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Document Type

Original Study

Abstract

Purpose: The purpose of this study was to assess the clinical and radiographic outcomes of mandibular posterior edentulous area rehabilitation by fixed implant supported prosthesis with or without use of Hyaluronic Acid Gel loaded with Simvastatin. Subjects and methods: Twelve implants were inserted in mandibular posterior edentulous region that required rehabilitation with fixed implant-supported prosthesis were included in this study. The patients were divided into 2 groups: Group A; the edentulous sites were treated by 6 implants which were inserted with the application of Hyaluronic acid (HA) gel loaded with Simvastatin (SMV) in the drilling site. Group B; Six dental implants were placed in edentulous sites without the use of HA gel containing SMV. The clinical follow-up was done at three and six months, whereas the radiographic follow-up was done at three and twelve months. Treatment changes were evaluated for each group and a comparison was done between the 2 groups. Data were analyzed to assess difference and association of qualitative variable by Chi square test (X2 ), paired by sign test and Differences between quantitative independent groups by paired t test. Results: Radiographically; at 3 and 12 months, there was a statistically significant difference in bone density between two groups. While, there was no statistically significant difference in implant stability between two groups immediately and after 3months.Conclusion: Application of HA gel loaded with SMV around dental implant improves the implant stability and bone density around the implant which enhances the osseointegration of implant.

Keywords

Stability, Hyaluronic acid, Simvastatin

Subject Area

Oral Medicine and Surgical Sciences Issue (Oral Medicine, Oral and Maxillofacial Surgery, Oral Pathology, Oral Biology)

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