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:: Volume 6, Issue 6 (1-2012) ::
3 2012, 6(6): 0-0 Back to browse issues page
Efficacy of Subgingivally Delivered Simvastatin in the Treatment of Patients With Type 2 Diabetes and Chronic Periodontitis: A Randomized Double-Masked Controlled Clinical Trial
A.R. Pradeep * , Nishanth S. Rao , Pavan Bajaj , Minal Kumari
Department of Periodontics, Government Dental College and Research Institute, Bangalore, India
Abstract:   (1693 Views)

 Background: Simvastatin (SMV) is a specific competitive inhibitor of 3-hydroxy-2-methyl-glutaryl coenzyme A reductase. Recently, it has been reported that statins promote bone formation. The present study is designed to investigate the effectiveness of 1.2% SMV in an indigenously prepared, biodegradable, controlled-release gel as an adjunct to scaling and root planing (SRP) in the treatment of patients with type 2 diabetes and chronic periodontitis (CP).

 Methods: Thirty-eight patients were categorized into two treatment groups: SRP plus 1.2% SMV and SRP plus placebo. Clinical parameters were recorded at baseline before SRP and at 3, 6, and 9 months they included modified sulcus bleeding index (mSBI), probing depth (PD), and clinical attachment level (CAL). At baseline and after 6 and 9 months, radiologic assessment of intrabony defect (IBD) fill was done using computer-aided software.

 Results: Mean PD reduction and mean CAL gain were found to be greater in the SMV group than the placebo group at 3, 6, and 9 months. Furthermore, significantly greater mean percentage of bone fill was found in the SMV group (32.64% ± 12.90%) compared to the placebo group (4.22% ± 9.75%) after 9 months.

 Conclusion: There was a greater decrease in mSBI and PD and more CAL gain with significant IBD fill at sites treated with SRP plus locally delivered SMV in patients with type 2 diabetes and CP.


 Source: Journal of Periodentology

 Full Text

Keywords: Bone regeneration, chronic periodontitis, diabetes mellitus, simvastatin
     
Type of Study: Research | Subject: Periodontology
Received: 2013/07/9 | Published: 2012/01/15
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Pradeep A, S. Rao N, Bajaj P, Kumari M. Efficacy of Subgingivally Delivered Simvastatin in the Treatment of Patients With Type 2 Diabetes and Chronic Periodontitis: A Randomized Double-Masked Controlled Clinical Trial. 3 2012; 6 (6)
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Volume 6, Issue 6 (1-2012) Back to browse issues page
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