Detalhes bibliográficos
| Ano de defesa: |
2017 |
| Autor(a) principal: |
Bastos, Alice Pinto |
| Orientador(a): |
Boghossian, Carina Maciel da Silva |
| Banca de defesa: |
Senna, Plínio Mendes,
Miranda, Rachel Garcia de,
Vieira, Victor Talarico Leal |
| Tipo de documento: |
Dissertação
|
| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Universidade do Grande Rio
|
| Programa de Pós-Graduação: |
Programa de Pós-Graduação em Odontologia
|
| Departamento: |
Unigranrio::Odontologia
|
| País: |
Brasil
|
| Palavras-chave em Português: |
|
| Área do conhecimento CNPq: |
|
| Link de acesso: |
http://localhost:8080/tede/handle/tede/224
|
Resumo: |
In view of the need to treat peri-implant disease, methods for bacterial and inflammatory control in peri-implant tissues have being studied in individuals with peri-implant disease. Although there are a wide variety of options for therapeutic approaches for the treatment of peri-implantitis, there is no consensus on their effectiveness on clinical outcomes over time. Objective: The objective of the present study is to evaluate, through a systematic review, the results obtained through studies that analyzed the efficacy of the use of photodynamic therapy as adjunctive treatment of peri-implant disease. Methods: The present study included clinical studies, meta-analyzes and systematic reviews that addressed the adjuvant treatment of peri-implantitis in humans with laser therapy or photodynamic therapy published in the last 5 years. The search databases were PubMed Medline and LILACS, using the following keywords: "peri-implantitis treatment", "laser therapy", "photodynamic therapy", " tratamento da peri-implantite ", "therapia a laser ", and "terapiafotodinâmica". The search languages were English and Portuguese. Only clinical trials in humans were included. Results: 8 studies were selected for the current systematic review. Four were original studies and 4 were systematic reviews and/ or meta-analyzes. From the data extracted from the original studies, it was observed that only one study demonstrated that photodynamic therapy with laser reduced significantly the probing depth (p = 0.02), when compared to conventional treatment at the 6-month evaluation. Regarding the data extracted from the systematic reviews and/ or meta-analyzes, only one study showed that, at 6 months, there was a significant difference (p <0.05) only for mean reduction in bleeding on probing, in which laser used in association with scaling was superior to scaling with irrigation with 2% chlorhexidine. Conclusion: This systematic review concludes that adjuvant therapy with laser or photodynamic therapy presents very similar long term clinical results to conventional therapy in the treatment of peri-implantitis. |
