masterThesis
Avaliação longitudinal da clorexidina associada ao full-mouth desinfection na mucosite peri-implantar
Fecha
2015-01-29Registro en:
COSTA, Anderson Nicolly Fernandes da. Avaliação longitudinal da clorexidina associada ao full-mouth desinfection na mucosite peri-implantar. 2015. 81f. Dissertação (Mestrado em Saúde Coletiva) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2015.
Autor
Costa, Anderson Nicolly Fernandes da
Resumen
The peri-implant mucositis is an inflammation of the mucosa around the
implant in response to the accumulation of biofilm. There are many protocols for the
treatment of peri-implant mucositis, but are not consistent evidence for selecting a
protocol. As a result, this research has evaluated the longitudinal effectiveness of use
of chlorhexidine 0.12% as an adjunct to full-mouth desinfection therapy peri-implant
mucositis. Thirty-eight patients previously diagnosed with peri-implant mucositis were
randomized into two groups. All patients received non-surgical treatment associated
(test, n = 22) or not (control, n = 16) to 0.12% chlorhexidine plus individualized oral
hygiene instruction. Patients were evaluated at baseline, 3, 6, 12 and 18 months as
the visible plaque index, gingival bleeding, probing depth and bleeding on probing.
Data were statistically analyzed by Friedman, Wilcoxon and Mann-Whitney test,
Spearman correlation and chi-square test, using a 5%. The intra-group analysis
showed that both the treatments were effective in reducing visible plaque indices,
gingival bleeding, probing depths and bleeding on probing (p <0.05). However, none
of the groups achieved superior results relative to each other. It was concluded that
the mechanical therapy alone is effective in reducing the clinical parameters
analyzed and, as groups become equal because the effect of chlorhexidine not exist,
supportive therapy peri-implant was effective in reducing the visible plaque index,
gingival bleeding, probing depth and bleeding on probing at the end of the study.