Dissertação
O uso do fio dental como diagnóstico de gengivite proximal
Fecha
2014-07-17Registro en:
GRELLMANN, Alessandra Pascotini. THE USE OF DENTAL FLOSS AS PROXIMAL GINGIVITIS DIAGNOSIS. 2014. 82 f. Dissertação (Mestrado em Odontologia) - Universidade Federal de Santa Maria, Santa Maria, 2014.
Autor
Grellmann, Alessandra Pascotini
Institución
Resumen
The marginal probing for diagnosis of gingivitis appears to be limited in the
proximal sites with present point of contact for difficulty of contact to the fullest extent of
the papilla. Therefore, this study verify the accuracy of the dental floss as a diagnostic
method for proximal gingivitis and established associations with the presence of gingival
bleeding after the use of the periodontal probe and the dental floss with visual color
changes and swelling of proximal gingiva in adult subjects with no history of
periodontitis. For this, the clinical diagnosis with the floss was compared with the
periodontal probe (Gingival Bleeding Index - GBI) and visual changes of color and
edema were compared with GBI and floss in inspections performed in the proximal sites
in 100 eligible individuals. The subjects were randomly divided into 5 scanning
protocols: group GBI floss; group floss GBI; group GBI GBI; group tooth floss floss;
group gingival floss floss. Two evaluations were made in each protocol with interval of
10 minutes. The percentage of bleeding and visual changes, the sensitivity, the
specificity, the accuracy and the positive and negative predictive values were compared
with the gold standard. The results showed that the dental floss detects a higher
percentage of bleeding sites compared to GBI, especially in posterior teeth with
established point of contact. There were more visual changes in sites which not bled
with GBI and dental floss, this suggests that the visual changes precede the bleeding.
Few sites that bled with GBI and floss had no visual changes. We conclude that the
dental floss seems to have better diagnostic ability of proximal gingivitis in adults
compared to GBI. Moreover, visual changes seem to precede the gingival bleeding, and
the color change occurs before the edema. From these results, it is suggested that the
diagnosis of proximal gingivitis in teeth with point of contact should be complemented
with dental floss rubbed against the gum.