Beta
77073

DOES ATORVASTATIN ALONE AMELIORATE CHRONIC PERIODONTITIS IN HYPERLIPIDEMIC PATIENTS? (A CROSS-SECTIONAL STUDY)

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

-

Abstract

The present study was conducted to assess whether atorvastatin (ATV) alone could improve periodontal parameters and reduce inflammation and bone resorption in generalized chronic periodontitis (gCP) patients with hyperlipidemia. One hundred and two subjects were classified into three groups: Group I included 34 gCP patients with hyperlipidemia and maintained on a daily dose of 20 mg atorvastatin at least for 6 months. Group II comprised 34 gCP patients with hyperlipidemia and not taking any hypolipidemic drugs. Group III consisted of 34 normolipidemic individuals with gCP. The periodontal parameters including plaque index (PI), bleeding on probing (BOP), gingival index (GI), probing depth (PD) and clinical attachment loss (CAL) were recorded and compared. Unstimulated whole saliva and blood samples were harvested from all subjects. Salivary levels of interleukin-1beta (IL-1β) and receptor activator of nuclear kappa B ligand (RANKL) were evaluated by enzyme-linked immunosorbent assay (ELISA) technique. The blood samples were used to assess the lipid profile for all patients including total cholesterol (TC), triglycerides (TG), low-density lipoprotein-cholesterol (LDL-C) and high-density lipoprotein-cholesterol (HDL-C). The results demonstrated significantly greater decrease of periodontal parameters and salivary IL-1β and RANKL levels in group I compared to other groups. BOP, PD and CAL were positively correlated with the levels of salivary IL-1β, TC, TG and LDL-C whereas HDL-C measurements were negatively associated with BOP, PD and CAL. In conclusion, ATV could be a viable therapeutic modality in gCP management, due to its anti-inflammatory and antiosteopathic effects. Salivary IL-1β and RANKL could serve as reliable biomarkers in periodontal disease.

DOI

10.21608/edj.2018.77073

Keywords

Atorvastatin, Chronic Periodontitis, IL-1β, RANKL, Lipid profile

Authors

First Name

Hesham

Last Name

El-Sharkawy

MiddleName

M.

Affiliation

Associate Professor of Oral Medicine and Periodontology, Faculty of Dentistry, Mansoura University, Mansoura, Egypt. Associate Professor of Oral Medicine and Periodontology, Faculty of Dentistry, Taif University, Taif, Kingdom of Saudi Arabia

Email

-

City

-

Orcid

-

First Name

Nayef

Last Name

Felemban

MiddleName

H.

Affiliation

Assistant Professor of Preventive Dentistry, Orthodontics Division, Faculty of Dentistry, Taif University, Taif, Kingdom of Saudi Arabia

Email

-

City

-

Orcid

-

First Name

Bhari

Last Name

Manjunatha

MiddleName

S.

Affiliation

Associate professor of Oral Biology, Faculty of Dentistry, Taif University, Taif, Kingdom of Saudi Arabia

Email

-

City

-

Orcid

-

Volume

64

Article Issue

Issue 1 - January (Oral Medicine, X-Ray, Oral Biology & Oral Pathology)

Related Issue

11443

Issue Date

2018-01-01

Receive Date

2020-03-11

Publish Date

2018-01-01

Page Start

203

Page End

213

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_77073.html

Detail API

https://edj.journals.ekb.eg/service?article_code=77073

Order

1

Type

Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023