Use of chlorhexidine chip after scaling and root planning on periodontal disease: A systematic review and meta-analysis

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dc.contributor.authorRosa, Cleber Davi Del Rei Daltro [UNESP]
dc.contributor.authorGomes, Jéssica Marcela de Luna [UNESP]
dc.contributor.authorMoraes, Sandra Lúcia Dantas de
dc.contributor.authorLemos, Cleidiel Aparecido Araujo
dc.contributor.authorda Fonte, Tatiana Prosini
dc.contributor.authorLimirio, João Pedro Justino de Oliveira [UNESP]
dc.contributor.authorPellizzer, Eduardo Piza [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUPE – University of Pernambuco
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionFederal University of Juiz de Fora (UFJF)
dc.date.accessioned2021-06-25T11:08:16Z
dc.date.available2021-06-25T11:08:16Z
dc.date.issued2021-01-01
dc.description.abstractObjective: This systematic review aims to assess the efficacy chlorhexidine chip as an adjunctive therapy of scaling and root planning on periodontal disease treatment. Material and methods: This study follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA) and was registered in the PROSPERO database (CRD42019148221). The search was performed in PubMed/MEDLINE, Scopus, and Cochrane databases until April 2020. The PICO question was: “Is the chlorhexidine chip (CHX) effective as an adjunctive therapy of scaling and root planning on periodontal disease treatment?”. Inclusion criteria involved: randomized controlled clinical trials, with a minimum of 15 patients included on the sample and each patient has two sites of probing depth of ≥5 mm; The minimum follow up was at least 1 months of follow-up and the outcomes present in the studies probing depth (PD), plaque index (PI) and clinical attachment level (CAL) after scaling and root planning (SRP). Results: After searching the databases, 13 articles were selected for qualitative and 8 for quantitative analysis. Were included 427 patients, with a mean age of 45.6 years. The results shown that the association of chlorhexidine chips to scaling and root planning reduce periodontal pocket depths (P < 0.00001; MD −0.77 [CI −1.0 to −0.55]; I2 = 23%, P = 0.24), gain on the clinical attachment level (P < 0.0001; MD −0.57 [CI −0.86 to −0.27]; I2 = 33%, P = 0.18P < 0.0001) and reduction on plaque index (P = 0.04; MD −0.23 [CI −0.45 to −0.01]; I2 = 91%, P < 0.00001). Conclusions: Thus, we can conclude that chlorhexidine chip when used associated to scaling and root planning promoted a significant improvement the reduction of periodontal diseases.en
dc.description.affiliationDepartment of Dental Materials and Prosthodontics Dentistry School UNESP – São Paulo State University “Júlio de Mesquita Filho”, R: José Bonifácio, 1193. Vila Mendonça
dc.description.affiliationDentistry School UPE – University of Pernambuco, Camaragibe, Pernambuco, Av. General Newton Cavalcanti, 1650; Tabatinga
dc.description.affiliationUniversity of São Paulo Faculty of Dentistry of Bauru Department of Prosthesis and Periodontics
dc.description.affiliationAdjunct Professor Department of Dentistry (Division of Prosthodontics) Federal University of Juiz de Fora (UFJF) Campus Avançado Governador Valadares
dc.description.affiliationUnespDepartment of Dental Materials and Prosthodontics Dentistry School UNESP – São Paulo State University “Júlio de Mesquita Filho”, R: José Bonifácio, 1193. Vila Mendonça
dc.format.extent1-10
dc.identifierhttp://dx.doi.org/10.1016/j.sdentj.2020.11.002
dc.identifier.citationSaudi Dental Journal, v. 33, n. 1, p. 1-10, 2021.
dc.identifier.doi10.1016/j.sdentj.2020.11.002
dc.identifier.issn1013-9052
dc.identifier.scopus2-s2.0-85097071124
dc.identifier.urihttp://hdl.handle.net/11449/208210
dc.language.isoeng
dc.relation.ispartofSaudi Dental Journal
dc.sourceScopus
dc.subjectChlorhexidine gluconate
dc.subjectDental scaling
dc.subjectPeriodontal diseases
dc.subjectSystematic review
dc.titleUse of chlorhexidine chip after scaling and root planning on periodontal disease: A systematic review and meta-analysisen
dc.typeResenha

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