Base de dados : MEDLINE
Pesquisa : E06.721.874 [Categoria DeCS]
Referências encontradas : 968 [refinar]
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[PMID]:27344944
[Au] Autor:Ghanem A; Pasumarthy S; Ranna V; Kellesarian SV; Abduljabbar T; Vohra F; Malmstrom H
[Ad] Endereço:Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, NY, USA. Electronic address: alexis_ghanem@urmc.rochester.edu.
[Ti] Título:Is mechanical curettage with adjunct photodynamic therapy more effective in the treatment of peri-implantitis than mechanical curettage alone?
[So] Source:Photodiagnosis Photodyn Ther;15:191-6, 2016 Sep.
[Is] ISSN:1873-1597
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of the present study was to review the pertinent literature on the effects of mechanical curettage (MC) with and without adjunct photodynamic therapy (PDT) for the management of peri-implantitis. METHODS: The addressed focused question was "Is PDT effective in the treatment of peri-implantitis?" A search without language or time restrictions up to March 2016 was conducted using various key words. The exclusion criteria included; review papers, in vitro Studies, case reports, commentaries, interviews, and letters to the editors. RESULTS: In total 9 studies were included. Among them 5 studies were clinical and 4 were experimental. All the studies used PDT as an adjunctive to MC in their test groups. The laser wavelengths used ranged from 660nm to 830nm. One study showed significant reduction of the bleeding scores, inflammatory exudates and Aggregatibacter actinomycetemcomitans count in group with PDT as an adjunctive when compared to MC and 0.2% chlorhexidine. However, in four clinical studies comparable periodontal parameters were reported when PDT is used as an adjunct to MC was compared to MC in treatment of peri-implantitis. In three experimental studies, outcomes were significantly better in group with PDT as an adjunct to MC when compared to MC alone at follow-up. CONCLUSION: The role of PDT as an adjunct to MC in the treatment of peri-implantitis is debatable. Further longterm randomised control trails are needed to justify the role PDT as an adjunct to MC in treatment of peri-implantitis.
[Mh] Termos MeSH primário: Infecções Bacterianas/epidemiologia
Infecções Bacterianas/terapia
Peri-Implantite/epidemiologia
Peri-Implantite/terapia
Fotoquimioterapia/utilização
Curetagem Subgengival/utilização
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Animais
Infecções Bacterianas/diagnóstico
Quimiorradioterapia Adjuvante/utilização
Cães
Feminino
Seres Humanos
Masculino
Meia-Idade
Peri-Implantite/diagnóstico
Prevalência
Coelhos
Fatores de Risco
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170328
[Lr] Data última revisão:
170328
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160628
[St] Status:MEDLINE


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[PMID]:27196497
[Au] Autor:Shen TC; Chang PY; Lin CL; Chen CH; Tu CY; Hsia TC; Shih CM; Hsu WH; Sung FC; Kao CH
[Ad] Endereço:From the Graduate Institute of Clinical Medicine Science (T-CS, P-YC, C-HC, C-HK), College of Medicine, China Medical University; Division of Pulmonary and Critical Care Medicine (T-CS, C-HC, C-YT, T-CH, C-HS, W-HH), Department of Internal Medicine, China Medical University Hospital; Department of Dentistry (P-YC), China Medical University Hospital; Management Office for Health Data (C-LL, F-CS, C-HK), China Medical University Hospital; Department of Health Services Administration (F-CS), China Medical University, Taichung, Taiwan; Mahidol University Faculty of Public Health (F-CS), Bangkok, Thailand; and Department of Nuclear Medicine and PET Center (C-HK), China Medical University Hospital, Taichung, Taiwan.
[Ti] Título:Periodontal Treatment Reduces Risk of Adverse Respiratory Events in Patients With Chronic Obstructive Pulmonary Disease: A Propensity-Matched Cohort Study.
[So] Source:Medicine (Baltimore);95(20):e3735, 2016 May.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Treatment of periodontal diseases has been associated with benefit outcomes for patients with chronic obstructive pulmonary disease (COPD). However, no population-based cohort study has been conducted. We evaluated this relationship by retrospective cohort study using a large population data.Using the National Health Insurance claims data of Taiwan, we identified 5562 COPD patients with periodontal diseases who had received periodontal treatment as the treatment group. The comparison group was selected at a 1:1 ratio matched by the propensity score estimated with age, sex, date of COPD diagnosis and periodontal treatment, and comorbidities. Both groups were followed up for 5 years to compare risks of acute exacerbation, pneumonia, and acute respiratory failure.The incidence rates of adverse respiratory events were significantly lower in the treatment group than in the comparison group: 3.79 versus 4.21 per 100 person-years for emergency room visits, 2.75 versus 3.65 per 100 person-years for hospitalizations, and 0.66 versus 0.75 per 100 person-years for intensive care unit admissions. The treatment group also had a 37% reduced risk of deaths (1.81 vs 2.87 per 100 person-years), with an adjusted hazard ratio of 0.57 (95% confidence interval 0.52-0.62).Periodontal treatment for COPD patients could reduce the risk of adverse respiratory events and mortality. The adequate periodontal health care is important for COPD patients with periodontal diseases.
[Mh] Termos MeSH primário: Doenças Periodontais/complicações
Doenças Periodontais/terapia
Pneumonia/epidemiologia
Doença Pulmonar Obstrutiva Crônica/complicações
Doença Pulmonar Obstrutiva Crônica/fisiopatologia
Insuficiência Respiratória/epidemiologia
[Mh] Termos MeSH secundário: Idoso
Progressão da Doença
Feminino
Seguimentos
Seres Humanos
Incidência
Masculino
Meia-Idade
Pontuação de Propensão
Fatores de Proteção
Doença Pulmonar Obstrutiva Crônica/mortalidade
Curetagem Subgengival
Taiwan/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170221
[Lr] Data última revisão:
170221
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160520
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000003735


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[PMID]:27045434
[Au] Autor:Deas DE; Moritz AJ; Sagun RS; Gruwell SF; Powell CA
[Ti] Título:Scaling and root planing vs. conservative surgery in the treatment of chronic periodontitis.
[So] Source:Periodontol 2000;71(1):128-39, 2016 Jun.
[Is] ISSN:1600-0757
[Cp] País de publicação:Denmark
[La] Idioma:eng
[Ab] Resumo:A renewed interest in conservative surgical techniques has been fueled by new technology, changes in referral patterns to periodontists and a desire to achieve periodontal health in the least invasive, most cost-efficient manner possible. Trends suggest that an increasing amount of periodontal care is being provided in the offices of general dentists. If true, it is likely that patients receiving care in these offices will be offered simpler surgical treatment modalities that do not require an extensive armamentarium. The purpose of this article was to review the effectiveness of six relatively simple surgical techniques - gingivectomy, flap debridement, modified Widman flap, excisional new attachment procedure, modified excisional new attachment procedure and laser-assisted new attachment procedure - and to compare the results obtained using these procedures with the well-known clinical benefits of scaling and root planing. The intent was to determine whether the benefits of surgical procedures in the hands of most general dentists extend beyond those of conventional nonsurgical therapy.
[Mh] Termos MeSH primário: Periodontite Crônica/cirurgia
Periodontite Crônica/terapia
Raspagem Dentária/métodos
Aplainamento Radicular/métodos
[Mh] Termos MeSH secundário: Tratamento Conservador/métodos
Raspagem Dentária/economia
Gengivectomia/métodos
Seres Humanos
Terapia a Laser/métodos
Desbridamento Periodontal/métodos
Aplainamento Radicular/economia
Curetagem Subgengival/métodos
Retalhos Cirúrgicos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170613
[Lr] Data última revisão:
170613
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:160406
[St] Status:MEDLINE
[do] DOI:10.1111/prd.12114


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[PMID]:26389530
[Au] Autor:Carvalho RC; Leite SA; Rodrigues VP; Pereira AF; Ferreira TC; Nascimento FR; Nascimento JR; Gomes-Filho IS; Bastos MG; Pereira AL
[Ad] Endereço:Dentistry Graduate Program, Federal University of Maranhão, São Luís, Maranhão, Brazil. rosana.c.casanovas@hotmail.com.
[Ti] Título:Chronic periodontitis and serum levels of hepcidin and hemoglobin.
[So] Source:Oral Dis;22(1):75-6, 2016 Jan.
[Is] ISSN:1601-0825
[Cp] País de publicação:Denmark
[La] Idioma:eng
[Mh] Termos MeSH primário: Peptídeos Catiônicos Antimicrobianos/sangue
Periodontite Crônica/terapia
Falência Renal Crônica/sangue
Precursores de Proteínas/sangue
Curetagem Subgengival/efeitos adversos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:COMMENT; LETTER; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Antimicrobial Cationic Peptides); 0 (Protein Precursors)
[Em] Mês de entrada:1605
[Cu] Atualização por classe:160115
[Lr] Data última revisão:
160115
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:150922
[St] Status:MEDLINE
[do] DOI:10.1111/odi.12373


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[PMID]:26374080
[Au] Autor:Mettraux GR; Sculean A; Bürgin WB; Salvi GE
[Ad] Endereço:Private practice, Bern, Switzerland.
[Ti] Título:Two-year clinical outcomes following non-surgical mechanical therapy of peri-implantitis with adjunctive diode laser application.
[So] Source:Clin Oral Implants Res;27(7):845-9, 2016 Jul.
[Is] ISSN:1600-0501
[Cp] País de publicação:Denmark
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Non-surgical mechanical therapy of peri-implantitis (PI) with/without adjunctive measures yields limited clinical improvements. AIM: To evaluate the clinical outcomes following non-surgical mechanical therapy of PI with adjunctive application of a diode laser after an observation period ≥2 years. MATERIAL AND METHODS: At baseline (BL), 15 patients with 23 implants with a sandblasted and acid-etched (SLA) surface diagnosed with PI were enrolled and treated. PI was defined as presence of probing pocket depths (PPD) ≥5 mm with bleeding on probing (BoP) and/or suppuration and ≥2 threads with bone loss after delivery of the restoration. Implant sites were treated with carbon fiber and metal curettes followed by repeated application of a diode laser 3x for 30 s (settings: 810 nm, 2.5 W, 50 Hz, 10 ms). This procedure was performed at Day 0 (i.e., baseline), 7 and 14. Adjunctive antiseptics or adjunctive systemic antibiotics were not prescribed. RESULTS: All implants were in function after 2 years. The deepest PPD decreased from 7.5 ± 2.6 mm to 3.6 ± 0.7 mm at buccal (P < 0.0001) and from 7.7 ± 2.1 mm to 3.8 ± 0.9 mm at oral sites (P < 0.0001), respectively. The % of implants with ≥1 site with BoP decreased from 100% at BL to 43% after 2 years (P = 0.0002). The % of implants with suppuration decreased from 87% at BL to 0% after 2 years (P < 0.0001). CONCLUSION: Non-surgical mechanical therapy of PI with adjunctive repeated application of a diode laser yielded significant clinical improvements after an observation period of at least 2 years.
[Mh] Termos MeSH primário: Lasers Semicondutores/uso terapêutico
Peri-Implantite/terapia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Curetagem Subgengival
Supuração/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:150917
[St] Status:MEDLINE
[do] DOI:10.1111/clr.12689


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[PMID]:26062264
[Au] Autor:Siqueira SJ; Ribeiro FV; Villalpando KT; Cirano FR; Pimentel SP
[Ti] Título:Maintenance periodontal therapy after systemic antibiotic and regenerative therapy of generalized aggressive periodontitis. A case report with 10-year follow-up.
[So] Source:Dent Update;42(4):385-6, 389-90, 392-3, 2015 May.
[Is] ISSN:0305-5000
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Aggressive periodontitis (AgP) is an inflammatory disease characterized by rapid attachment loss and bone destruction. This case report presents the 10-year results in a subject with generalized AgP treated by a regenerative periodontal therapeutic approach and the adjunctive use of antibiotics, following a systematic maintenance periodontal therapy. The use of enamel matrix derivatives (EMD) and adjunctive antibiotic therapy to treat AgP yielded improvements in clinical parameters and radiographic bony fill. This combined therapeutic approach following a systematic supportive periodontal therapy supports the long-term maintenance of teeth with previous advanced periodontal defects, demonstrating successful stability after 10-years follow-up. Clinical Relevance: The combined treatment protocol using EMD plus adjunctive antibiotic therapy, associated with a systematic supportive periodontal therapy, benefits the long-term maintenance of teeth with previous advanced periodontal defects in subjects presenting AgP, supporting this approach as an alternative in the treatment of AgP.
[Mh] Termos MeSH primário: Periodontite Agressiva/prevenção & controle
Antibacterianos/uso terapêutico
Regeneração Tecidual Guiada Periodontal/métodos
[Mh] Termos MeSH secundário: Adulto
Perda do Osso Alveolar/tratamento farmacológico
Perda do Osso Alveolar/cirurgia
Amoxicilina/administração & dosagem
Amoxicilina/uso terapêutico
Terapia Combinada
Proteínas do Esmalte Dentário/uso terapêutico
Combinação de Medicamentos
Seguimentos
Defeitos da Furca/cirurgia
Seres Humanos
Estudos Longitudinais
Masculino
Metronidazol/administração & dosagem
Metronidazol/uso terapêutico
Perda da Inserção Periodontal/tratamento farmacológico
Perda da Inserção Periodontal/cirurgia
Bolsa Periodontal/cirurgia
Curetagem Subgengival/métodos
Retalhos Cirúrgicos/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Dental Enamel Proteins); 0 (Drug Combinations); 0 (enamel matrix proteins); 140QMO216E (Metronidazole); 804826J2HU (Amoxicillin)
[Em] Mês de entrada:1507
[Cu] Atualização por classe:150611
[Lr] Data última revisão:
150611
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:150612
[St] Status:MEDLINE


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[PMID]:25867215
[Au] Autor:Shi Q; Song K; Zhou X; Xiong Z; Du T; Lu X; Cao Y
[Ad] Endereço:Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
[Ti] Título:Effects of non-equilibrium plasma in the treatment of ligature-induced peri-implantitis.
[So] Source:J Clin Periodontol;42(5):478-87, 2015 May.
[Is] ISSN:1600-051X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: To evaluate the effects of non-equilibrium plasma in the treatment of ligature-induced peri-implantitis in beagle dogs. MATERIALS AND METHODS: Six beagles received 12 implants installed in the position of the fourth mandibular premolars. Ligature-induced peri-implantitis was initiated at 3 months post-implantation. When approximately 40% of the supporting bone was lost, the ligatures were removed. The implants were subjected to the muco-periosteal scaling and chlorhexidine irrigation with or without plasma irrigation. Three months later, clinical, radiographic and microbiological analyses were performed. Block biopsies were prepared for micro-CT and histomorphometric analysis. The primary outcome was the difference in bone healing of peri-implant sites, and the secondary outcomes included changes in clinical parameters (SBI, PD) and bacterial detection. RESULTS: At baseline, no significant differences were observed between the two groups. At 3 months post-treatment, the plasma group showed a significantly higher bone level than the control group (p < 0.05), a significantly decreased detection of bacteria (Porphyromonas gingivalis and Tannerella forsythia) (p < 0.05), and a significant improvement in clinical examination (p < 0.05). CONCLUSIONS: Within the limits of this study, non-equilibrium plasma treatment as an adjunct to the conventional therapy is a feasible approach for the treatment of peri-implantitis.
[Mh] Termos MeSH primário: Peri-Implantite/terapia
Gases em Plasma/uso terapêutico
[Mh] Termos MeSH secundário: Aggregatibacter actinomycetemcomitans/isolamento & purificação
Animais
Anti-Infecciosos Locais/uso terapêutico
Bacteroides/isolamento & purificação
Biópsia/métodos
Clorexidina/análogos & derivados
Clorexidina/uso terapêutico
Implantes Dentários
Modelos Animais de Doenças
Cães
Estudos de Viabilidade
Peri-Implantite/microbiologia
Peri-Implantite/patologia
Índice Periodontal
Bolsa Periodontal/microbiologia
Bolsa Periodontal/patologia
Bolsa Periodontal/terapia
Porphyromonas gingivalis/isolamento & purificação
Curetagem Subgengival/métodos
Irrigação Terapêutica/métodos
Fatores de Tempo
Tomografia Computadorizada por Raios X/métodos
Alvéolo Dental/cirurgia
Cicatrização/fisiologia
Microtomografia por Raio-X/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Anti-Infective Agents, Local); 0 (Dental Implants); 0 (Plasma Gases); MOR84MUD8E (chlorhexidine gluconate); R4KO0DY52L (Chlorhexidine)
[Em] Mês de entrada:1611
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:150414
[St] Status:MEDLINE
[do] DOI:10.1111/jcpe.12403


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[PMID]:25543679
[Au] Autor:Sanz-Sánchez I; Ortiz-Vigón A; Matos R; Herrera D; Sanz M
[Ad] Endereço:Periodontology, Faculty of Odontology, Complutense University of Madrid, Madrid, Spain.
[Ti] Título:Clinical efficacy of subgingival debridement with adjunctive erbium:yttrium-aluminum-garnet laser treatment in patients with chronic periodontitis: a randomized clinical trial.
[So] Source:J Periodontol;86(4):527-35, 2015 Apr.
[Is] ISSN:1943-3670
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The efficacy of erbium:yttrium-aluminum-garnet (Er:YAG) laser application as an adjunct to subgingival debridement in the treatment of chronic periodontitis (CP) is controversial. This study assesses the efficacy of combining full-mouth subgingival debridement with Er:YAG laser application in the treatment of patients with CP. METHODS: In this 12-month, single-masked, parallel-group clinical trial, 40 patients with moderate CP were selected and randomly assigned to a test group (one session of full-mouth ultrasonic subgingival debridement followed 1 week later by Er:YAG application in sites with initial probing depths [PDs] of ≥4.5 mm) and a control group (two sessions of ultrasonic debridement within 1 week). The main outcome variable was change in PD; the secondary outcomes were change in clinical attachment level and proportion of sites with bleeding on probing. Outcomes were assessed at baseline and after 3, 6, and 12 months. Data were analyzed as intention to treat using analysis of variance to assess intergroup differences. RESULTS: Both treatments resulted in significant clinical improvements. The test group achieved, in comparison with the control, a significantly lower percentage of sites with PD ≥4.5 mm (17.44% versus 22.83%, respectively; P = 0.004) and a tendency for a lower percentage of sites with PD ≥4.5 mm and bleeding on probing (9.78% versus 12.69%; P = 0.052). CONCLUSION: This limited added clinical effect may justify the use of a protocol combining full-mouth ultrasonic debridement with laser therapy in the treatment of initial moderate CP.
[Mh] Termos MeSH primário: Periodontite Crônica/cirurgia
Terapia a Laser/métodos
Lasers de Estado Sólido/uso terapêutico
Curetagem Subgengival/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Periodontite Crônica/terapia
Índice de Placa Dentária
Feminino
Seguimentos
Retração Gengival/cirurgia
Seres Humanos
Masculino
Meia-Idade
Perda da Inserção Periodontal/cirurgia
Desbridamento Periodontal/métodos
Índice Periodontal
Bolsa Periodontal/cirurgia
Método Simples-Cego
Resultado do Tratamento
Ultrassom
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1607
[Cu] Atualização por classe:150401
[Lr] Data última revisão:
150401
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:141230
[St] Status:MEDLINE
[do] DOI:10.1902/jop.2014.140258


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[PMID]:25382386
[Au] Autor:Di Fiore A; Mazzoleni S; Fantin F; Favero L; De Francesco M; Stellini E
[Ad] Endereço:Department of Prosthodontics, University of Padova, Padova, Italy.
[Ti] Título:Evaluation of three different manual techniques of sharpening curettes through a scanning electron microscope: a randomized controlled experimental study.
[So] Source:Int J Dent Hyg;13(2):145-50, 2015 May.
[Is] ISSN:1601-5037
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study was to compare the effectiveness of three different techniques for manually sharpening of periodontal curettes (PCs) by examining the blades with the aid of scanning electron microscope (SEM). METHODS: Three groups were considered based on three sharpening methods used: group A (moving a PC over a stationary stone); group B (moving a stone over a stationary PC) and group C (moving a PC over a stone fixed, placed on a 'sharpening horse'). After the sharpening, the blades were examined using SEM. The SEM images were assessed independently by five different independent observers. An evaluation board was used to assign a value to each image. A preliminary pilot study was conducted to establish the number of samples. Pearson's correlation test was used to assess the correlations between measurements. anova test with Bonferroni's post hoc test was used to compare the three groups. RESULTS: Sixty PCs (20 PCs per group) were used in this study. Statistically significant differences emerged between the three groups (P-value = 0.001). Bonferroni's test showed that the difference between groups A and B was not statistically significant (P-value = 0.80), while it was significant for the comparisons between groups A and C (P-value = 0.005) and between groups B and C (P-value = 0.001). CONCLUSIONS: The sharpening technique used in group C, which involved the use of the sharpening horse, proved the most effective.
[Mh] Termos MeSH primário: Curetagem Subgengival/instrumentação
[Mh] Termos MeSH secundário: Materiais Dentários/química
Raspagem Dentária/instrumentação
Desenho de Equipamento
Seres Humanos
Microscopia Eletrônica de Varredura
Distribuição Aleatória
Aplainamento Radicular/instrumentação
Aço Inoxidável/química
Propriedades de Superfície
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dental Materials); 12597-68-1 (Stainless Steel)
[Em] Mês de entrada:1607
[Cu] Atualização por classe:150330
[Lr] Data última revisão:
150330
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:141111
[St] Status:MEDLINE
[do] DOI:10.1111/idh.12109


  10 / 968 MEDLINE  
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[PMID]:25252593
[Au] Autor:Dilsiz A; Sevinc S
[Ad] Endereço:Department of Periodontology, Faculty of Dentistry, Atatürk University , Erzurum , Turkey.
[Ti] Título:Trauma from instrumentation after non-surgical periodontal treatment with ultrasonic scalers and Nd:YAG laser.
[So] Source:Acta Odontol Scand;73(2):144-9, 2015 Feb.
[Is] ISSN:1502-3850
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Periodontal therapies aimed at altering the progression of periodontal diseases must include meticulous mechanical debridement during both the non-surgical and the surgical phases of periodontal treatment. The aim of this study was to evaluate and compare the immediate effect of trauma from instrumentation on clinical attachment level after non-surgical periodontal treatment with ultrasonic scalers and a Nd:YAG laser. MATERIALS AND METHODS: Twenty-four patients with untreated chronic periodontitis, presenting probing depths of 4-6 mm on anterior teeth, upper and lower, were entered into the study. The selected teeth were probed with a pressure-controlled probe, guided by stents. Each quadrant was randomly allocated in a split-mouth design either to treatment with Nd:YAG laser using an energy of 1W, 100mj, 1064nm (test group) or to periodontal treatment using ultrasonic scalers (control group). Clinical parameters, including plaque index (PI), bleeding on probing (BOP), probing pocket depth (PPD) and probing attachment level (PAL) were acquired prior to and immediately after treatment. RESULTS: Statistical analysis demonstrated no differences between groups at baseline for all parameters (p > 0.05). Immediately after treatment, the control group showed a greater PAL loss than the test group (p < 0.05). For the control group, there were statistically significant differences between PAL immediately before and after treatment (p < 0.05), but not test group (p > 0.05). CONCLUSIONS: Within the limits of the present study, it may be concluded that non-surgical periodontal treatment with ultrasonic scalers causes a mean immediate attachment loss of 0.68 mm and that a Nd:YAG laser seems to reduce significantly the trauma the instrumentation produced.
[Mh] Termos MeSH primário: Periodontite Crônica/terapia
Raspagem Dentária/instrumentação
Terapia a Laser/instrumentação
Lasers de Estado Sólido/uso terapêutico
Perda da Inserção Periodontal/classificação
[Mh] Termos MeSH secundário: Adulto
Periodontite Crônica/radioterapia
Índice de Placa Dentária
Método Duplo-Cego
Feminino
Seguimentos
Seres Humanos
Masculino
Desbridamento Periodontal/instrumentação
Índice Periodontal
Bolsa Periodontal/radioterapia
Bolsa Periodontal/terapia
Aplainamento Radicular/instrumentação
Curetagem Subgengival/métodos
Ultrassom/instrumentação
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1601
[Cu] Atualização por classe:150120
[Lr] Data última revisão:
150120
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:140926
[St] Status:MEDLINE
[do] DOI:10.3109/00016357.2014.961955



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