Effect of atorvastatin on chronic periodontitis: a randomized pilot study

J Clin Periodontol. 2010 Nov;37(11):1016-22. doi: 10.1111/j.1600-051X.2010.01619.x. Epub 2010 Sep 5.

Abstract

Aim: We studied the effect of atorvastatin (ATV) treatment on bone loss prevention in subjects with chronic periodontitis.

Material and methods: In this controlled double-blind study, 38 subjects with chronic periodontitis were randomized into two groups, paired by age to receive ATV (20 mg) or placebo daily for 3 months. Periodontal mechanical treatment was carried out in both groups at baseline. Clinical and radiographic parameters and bone turnover markers were assessed at baseline and at 3 months.

Results: Periodontal disease conditions improved in both groups. After comparing the figures of change, significant improvements were observed in cholesterol levels (Δ=-58.5 ± 37.6 versusΔ=5.4 ± 41.2 mg/dl, p<0.0002), low-density lipoprotein levels (Δ=-48.1 ± 31.7 versusΔ=1.9 ± 42.8 mg/dl, p<0.002), dental mobility (Δ=-0.17 ± 0.11 versusΔ=-0.06 ± 0.11%, p<0.04), and the distance from the crestal alveolar bone to the cemento-enamel junction (Δ=-0.75 ± 0.7 versusΔ=0.09 ± 0.4 mm, p<0.0006) in the ATV group.

Conclusions: The results suggest that ATV might have beneficial effects on bone alveolar loss and tooth mobility in subjects with periodontal disease.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alveolar Bone Loss / diagnostic imaging
  • Alveolar Bone Loss / prevention & control*
  • Anticholesteremic Agents / therapeutic use*
  • Atorvastatin
  • Chronic Periodontitis / drug therapy*
  • Dental Plaque / prevention & control
  • Dental Scaling
  • Double-Blind Method
  • Female
  • Gingival Recession / prevention & control
  • Heptanoic Acids / therapeutic use*
  • Humans
  • Lipids / blood
  • Male
  • Middle Aged
  • Pilot Projects
  • Pyrroles / therapeutic use*
  • Radiography, Dental, Digital
  • Statistics, Nonparametric
  • Tooth Mobility / prevention & control

Substances

  • Anticholesteremic Agents
  • Heptanoic Acids
  • Lipids
  • Pyrroles
  • Atorvastatin