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Table 2 Summary of human studies

From: The impact of simvastatin intervention on the healing of bone, soft tissue, and TMJ cartilage in dentistry: a systematic review and meta-analysis

Author

Procedure type

Group and study type

Key results

Gouda et al. 2017

Bilateral

RCT

6 patients

8 sinus lifts in sites with < 8 mm available bone.

CBCT at 1 week and 9 months to determine the change in bone height and %age of bone loss.

Histomorphometry to determine new bone formation rate

Experimental group: 7.21 mg simvastatin/1 g beta-TCP

Control: beta-TCP

SSD in new bone formation of maxillary sinus bone grafting. More in the SIM group.

No SSD in the amount of bone loss between both groups

Ranjan et al. 2017

RCT

20 patients, 40 bilateral periodontal intrabony defects.

Open flap debridement.

Clinical and radiographic outcomes

Experimental group: OFD + 1.2 SIM compared to Control: OFD + placebo.

GI, PI, PD, CAL at 3, 6, 9 months.

Bone fill assessment

SSD decrease in PD. GI and increase in CAL in the experimental group.

No SSD in PI.

SSD increase in the amount and percentage of bone fill in the experimental group

Kinra et al. 2010

Bilateral

RCT

15 patients

Bilateral 2-walled or 3-walled periodontal intrabony defects.

Regenerative periodontal therapy with bone grafts.

Clinical and radiographic outcomes

Experimental group: DFDBA and SIM (10–8 M)

Control group: DFDBA

PI, PD, intrabony pocket depth at 10, 24 weeks

SSD in an increase in bone fill, CAL gain, reduction in PD in the experimental group

Chauhan et al., 2015

Bilateral

RCT

30 patients

Bilateral impacted mandibular third molar extraction sockets.

Extraction and site preservation.

Clinical and radiographic outcomes

Experimental group: Gelfoam with 10 mg simvastatin

Control: Gelfoam

Pain, swelling, bone density with software at 3 months

No SSD in facial swelling and pain between both groups.

SSD increase in bone density (calculated by gray level histogram) in the experimental group

Pradeep et al. 2012

Bilateral

RCT

72 patients

Mandibular molar buccal Class II furcation defects.

Non-surgical periodontal therapy.

Radiographic assessment of (PD), (RVAL) vertical and horizontal (RHAL) attachment levels

Group I: SRP plus placebo

Group II: SRP plus 1.2-mg SIM

Recall at Baseline, 3 and 6 months

SSD in the experimental group < control

SSD in PD in the experimental group at all periods.

SSD increase in bone fill, RVAL, RHAL in the experimental group

Madi M, Kassem A 2018

RCT

N = 40

Free gingival graft procedure.

Visual analog scale for pain and discomfort scoring.

Wound healing score

4 groups: group I: Simvastatin suspension (S), group II: simvastatin/chitosan gel (SC), group III: chitosan gel (C), group IV: petroleum gel (P).

Recall at 1, 3, 5, 7, 14 days

SSD in VAS and wound healing score at 3, 7, 15 days in the group II, simvastatin/chitosan gel (SC) application

  1. DFDBA demineralized freeze-dried bone allograft, TCP tricalcium phosphate, OFD open flap debridement, SSD statistical significant difference, GI gingival index, PI plaque index, PD probing depth, CAL clinical attachment level, SRP scaling and root planning, SIM simvastatin, VAS visual analog scale