ABSTRACT
La enfermedad periodontal afecta la salud del paciente comprometiendo la forma, función y estética del sistema estomatognático, llevando a un deterioro notable de la calidad de vida de las personas. En este caso clínico se presenta el tratamiento integral de unpaciente de sexo masculino de 43 años de edad con periodontitis crónica avanzada generalizada que incluyó: tratamiento periodontal no quirúrgico, quirúrgico y de rehabilitación oral, hecho durante dieciocho meses por un estudiante de último año del pregrado y un grupo de docentes especialistas en periodoncia y rehabilitación oral bajo la modalidad docencia-asistencial de la Facultad de Odontología de la Universidad de Antioquia (Medellín, Colombia.
Periodontal disease affects the patients health altering the form, function, and esthetics of the stomatognathic system andproducing huge deterioration in the persons quality of life. This clinical case presents the comprehensive treatment of a 43-year-old male patient with generalized advanced chronic periodontitis including: non-surgical and surgical periodontal treatment and oral rehabilitation during a period of eighteen months by a senior undergraduate student and a group of professors specialized in periodontics and oral rehabilitation under the modality of teaching-social assistance at the School of Dentistry of Universidad de Antioquia (Medellín, Colombia
Subject(s)
Humans , Chronic Periodontitis , Dental Prosthesis , DisinfectionABSTRACT
Estudos prévios têm sugerido que a técnica de desinfecção total da boca (DTB) em um estágio resulta em uma resposta mais favorável ao tratamento periodontal não cirúrgico. O objetivo desta revisão de literatura foi analisar os estudos relacionados ao protocolo de DTB em um estágio. A partir de 1995, várias investigações do tipo caso controle compararam os resultados do tratamento periodontal pela técnica de raspagem por quadrante (RQ) e do protocolo de DTB. Na última década diversos estudos mostraram que os parâmetros clínicos e microbiológicos apresentaram melhores respostas frente ao protocolo DTB, além da diminuição do tempo clínico de atendimento sugerindo à DTB em um estágio como uma alternativa mais efetiva e economicamente mais viável para o tratamento não cirúrgico da doença periodontal inflamatória. Esses resultados são advindos de uma variação muito grande de protocolos e faz-se necessário o desenvolvimento de mais estudos em busca de um protocolo bem definido assim como uma melhor avaliação dos efeitos adversos da DTB.
Previous studies have suggested that the full-mouth disinfection (DTB) in one stage results in a more favorable response to nonsurgical periodontal treatment. The aim of this review was to analyze the studies related to DTB protocol at an early stage. Since 1995, several case-control investigations have compared the results of periodontal treatment per quadrant scraping technique (RQ) and the protocol of DTB. In the last decade several studies have shown that the clinical and microbiological parameters showed better responses in the DTB protocol also decreased time to clinical care DTB suggesting at one stage as a more effective and more economically viable for the nonsurgical treatment of periodontal disease inflammatory. These results are coming from a very large range of protocols and it is necessary to develop further studies in search of a defined protocol and a better assessment of the adverse effects of DTB.
Subject(s)
Humans , Disinfection , PeriodonticsABSTRACT
Full-mouth disinfection (Fdis) completes the entire scaling and root planing (SRP) in one stage within 24 hours for the prevention of microbial recolonization from untreated sites and ecological niches. The aim of this study is to compare the clinical short-term effects of modified Fdis with those of the conventional SRP in the therapy of moderate and severe chronic periodontitis. Modified Fdis group (5 patients) received the entire SRP within 24 hours using chlorhexidine solution (0.1%) and conventional SRP group (5 patients) received SRP per quadrant at one-week intervals. Clinical parameters were measured at baseline, one month and three months after both therapies. The results of this case report were as follows: 1. There were considerable decreases in sulcus bleeding index and plaque index one month after Fdis. 2. The mean probing depth of single-rooted teeth decreased more in Fdis group than conventional SRP group after therapy and, that of multi-rooted teeth decreased similarly in both groups. 3. The mean probing depth decreased 1.77mm in case of initial probing depth of 4-6mm and it decreased 4.13mm in case of initial probing depth of > or = 7mm three months after Fdis. 4. There were the smaller increases in gingival recession together with the larger gains in attachment in Fdis group than conventional SRP group after three months. Within the limitations of this study, one could conclude that Fdis has beneficial clinical effects in the treatment of moderate and severe chronic periodontitis and further research would be helpful including more subjects during a longer period to confirm the beneficial long-term effects of Fdis.
Subject(s)
Chlorhexidine , Chronic Periodontitis , Disinfection , Gingival Recession , Hemorrhage , Root Planing , ToothABSTRACT
Halitosis, defined as an unpleasant oral odor, is a commonly experienced condition with a variety of etiological factors and may cause a significant social or psychological handicap to those suffering from it. In most cases, halitosis originates within the oral cavity itself and patients with periodontal disease often suffer from oral malodor. The most common cause of this disease is related to microbiota which reside on the tongue and in the periodontal pocket. This study was undertaken to examine the effect of full mouth disinfection including tongue scraping on oral malodor in a group of patients with chronic periodontitis. The relationship between halitosis and oral health status was also investigated. The volatile sulfur compounds (VSC) scores were significantly correlated with Plaque Index, Bleeding Index, pocket depth, and tongue coating score. The organoleptic ratings were significantly associated with Plaque Index, Bleeding Index, and tongue coating score. The VSC scores and organoleptic ratings correlated strongly with each other. Full mouth disinfection resulted in a significant reduction in the VSC scores, organoleptic ratings, and self-perception of malodor up to 12 weeks. This study indicates that in patients with chronic periodontitis, a full mouth disinfection including tongue scraping has a significant effect in the treatment of oral malodor.
Subject(s)
Humans , Chronic Periodontitis , Disinfection , Halitosis , Hemorrhage , Microbiota , Mouth , Odorants , Oral Health , Periodontal Diseases , Periodontal Pocket , Self Concept , Sensation , Sulfur Compounds , TongueABSTRACT
The aim of this study is to determine whether full-mouth disinfection therapy(FMT) in our clinical setting would show better improvement of clinical parameters than partial mouth disinfection therapy(PMT) in chronic periodontitis and aggressive periodontitis patients. Among 12 patients, 6 were treated FMT and other 6 were treated PMT. Clinical parameters were calculated 3 months and 6 months after initial therapy. 1. There were no statistically significant differences between FMT and PMT in the reduction rate of bleeding on probing after 3 months, 6 months 2. Initial probing depth was 4-6mm, the mean probing depth after 3 months was 2.2mm vs 2.5mm(FMT vs PMT), after 6 months was 2.4mm vs 2.8mm. This was significantly lower in the FMT groups. 3. Initial probing depth was > or = 7mm, the reduction rate of mean probing depth during first 3 months was 4.8mm vs 4.1mm(FMT vs PMT), and 3 to 6 months was 0.5mm vs 0.3mm. This was significantly larger in the FMT groups. 4. Initial probing depth was 4-6mm, the mean clinical attachment level after 3 months was 2.3mm vs 2.7mm(FMT vs PMT), after 6 months was 2.7mm vs 3.0mm. This was significantly lower in the FMT groups. 5. Initial probing depth was > or = 7mm, the reduction rate of mean probing depth during first 3 months was 4.0mm vs 3.0mm(FMT vs PMT), and 3 to 6 months was 0mm vs -0.1mm. This was significantly larger in the FMT groups. Although the results provided us with succeccful clinical improvement in aggressive periodontitis, further research is needed to prove its additional benefit in the treatment of chronic periodontitis
ABSTRACT
The aim of this study is to determine whether full-mouth disinfection therapy(FMT) in our clinical setting would show better improvement of clinical parameters than partial mouth disinfection therapy(PMT) in chronic periodontitis and aggressive periodontitis patients. Among 12 patients, 6 were treated FMT and other 6 were treated PMT. Clinical parameters were calculated 3 months and 6 months after initial therapy. 1. There were no statistically significant differences between FMT and PMT in the reduction rate of bleeding on probing after 3 months, 6 months 2. Initial probing depth was 4-6mm, the mean probing depth after 3 months was 2.2mm vs 2.5mm(FMT vs PMT), after 6 months was 2.4mm vs 2.8mm. This was significantly lower in the FMT groups. 3. Initial probing depth was > or = 7mm, the reduction rate of mean probing depth during first 3 months was 4.8mm vs 4.1mm(FMT vs PMT), and 3 to 6 months was 0.5mm vs 0.3mm. This was significantly larger in the FMT groups. 4. Initial probing depth was 4-6mm, the mean clinical attachment level after 3 months was 2.3mm vs 2.7mm(FMT vs PMT), after 6 months was 2.7mm vs 3.0mm. This was significantly lower in the FMT groups. 5. Initial probing depth was > or = 7mm, the reduction rate of mean probing depth during first 3 months was 4.0mm vs 3.0mm(FMT vs PMT), and 3 to 6 months was 0mm vs -0.1mm. This was significantly larger in the FMT groups. Although the results provided us with succeccful clinical improvement in aggressive periodontitis, further research is needed to prove its additional benefit in the treatment of chronic periodontitis