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Pesquisa : D02.065.199.200 [Categoria DeCS]
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Id: lil-573730
Autor: Ribeiro, Érica del Peloso; Bittencourt, Sandro; Sallum, Enilson Antônio; Sallum, Antônio Wilson; Nociti Júnior, Francisco Humberto; casati, Márcio Zaffalon.
Título: Non-surgical instrumentation associated with povidone-iodine in the treatment of interproximal furcation involvements
Fonte: J. appl. oral sci;18(6):599-606, Nov.-Dec. 2010. ilus, tab.
Idioma: en.
Resumo: OBJECTIVE: The aim of this controlled clinical trial was to evaluate the effect of topically applied povidone-iodine (PVP-I) used as an adjunct to non-surgical treatment of interproximal class II furcation involvements. MATERIAL AND METHODS: Thirty-two patients presenting at least one interproximal class II furcation involvement that bled on probing with probing pocket depth (PPD) >5 mm were recruited. Patients were randomly chosen to receive either subgingival instrumentation with an ultrasonic device using PVP-I (10 percent) as the cooling liquid (test group) or identical treatment using distilled water as the cooling liquid (control group). The following clinical outcomes were evaluated: visible plaque index, bleeding on probing (BOP), position of the gingival margin, relative attachment level (RAL), PPD and relative horizontal attachment level (RHAL). BAPNA (N-benzoyl-L-arginine-p-nitroanilide) testing was used to analyze trypsin-like activity in dental biofilm. All parameters were evaluated at baseline and 1, 3 and 6 months after non-surgical subgingival instrumentation. RESULTS: Six months after treatment, both groups had similar means of PPD reduction, RAL and RHAL gain (p>0.05). These variables were, respectively, 2.20±1.10 mm, 1.27±1.02 mm and 1.33±0.85 mm in the control group and 2.67±1.21 mm, 1.50±1.09 mm and 1.56±0.93 mm in the test group. No difference was observed between groups at none of the posttreatment periods, regarding the number of sites showing clinical attachment gain >2 mm. However, at 6 months posttreatment, the test group presented fewer sites with PPD >5 mm than the control group. Also at 6 months the test group had lower BAPNA values than control group. CONCLUSION: The use of PVP-I as an adjunct in the non-surgical treatment of interproximal class II furcation involvements provided limited additional clinical benefits.
Descritores: Anti-Infecciosos Locais/uso terapêutico
Defeitos da Furca/tratamento farmacológico
Povidona-Iodo/uso terapêutico
-Administração Tópica
Análise de Variância
Anti-Infecciosos Locais/administração & dosagem
Benzoilarginina Nitroanilida
Índice de Placa Dentária
Seguimentos
Índice Periodontal
Perda da Inserção Periodontal/tratamento farmacológico
Bolsa Periodontal/tratamento farmacológico
Povidona-Iodo/administração & dosagem
Fatores de Tempo
Resultado do Tratamento
Terapia por Ultrassom
Limites: Adulto
Feminino
Humanos
Masculino
Pessoa de Meia-Idade
Tipo de Publ: Ensaio Clínico Controlado
Responsável: BR1.1 - BIREME



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