Desinfecção total de boca versus raspagem e alisamento radicular por quadrante em pacientes com periodontite crônica: revisão sistemática com meta-análise

• Ano de defesa: 2020
• Autor(a) principal: Rigo Junior, Darlan
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Positivo; Brasil; Pós-Graduação; Programa de Pós-Graduação em Odontologia Clínica; UP
• Palavras-chave em Português: Odontologia; Metanálise em rede; Periodontite; Raspagem dentária; CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA
• Link de acesso: https://repositorio.cruzeirodosul.edu.br/handle/123456789/2191

Introduction: The treatment of periodontitis aims to prevent the progression of the disease with the intention of reducing the risk of tooth loss, minimizing symptoms and possibly restoring lost periodontal tissue. Objective: To assess whether treatment with total mouth disinfection compared (FMS) to scaling and root planing by quadrant (QSRP) is more effective in improving clinical parameters in patients with periodontitis, through a systematic review with meta-analysis. Methodology: The research sought randomized clinical trials that compared total mouth disinfection with scaling and root planning by quadrant in improving clinical parameters in patients with periodontitis. The search was conducted in PubMed, Scopus, Web of Science, LILACS, BBO, Cochrane Library and gray literature. IADR abstracts, records of unpublished essays, dissertations and theses were also researched. The “Cochrane Collaboration” risk-bias tool was applied to assess the quality of the studies. Results: 2202 articles were identified. Only 7 studies remained in the qualitative synthesis, 2 of which were considered “low” risk of bias, 4 considered to be “undefined” risk of bias and 3 considered “high” risk of bias. Only articles from which it was possible to extract all information were included in the meta-analysis. Regarding the clinical parameters, superiority was observed for the treatment with FMS at the depth of drilling with 3 months of follow-up compared to the Q-RP (-0.22 confidence intervals [CI] = -0.36 to - 0.08, p = 0.002. With 6 months of follow-up, a difference was observed between treatments in bleeding at probing with -0.21 confidence interval [CI] = -0.41 to -0.01, p = 0.04), the same occurred with 3 months of monitoring for the plaque index. with -0.20 (confidence interval [CI] = -0.38 to -0.02, p = 0.03). Conclusion: Comparisons of total mouth disinfection versus Q-SRP showed that FMD and FMS showed additional clinical benefits over Q-SRP in data such as reduced pouch, bleeding rate on probing and plaque quantity. In addition, it took a reduced total time to complete treatment in one visit than during a series of consultations such as conventional periodontal treatment, however more research is needed on the topic.