Topical simvastatin gel as a novel therapeutic modality for palatal donor site wound healing following free gingival graft procedure

Acta Odontol Scand. 2018 Apr;76(3):212-219. doi: 10.1080/00016357.2017.1403648. Epub 2017 Nov 16.

Abstract

Objective: Autogenous soft-tissue grafting is a commonly used procedure nowadays in dentistry. However, the prolonged healing time needed for the donor site leads to increase the patient's pain and discomfort. Statin has been observed to be beneficial in reducing bacterial burden, improving epithelization and wound healing. The aim of this study was to evaluate intra-oral topical application of simvastatin/chitosan gel (10 mg/mL) over the palatal donor site following free gingival graft (FGG) procedure.

Material and methods: Subjects indicated for FGG procedure were divided into four groups. Group I: Simvastatin suspension (S), group II: simvastatin/chitosan gel (SC), group III: chitosan gel (C), group IV: petroleum gel (P). Treatment was applied three times/day for the following 7 days. Wound healing was evaluated at day 3, 7 and 14 post-surgery. A visual analogue scale (VAS) was used to measure the experienced discomfort at 1, 3, 5, 7 and 14 days.

Results: Statistical significant reduction in wound-healing scores was observed after 3 and 7 days for group II compared to other groups (p = .015). A significant reduction was also observed in VAS score for group II compared to other groups at day 1, 3, 5 and 7.

Conclusion: Topical application of S/C gel could be used as a novel therapeutic modality that improved healing and reduced pain in the palatal donor site following FGG procedure.

Keywords: Graft; chitosan; healing; palate; simvastatin; wound.

MeSH terms

  • Administration, Topical
  • Adult
  • Female
  • Gels / administration & dosage*
  • Gingiva / drug effects
  • Gingiva / transplantation*
  • Humans
  • Male
  • Oral Surgical Procedures / methods
  • Pain Measurement / methods
  • Palate / surgery
  • Simvastatin / administration & dosage*
  • Wound Healing

Substances

  • Gels
  • Simvastatin