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Avalia??o longitudinal da clorexidina associada ao full-mouth desinfection na mucosite peri-implantar

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Previous issue date: 2015-01-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / A mucosite peri-implantar ? uma inflama??o da mucosa ao redor do implante
em resposta ao ac?mulo do biofilme. Existem diversos protocolos para o tratamento
da mucosite peri-implantar, mas ainda n?o existem evid?ncias consistentes para
escolha de um protocolo. Em virtude disso, esta pesquisa objetiva verificar a efic?cia
longitudinal do uso da clorexidina a 0,12% como um adjuvante ? terapia full-mouth
desinfection da mucosite peri-implantar. Trinta e oito pacientes previamente
diagnosticados com mucosite peri-implantar foram distribu?dos aleatoriamente em
dois grupos. Todos os pacientes receberam o tratamento n?o-cir?rgico associado
(teste, n = 22) ou n?o (controle, n = 16) a clorexidina a 0,12% al?m de instru??o de
higiene bucal individualizada. Os pacientes foram avaliados no baseline, 3, 6, 12 e
18 meses quanto aos ?ndices de placa vis?vel e sangramento gengival, profundidade
de sondagem e sangramento ? sondagem. Os dados foram analisados
estatisticamente pelos testes de Friedman, Wilcoxon, Mann-Whitney, Correla??o de
Spearman e Qui-quadrado, utilizando um ? de 5%. A an?lise intragrupo mostrou que
ambos os tratamentos propostos foram eficazes na redu??o dos ?ndices de placa
vis?vel e sangramento gengival, profundidade de sondagem e sangramento ?
sondagem (p<0,05). No entanto, nenhum dos grupos alcan?ou resultados superiores
em rela??o ao outro. Conclui-se que a terapia mec?nica por si s? ? eficaz na
redu??o dos par?metros cl?nicos analisados e que, como os grupos tornaram-se
iguais pelo fato do efeito da clorexidina n?o mais existir, a terapia de suporte periimplantar
fora eficiente em reduzir os ?ndices de placa vis?vel e sangramento
gengival, profundidade de sondagem e sangramento ? sondagem ao final do estudo / The peri-implant mucositis is an inflammation of the mucosa around the
implant in response to the accumulation of biofilm. There are many protocols for the
treatment of peri-implant mucositis, but are not consistent evidence for selecting a
protocol. As a result, this research has evaluated the longitudinal effectiveness of use
of chlorhexidine 0.12% as an adjunct to full-mouth desinfection therapy peri-implant
mucositis. Thirty-eight patients previously diagnosed with peri-implant mucositis were
randomized into two groups. All patients received non-surgical treatment associated
(test, n = 22) or not (control, n = 16) to 0.12% chlorhexidine plus individualized oral
hygiene instruction. Patients were evaluated at baseline, 3, 6, 12 and 18 months as
the visible plaque index, gingival bleeding, probing depth and bleeding on probing.
Data were statistically analyzed by Friedman, Wilcoxon and Mann-Whitney test,
Spearman correlation and chi-square test, using a ? 5%. The intra-group analysis
showed that both the treatments were effective in reducing visible plaque indices,
gingival bleeding, probing depths and bleeding on probing (p <0.05). However, none
of the groups achieved superior results relative to each other. It was concluded that
the mechanical therapy alone is effective in reducing the clinical parameters
analyzed and, as groups become equal because the effect of chlorhexidine not exist,
supportive therapy peri-implant was effective in reducing the visible plaque index,
gingival bleeding, probing depth and bleeding on probing at the end of the study.

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19742
Date29 January 2015
CreatorsCosta, Anderson Nicolly Fernandes da
Contributors02569549410, http://lattes.cnpq.br/4649601602612601, Lins, Ruthineia Di?genes Alves Uch?a, 87808838420, http://lattes.cnpq.br/4462076152744400, Pimentel, Suzana Peres, 11987406800, http://lattes.cnpq.br/0654583107860289, Gurgel, Bruno C?sar de Vasconcelos
PublisherUniversidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, UFRN, Brasil
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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