Cambios del estado clínico periodontal según consumo sistémico de estatinas

Abstract

ObjectiveTo describe changes in periodontal clinical status of patients according to systemic statin use prescribed by a cardiologist. Material and methodsA descriptive study was performed on patients with chronic periodontitis referred from the Department of Cardiovascular Diseases of Dávila Clinic. A group of them began statin therapy. Clinical measurements of periodontal probing depth (PD), clinical attachment level, bleeding index, periodontal inflamed surface area, and gingival index, were performed at baseline (before starting statin therapy) and 6 months later. Data were analyzed using descriptive statistics. ResultsA total of 10 patients participated in the study, and five of them received statin therapy. The statin group compared to the group without statins, showed a mean decrease in: PD (0.4mm versus 0.13mm); percentage of PS sites≥5mm (4.16% versus 1.09%); clinical attachment level (0.5mm versus 0.2mm), bleeding index (27.16% versus 8.8%), and periodontal inflamed surface area (305.68 versus 121.35 mm2). ConclusionsThese results suggest that patients with chronic periodontitis may benefit from systemic therapy with statins. Randomized clinical trials with optimal sample size are required to check the effect and impact of statins on the periodontal status.