Mantenimiento periodontal con aeropulidor de eritritol frente a uso de ultrasonidos y curetas gracey en pacientes portadores de brackets
Contenido principal del artículo
Resumen
La instrumentación de las superficies radiculares en pacientes portadores de brackets es compleja e inefectiva al 100%, además no es agradable para el paciente, lo que en la mayoría de los casos hace que el paciente no acuda con la periodicidad necesaria pautada por el periodoncista para realizar esa eliminación del biofilm oral. Por ello, existen nuevas técnicas menos invasivas y de mayor confort para el paciente a base de un polvo descontaminante de partícula muy fina, 14 micras, con eritritol y clorhexidina aplicado mediante aeropulidor que no resulta lesiva para las superficies dentales ni la mucosa oral.
El objetivo es comprobar en una muestra de 100 paciente, mediante un estudio empírico aleatorizado, si realmente la aplicación del polvo de eritritol con clorhexidina mediante aeropulidor, aplicado en los pacientes portadores de brackets con enfermedad periodontal, puede sustituir la instrumentación con ultrasonidos y curetas gracey en los tratamientos de mantenimiento periodontal y aumentar la sensación de confort del paciente.
Citas
Axelsson, P., y Lindhe, J. (1981). The significance of maintenance care in the treatment of periodontal disease. Journal of Clinical Periodontology, 8, 281–294. https://doi.org/10.1111/j.1600-051x.1981.tb02039.x
Bühler, J., Amato, M., Weiger, R., y Walter, C. (2016). A systematic review on the patient perception of periodontal treatment using air polishing devices. International Journal of Dental Hygiene, 14(1), 4-14. https://doi.org/10.1111/idh.12119
Camboni, S., y Donner, M. (2016). Tooth Surface Comparison after Air Polishing and Rubber Cup: A Scanning Electron Microscopy Study. The Journal of Clinical Dentistry, 27(1), 13-18. https://pubmed.ncbi.nlm.nih.gov/28390211/
Drisko, C.L. (1998). Root instrumentation. Power-driven versus manual scalers, which one. Dental Clinics of North America, 42(2), 229-244. https://pubmed.ncbi.nlm.nih.gov/9597335/
Heitz-Mayfield, L.J., Trombelli, L., Heitz, F., Needleman, I., y Moles, D. (2002). A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis. Journal of Clinical Periodontology, 29(3), 92-102. https://doi.org/10.1034/j.1600-051x.29.s3.5.x
Hughes, F.J., Syed, M., Koshy, B., Marinho, V., Bostanci, N., y McKay, I.J. (2006). Prognostic factors in the treatment of generalized aggressive periodontitis: I. Clinical features and initial outcome. Journal of Clinical Periodontology, 33, 663–670. https://doi.org/10.1111/j.1600-051x.2006.00966.x
Kinane, D.F., Peterson, M., y Stathopoulou. P.G. (2006). Environmental and other modifying factors of the periodontal diseases. Periodontol 2000-2006, 40, 107-119. https://doi.org/10.1111/j.1600-0757.2005.00136.x
Leite, S., Fagundes, N.C., Aragón, M.L., Dias, C.G., y Normando, D. (2016). Cleansing orthodontic brackets with air-powder polishing: effects on frictional force and degree of debris. Dental Press Journal of Orthodontics, 21(4), 60-65. http://dx.doi.org/10.1590/2177-6709.21.4.060-065.oar
Lindhe, J., Westfelt, E., Nyman, S., Socransky, S.S., y Haffajee, A.D. (1984) Long-term effect of surgical/nonsurgical treatment of periodontal disease. Journal of Clinical Periodontology, 11(7), 448-458. https://doi.org/10.1111/j.1600-051x.1984.tb01344.x
Lu, H., He, L., Zhao, Y., y Meng, H. (2018). The effect of supragingival glycine air polishing on periodontitis during maintenance therapy: a randomized controlled trial. PeerJ. 12(6), 4371. eCollection. https://doi.org/10.7717/peerj.4371
Maita, M., y Maita, L.M. (2004). Tratamiento periodontal no quirúrgico, enfoque biológico. Odontología Sanmarquina, 8(1), 51-56. https://doi.org/10.15381/os.v8i1.3386
Matsubara, V.H., Leong, B.W., Leong, M.J.L., Lawrence, Z., Becker, T., y Quaranta, A. (2019). Cleaning potential of different air abrasive powders and their impact on implant surface roughness. Clinical Implant Dentistry and Related Research, (1), 96-104. Epub https://doi.org/10.1111/cid.12875
Müller, S., Huber, H., Goebel, G., Wimmer, G., y Kapferer-Seebacher, I. (2017). Pain perception during debridement of hypersensitive teeth elicited by two ultrasonic scalers. Clinical Oral Investigations, 21(5), 1559-1564. https://doi.org/10.1007/s00784-016-1971-4
Nishihara, T., y Koseki, T. (2004). Microbial etiology of periodontitis. Periodontology 2000, 36, 14–26. https://doi.org/10.1111/j.1600-0757.2004.03671.x
Palinkas, M., Borges, T.F., Junior, M.T., Monteiro, S.A.C., Bottacin, F.S., Mestriner-Junior, W. … Regalo, S.C.H. (2019). Alterations in masticatory cycle efficiency and bite force in individuals with periodontitis. International Journal of Health Sciences, 13(1), 25-29. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392481/
Parashis, A.O., Anagnoit-Vcircltzides, A., y Demetriou, N. (1993). Calculus removal from multirooted teeth with and without surgical access. (I). Efficacy on external and furcation surfaces in relation to probing depth. Journal of Clinical Periodontology, 20, 63-68. https://doi.org/10.1111/j.1600-051x.1993.tb01762.x
Peng, Y., Wu, R., Qu, W., Wu, W., Chen, J., Fang, J. … Mei, L. (2014). Effect of visual method vs plaque disclosure in enhancing oral hygiene in adolescents and young adults: a single-blind randomized controlled trial. American Journal of Orthodontics and Dentofacial Orthopedics, 145(3), 280-286. https://doi.org/10.1016/j.ajodo.2013.10.021
Ren, Y., Jongsma, M.A., Mei, L., van der Mei, H.C., y Busscher, H.J. (2014). Orthodontic treatment with fixed appliances and biofilm formation--a potential public health threat? Clinical Oral Investigations, 18, 1711. https://doi.org/10.1007/s00784-014-1240-3
Ristoska, S., Dzipunova, B., Stefanovska, E., Rendzova, V., Radojkova-Nikolovska, V., y Evrosimoska, B. (2019). Orthodontic Treatment of a Periodontally - Affected Adult Patient (Case Report). Open Access Macedonian Journal of Medical Sciences, 20, 7(14), 2343-2349. eCollection 2019 Jul 30. https://doi.org/10.3889/oamjms.2019.629
Schätzle, M., Sener, B., Schmidlin, PR., Imfeld, T., y Attin, T. (2010). In vitro tooth cleaning efficacy of electric toothbrushes around brackets. European Journal of Orthodontics, 32(5), 481-489. https://doi.org/10.1093/ejo/cjp166