RESUMO
Objective@#To explore the application and effect of the PDCA cycle nursing management model in the treatment of peri-implant mucositis.@*Methods @#Thirty patients with peri-implant mucositis were treated nonsurgically. Before treatment, the 30 patients had no history of systemic diseases, drug allergies, or bad habits. According to the principle of single-blind randomized control, the patients were divided into two groups: 15 patients were assigned to the control group and received routine clinical nursing and oral hygiene education according to the doctor′s prescription; and 15 patients were assigned to the intervention group, in which the PDCA cycle nursing management model was adopted. The four steps of “plan, do, check and act” were carried out. The plaque index (PL), gingival index (GI) and probe depth (PD) in the two groups were recorded before treatment and 3 and 6 months after treatment.@*Results@# There was no significant difference in the PL, GI or PD between the intervention group and the control group before treatment (P > 0.05). Three months after treatment, the PL in the intervention group was 1.25 ± 0.44, while the PL in the control group was 1.49 ± 0.39, with a significant difference (t=2.56, P=0.008); the GI in the intervention group was 1.21 ± 0.43, while the GI in the control group was 1.56 ± 0.37, with significant difference (t=2.94, P=0.006); and the PD in the intervention group was 4.39 ± 0.41 while the PD in the control group was 4.47 ± 0.52 mm, with no significant difference (t=2.24, P=0.062). Six months after treatment, the PL in the intervention group was 1.26 ± 0.48, while the PL in the control group was 1.51 ± 0.42, with a significant difference (t=2.66, P=0.007); the GI in the intervention group was 1.34 ± 0.28, while the GI in the control group was 1.74 ± 0.48 (t=2.98, P=0.008); and the PD in the intervention group was 4.46 ± 0.52 mm, while the PD in the control group was 4.54 ± 0.66, with no significant difference (t=2.28, P=0.077).@*Conclusion @#The PDCA cycle nursing management model can enhance patients′ awareness of oral health maintenance, reduce gingival plaque accumulation, and effectively improve the health status of peri-implant tissues.
RESUMO
A reabilitação com implantes tornouse uma prática conceituada e viável na Odontologia. Atualmente não há questionamentos sobre sua alta taxa de sobrevivência, embora com o passar dos anos, sua taxa de sucesso possa diminuir. O conceito clínico de sucesso é caracterizado pela ausência completa de sinais inflamatórios ao redor dos implantes. Existem poucos estudos avaliando se doença periodontal pode contribuir diretamente a patogênese da mucosite e perimplantite. Entre os fatores clássicos para a ocorrência de doenças periimplantares, destaca se o histórico prévio de tabagismo, diabetes descompensada e doença periodontal. O objetivo deste artigo foi de revisar a literatura procurando demonstrar uma possível associação da periodontite com doenças Peri-implantares
Oral rehabilitation with dental implants has became a practicable and worthy pratice in dentistry. Nowadays, there is no doubt about its high succesfull rate level, although its level can decrease within the years to come. The clinical concept of succes can be defined as the complete lack of inflammatory signs around the implant. There are few studies evaluating if periodontal desease can directly affect mucositis and periimplantitis. Among with all the classic causes of periimplant deaseases, smoking history, descompensated diabetes and periodontal desease stand out as the most important of them. The main goal of this article is to revise the literature looking for a way to present a possible relation between periodontitis and periimplant deseases