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Terapia guiada do biofilme : qual a evidência?
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Abstract(s)
Guided biofilm therapy (GBT) é uma abordagem moderna e sistemática na medicina dentária, focada na gestão eficaz do biofilme bacteriano, principal causa das doenças periodontais e peri-implantares. Este protocolo combina diagnósticos precisos, tratamentos eficazes e estratégias educativas para promover uma saúde oral abrangente e preventiva. O GBT é um protocolo que se divide em 8 etapas, tendo início com uma avaliação detalhada da saúde oral do paciente, através da utilização de reveladores do biofilme é crucial para a visualização das áreas afetadas, facilitando o diagnóstico e a educação do paciente. Informar e motivar os pacientes sobre a importância da higiene oral e da remoção regular do biofilme é essencial para garantir a adesão ao tratamento e a manutenção preventiva. Um componente central do GBT é a utilização de agentes de limpeza como pó de glicina ou eritritol, aplicados com dispositivos de polimento a ar, tais como peça de mão AIRFLOW®, PERIOFLOW® e PIEZON®. Esses agentes são a glicina e o eritritol, utilizados na remoção do biofilme e possuem propriedades que minimizam o risco de danos aos tecidos gengivais e às superfícies dentárias. O uso destes pós resulta em uma redução da inflamação gengival e na profundidade das bolsas periodontais, melhorando a saúde periodontal geral dos pacientes. O protocolo Terapia guiada do biofilme inclui a profilaxia e polimento dentário com AIRFLOW PROPHYLAXIS MASTER da EMS de modo a diminuir qualquer rugosidade da superfície dos dentes, o biofilme presente e prevenir a recolonização bacteriana. Adicionalmente, pastas profiláticas com flúor podem ser aplicadas para fortalecer o esmalte dentário. A abordagem preventiva e minimamente invasiva do GBT, um protocolo abrangente destaca-se pelo seu foco na manutenção da saúde oral a longo prazo. Integra diagnósticos precisos, intervenções terapêuticas eficazes e estratégias educativas ao enfatizar a remoção eficiente do biofilme e a educação contínua do paciente. A adesão dos pacientes ao tratamento é melhorada através de um entendimento maior da importância da higiene oral e da manutenção regular. Esta abordagem holística não só melhora a saúde oral, mas também promove a prevenção de doenças periodontais e peri-implantares, tornando-se uma prática essencial na medicina dentária contemporânea.
Guided Biofilm Therapy (GBT) is a modern and systematic approach in dentistry, focused on the effective management of bacterial biofilm, the main cause of periodontal and peri-implant diseases. This protocol combines accurate diagnoses, effective treatments, and educational strategies to promote comprehensive and preventive oral health. GBT begins with a detailed assessment of the patient's oral health, using biofilm developers and advanced imaging tools to identify areas of biofilm buildup. Biofilm development is crucial for visualization of the affected areas, facilitating diagnosis and patient education. Informing and motivating patients about the importance of oral hygiene and regular biofilm removal is essential to ensure adherence to treatment and preventive maintenance. A core component of GBT is the use of cleaning agents such as glycine powder or erythritol, applied with air polishing devices, such as AIRFLOW®, PERIOFLOW® e PIEZON®. These agents are effective in removing biofilm and have mild properties that minimize the risk of damage to gum tissues and tooth surfaces. Clinical studies have shown that the use of these powders results in a significant reduction in gingival inflammation and the depth of periodontal pockets, improving patients' overall periodontal health. The GBT protocol also includes prophylaxis and tooth polishing with AIRFLOW PROPHYLAXIS MASTER EMS to smooth the surface of the teeth, biofilm removal and prevent bacterial recolonization. Additionally, prophylactic pastes containing fluoride can be applied to strengthen tooth enamel. GBT's preventive, minimally invasive approach, a comprehensive protocol stands out for its focus on maintaining long-term oral health. Integrates accurate diagnostics, effective therapeutic interventions and educational strategies By emphasizing efficient biofilm removal and ongoing patient education, GBT significantly contributes to reducing the incidence of periodontal disease. Patient adherence to treatment is improved through a greater understanding of the importance of oral hygiene and regular maintenance. This holistic approach not only improves oral health, but also promotes the prevention of periodontal and peri-implant diseases, making it an essential practice in contemporary dentistry.
Guided Biofilm Therapy (GBT) is a modern and systematic approach in dentistry, focused on the effective management of bacterial biofilm, the main cause of periodontal and peri-implant diseases. This protocol combines accurate diagnoses, effective treatments, and educational strategies to promote comprehensive and preventive oral health. GBT begins with a detailed assessment of the patient's oral health, using biofilm developers and advanced imaging tools to identify areas of biofilm buildup. Biofilm development is crucial for visualization of the affected areas, facilitating diagnosis and patient education. Informing and motivating patients about the importance of oral hygiene and regular biofilm removal is essential to ensure adherence to treatment and preventive maintenance. A core component of GBT is the use of cleaning agents such as glycine powder or erythritol, applied with air polishing devices, such as AIRFLOW®, PERIOFLOW® e PIEZON®. These agents are effective in removing biofilm and have mild properties that minimize the risk of damage to gum tissues and tooth surfaces. Clinical studies have shown that the use of these powders results in a significant reduction in gingival inflammation and the depth of periodontal pockets, improving patients' overall periodontal health. The GBT protocol also includes prophylaxis and tooth polishing with AIRFLOW PROPHYLAXIS MASTER EMS to smooth the surface of the teeth, biofilm removal and prevent bacterial recolonization. Additionally, prophylactic pastes containing fluoride can be applied to strengthen tooth enamel. GBT's preventive, minimally invasive approach, a comprehensive protocol stands out for its focus on maintaining long-term oral health. Integrates accurate diagnostics, effective therapeutic interventions and educational strategies By emphasizing efficient biofilm removal and ongoing patient education, GBT significantly contributes to reducing the incidence of periodontal disease. Patient adherence to treatment is improved through a greater understanding of the importance of oral hygiene and regular maintenance. This holistic approach not only improves oral health, but also promotes the prevention of periodontal and peri-implant diseases, making it an essential practice in contemporary dentistry.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Terapia guiada do biofilme Doença periodontal Terapia periodontal Saúde oral preventiva