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. 2020 Feb 28;2020(2):CD001168. doi: 10.1002/14651858.CD001168.pub3

Amirchaghmaghi 2016.

Methods Study design: RCT
Conducted in Iran
Number of centres: 1
Recruitment period: October 2012 to June 2013
Funding source: supported by Vice Chancellory of Mashhadd University of Medical Sciences
Participants Inclusion criteria: people with clinical signs of erosive‐atrophic OLP which was confirmed by clinical and histopathological examination
Exclusion criteria: pregnancy; breastfeeding; current use of anticoagulants or antiplatelet agents; current orthodontic treatment; history of gastric ulcers, duodenal ulcers, gallstones, hepatic diseases, any existing malignancy or viral infection in mouth; receiving any topical treatment for OLP in the past 2 weeks or any systemic treatment for OLP in the past 4 weeks; use of azathioprine, ciclosporin or receiving PUVA, UVA or UVB in the last month; history of allergy to corticosteroids or curcumin
Group A: randomised 12; analysed 12
Group B: randomised 8; analysed 8
Interventions Group A: 1 dexamethasone mouthwash 0.5 mg 3 times daily + 1 nystatin (100,000 units) suspension 3 times daily + 4 curcumin tablets (500 mg) twice daily for 4 weeks
Group B: 1 dexamethasone mouthwash 0.5 mg 3 times daily + 1 nystatin (100,000 units) suspension 3 times daily + 4 placebo tablets twice daily for 4 weeks
Outcomes Pain (VAS), clinical score (Thongprasom), complete resolution, adverse effects
Measured at baseline, 14 days and 28 days
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Randomization was performed using a computer‐generated random number table."
Allocation concealment (selection bias) Low risk Quote: "Randomization was performed using a computer‐generated random number table. Study medication tablets with 95% curcominoids (Samilabs Limited, Bangalore, India) and identical placebo tablets (containing lactose) were prepackaged by a university pharmacist in identical containers. During treatment, both of the practitioners and the patients were unaware of medications they were using."
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "During treatment, both of [sic] the practitioners and the patients were unaware of medications they were using."
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "During treatment, both of [sic] the practitioners and the patients were unaware of medications they were using."
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: no missing data. All randomised participants included in the result analysis.
Selective reporting (reporting bias) Low risk Planned outcomes reported.
Other bias Low risk No other sources of bias identified.