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Efeito do Controle do Biofilme Supragengival na Condição Periodontal de Pacientes Tabagistas – Uma Revisão Sistemática

DOI: http://dx.doi.org/10.15603/2176-1000/odonto.v20n39p157-164

https://www.metodista.br/revistas/revistas-ims/index.php/O1/index 

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Vanessa Rossi1, Flavia B. Piccinin2, Rui V. Oppermann3 & Sabrina C. Gomes4

 

Resumo: Objetivo: avaliar, por meio de uma revisão sistemática da literatura, se o controle do biofilme supragengival, em pacientes fumantes, é capaz de alterar os critérios clínicos e microbiológicos associados à periodontites. Metodologia: a estratégia de busca envolveu o uso de bases de dados eletrônicos: MEDLINE e Cochrane Oral Health Group, entre 1965 e Janeiro de 2009. As palavras-chave utilizadas no MEDLINE foram: supragingival plaque control AND (subgingival OR debridement OR scaling and root planing OR non surgical OR oral hygiene OR periodontitis OR gingivitis OR plaque subgingival OR lost attachment OR probing pocket depth OR bleeding). Nessa busca foram localizadas 307 referências bibliográficas, contemplando os mais variados tipos de estudos. No Cochrane as palavras-chave aplicadas foram: supragingival plaque control AND oral hygiene, sendo obtidas 137 referências. A aplicação de critérios de inclusão permitiu que 4 estudos fossem avaliados na íntegra: 3 ensaios clínicos com seleção randômica de sítios experimentais e 1 ensaio clínico sem randomização. Resultados: dos estudos avaliados, 2 avaliaram somente a intervenção supragengival e 2 avaliaram, também, a intervenção subgengival. Pôde-se observar que o controle supragengival, como intervenção única, foi capaz de determinar redução dos indicadores clínicos e microbiológicos periodontais, sendo os melhores resultados condicionados a um adequado programa de controle do biofilme supragengival. Conclusão: o estudo mostrou que o efeito do controle de biofilme supragengival em pacientes tabagistas é capaz de melhorar significativamente os indicadores clínicos e microbiológicos associados à gengivite e periodontite.

Palavras-chave: Higiene Bucal; Tabagismo; Gengivite; Periodontite.

 

Abstract: Aim: to conduct a systematic review of the literature to assess whether supragingival plaque control is able to change clinical and microbiological markers associated withperiodontal disease in smokers. Methodology: articles published between 1965 and January 2009 and indexed in the MEDLINE and Cochrane Oral Health Group databases were browsed. The following keywords were used on MEDLINE: supragingival plaque control AND (subgingival OR debridement OR scaling and root planing OR non surgical OR oral hygiene OR periodontitis OR gingivitis OR plaque subgingival OR lost attachment OR probing pocket depth OR bleeding); the search on MEDLINE yielded 307 references, including different types of studies. On Cochrane, the keywords employed were supragingival plaque control AND oral hygiene; this search yielded 137 studies. After application of inclusion criteria, four studies were selected for full-text review: three clinical trials with randomly selected experimental sites and one nonrandomized clinical trial. Results: of the four studies reviewed, two assessed the effects of supragingival plaque control alone, whereas the other two assessed both supragingival and subgingival interventions. It was possible to observe that supragingival plaque control alone was able to reduce clinical and microbiological indicators associated with periodontal disease, and that the best results were obtained after an adequate supragingival plaque control regimen. Conclusion: our study showed that supragingival plaque control is able to significantly improve clinical and microbiological markers associated with gingivitis and periodontitis in smokers.

Key words: Oral Hygiene; Smoking; Gingivitis; Periodontitis.

 

1 CD, Me, Faculdade de Odontologia, ULBRA, Canoas, RS, Brasil.
2 CD, Me, Faculdade de Odontologia, UFRGS, Porto Alegre, RS, Brasil
3 CD, Me, Dr, Professor Titular, Departamento de Periodontia, Faculdade de Odontologia, UFRGS, Porto Alegre, RS, Brasil
4 CD, Me, Dr, Professora Adjunta, Departamento de Periodontia, Faculdade de Odontologia, UFRGS, Porto Alegre, RS, Brasil.

 

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