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Publication
Descontaminação da superfície de implantes dentários com diferentes métodos químicos para o tratamento da peri-implantite : revisão sistemática
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| 2.88 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução: A peri-implantite é um processo inflamatório, de origem polimicrobiana, que afeta os tecidos moles e duros ao redor do implante dentário, levando à perda do tecido ósseo que o suporta. É uma das principais causas de insucesso na reabilitação oral com implantes dentários. A eliminação do biofilme é o principal objetivo do tratamento, no entanto, não existe consenso ou protocolos padronizados para o tratamento da periimplantite.
Objetivo: O objetivo desta revisão sistemática é avaliar a evidência científica publicada sobre a eficácia da descontaminação da superfície de implantes dentários com diferentes métodos químicos como coadjuvantes aos métodos físicos em tratamentos não cirúrgicos/cirúrgicos da peri-implantite. A eficácia dos vários protocolos será analisada e comparada através dos resultados da profundidade de sondagem (PS) peri-implantar, da hemorragia à sondagem (BoP) peri-implantar e nível de inserção clínico (CAL), com a finalidade de identificar quais os melhores protocolos de descontaminação.
Materiais e Métodos: Realizou-se uma pesquisa eletrónica nas seguintes bases de dados: PubMed, The Cochrane Library, Web of Science e Opengrey, com o propósito de responder à seguinte questão PICO: “Em pacientes que recebem tratamento para a periimplantite, existe algum método de descontaminação química da superfície de implantes dentários que permita uma melhoria adicional nos parâmetros clínicos?” A recolha de dados terminou em Fevereiro de 2021 e foram revistos artigos escritos em inglês, espanhol e português. A pesquisa não teve limitação temporal.
Resultados: Obteve-se um total de 1039 referências, a partir das quatro bases de dados utilizadas, e após a eliminação dos duplicados foram selecionados 152 artigos. Depois da leitura do título e abstract foram excluídas 131 referências e incluídos 5 artigos após pesquisa manual, restando assim 26 artigos para leitura integral. Por fim, foram excluídos 10 artigos que não correspondiam aos critérios de inclusão estipulados, restando 16 artigos. Foi realizada uma análise qualitativa, de risco de viés, e quantitativa dos resultados obtidos dos artigos selecionados.
Discussão e Conclusão: Tendo em conta as implicações da presente revisão sistemática, pode-se concluir que nenhum método químico é superior ou mais eficaz na resolução da peri-implantite, como coadjuvante aos métodos físicos no tratamento não cirúrgico/ cirúrgico da doença.
Introduction: Peri-implantitis is an inflammatory process of polymicrobial origin, which affects the soft and hard tissues around a dental implant, leading to the loss of the bone tissue that supports it. It is one of the leading causes of failure in oral rehabilitation with dental implants. The main goal in the treatment of this lesion is the elimination of biofilm. However, there is no consensus or standardised protocols for the treatment of periimplantitis. Purpose: This systematic review evaluates the published scientific evidence on the effectiveness of dental implant surface decontamination with different chemical methods as adjuvants to mechanical processes in the non-surgical/surgical treatment of periimplantitis. The effectiveness of the different protocols involves analysing and comparing the results of peri-implant probing depth (PS), peri-implant bleeding on probing (BoP) and clinical attachment level (CAL) to evaluate decontamination protocol is the best. Materials and Methods: An electronic search was conducted of the following databases: PubMed, The Cochrane Library, Web of Science and Opengrey to answer the following PICO question: "Is there any chemical decontamination method on the surface of dental implants that allows further improvement in clinical parameters in patients receiving treatment for peri-implantitis?" Data collection ended in February 2021 fromarticles written in English, Spanish and Portuguese were reviewed. The search had no time limitation. Results: The four databases provided 1039 references, and after eliminating duplicates, 152 articles were selected. After reading the title and abstract, 131 references were excluded, and five articles were included after a manual search, leaving 26 articles for a full reading. Finally, ten articles that did not meet the stipulated inclusion criteria were excluded, leaving 16 articles. There was a qualitative analysis for bias risk and quantitative analysis of the results obtained from the selected articles. Discussion and Conclusion: Considering the implications of this systematic review, we can conclude that no chemical method is superior or effective in resolving peri-implantitis as an adjunct to the mechanical process in the non-surgical/surgical treatment of the disease.
Introduction: Peri-implantitis is an inflammatory process of polymicrobial origin, which affects the soft and hard tissues around a dental implant, leading to the loss of the bone tissue that supports it. It is one of the leading causes of failure in oral rehabilitation with dental implants. The main goal in the treatment of this lesion is the elimination of biofilm. However, there is no consensus or standardised protocols for the treatment of periimplantitis. Purpose: This systematic review evaluates the published scientific evidence on the effectiveness of dental implant surface decontamination with different chemical methods as adjuvants to mechanical processes in the non-surgical/surgical treatment of periimplantitis. The effectiveness of the different protocols involves analysing and comparing the results of peri-implant probing depth (PS), peri-implant bleeding on probing (BoP) and clinical attachment level (CAL) to evaluate decontamination protocol is the best. Materials and Methods: An electronic search was conducted of the following databases: PubMed, The Cochrane Library, Web of Science and Opengrey to answer the following PICO question: "Is there any chemical decontamination method on the surface of dental implants that allows further improvement in clinical parameters in patients receiving treatment for peri-implantitis?" Data collection ended in February 2021 fromarticles written in English, Spanish and Portuguese were reviewed. The search had no time limitation. Results: The four databases provided 1039 references, and after eliminating duplicates, 152 articles were selected. After reading the title and abstract, 131 references were excluded, and five articles were included after a manual search, leaving 26 articles for a full reading. Finally, ten articles that did not meet the stipulated inclusion criteria were excluded, leaving 16 articles. There was a qualitative analysis for bias risk and quantitative analysis of the results obtained from the selected articles. Discussion and Conclusion: Considering the implications of this systematic review, we can conclude that no chemical method is superior or effective in resolving peri-implantitis as an adjunct to the mechanical process in the non-surgical/surgical treatment of the disease.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Implante dentário Superfície do implante Peri-implantite Descontaminação Descontaminação química Solução salina estéril Clorohexidina Iodopovidona Ácido cítrico Hipoclorito de sódio EDTA