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J. appl. oral sci ; 26: e20170154, 2018. tab, graf
Artículo en Inglés | LILACS, BBO | ID: biblio-893720

RESUMEN

Abstract Objective The aim of the study was to evaluate the association between subgingival restorations and the target periodontopathogenic bacteria (Pg, Td and Pi) in subgingival biofilm during one year after combined restorative-periodontal treatment. Material and Methods Seventeen systemically healthy subjects, who were positive for the presence of three cervical lesions associated with gingival recessions in three different adjacent teeth, were included in the study. A total of 51 combined defects were treated with connective tissue graft plus a nanofilled composite resin (NCR+CTG), a resin-modified glass ionemer cement (RMGI+CTG) and a fluoride-releasing resin material with pre-reacted glass (PRG), called giomer (Giomer+CTG). Periodontal clinical measurements and subgingival plaque samples were obtained from all combined defects at baseline and at 6 and 12 months after the surgery. The number of bacteria were evaluated by the real-time polymerase chain reaction (qPCR) method. Results No statistically significant difference in the amount of DNA copies of Pg, Td and Pi was observed in any of the groups at any time points (p>0.05). In addition, there was no statistically significant difference in the amount of DNA copies of the bacteria at baseline and at 6 and 12 months postoperatively, regardless of treatment group (p>0.05). Conclusion This study suggests that subgingivally placed NCR, RMGI and giomer restorations can show similar effects on periodontopathogenic bacteria in the treatment of gingival recessions that are associated with noncarious cervical lesions (NCCLs).


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Porphyromonas gingivalis/efectos de los fármacos , Prevotella intermedia/efectos de los fármacos , Resinas Compuestas/farmacología , Biopelículas/efectos de los fármacos , Restauración Dental Permanente/métodos , Treponema denticola/efectos de los fármacos , Cementos de Ionómero Vítreo/farmacología , Enfermedades Periodontales/microbiología , Enfermedades Periodontales/prevención & control , Valores de Referencia , Factores de Tiempo , ADN Bacteriano , Estudios Prospectivos , Reproducibilidad de los Resultados , Análisis de Varianza , Resultado del Tratamiento , Porphyromonas gingivalis/genética , Prevotella intermedia/genética , Placa Dental/microbiología , Placa Dental/tratamiento farmacológico , Treponema denticola/genética , Reacción en Cadena en Tiempo Real de la Polimerasa/estadística & datos numéricos , Recesión Gingival/terapia , Persona de Mediana Edad
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