RESUMO

Objetivo: Validar el contenido de un cuestionario de auto-reporte en español para explorar actitudes, prácticas y barreras de odontólogos no especialistas en periodoncia frente al diagnóstico y tratamiento de problemas periodontales y criterios para derivar. Materiales y métodos: Seis especialistas en periodoncia de cinco países latinoamericanos construyeron versión#1 de un cuestionario. 21 expertos de tres áreas disciplinares de 6 países valoraron de 1 a 5 (1: totalmente en desacuerdo, 5: totalmente de acuerdo) cada ítem en su pertinencia, relevancia, claridad y coherencia. Según grado de acuerdo se reformuló cada ítem y se construyó versión#2 que fue piloteada en 60 odontólogos no especialistas en periodoncia, 3 de ellos fueron entrevistados para evaluar la comprensión y semántica. Luego del análisis se elaboró la versión final (versión#3). Resultados: Los ítems formulados de versión#1 tuvieron una valoración promedio de 4,6 (rango 3.7-5). Fueron reformulados evitando palabras confusas y que tuvieran aceptación transversal en países participantes, se eliminó ítem con menor puntuación de acuerdo de expertos. La aplicación de versión#2 tuvo un tiempo de respuesta de 12 minutos, se reformularon opciones y agregaron 4 ítems para obtener la versión final con 44 preguntas. Conclusiones: Se construyó un cuestionario de auto-reporte con validez de contenido para evaluar actitudes y prácticas en salud-enfermedad periodontal en odontólogos generales o no especialistas en periodoncia de habla hispana.

Aim: T o validate the content of a self-report questionnaire in Spanish to explore attitudes, practices and barriers of dentists non-specialized in periodontics when facing the diagnosis and treatment of periodontal problems and criteria for referral. Materials and methods: Six specialists in periodontics from five Latin American countries constructed version#1 of a questionnaire. Twenty-one experts from 3 disciplinary areas from 6 countries rated each item from 1 to 5 (1: totally disagree, 5: totally agree) regarding its appropriateness, relevance, clarity, and coherence. According to the degree of agreement, the item was reformulated, and version #2 was built, which was tested on 60 dentists non-specialized in periodontics. Then, 3 of them were interviewed to assess comprehension and semantics. After analysis, the final version was prepared (version#3). Results: The items formulated in version#1 had an average score of 4.6 (range 3.7-5). Questions and options were reformulated, avoiding confusing words and having transversal acceptance in the participating countries. The items with the lowest degree of expert agreement were eliminated. The application of version#2 had a response time of 12 minutes, options were reformulated, and 4 items were added to obtain the final version with 44 questions. Conclusions: A self-report questionnaire with content validity was constructed to assess attitudes and practices in periodontal health and disease in Spanish-speaking general dentists or non-specialists in periodontics.

RESUMO

Introduction: The objective of the present study was to evaluate the severity of periodontal disease in a population of adults with gingival or periodontal disease who assist at the periodontics service of the Faculty of Dentistry of the National University of Rosario. Methods: The study evaluated the periodontal conditions in smokers and non smokers. The sample consisted of 400 individuals: 268 non-smokers (NS) and 132 active smokers (S). The classification of gingival and periodontal diseases was based on the criteria of the American Association of Periodontology (2017), recruiting patients with diagnoses of gingivitis, stage II, III and IV of periodontitis. Each one of these pathologies was related to the different age groups to assess the risks of clinical attachment loss. The periodontal variables studied were: probing depth (PD), attachment level (AL), number of teeth present (TP), oral hygiene index (OHI), tooth mobility (M) and bleeding on probing (BOP). A multivariate analysis was also carried out to determine the degree of responsibility of the different risk factors, such as age, gender, being a smoker and the years of that habit duration, in relation to the extent and severity of the periodontal disease . Results: Twenty-nine per cent of women and fourty percent of men were smokers. The periodontal variables in the groups of S and NS behaved in the following way: PD for NS 4.19 (± 0.67), and for S 5.37 (±0.64) ; AL for NS 3.43 (±1.28), and for S 4.30 (±1.43); BOP for NS 41 (±23.76), and for S 43.28 (±23.56); OHI for NS 1.75 (±0.61), and for S 1.82 (±0.53); TP for NS 21.38 (±6.13), and for S 21.20 (±6.60) ; and M for NS 1.65 (±0.74), and for S 2.10 (±0.65). Conclusion: Stage II and III of periodontitis behaved similarly in both groups, but when we analysed stage IV of periodontitis, it was more prevalent in smokers, regardless of their age. When the population was stratified according to the age of the individuals, stage IV of periodontitis was more prevalent in older people who did not smoke and in young individuals under 40 who had the habit. PD, CAL and M periodontal variables were found with more severe values in the S group.

Introdução : O objetivo do presente estudo foi avaliar a gravidade da doença periodontal em uma população de adultos com doença gengival ou periodontal que atende no serviço de periodontia da Faculdade de Odontologia da Universidade Nacional de Rosario. Métodos : O estudo avaliou as condições periodontais em fumantes e não fumantes. A amostra foi composta por 400 indivíduos: 268 não fumantes (SN) e 132 fumantes ativos (E). A classificação das doenças gengivais e periodontais foi baseada nos critérios da American Association of Periodontology (2017), recrutando pacientes com diagnóstico de gengivite, estágio II, III e IV de periodontite. Cada uma dessas patologias foi relacionada às diferentes faixas etárias para avaliar os riscos de perda de inserção clínica. As variáveis periodontais estudadas foram: profundidade de sondagem (DP), nível de inserção (AL), número de dentes presentes (TP), índice de higiene bucal (IOH), mobilidade dentária (M) e sangramento à sondagem (BOP). Uma análise multivariada também foi realizada para determinar o grau de responsabilidade dos diferentes fatores de risco, como idade, gênero, ser fumante e os anos de duração desse hábito, em relação à extensão e gravidade da doença periodontal. Resultados : Vinte e nove por cento das mulheres e quarenta por cento dos homens eram fumantes. As variáveis periodontais nos grupos de S e NS comportaram-se da seguinte forma: PD para NS 4,19 (± 0,67) e para S 5,37 (± 0,64); AL para NS 3,43 (± 1,28) e para S 4,30 (± 1,43); BOP para NS 41 (± 23,76) e para S 43,28 (± 23,56); OHI para NS 1,75 (± 0,61) e para S 1,82 (± 0,53); TP para NS 21,38 (± 6,13) e para S 21,20 (± 6,60); e M para NS 1,65 (± 0,74) e para S 2,10 (± 0,65). Conclusão : Os estágios II e III da periodontite se comportaram de maneira semelhante nos dois grupos, mas quando analisamos o estágio IV da periodontite, esta foi mais prevalente em fumantes, independentemente de sua idade. Quando a população foi estratificada de acordo com a idade dos indivíduos, o estágio IV da periodontite foi mais prevalente em pessoas idosas que não fumavam e em indivíduos jovens com menos de 40 anos que tinham o hábito. As variáveis periodontais PD, CAL e M foram encontradas com valores mais severos no grupo S.

Assuntos

RESUMO

Objective: To compare the effectiveness of two combined non-surgical periodontal therapies from an analysis of the treated tooth surface using optical microscopy (OM) and scanning electron microscopy (SEM). Methods: Thirty patients were selected with moderate to severe periodontal disease and indicating at least one piece for extraction due to poor prognosis. A clinical study with a split-mouth, randomized, double-blind design was performed. Two combined treatment modalities were compared: Cavitron Bobcat™+ completion with Gracey Curettes (G1); EMS™ + completion with Gracey curettes (G2). The treatment was performed until a smooth surface was obtained and no residual calculus was present, which was verified by a periodontal probe. The extracted pieces were analyzed by OM and SEM. Periodontal variables were: plaque index (PI), bleeding on probing (BP), probing pocket depth (PPD), clinical insertion level (CIL), gingival recession (GR) were observed before treatment, 3 and 6 months later. The operative time (OT) for each method was also analyzed. The results were compared by ANOVA followed by the Tukey test, setting the significance value at p<0.05. Results: PI, DP, PPD and CIL performed similarly in both groups. GR, determined in mm, was for G1 (0.31) and for G2 (0.46). OT, in minutes per tooth, was for G1 (3.21) and for G2 (3.12). Conclusion: Both treatment modalities favored the resolution of periodontal disease. Piezoelectric ultrasound combined with Gracey curettes produced greater gingival recessions. The surfaces analyzed by OM and SEM did not show statistically significant quantitative or qualitative variations.

Objetivo: Comparar a eficácia de duas terapias combinadas não-cirúrgicas periodontais a partir de uma análise da superfície dentária tratada usando microscopia ótica (MO) e microscopia eletrônica de varredura (MEV). Métodos: Trinta pacientes foram selecionados com doença periodontal moderada a severa e indicando pelo menos uma peça para extração devido ao mau prognóstico. Foi realizado um estudo clínico com desenho duplo-cego, randomizado, com boca dividida. Duas modalidades de tratamento combinadas foram comparadas: Cavitron Bobcat® + completamento com Gracey Curettes (G1); EMS® + conclusão com curetas de Gracey (G2). O tratamento foi realizado até que uma superfície lisa fosse obtida e nenhum cálculo residual estivesse presente, o que foi verificado por uma sonda periodontal. As peças extraídas foram analisadas por MO e MEV. As variáveis periodontais foram: índice de placa (IP), sangramento à sondagem (SS), profundidade de sondagem da bolsa (PSB), nível de inserção clínica (NIC), recessão gengival (RG) antes e 3 e 6 meses. O tempo operatório (TO) para cada método também foi analisado. Os resultados foram comparados por ANOVA seguido do teste de Tukey, estabelecendo o valor de significância em p<0,05. Resultados: PI, SS, PSB e NIC apresentaram desempenho semelhante nos dois grupos. O RG, determinado em mm, foi para G1 (0,31) e para G2 (0,46). TO, em minutos por dente, foi para G1 (3,21) e para G2 (3,12). Conclusão: Ambas as modalidades de tratamento favoreceram a resolução da doença periodontal. Ultra-som piezoelétrico combinado com curetas Gracey produziu maiores recessões gengivais. As superfícies analisadas por MO e MEV não apresentaram variações quantitativas ou qualitativas estatisticamente significativas.

Assuntos

RESUMO

The use of topical NSAIDs to complement periodontal therapy could help resolve the inflammatory process and clinical signs of the disease more rapidly. A randomized clinical trial was performed on 59 patients, of whom 33 had chronic periodontitis and 26 were healthy controls. All diseased patients underwent scaling and root planing in one quadrant per week with subgingival application of gel 48 hours after each session. Gel was applied to healthy patients with the same frequency. Four types of gel were used, containing respectively placebo, acetylsalicylic acid (ASA) 1%, Ketoprofene (KTP) 1% and Ketoprofene 2%. The following clinical variables were studied: probing depth, attachment level, dental mobility, plaque index, gingival index and bleeding on probing; as well as the biochemical variables: bleeding time (Ivy), platelet count in whole blood and platelet-rich plasma, and platelet aggregation induced by different agonists. Regarding clinical results, ASA was the most effective in reducing probing depth, gingival index and bleeding on probing (p < 0.05). KTP 1% and 2% behaved similarly to each other and less effectively than ASA but differed significantly from placebo (p < 0.05). Regarding biochemical tests, ASA had a highly significant inhibitory effect on platelet aggregation for all the agonists used. KTP 2% produced similar though weaker responses. KTP 1% only showed alteration in the first aggregation phase at maximum ADP concentration of and none at the minimum concentration (p < 0.05).

Assuntos

RESUMO

Las enfermedades periodontales constituyen un conjunto completo de afecciones que asientan sobre los tejidos de soporte dentarios. La etiología de las mismas se multifactorial, por lo cual debemos hacer un abordaje integral del paciente para arribar a un certero diagnóstico. Determinadas enfermedades sistémicas autoinmunes han sido relacionadas a manifestaciones bucales y periodontales. En este caso clínico, presentamos un cuadro de periodontitis agresiva asociada a la dermatomiositis. Hasta ahora, no existe aún una clasificación de enfermedades periodontales universalmente aceptada, aunque algunas tienen en cuenta a las periodontitis prepuberales asociadas a enfermedades sistémicas

Assuntos

RESUMO

Las enfermedades periodontales constituyen un conjunto completo de afecciones que asientan sobre los tejidos de soporte dentarios. La etiología de las mismas se multifactorial, por lo cual debemos hacer un abordaje integral del paciente para arribar a un certero diagnóstico. Determinadas enfermedades sistémicas autoinmunes han sido relacionadas a manifestaciones bucales y periodontales. En este caso clínico, presentamos un cuadro de periodontitis agresiva asociada a la dermatomiositis. Hasta ahora, no existe aún una clasificación de enfermedades periodontales universalmente aceptada, aunque algunas tienen en cuenta a las periodontitis prepuberales asociadas a enfermedades sistémicas (AU)

Assuntos

RESUMO

Las enfermedades periodontales constituyen un conjunto completo de afecciones que asientan sobre los tejidos de soporte dentarios. La etiología de las mismas se multifactorial, por lo cual debemos hacer un abordaje integral del paciente para arribar a un certero diagnóstico. Determinadas enfermedades sistémicas autoinmunes han sido relacionadas a manifestaciones bucales y periodontales. En este caso clínico, presentamos un cuadro de periodontitis agresiva asociada a la dermatomiositis. Hasta ahora, no existe aún una clasificación de enfermedades periodontales universalmente aceptada, aunque algunas tienen en cuenta a las periodontitis prepuberales asociadas a enfermedades sistémicas (AU)

Assuntos

RESUMO

The current study target was to evaluate the dental loss pattern in an adult population with periodontal disease who was treated at the Periodontal Chair, Dentistry Faculty, National University of Rosario, Argentina. The sample was of 203 patients, 130 women and 73 men; 75 of them were blond cigarette smokers and 128 of them were not in that habit. Inclusion criteria as follows: good systemic condition given by the absence of illnesses that may be risky for the development of a periodontal disease, and the presence of at least one teeth with insertion loss of 2 mm. minimum in its proximal faces. The age average of the group was 37,83 years (IC 95% 34,46-41,19) for smokers, and 40,98 (IC 95% 38,27- 43,69) years for non smokers. Regarding females, 85 of them were non smokers and 45 had that habit; concerning men 43 were non smokers and 30 were indeed. The independence test made under smoking and sex variables showed no significant relation between them. Regarding smoker group the smoked cigarette average per day (daily doses) was 13,27 cigarettes (IC 95% 10,96-15,57) and the time since habit started in measure of months was 193,57 (IC 95% 160,43-226,81). The death rate for tooth loss in each group was 4,71 teeth (CI 95 % 3,43-5,98) for smokers and 5,05 teeth (CI 95% 4,07-6,03) for non-smokers. Setting the probability of error of type I equal to 0.05, this study demonstrated that in this group of patients with periodontal disease, the tooth loss in smoker individuals was similar to the tooth loss in non-smoker individuals.

Assuntos

RESUMO

El objetivo del presente estudio es difundir una opción de tratamiento farmacodependientes, en especial los producidos por la ingesta de un potente inmunosupresor como es la ciclosporina A. El plan de tratamiento expuesto en este trabajo se basa en la evidencia científica disponible en la actualidad, tratando de resaltar la importancia que tiene el control de la enfermedad periodontal y las citas de mantenimiento para el éxito y estabilidad a largo plazo

Assuntos

RESUMO

El objetivo del presente estudio es difundir una opción de tratamiento farmacodependientes, en especial los producidos por la ingesta de un potente inmunosupresor como es la ciclosporina A. El plan de tratamiento expuesto en este trabajo se basa en la evidencia científica disponible en la actualidad, tratando de resaltar la importancia que tiene el control de la enfermedad periodontal y las citas de mantenimiento para el éxito y estabilidad a largo plazo (AU)

Assuntos