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龈下给予1.2%阿托伐他汀治疗2型糖尿病患者慢性牙周炎的疗效:一项随机对照临床试验

Efficacy of Subgingivally Delivered 1.2% Atorvastatin in the Treatment of Chronic Periodontitis in Patients With Type 2 Diabetes Mellitus: A Randomized Controlled Clinical Trial.

作者信息

Kumari Minal, Martande Santosh S, Pradeep A R, Naik Savitha B

机构信息

Department of Periodontics, Vydehi Institute of Dental Sciences and Research Centre, Bangalore, India.

Department of Periodontics, Dr. D.Y. Patil Dental College and Hospital, Pune, India.

出版信息

J Periodontol. 2016 Nov;87(11):1278-1285. doi: 10.1902/jop.2016.130227. Epub 2016 Jul 21.

Abstract

BACKGROUND

The present study was designed to evaluate effectiveness of 1.2% atorvastatin (ATV) gel, as an adjunct to scaling and root planing (SRP) in the treatment of intrabony defects in chronic periodontitis (CP) in patients with type 2 diabetes mellitus (t2DM).

METHODS

Seventy-five patients were categorized into two treatment groups: 1) SRP plus 1.2% ATV and 2) SRP plus placebo. Clinical parameters including modified sulcus bleeding index, probing depth (PD), and relative attachment level (RAL) were recorded at baseline and 3, 6, and 9 months. Percentage radiographic defect depth reduction was evaluated using computer-aided software at baseline and 6 and 9 months.

RESULTS

Mean PD reduction and mean RAL gain was greater in the ATV group than the placebo group at 3, 6, and 9 months. Furthermore, ATV group sites presented with a significantly greater percentage of radiographic defect depth reduction at 6 and 9 months.

CONCLUSION

Locally delivered ATV was found to be effective in treatment of intrabony defects in CP in patients with t2DM.

摘要

背景

本研究旨在评估1.2%阿托伐他汀(ATV)凝胶作为2型糖尿病(t2DM)患者慢性牙周炎(CP)骨内缺损治疗中龈下刮治术和根面平整术(SRP)辅助治疗手段的有效性。

方法

75例患者被分为两个治疗组:1)SRP联合1.2% ATV组;2)SRP联合安慰剂组。在基线、3个月、6个月和9个月时记录包括改良龈沟出血指数、探诊深度(PD)和相对附着水平(RAL)在内的临床参数。在基线、6个月和9个月时使用计算机辅助软件评估影像学缺损深度减少的百分比。

结果

在3个月、6个月和9个月时,ATV组的平均PD减少和平均RAL增加均大于安慰剂组。此外,在6个月和9个月时,ATV组部位的影像学缺损深度减少百分比显著更高。

结论

发现局部应用ATV对t2DM患者CP的骨内缺损治疗有效。

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