RESUMEN
Las tetraciclinas, activas sobre patógenos periodontales involucrados en la periodontitis prepuberal, están contraindicadas en este grupo etario. El objetivo de este estudio fue evaluar la efectividad de diferentes protocolos de tratamiento que incluyeron administración sistémica de espiramicina sola y conjuntamente con irrigaciones subgingivales con antisépticos. Se evaluaron tres pacientes que concurrieron a la Cátedra de Odontopediatría de la Facultad de Odontología de la UNR. Los antisépticos utilizados fueron digluconato de clorhexidina 0,12 por ciento y yodopovidona 10 por ciento. La valuación clínica se determinó mediante: índice de placa, índice gingival, sangrado al sondaje, profundidad de sondaje y nivel clínico de inserción periodontal vertical. Los resultados mostraron una ventaja considerable para los protocolos que incluyeron las irrigaciones con atisépticos en casi todos los parámetros evaluados excepto para el índice de placa. El 10 por ciento en irrigaciones subgingivales durante 5 minutos dos veces por semana refuerzan los resultados clínicos logrados con la administración sistémica de espiramicina cuando se realiza el tratamiento periodontal mecánico
Asunto(s)
Humanos , Periodontitis Agresiva , Antisépticos Bucales/uso terapéutico , Espiramicina , Periodontitis Agresiva , Clorhexidina , Índice de Placa Dental , Higiene Bucal , Pérdida de la Inserción Periodontal/terapia , Índice Periodontal , Bolsa Periodontal , Povidona Yodada , Distribución AleatoriaRESUMEN
The present study was based on the finding of a case of prepubertal periodontitis, a low prevalence pathology. One hundred and fifty-two infant patients attending the Department of Odontopediatrics of the Faculty of Dentistry of the National University of Rosario over the period April 1995-September 1996 were included in the present study. The reason for consultation was dental caries. However, the high general prevalence of gingivitis (50
) was remarkable. This may be due to deficient oral health care awareness at home and at school. The prevalence of prepubertal periodontitis (PPP) in the population under study (one case of localized PPP) was 0.66
. These data are in agreement with international reports that account for a prevalence value of less than 1
. A relevant difference with other reported cases could be that this patient complained of upper respiratory tract disorders and, occasionally, ear infections. These symptoms appear in the generalized but not the localized forms of the disease.
RESUMEN
The present study evaluates the efficiency of the following decontaminating agents for the multiresistant, locally circulating bacterium Pseudomonas aeruginosa: glutaraldehyde 2
--makes A and B-, glutaraldehyde-formaldehyde; povidone-iodine-makes A, B and C-; sodium hypochloride; chloroxylenol--makes A and B-; and lapire chloride. The 9027 ATCC strain was used as a standard. A modification of the method of Kelsey and Sykes (1) was used to evaluate decontaminating efficiency. Highly satisfactory results were obtained with glutaraldehide 2
A and B, glutaraldehyde-formaldehyde and sodium hypochlorite. The results for povidone-iodine A, B and C were satisfactory but were unsatisfactory for chloroxylenol and lapirium chloride.