Saúde bucal da população carcerária: Levantamento epidemiológico

A saúde bucal de pessoas privadas de liberdade tem se apresentado de forma precária como resultado da negligência anteriormente a prisão, bem como pelos escassos seviços odontológicos prestados quando no ambiente prisional. Objetivo: Avaliar a condição bucal de perivados de liberdade, em uma penitenciária do estado do Pará, analisando a experiência de cárie dentária e perda dentária, o uso e a necessidade de reabilitação protética e a utilização de serviços odontológicos. Método: Trata-se de uma pesquisa de campo, através de um estudo epidemiológico descritivo, de delineamento transversal e abordagem quantitativa. A amostra selecionada foi composta de 104 indivíduos. O instrumento de coleta de dados foi elaborado a partir do formulário utilizado na pesquisa nacional de saúde bucal-SB Brasil 2010, com adaptação para aplicação em população carcerária. Resultados: Analisando-se as características sociodemográficas e condenatórias, observou-se que na faixa etária compreendida entre 18 a 34 anos, 75,96% dos detentos encontram-se com o grau de escolaridade até o Ensino Fundamental. Com relação ao tempo de prisão, 50,0% encontram-se reclusos há mais de três anos. Quanto à utilização de serviços odontológicos, 75,0% não foram atendidos no próprio sistema prisional, 10,0% nunca foram ao dentista e 100% dos detentos nunca receberam orientação de saúde bucal. Referente ao motivo da consulta, 66,4% ocorreram com exodontia. Com relação ao uso de prótese, 92,31% não utilizam, embora 90,31%, ou seja, a grande maioria necessite. Ao que concerne à experiência de cárie por faixa etária resultou: 18 a 34 anos (CPO-D 4,04); 35 a 44 anos (CPO-D 7,58) e 45 ou mais (CPO-D 14,25), verificando-se que o componente perdido foi a mais prevalente em todas as faixas. O CPO-D total foi de 5,25. Conclusão: Apesar de diversos estudos comprovarem um declínio considerável na prevalência de cárie dentária e perdas de dentes na maioria da população brasileira, o estudo mostrou que a saúde bucal dos indivíduos privados de liberdade é de grande preocupação, principalmente se considerarmos o aumento do número dessa população nos últimos anos.

Uso de toxina botulínica tipo a para correção de assimetria facial: Relato de caso

Objetivo: A eficácia da toxina botulínica tipo A (BTX-A) no tratamento da hiperfunção muscular na região orofacial, para correção de assimetria. Métodos: Relato de caso clínico: Paciente TSB, 19 anos, leucoderma, procurou tratamento devido perceber que ao falar e ao sorrir seu nariz e sua boca iam mais para o lado esquerdo, algo que a incomodava muito e as vezes causava constrangimento, principalmente ao tirar fotos. Após avaliação cuidadosa, verificou-se que em repouso, a paciente aparentava normalidade, mas ao falar e ao sorrir havia um desvio visível de nariz e lábios para o lado esquerdo, que indicava a hiperfunção dos músculos: levantador de lábio superior e asa do nariz, nasal (parte transversa), levantador de lábio superior, zigomático maior e zigomático menor. Deste modo, optou-se pela utilização da toxina botulínica tipo A como tratamento para a hiperfunção deste grupo de músculos que provocava assimetria do sorriso e desvio de nariz para o lado esquerdo. Resultados: Após três dias de aplicação da toxina botulínica tipo A, observou-se uma diferença positiva em sua face e, após dez dias, o resultado foi satisfatório, deixando o sorriso simétrico e nariz sem desvio para o lado esquerdo. Conclusão: O uso da toxina botulínica tipo A é um tratamento eficaz, seguro, que apresenta sucesso em tratamentos de hiperfunção muscular que provocam assimetria facial.

Aspectos sistêmicos e odontológicos de portadores de paralisia cerebral

A paralisia Cerebral (PC) pode ser considerada um grupo de desordens do desenvolvimento do movimento e da postura, e é atribuída a distúrbios não progressivos que ocorreram no cérebro durante o período fetal e no bebê, resultando em dificuldades nas habilidades funcionais. Estes déficits funcionais, via de regra, provocam repercussões na qualidade da saúde bucal e na qualidade de vida destes pacientes. O presente artigo realiza uma revisão de literatura sobre os aspectos sistêmicos e odontológicos de indivíduos portadores de paralisia cerebral, enfatizando aspectos conceituais, epidemiológicos e clínicos, com a finalidade de transmitir conhecimento aos profissionais da saúde e com isso tentar melhorar atenção à saúde geral nesse grupo populacional. Entretanto concluiu-se que não basta transmitir conhecimento faz-se necessário também a implementação de políticas públicas que contemplem a promoção, prevenção e melhoria dos serviços especializados para esses pacientes, conjuntamente com ações interprofissionais da saúde que contribuam para a integralidade da assistência e aprimoramento dos serviços.

The influence of chemiotherapic agents and their accessories on oral manifestations of acute lymphoid leukemic children

Aim: To evaluate the influence of chemotherapy agents and their accessories on oral manifestations of children who have acute lymphoid leukemia. Material and Methods: After the stipulated period for the research, the total sample reached was of 68children. Nevertheless, only 46 children had continued for the second period. Children from 2 to 12 years of age who had been diagnosed with ALL ­ and would be submitted to treatment at Ophir Loyola Hospital, in Belém, State of Pará ­ had been included in the research. The first evaluation has been held before the chemotherapy treatment and had offered anamnesis and clinical exams. The second evaluation has been held in 10 to 15 days after the beginning of chemotherapy treatment and has offered a new clinical exam and annotations of the drugs which had been utilized during the chemotherapy. Results: From the drugs given at Ophir Loyola Hospital, it has been observed that 14 to 24mg (83%), vincristine 0,6mg to 1 g (80%), ARA-C 20mg to 1600mg (74%), cardioxane13mg to 340mg (65%), methotrexate 12mg to 2400mg (63%), cyclophosphamide 104mg to 1540mg (59%), asparaginase 50UI to 9600UI (57%) andmesna 75mg to 510mg (54%) have been used the most. No drug has presented statistic at 5% levelin Fisher exact test, when crossing with the presence of the main mouth manifestations: mucositis, xerostomia, toothache,and dysphagia. Conclusions: In the face of the results, it can be concluded that there has been no influence of the chemotherapy agents and their accessories in the oral manifestations of acute lymphoid leukemic children; nevertheless, these patients may present any kind of lesion on the mouth cavity during or after the beginning of chemotherapy. The dental surgeon needs to recognize the oral manifestations and intervene on the buccal health of the ALL patients, contributing and helping with his/her treatment.

Guided bone regeneration associated with L- PRF vertical bone gain: A case report

Every day have been increased the number of patients in the dental office looking for oral reabilitações, many of them being a challenge to the dentist surgeon. Currently, implants are installed on guided bone regeneration, the use of membranes, titanium threads and bone substitutes are key parts for correcting bone defects and to support the implant. Thereunto, the aim of this study was the description of a case addressing the methods and materials used for guided bone regeneration with the use of L-PRF for vertical bone gain. The patient showed the absence of the elements 22, 23 and 24, and a bony defect arc in this region. The installation of the implants, followed by guided bone regeneration support with a titanium mesh was indicated. The use of guided bone regeneration technique involving the mesh titanium implants, bone and lyophilized bovine L-PRF membrane showed a viable technique, the succeeding vertical bone gain until the implant platform.

Dermabrasion depigmentation for the treatment of gingival dyschromia caused by racial melanosis. A case report comparing two techniques

Aim: The aim of this paper is to describe a clinical case in which the patient's gingival melanin pigmentation was treated using diamond burs and scalpels. Case report: The present study describes a periodontal plastic surgery procedure to correct or improve the amount of gingival melanin pigmentation apparent on mandibular and maxillary arch of the patient. Conclusions: After the surgical procedure successfully performed, and considering the high degree of satisfaction of the patient, the author concluded that the studied technique is easy to perform and stands out because of the excellent results achieved.

Pediatric cancer: epidemiologic profile of attended children in a reference center in the state of Para

Aim: To describe the epidemiological findings of children diagnosed with cancer in a referral center. Material and Methods: Daily at Ophir Loyola Hospital visits were made - Belém / PA, in clinical pediatric oncology sector, from December 2013 to June 2014. The sample comprised 46 children 2-12 years, diagnosed with cancer, which was already or would begin anticancer treatment. A questionnaire containing questions about family, socioeconomic and environmental aspects was applied.. Results: The most frequent neoplasia LLA was followed by nephroblastoma, neuroblastoma, Hodgkin lymphoma, and osteosarcoma. The genre most affected by childhood cancer was male. The age group with the predominant prevalence were children aged 8-12 years. By observing the religious belief that it was possible to detect most practiced Catholicism. The practice of sports is not part of the daily lives of these children. The origin of these families had dominated for deriving from the state. As the rating distribution of households according to the Economic Classification Criterion Brazil, the two classes were most frequently C2 and D. Conclusions: We sought, in this article, to demonstrate the epidemiological profile of children seen at a referral center in the state of Para. Research like this, identifying population groups at highest risk or with more unfavorable prognosis, provide health authorities and researchers in the area of cancer with an important instrument in the definition of health necessary for proper control and prevention of the disease.

The caries experience and dentistry following evaluation of children submitted to antineoplastic therapy

Aim: To evaluate the caries experience and the dentistry following of children submitted to antineoplastic therapy of a reference Hospital to this type of treatment in Para state, Brazil. Material and Methods: The sample consisted of 46 children. It was included children in the ages of 2 to 12 years diagnosed with cancer that would be submitted to chemotherapy treatment. The evaluation was performed before the chemotherapy treatment and consisted of anamnesis and oral clinical examination. In order to decrease the interexaminer diagnosis variability and increase the data surveys confidentiality, a previous training and calibration was performed before the beginning of the examination. Results: There was a higher prevalence of childish cancer among male gender children. The age group more affected was between 8 to 12 years. There was a bigger percentage of patients that didn't go to the dentist before the chemotherapy treatment. The children caries experience was evaluated by the CPO-D and medium Ceo-d indexes, obtaining respectively the values of 4,75 and 0,47. Conclusions: The initial caries experience was high comparing to the international and Brazil average. Most of researched children didn't have a previous dentistry care before the beginning of antineoplastic therapy.

Oral Manifestations and Salivary pH Changes in Children undergoing Antineoplastic Therapy

Objective: To identify the oral manifestations and salivary pH before and after chemotherapy in pediatric patients. Material and Methods: The sample consisted of 46 children. It was included children from 2 to 12 years, diagnosed with Acute Lymphoblastic Leukemia (ALL) and they would be subjected to chemotherapy. The first evaluation was performed before chemotherapy and consisted of anamnesis, oral clinical examination and saliva collection to measure the pH. The second evaluation was performed among 10 to 15 days after the start of chemotherapy treatment and consisted of new saliva collection and clinical examination. Results: The results showed that the gender most affected by childhood cancer was male. The predominant age group were children aged 8-12 years. The most frequent oral manifestations were mucositis (35%), xerostomia (26%), toothache and dysphagia (22%). There was also a significant reduction in salivary pH after chemotherapy, p <0.0001, indicating that the average pre and post chemotherapy are different (Δ = 10.6) with statistical significance at the 5% level. Conclusion: Patients with ALL can present any lesion in the oral cavity during or after the start of chemotherapy and undergo changes in the amount of salivary pH. The dentist needs and know the oral manifestations and intervene in the oral health of patients with ALL, contributing and assisting in their treatment.

Estimate of age through the analysis of x-ray of third molar and hand and wrist: case reports

The Forensic Anthropology and Forensic Dentistry, in one of its branches, aim to base skills making possible to estimate the age period for an individual, through factors such as tooth mineralization and bone development. This paper aims to report on two cases from Scientific Expertise Center - Renato Chaves, Belém- PA, where two individuals after committing crime, were referred to under 18s without supporting documents. Through data collected in the archives of the Scientific Expertise Center, an analysis of the mineralization of the teeth were made, highlighting the third molars by panoramic radiography; as well as the study of bone development of the hands and wrists of individuals through radiographs. After, the analysis was compared to surveys conducted by Nicodemos, Moraes and Médici-Filho, befitting the chronology of mineralization of permanent teeth among Brazilian citizens together with the work of Greulich-Pyle, Radiographic correlation concerning the chronology of the development of the hand and wrist. As a result of the analysis, it was obtained, for case 01, an estimated age of 17; and for case 02 the estimated age was between 18-19 years.

Dermabrasion depigmentation for the treatment of gingival dyschromia caused by racial melanosis. A case report comparing two techniques

AIM: The aim of this paper is to describe a clinical case in which the patient's gingival melanin pigmentation was treated using diamond burs and scalpels. CASE REPORT: The present study describes a periodontal plastic surgery procedure to correct or improve the amount of gingival melanin pigmentation apparent on mandibular and maxillary arch of the patient. CONCLUSION: After the surgical procedure successfully performed, and considering the high degree of satisfaction of the patient, the author concluded that the studied technique is easy to perform and stands out because of the excellent results achieved.

Study of the relation between platelet count and periodontal condition in patients with immune thrombocytopenic purpura

Immune thrombocytopenic purpura (ITP) is a disease associated to the decrease of platelet count in peripheral blood, with repercussion on the oral cavity, due to the potential risk of spontaneous bleeding or provoking it. The aim of this work was evaluate the relation between the platelet count of chronic IPT patients and their periodontal condition. Thereunto, 31 patients were evaluated; 15 with this pathology (group 1) and 16 Dentistry students with no hematologic disease (group 2). Both groups were examined in their periodontal condition through gingival condition index (G), periodontal attachment loss (P) and gingival recession (R), as well as blood tests were performed to verify the platelet count, further a questionnaire on the socioeconomic aspects, access to dentistry services and mouth health self-perception. It was observed that 68.8% of IPT patients' mouth sextants presented some degree of gingivitis, despite some 16.8% manifested loss of periodontal insertion. Gingival retraction occurred in only 2 patients of the group 1, and the average measure for this event in this group was 0.22mm. The questionnaires applied allowed characterizing the sample of the group 1 as low income and low education in relation to the group 2, but with need of dental treatment. We concluded, therefore, there was no direct relation between the platelet count of IPT individuals when the intraoral test was performed, and their periodontal conditions received the indexes "G", "P" e "R".

Analysis of the relation of intrauterine digital sucking with the permanence of the habit in the post birth child

AIM: This research aims to investigate the development of this habit's appearance, which may be observed even at the intrauterine stage and which also persists for a long time. MATERIAL AND METHODS: 25 gestations that presented children practicing intrauterine digital sucking habits were followed-up. The initial analysis was accomplished through routine ultrasound examination, using pregnant women between the 4th and 8th gestation months who visited João de Barros Barreto University Hospital. Detecting this habit, every quarter an afterbirth accessory was carried out,over a 1 year period, in order to observe the habit's persistence. This phase was developed in the Dental Office of the Brasil Sorridente Program. Statistical analysis were carried out regarding the obtained outcomes using the described statistics and inferential methods, and the Chi-square test with 5% significance level was applied. RESULTS: This research observed that 72% of babies were male gender and 28% female gender, 68% of babies persisted with the digital sucking habit 1 month afterbirth, 72% until the second month, 56% until the fifth month and 48% until one year old. Assessing the habit's post natal persistence according to gender, the binominal test was applied which was significant (p=0.0186). It was concluded that the number of male babies with digital sucking habit was above the female gender (p=0.0455), the habit's persistence was reduced by 50% when compared with the first month, however, the p=0.2474 indicates that the reduction was not significant. CONCLUSION: Our outcomes cannot be generalized; however they can be used as a base for future research in this area.

Esthetic crown lengthening: a case report

The periodontal plastic surgeries have been valued and sought by people who claim they want to correct "gummy smile", which happens when one has expose more gum than teeth when smiling. There are many causes for the gummy smile, this scientific article covers four cases of altered passive eruption of the teeth with excess keratinized gingiva. The harmonic smile disturbed aesthetic is a discomfort that troubles many people, especially women. Based what has been discussed so far, this paper has as main objective report clinical cases of esthetic periodontal surgeries osteoplasty made by undergraduate students of the dentistry program. Such techniques promote a more adequate dental exposure and create anharmonical smile on the patient. The cirurgical procedures were indicated based on the analysis of the smiles. After the procedures were made, we conclude the techniques used were suitable based on the satisfaction of the patient and that they were easy to execute in order to obtain an aesthetic smile.

Treatment of excessive gingival display using lip repositioning technique: a case report

The gummy smile is becoming one of the most frequent complaints reported by patients unhappy with your smile. According to the etiology, will be proposed various treatments. The purpose of this case report is to describe the lip repositioning technique, softening the gummy smile of the patient. It concludes that the lip repositioning technique is suitable for the correction of the gummy smile.

Cirurgia periodontal estética em dentes anteriores / Esthetic periodontal surgery in anterior teeth

As cirurgias pl sticas periodontais vˆm sendo muito valorizadas e cada vez mais procuradas por pessoas que alegam querer corrigir o “sorriso gengival”, que ocorre quando ao sorrir, mostram mais gengiva do que os dentes. Existem diversas causas para o sorriso gengival, e este artigo aborda um caso de erup‡Æo passiva alterada dos dentes com excesso de gengiva ceratinizada. Um comprometimento do sorriso harm“nico ‚ um desconforto est‚tico que incomoda principalmente as mulheres. Diante dos fatos, este trabalho tem como objetivo relatar um caso cl¡nico de cirurgia est‚tica com osteoplastia. Essas t‚cnicas promovem uma exposi‡Æo dent ria mais adequada proporcionando um sorriso mais harm“nico ao paciente. O presente caso ‚ de uma paciente do sexo feminino, 23 anos, que queixava-se da insatisfa‡Æo que o sorriso gengival a proporcionava. Atrav‚s da an lise do sorriso foi indicado o procedimento cir£rgico. Ap¢s o procedimento cir£rgico, p“de-se concluir atrav‚s do grau de satisfa‡Æo da paciente que as t‚cnicas empregadas foram adequadas para se obter um sorriso est‚tico.

Periodontal plastic surgery have been highly valued and increasingly sought by people who want to fix the “gummy smile”. There are several causes for gummy smile, and this article will discuss a case of altered passive eruption of teeth with excessive keratinized gingiva. An aesthetically compromised smile bothers mostly female patients. Given the facts, this paper aims to report a case of clinical cosmetic surgery with osteoplasty. These techniques promote a more adequate dental exhibition providing a more harmonious smile to the patient. This case was a 23 years old female patient, displeased with her gummy smile. After the analysis of the smile, surgical treatment was indicated. After surgery it was concluded that, according to the patient’s satisfaction, the utilized techniques were adequate to obtain an aesthetically harmonious smile.

Conhecimento de estratégias pedagógicas no processo ensino – aprendizagem dos alunos do curso de Odontologia / Knowledge on strategies in the teaching learning process of Dentistry students

Este estudo teve como objetivo realizar um levantamento acerca da opinião de alunos regularmente matriculados nos cursos de graduação em Odontologia de duas Instituições de Ensino Superior, pública e particular respectivamente, em relação à prática didático-pedagógica docente adotada atualmente. Foram aplicados questionários acerca das atuais estratégias de ensino aprendizagem para os discentes selecionados, avaliando os seguintes pontos: requisitos que deve possuir um bom professor, atitudes do professor que podem prejudicar a sua relação com o aluno, tempo ideal de uma aula expositiva, responsabilidade no processo de aprendizagem, recursos didáticos e procedimentos em aulas práticas. Os dados foram obtidos por meio de entrevista semiestruturada com 62 alunos de instituição privada e 82 alunos de instituição pública, que foram realizadas no período de dezembro de 2010 a janeiro de 2011. Para análise estatística dos dados registrados, utilizou-se o teste estatístico de Qui-Quadrado de homogeneidade, com nível de significância de 5%. Dentre as conclusões verificadas, pode-se destacar que a estratégia de ensino mais eficiente de acordo com os dois grupos de alunos ainda é a aula expositiva dialogada; alunos da Instituição pública afirmaram que ter segurança, clareza e objetividade são os requisitos mais importantes que o professor deve ter, enquanto os alunos da Instituição particular afirmaram que o requisito principal é ter conhecimento e titulação (mestrado e doutorado). As piores atitudes de um professor escolhidas por ambas as instituições foram falta de pontualidade e assiduidade; houve divergências sobre o tempo ideal para aula expositiva.

This study aimed to conduct a survey about the opinion of dentistry students of a public and a private institution, regarding the teaching strategies currently applied. The selected students answered a questionnaire about the teaching-learning evaluating the following aspects: requirements of a good teacher, attitudes that may harm the student-teacher relationship; ideal duration of a lecture; responsibility learning process, teaching resources, and procedures in practical classes. Data were collected through semi-structured interviews conducted between December 2010 and January 2011, with 62 students from private institutions and 82 students from public institutions. For statistical analysis it was used the statistical the ChiSquare test of homogeneity with a significance level of 5%. Among the findings it was verified that a lecture open to dialogue is still the most effective teaching strategy according to both groups of students; students from public institution said that having clarity and objectivity are the most important requirement that teacher should have; as those from private institution said the main requirement is to have knowledge and degrees (Masters and Doctoral). The worst attitudes pointed out by both groups were: lack of punctuality and attendance. There were disagreements regarding the ideal time to lecture

Reimplante dentário na dentição decídua: uma alternativa de sucesso – relato de caso / Tooth replantation in primary dentition: a successful choice - case report

A literatura ‚ muito controversa ao descrever os reimplantes de dentes decíduos.  um procedimento desencorajado pela maioria por poder causar danos ao sucessor permanente. O presente trabalho apresenta e discute relatos de sucesso de reimplantes na dentição decídua, bem como aborda sua técnica, suas indicações, contraindicações e possíveis sequelas. Frentes diversas condutas em relação … avulso de um dente decíduo, observa-se que são necessários mais estudos para que se possa obter êxito em um número maior de casos

Literature is very controversial while describing the replantation of primary teeth. This procedure is commonly discouraged due to the possibility of causing damage to its permanent successor. This article presents and discusses reports of successful replantation in primary dentition, and also discusses the technique, its indications and contraindications as well as possible sequels. Considering the different approaches after a deciduous tooth avulsion, it was observed that further researches are required to ensure successful procedures

Análise dos traumas de face que acometem mulheresvítimas de violência doméstica / Analysis of facial trauma affecting women victims of domestic violence

O presente trabalho visa tratar as informaçõessobre os mais diversos tipos de violências, acometidoscontra a mulher, tendo como locus depesquisa a DEAM, Delegacia Especializada deAtendimento à Mulher, nos anos de 2009/2010,no município de Belém, Estado do Pará. Verificouse210 laudos periciais. Observou-se que as agressõesacontecem por meio da violência física direta,com socos e pontapés em 50% dos casos, tendocomo região mais acometida a região nasal com35 ocorrências, contabilizando 12% dos casos.Pode ser visto que a faixa etária dos 23 a 36 anosrepresenta 72% das situações de violências. Amaior quantidade de ocorrências registradas estáentre as mulheres casadas. Defende-se, a partirdeste estudo, que as ações contra as violênciasdevam ser assumidas por todas as políticas sociaise por todos na sociedade, visto que os serviços estataisprecisam passar por ações de investimentos,seja de infraestrutura, seja de formação continuadapara os seus profissionais.

This paper aims to deal with the informationabout the various types of violence, againstwomen committed, with the locus of theDEAM, Specialized Police for Assistance toWomen in the years 2009/2010, the city ofBelem, state of Para, was chosen to performa descriptive study of the forensic reports.There were 210 expert reports analyzed. Itwas seen that the attacks occur through directphysical violence, with punches and kicksin 50% of cases, and in the nasal regionwith 35 occurrences, accounting for 12% ofcases. It can be seen that the age group of23-36 years represents 72% of cases of violence.The biggest victims are among marriedwomen. It is argued, from this study that theactions against violence should be taken byall social policies and for all in society, sincethe state services must go through stockinvestments, or infrastructure is continuingeducation for professionals.

Efetividade clínica de um enxaguatório bucal fitoterápico com tintura padronizada de Calendula officinalis na manutenção da saúde periodontal / Clinical efficacy of a phytotherapic mouthrinse with standardized tincture of Calendula officinalis in the maintenance of periodontal health

Introdução: Várias pesquisas demonstram a eficácia dos fitoterápicos contra diversos microrganismos orais e, consequentemente, seus benefícios na saúde bucal de indivíduos. Objetivo: Dessa forma, foi desenvolvida uma pesquisa clínica a fim de verificar o desempenho de um enxaguatório bucal fitoterápico, contendo tintura padronizada de Calendula officinalis, na melhora da saúde periodontal de indivíduos, e compará-lo ao desempenho de um colutório com clorexidina a 0,12%. Metodologia: A pesquisa foi realizada com 40 participantes (12 homens e 28 mulheres, com média de idade de 29,62 anos) com periodontite crônica. Os parâmetros clínicos utilizados foram: nível clínico de inserção, sangramento marginal, Índice de Placa de O´Leary e Índice Gengival. Os indivíduos receberam instruções de higiene oral e, posteriormente, foram distribuídos em dois grupos para a realização de bochechos: um com solução com clorexidina (grupo C) e o outro com a solução contendo o fitoterápico (grupo F). Os participantes de ambos os grupos realizaram bochechos três vezes por semana durante duas semanas, mas antes passaram por procedimentos de raspagem e alisamento coronorradicular. Resultado: Os resultados foram submetidos a dois testes, Wilcoxon e Mann-Whitney, com o nível de significância alfa = 5%, e mostraram que o desempenho de ambos os enxaguatórios foi semelhante na maioria dos parâmetros analisados; a diferença foi significativa apenas quanto ao Índice Gengival, no qual a clorexidina demonstrou desempenho superior ao do fitoterápico (p = 0,02). Conclusão: Portanto, o enxaguatório fitoterápico pode ser sugerido, também, como uma solução inovadora que atua promovendo benefícios adicionais à melhoria da saúde periodontal. Porém, sugerem-se mais estudos acerca do assunto.

Introduction: Several studies demonstrate the efficacy of herbal medicines against various oral microorganisms and, consequently, their benefits in oral health of people. Objective: Thus, it was developed a clinical research to verify the performance of a phytotherapic mouthrinse containing standardized tincture of Calendula officinalis, in improving the periodontal health of individuals and compare it to the performance of a mouthwash with chlorhexidine 0.12%. Methodology: The survey was conducted with 40 participants (12 men and 28 women, mean age 29.62 years) suffering from chronic periodontitis. The clinical parameters used were: clinical attachment level, marginal bleeding, Plaque Index of O´Leary and Gingival Index. Patients received oral hygiene instructions, therefore, were distributed into two groups for the realization of mouthwash, with a chlorhexidine solution (group C) and the other with a solution containing the phytotherapic (group F). Both subjects rinsed three times per week for two weeks, but before, they received the procedures of scaling and root planning. Result: The results were submitted to a two tests, Wilcoxon and Mann-Whitney, with the significance level alfa = 5%, and it showed that the performance of both rinses were similar in most parameters (p > 0.05), the difference was significant only on the Gingival Index, which outperformed the chlorhexidine to the calendula (p = 0.02). Conclusion: Therefore, the phytotherapic mouthwash may be suggested also as an innovative solution that works by promoting additional benefits to improve periodontal health. However, it is suggested further studies on the subject.