Evidence map›Paper›PMID 37805447›Full record

SynthesisBMC oral health2023

The role of systemic statins in the inception and healing of apical periodontitis: a systematic review.

Francesca Ideo, Matteo Francesco Manca, Sadia Niazi, Francesco Mannocci, Giulia Bardini, Elisabetta Cotti

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Francesca IdeoDepartment of Conservative Dentistry and Endodontics, University of Cagliari, Cagliari, Italy.ORCID http://orcid.org/0000-0002-7116-0656
Matteo Francesco MancaDepartment of Conservative Dentistry and Endodontics, University of Cagliari, Cagliari, Italy.
Sadia NiaziDepartment of Endodontology, Centre for Oral, Clinical & Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, Guy's Hospital, London, UK.ORCID http://orcid.org/0000-0003-0334-4119
Francesco MannocciDepartment of Endodontology, Centre for Oral, Clinical & Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, Guy's Hospital, London, UK.ORCID http://orcid.org/0000-0002-0560-1054
Giulia BardiniDepartment of Conservative Dentistry and Endodontics, University of Cagliari, Cagliari, Italy.ORCID http://orcid.org/0000-0003-1073-8597
Elisabetta CottiDepartment of Conservative Dentistry and Endodontics, University of Cagliari, Cagliari, Italy. cottiendo@gmail.com.ORCID http://orcid.org/0000-0002-8314-5410
University of Cagliari · ITGuy's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesStatins are a category of medications widely used to reduce plasma LDL-cholesterol levels, that also possess antibacterial, anti-inflammatory, and immunomodulatory action. The aim of this systematic review was to explore the effects of systemic statins therapy on the development and treatment of apical periodontitis (AP) on humans and animals. MATERIAL AND

methodsThree electronic databases (PubMed, Web of Science, and Scopus) and grey literature were searched from their inception until February, 20 2023 (PROSPERO CRD42021246231). For the quality assessment and risk of bias, different guidelines were used according to the typology of the studies considered (Animal Research Reporting of In Vivo Experiments, Newcastle-Ottawa Quality Assessment Form for Cohort Studies, Systematic Review Centre for Laboratory animal Experimentation Risk of Bias tool and Tool to assess risk of bias in cohort studies of CLARITY Group).

resultsSeven hundred eleven records were screened, and six articles were included for this qualitative review. The eligible studies showed a moderate overall quality and risk of bias. Human patients in treatment with statins exhibited a higher healing rate of AP following root canal treatment. In experimental animal models, statins had a beneficial effect on the development of AP.

conclusionsDespite the limited number of studies and considering that most of them are on animals, our findings suggest that systemically administered statins make a positive contribution to prevent the development and help healing of AP. CLINICAL RELEVANCE: There is an increased evidence that a pharmacologic adjunct to endodontic treatment may be considered to enhance healing of AP. Among other medications, statins seem to have a positive impact on the disease.

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsPeriapical PeriodontitisAnti-Bacterial AgentsHumansRoot Canal TherapyWound HealingAnti-Bacterial AgentsHydroxymethylglutaryl-CoA Reductase InhibitorsApical periodontitsEndodontic outcomeSystemic statins

Identifiers

PMID37805447
PMCPMC10560424
OpenAlexW4387425133

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.