaluation of bioactive compounds loaded chitosan films as a novel and potential diabetic wound dressing material. React Funct Polym. 2019;145:104369. doi: 10.1016/j.reactfunctpolym.2019.104369.

27. Mousavinezhad SA, Harzandi N, Marjani A. The effectiveness of chitosan wound dressing in the form of a film compared to its hydrogel on burn wound healing in the male Wistar rat model. J Police Med. 2022;11(1):31-7. doi: 10.30505/11.1.31.

28. Rodrigues Pereira J, Suassuna Bezerra G, Alves Furtado A, De Carvalho TG, Costa Da Silva V, Lins Bispo Monteiro A. Chitosan film containing Mansoa hirsuta fraction for wound healing. Pharmaceutics. 2020;12(6):484. doi: 10.3390/pharmaceutics12060484, PMID 32471195.

29. Batista P, Castro P, Madureira AR, Sarmento B, Pintado M. Development and characterization of chitosan microparticles-in-films for buccal delivery of bioactive peptides. Pharmaceuticals (Basel). 2019;12(1):32. doi: 10.3390/ph12010032, PMID 30791572.

30. Rodrigues PA. Optimized healing of the donor wound area with ora-aid, the miracle mix containing polymers and vitamin e: a case series. RJDS. 2022;14(1):42-6. doi: 10.26715/rjds.14_1_9.

31. Khutoryanskiy VV. Advances in mucoadhesion and mucoadhesive polymers. Macromol Biosci. 2011;11(6):748-64. doi: 10.1002/mabi.201000388, PMID 21188688.

32. Syafruddin PDAM, Panjaitan B, Sayuti A. The effect of chitosan gel administration on the leukocyte count in white rats during incision wound healing. Bul Vet Udayana. 2022;14(2):124-8. doi: 10.24843/bulvet.2022.v14.i02.p09.

33. Hervina H, Syahriel D, Prawira IG. Infiltrasi neutrofil pada penyembuhan luka insisi gingiva tikus Wistar setelah pemberian vitamin D. JBN. 2021;5(2):39-45. doi: 10.24843/JBN.2021.v05.i02.p02.

34. Wilgus TA, Roy S, McDaniel JC. Neutrophils and wound repair: positive actions and negative reactions. Adv Wound Care (New Rochelle). 2013;2(7):379-88. doi: 10.1089/wound.2012.0383, PMID 24527354.

35. Min HS, Kang DY, Lee SJ, Yun SY, Park JC, Cho IW. A clinical study on the effect of attachable periodontal wound dressing on postoperative pain and healing. J Dent Rehabil Appl Sci. 2020;36(1):21-8. doi: 10.14368/jdras.2020.36.1.21.

36. Nastiti N, Siahaan P. Pengaruh berat molekul kitosan terhadap efisiensi enkapsulasi BSA (Bovine Serum Albumin) menggunakan agen crosslink Na-TPP. J Kim Sains Apl. 2015;18(3):104-9. doi: 10.14710/jksa.18.3.104-109.

37. Ramadhani Y, Rahmasari RR, Prajnasari KN, Alhakim MM, Aljunaid M, Al Sharani HM. A mucoadhesive gingival patch with epigallocatechin-3-gallate green tea (Camellia sinensis) as an alternative adjunct therapy for periodontal disease: a narrative review. Dent J. 2022;55(2):114-9. doi: 10.20473/j.djmkg.v55.i2.p114-119.

38. Suharto IP. Effect of Phaleria macrocarpa (Mahkota Dewa) fruit flesh extract on neutrophil cell count in incision wounds of white rats (Rattus norvegicus). J Care. 2017;3(3):20-7. doi: 10.33366/jc.v3i3.610.

39. Guan G, Azad MA, Lin Y, Kim SW, Tian Y, Liu G. Biological effects and applications of chitosan and chito-oligosaccharides. Front Physiol. 2019;10:516. doi: 10.3389/fphys.2019.00516, PMID 31133871.

40. Leoni G, Neumann PA, Sumagin R, Denning TL, Nusrat A. Wound repair: role of immune-epithelial interactions. Mucosal Immunol. 2015;8(5):959-68. doi: 10.1038/mi.2015.63, PMID 26174765.

41. Malaha N, Sartika D, Pannyiwi R, DKK. Effectiveness of biospray Revolutik preparation in reducing macrophage count during the wound healing process. J Saintekes. 2023;2(2):170-7. doi: 10.55681/saintekes.v2i2.71.

42. Rahmawati A, Pargaputri AF, Karsini IS. The effect of brown algae Sargassum sp. extract towards the amount of macrophages in the healing process of traumatic ulcer. Denta J. 2018;12(1):72-81.

43. Sherwood L. Human Physiology: From Cells to Systems. 9th ed. Boston: Cengage Learning; 2016. p. 461–4.

44. Hall JE, Guyton AC. Guyton and Hall: Textbook of Medical Physiology. 14th ed. Amsterdam: Elsevier; 2019. p. 450-6.

45. Adistya T, Kumalasari F, Dewi AH, Rachmawati MW. The effect of chitosan gel concentration on neutrophyl and macrophage in gingival ulcer of sprague dawley rat. Dent J. 2013;46(3):152-7. doi: 10.20473/j.djmkg.v46.i3.p152-157.

46. Puspita BS, Sularsih S, Damaiyanti DW. Perbedaan pengaruh pemberian kitosan berat molekul tinggi dan rendah terhadap jumlah pembuluh darah pada proses penyembuhan luka pencabutan gigi. DENTA. 2015;9(2):209. doi: 10.30649/denta.v9i2.26.

47. Inan ZD. Investigation of the wound healing effects of chitosan on FGFR3 and VEGF immunlocalization in experimentally diabetic rats. Int J Biomed Mater Res. 2013;1(1):1. doi: 10.11648/j.ijbmr.20130101.11.

48. De Jesus G, Marques L, Vale N, Mendes RA. The effects of chitosan on the healing process of oral mucosa: an observational cohort feasibility split-mouth study. Nanomaterials. 2023;13(4):706. doi: 10.3390/nano13040706, PMID 36839074.

49. Agren MS. Wound healing biomaterials. Woodhead Publishing: Elsevier; 2016. p. 108-12.

50. Dai TH, Tanaka M, Huang YY, Hamblin MR. Chitosan preparations for wounds and burns: antimicrobial and wound-healing effects. Expert Rev Anti Infect Ther. 2011;9(7):857-79. doi: 10.1586/eri.11.59, PMID 21810057.

Published

25-12-2025

How to Cite

ERVINA, I., M. S., A. T., ANASTASYA, V., R., T. A., & WULANDARI, P. (2025). EFFECTIVENESS OF CHITOSAN FILM ON NEUTROPHILS AND MACROPHAGES COUNTS IN THE HEALING OF GINGIVAL INSICION IN WISTAR RATS (RATTUS NORVEGICUS). International Journal of Applied Pharmaceutics, 17(5), 56–63. https://doi.org/10.22159/ijap.2025.v17s5.10

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