Evidence map›Paper›PMID 41928180›Full record

Trial reportBMC oral health2026

Effect of topical application of atorvastatin gel versus hyaluronic acid on immediate loading dental implant in posterior maxilla: a randomized controlled trial.

Amira A M M Attia, Sherif M Eissa, M Ellayeh, H A M Marzook

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06976866 (Effect of Topical Application of Atorvastatin Gel Versus Hyaluronic Acid on Immediate Loading Dental Implant in Posterior Maxilla), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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.

NCT06976866 naactive not recruitingnot on this map

Effect of Topical Application of Atorvastatin Gel Versus Hyaluronic Acid on Immediate Loading Dental Implant in Posterior Maxilla

TypeinterventionalSponsorAmira attiaRan2023 to 2025Enrolled21ConditionsIn Recent Years, There Has Been a Rise in the Use of Immediate Loading Protocols, Dental Implant StabilityArmsimplant surgery
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Amira A M M AttiaOral and Maxillofacial Surgery Faculty of Dentistry, Mansoura University, Mansoura, Egypt. amiraattia@mans.edu.eg.
Sherif M EissaFaculty of Dentistry, Oral and Maxillofacial surgery Department, Mansoura University, Mansoura, Egypt.
M EllayehFaculty of Dentistry, Fixed Prosthodontics, Mansoura University, Mansoura, Egypt.
H A M MarzookOral and Maxillofacial Surgery Faculty of Dentistry, Mansoura University, Mansoura, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmediate loading protocols are increasingly popular, but the complex anatomy of the posterior maxilla presents challenges. Comparative studies on the effects of hyaluronic acid (HA) and atorvastatin gel (ATV) on bone density in this region are limited. This study aimed to compare the impact of topical HA and ATV gels on bone density around immediately loaded implants in the posterior maxilla. MATERIALS AND

methodsTwenty-one patients were randomly and equally assigned to three groups (n = 7 per group): Group I (Control): Received implants without any coating. Group II (HA group): Received implants coated with HA gel. Group III (ATV group): Received implants coated with atorvastatin (ATV) gel. Clinical evaluation of implant stability was conducted at the time of insertion and at 3 and 6 months postoperatively. Peri-implant pocket depth (PPD) and modified sulcus bleeding index (mSBI) were also assessed. Radiographic evaluation of buccal bone density (BD) was performed using cone-beam computed tomography (CBCT) immediately after implant loading and again at 6 months. All clinical and radiographic data were subjected to statistical analysis.

resultsAfter 6 months, there was a statistically significant increase in buccal bone density in both Group II (HA) and Group III (ATV) compared to the control group (p = 0.001). No significant difference was found between the HA and ATV groups. There were no statistically significant differences among the three groups regarding implant stability, PPD, or mSBI (p > 0.05).

conclusionHA and ATV gels increased buccal bone density but did not significantly improve implant stability or peri-implant health versus controls.

trial registrationThe study was listed on www.clinicaltrials.gov with registration number (NCT06976866) on 09/05/2025.

Indexed as

AtorvastatinHyaluronic AcidImmediate Dental Implant LoadingMaxillaAdministration, TopicalBone DensityCone-Beam Computed TomographyFemaleGelsHumansMaleMiddle AgedAtorvastatinGelsHyaluronic AcidAtorvastatinBone densityHyaluronic acidImmediate loadingPosterior maxilla

Identifiers

PMID41928180
PMCPMC13063705

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Registered trials

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.