Produtos de liberação de oxigênio no tratamento das doenças periodontais: revisão sistemática.
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Data
2020-11-25
Autores
Scalet, Vitor [UNESP]
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Universidade Estadual Paulista (Unesp)
Resumo
O objetivo do presente trabalho foi avaliar, por meio de uma revisão sistemática da literatura qual o efeito dos produtos de liberação de oxigênio como adjuvantes no tratamento das doenças periodontais (gengivite e periodontite) em comparação aos tratamentos convencionais, a escovação mecânica para gengivite e Raspagem e Alisamento Radicular (RAR) para a periodontite. Foi realizada uma busca nas bases de dados Pubmed, Web of Science, Scielo e Scopus utilizando as seguintes palavras: “periodontitis”, “gingivitis”, “peroxide”, “oxygen therapy” e “ozone”. Após a coleta dos artigos, os mesmos foram avaliados por dois revisores, que selecionaram os artigos de acordo com os seguintes critérios: estudos clínicos controlados; estudos que utilizaram produtos que liberam oxigênio localmente como tratamento coadjuvante da gengivite e da periodontite; estudos na língua inglesa. A partir das buscas um total de 908 artigos foram encontrados, sendo que 409 eram duplicatas. Foi feita a leitura dos títulos de 417 trabalhos, sendo que 82 foram selecionados para leitura dos resumos. 45 trabalhos foram selecionados para leitura completa, onde após a seleção dos critérios de inclusão e exclusão, 24 artigos foram selecionados para análise dessa revisão. Foi feita a análise qualitativa dos artigos incluídos, dividindo em duas doenças periodontais: gengivite (n=7) e periodontite (n=17). Cinco produtos de liberação de oxigênio foram encontradas: peróxido de hidrogênio, ozonioterapia, perborato de sódio, bicarbonato de sódio e oxigenioterapia hiperbárica. O peróxido de hidrogênio se constituiu uma terapia de liberação de oxigênio efetiva para o tratamento coadjuvante da gengivite. Para o tratamento da periodontite, mais estudos clínicos devem ser realizados com padronização de protocolos para avaliar o efeito da ozonioterapia e oxigenioterapia hiperbárica como coadjuvantes à RAR, porém a maioria dos estudos selecionados mostraram que a ozonioterapia não apresentou melhorias clínicas adicionais quando comparada à RAR feita isoladamente.
The aim of the present study was to evaluate, through a systematic review of the literature, the effect of oxygen release products as adjuvant in the treatment of periodontal diseases (gingivitis and periodontitis) compared to conventional treatments, mechanical brushing for gingivitis and scaling and root planing (SRP) for periodontitis. A search was performed in the Pubmed, Web of Science, Scielo and Scopus databases using the following words: "periodontitis", "gingivitis", "peroxide", "oxygen therapy" and "ozone". After collecting the articles, they were evaluated by two reviewers, who selected the articles according to the following criteria: controlled clinical studies; studies that used products that release oxygen locally as an adjunctive treatment for gingivitis and periodontitis; articles in the English language. From the searches a total of 908 articles were found, 409 of which were duplicates. The titles of 417 papers were read, 82 of which were selected to read the abstracts. 45 papers were selected for complete reading, where after selecting the inclusion and exclusion criteria, 23 articles were selected for analysis of this review. Qualitative analysis of the included articles was made, dividing into two periodontal diseases: gingivitis (n = 7) and periodontitis (n = 16). Five oxygen release products were found: hydrogen peroxide, ozone therapy, sodium perborate, sodium bicarbonate and hyperbaric oxygen therapy. Hydrogen peroxide was an effective oxygen release therapy for the adjunctive treatment of gingivitis. For the treatment of periodontitis, further clinical studies should be performed with standardized protocols to assess the effect of ozone therapy and hyperbaric oxygen therapy as adjunct to SRP, however most of the selected studies showed that ozonotherapy did not show additional clinical improvements when compared to SRP alone.
The aim of the present study was to evaluate, through a systematic review of the literature, the effect of oxygen release products as adjuvant in the treatment of periodontal diseases (gingivitis and periodontitis) compared to conventional treatments, mechanical brushing for gingivitis and scaling and root planing (SRP) for periodontitis. A search was performed in the Pubmed, Web of Science, Scielo and Scopus databases using the following words: "periodontitis", "gingivitis", "peroxide", "oxygen therapy" and "ozone". After collecting the articles, they were evaluated by two reviewers, who selected the articles according to the following criteria: controlled clinical studies; studies that used products that release oxygen locally as an adjunctive treatment for gingivitis and periodontitis; articles in the English language. From the searches a total of 908 articles were found, 409 of which were duplicates. The titles of 417 papers were read, 82 of which were selected to read the abstracts. 45 papers were selected for complete reading, where after selecting the inclusion and exclusion criteria, 23 articles were selected for analysis of this review. Qualitative analysis of the included articles was made, dividing into two periodontal diseases: gingivitis (n = 7) and periodontitis (n = 16). Five oxygen release products were found: hydrogen peroxide, ozone therapy, sodium perborate, sodium bicarbonate and hyperbaric oxygen therapy. Hydrogen peroxide was an effective oxygen release therapy for the adjunctive treatment of gingivitis. For the treatment of periodontitis, further clinical studies should be performed with standardized protocols to assess the effect of ozone therapy and hyperbaric oxygen therapy as adjunct to SRP, however most of the selected studies showed that ozonotherapy did not show additional clinical improvements when compared to SRP alone.
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Palavras-chave
Periodontite, Oxigênio, Revisão, Periodontitis