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他汀类药物在拔牙后组织愈合中的疗效:动物研究的系统评价

Efficacy of statins in tissue healing following tooth extraction: a systematic review of animal studies.

作者信息

Kommuri Karthik, Kakkar Mayank, Mehta Neha, Altuhafy Maryam, Gangwani Pooja, Khan Junad

机构信息

Division of Orofacial Pain and TMJ Disorders, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA.

Department of Oral and Maxillofacial Surgery, Temple University, Philadelphia, PA, USA.

出版信息

Ann Transl Med. 2025 Feb 28;13(1):5. doi: 10.21037/atm-24-140. Epub 2025 Feb 25.

Abstract

BACKGROUND

Statins, with their unique ability to stimulate bone formation and soft tissue healing, hold the potential to revolutionize dental care. The present study aims to delve into the profound effects of statins on bone and soft tissue healing in dental extraction sockets, offering a promising future for dental professionals and patients alike.

METHODS

This systematic review aimed to understand the role of stains in tissue healing following dental extraction. This study was registered in the International Prospective Register of Ongoing Systematic Reviews (PROSPERO; CRD42022299247). A comprehensive electronic database search yielded 412 manuscripts. After a rigorous screening process, nine manuscripts met the eligibility criteria. The study sample consisted of 403 animals, with eight studies utilizing rat animal models and one conducted on mongrel dogs.

RESULTS

Overall, the application of statin drugs holds promise for improving tissue healing outcomes following tooth extraction. The primary outcome variables across all studies were residual ridge height and width, messenger ribonucleic acid (mRNA) expression of transforming growth factor-beta 1 (TGF-β1), bone morphogenetic protein-2 (BMP-2), and vascular endothelial growth factor (VEGF), bone and gingival healing, inflammatory response, and bone turnover (BT), bone formation in tooth extraction socket, and osteogenic healing in a tooth extraction socket.

CONCLUSIONS

The findings of this study underscore the significant potential of statin drugs to enhance tissue healing outcomes following tooth extraction. This discovery opens new and exciting possibilities for improving dentistry patient care, potentially transforming how we approach post-extraction healing.

摘要

背景

他汀类药物具有刺激骨形成和软组织愈合的独特能力,有望彻底改变牙科护理。本研究旨在深入探究他汀类药物对拔牙窝骨组织和软组织愈合的深远影响,为牙科专业人员和患者带来充满希望的未来。

方法

本系统评价旨在了解他汀类药物在拔牙后组织愈合中的作用。该研究已在国际前瞻性系统评价注册库(PROSPERO;CRD42022299247)中注册。全面的电子数据库检索共获得412篇手稿。经过严格筛选,9篇手稿符合纳入标准。研究样本包括403只动物,其中8项研究使用大鼠动物模型,1项研究使用杂种犬。

结果

总体而言,应用他汀类药物有望改善拔牙后的组织愈合效果。所有研究的主要结局变量包括剩余牙槽嵴高度和宽度、转化生长因子-β1(TGF-β1)、骨形态发生蛋白-2(BMP-2)和血管内皮生长因子(VEGF)的信使核糖核酸(mRNA)表达、骨组织和牙龈愈合、炎症反应以及骨转换(BT)、拔牙窝内的骨形成和拔牙窝内的成骨愈合。

结论

本研究结果强调了他汀类药物在提高拔牙后组织愈合效果方面的巨大潜力。这一发现为改善牙科患者护理开辟了新的、令人兴奋的可能性,可能会改变我们处理拔牙后愈合的方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8692/11921178/4543fdad1659/atm-13-01-5-f1.jpg

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