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阿托伐他汀对慢性牙周炎的影响:一项随机初步研究。

Effect of atorvastatin on chronic periodontitis: a randomized pilot study.

机构信息

Department of Medical Sciences, University of Guanajuato, Leon, Mexico.

出版信息

J Clin Periodontol. 2010 Nov;37(11):1016-22. doi: 10.1111/j.1600-051X.2010.01619.x. Epub 2010 Sep 5.

Abstract

AIM

We studied the effect of atorvastatin (ATV) treatment on bone loss prevention in subjects with chronic periodontitis.

MATERIAL AND METHODS

In this controlled double-blind study, 38 subjects with chronic periodontitis were randomized into two groups, paired by age to receive ATV (20 mg) or placebo daily for 3 months. Periodontal mechanical treatment was carried out in both groups at baseline. Clinical and radiographic parameters and bone turnover markers were assessed at baseline and at 3 months.

RESULTS

Periodontal disease conditions improved in both groups. After comparing the figures of change, significant improvements were observed in cholesterol levels (Δ=-58.5 ± 37.6 versusΔ=5.4 ± 41.2 mg/dl, p<0.0002), low-density lipoprotein levels (Δ=-48.1 ± 31.7 versusΔ=1.9 ± 42.8 mg/dl, p<0.002), dental mobility (Δ=-0.17 ± 0.11 versusΔ=-0.06 ± 0.11%, p<0.04), and the distance from the crestal alveolar bone to the cemento-enamel junction (Δ=-0.75 ± 0.7 versusΔ=0.09 ± 0.4 mm, p<0.0006) in the ATV group.

CONCLUSIONS

The results suggest that ATV might have beneficial effects on bone alveolar loss and tooth mobility in subjects with periodontal disease.

摘要

目的

我们研究了阿托伐他汀(ATV)治疗对慢性牙周炎患者预防骨丢失的影响。

材料与方法

在这项对照双盲研究中,38 名慢性牙周炎患者按年龄配对分为两组,分别接受每日 ATV(20mg)或安慰剂治疗 3 个月。两组患者在基线时均接受牙周机械治疗。在基线和 3 个月时评估临床和影像学参数以及骨转换标志物。

结果

两组的牙周病状况均有所改善。比较变化数值后,胆固醇水平(Δ=-58.5±37.6 与Δ=5.4±41.2mg/dl,p<0.0002)、低密度脂蛋白水平(Δ=-48.1±31.7 与Δ=1.9±42.8mg/dl,p<0.002)、牙齿松动度(Δ=-0.17±0.11 与Δ=-0.06±0.11%,p<0.04)和牙槽骨顶至牙釉质牙骨质界的距离(Δ=-0.75±0.7 与Δ=0.09±0.4mm,p<0.0006)在 ATV 组均有显著改善。

结论

结果表明,阿托伐他汀可能对牙周病患者的牙槽骨丢失和牙齿松动有有益作用。

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