Kumari Minal, Martande Santosh S, Pradeep A R, Naik Savitha B
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.
J Periodontol. 2016 Nov;87(11):1278-1285. doi: 10.1902/jop.2016.130227. Epub 2016 Jul 21.
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).
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.
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.
Locally delivered ATV was found to be effective in treatment of intrabony defects in CP in patients with t2DM.
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。
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。
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。
发现局部应用ATV对t2DM患者CP的骨内缺损治疗有效。