Chronic Periodontitis
Conditions
Brief summary
ABSTARCT Background: Atorvastatin is an inhibitor of 3-hydroxy-2-methyl-glutaryl coenzyme A reductase. Lately, it has shown to have anti-inflammatory and bone stimulatory effects. The aim of the current study is to explore the effectiveness of 1.2% atorvastatin (ATV) as an adjunct to scaling and root planning (SRP) in the treatment of mandibular degree II furcation defects. Method: A total of sixty subjects were randomly assigned to two treatment groups. 1. SRP plus placebo gel 2. SRP plus 1.2% ATV gel. Clinical parameters like probing depth (PD), relative vertical clinical attachment level (RVCAL) , relative horizontal clinical attachment level (RHCAL), modified sulcus bleeding index (mSBI) and site specific plaque index were recorded at baseline and then at 3, 6 and 9 months. The radiological assessment of bone defect fill was done at 6 and 9 months, using a computer-aided software.
Detailed description
Two groups were made. One was delivered with ATV after SRP, the other was delivered with placebo gel after SRP.
Interventions
After SRP, ATV gel was delivered subgingivally into the pocket
After SRP, placebo gel was delivered subgingivally into the pocket
Sponsors
Study design
Eligibility
Inclusion criteria
* lower first molars demonstrating a probing pocket depth of 5 mm and horizontal probing depth of 3 mm following phase 1 therapy, with furcation defects (degree II) present bucally in asymptomatic, vital lower first molars, with a furcation radiolucency on a periapical radiograph of the molars.
Exclusion criteria
* patients with systemic diseases like cardiovascular disease * diabetes or HIV infection or on medications like corticosteroids which may impede the healing in periodontal tissues. * pregnant/lactating females * tobacco users * alcoholics * patients with unsatisfactory oral hygiene (plaque index greater than 1.5) * teeth having gingival recession, caries involving pulp, intrabony defect present interproximally, grade 2/3 mobility * Furthermore, patients allergic to ATV or other statins or those taking ATV/other statins systemically were excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| amount of bone fill | baseline to 9 months |
Secondary
| Measure | Time frame |
|---|---|
| change in Relative vertical clinical attachment level | baseline to 9 months |
| change in RHCAL (relative horizontal clinical attachment level) | baseline to 9 months |
| change in probing depth | baseline to 9 months |
| change in site specific plaque index | baseline to 9 months |
| change in modified sulcus bleeding index | baseline to 9 months |