RESUMEN
Background: Tissue biotypes are related to the results of periodontal therapy, conventional prosthodontics, implant therapy and root covering procedures. We conducted a systematic review (SR) of the literature about the relationship between the gingival biotype and the results of root covering surgical procedures. Material and Methods: A PICO question was defined. Two independent reviewers conducted electronic and manual literature searches, which covered studies up to August 31, 2020, in the National Library of Medicine (PubMed MEDLINE), EBSCO, Science Direct and Cochrane. The inclusion criteria were all root covering procedures in individuals with different gingival biotypes. The final result of the different surgical techniques was evaluated by the Root Coverage Esthetic Score (RES). The Methodological Index for the identification of biases for Non-Randomized Studies was applied. Results: Only four articles fulfilled the inclusion criteria. These studies adequately reported the percentage of root coverage after surgery, and two recorded the entire RES index. Complete root coverage was achieved in a range between 70 - 86.12% in patients with thin biotype and between 77.8 - 96% in patients with a thick biotype. The aesthetic results were not compromised by the initial classification of the biotype. The treatments used were subepithelial connective tissue graft with coronally displaced flap or its modification. No significant differences were found. Conclusions: When the gingival biotypes are analyzed as independent variables, none of the root coverage procedures are affected by the classification of the gingival biotype. Key words:Root coverage, gingival recession, gingival biotype.
RESUMEN
Introducción: Debido al aumento en la esperanza de vida y, en consecuencia, al aumento en el número de personas mayores, la asociación entre los estados de salud se vuelve relevante en términos de salud pública, ya que además de los años vividos, la calidad de vida de estos pacientes es importante. Objetivo: Evaluar la autopercepción y el estado de salud bucal en personas mayores. Métodos: Estudio observacional, de corte transversal (enero-julio del 2019) en el que se realizaron cuestionarios GOHAI (índice de evaluación de la salud oral geriátrica) y el cuestionario sobre el tipo, el tiempo de uso y la limpieza de las prótesis dentales, el cáncer oral y los datos socioeconómicos. La presencia de posibles lesiones orales también se evaluó mediante examen clínico. Los sujetos incluidos en la muestra eran ancianos (60 años o más) que asistían a las unidades de salud de Aracaju. Resultados: Participaron 55 mujeres y ocho hombres. Al evaluar el índice de evaluación de la salud oral geriátrica, se verificó que el 47,6 por ciento de la muestra tenía una mala percepción de la salud oral. Se encontraron asociaciones entre el índice de evaluación de la salud oral geriátrica entre la última visita al dentista, la adaptación de la prótesis dental y las heridas bucales (p < 0,05). Las lesiones orales más prevalentes fueron mucosa rojiza o irritada (35,7 por ciento) y eritroplasia (14,2 por ciento) y se detectó que el 76 por ciento de las prótesis tenían grietas o suciedad. El 77,7 por ciento de los participantes en el estudio solo utilizaban dentífrico como material de limpieza de la prótesis. Conclusión: La salud bucal autopercibida y las condiciones de salud bucal de los ancianos evaluados se consideraron deficientes, se observa la presencia de prótesis mal adaptadas y agrietadas, además de mucositis(AU)
Introduction: due to the increase in life expectancy and, consequently, to the increase in the number of elderly people, the association between health states becomes relevant in terms of public health, since in addition to the lived years the quality of life of these patients is important. Objective: evaluate the self-perception of oral health and check the oral health condition of the elderly. Methods: observational cross-sectional study (January to July / 2019) in which questionnaires were the GOHAI (Geriatric Oral Health Assessment Index) questionnaire and questionnaire about type, time of use and cleaning of dental prostheses, oral cancer and socioeconomic data. The presence of possible oral lesions was also assessed by clinical examination. The subjects included in the sample were elderly (60 years or older) attending the Aracaju Health Units. Results: fifty-five were female and eight male. When evaluating the Geriatric Oral Health Assessment Index, it is verified that 47.6 percent of the sample has poor self-perception of oral health. Associations were found between GOHAI Index for last visit to the dentist, dental prosthesis adaptation and mouth wound (p < 0.05). The most prevalent oral lesions were reddish or irritated mucosa (35.7 percent), followed by erythroplakia (14.2 percent), 76 percent of the prostheses had cracks or dirt. About the cleaning of the protests, 77.7 percent use only dentifrice as cleaning material. Conclusion: self-perceived oral health and oral health conditions of the elderly evaluated were considered poor, in the presence of poorly adapted and cracked prostheses, in addition to mucositis(AU)