RESUMEN
The objective of this study was to evaluate the effects of maintenance therapy with or without the use of 0.12% chlorhexidine in the periodontal tissues of patients with diabetes mellitus who had carious lesions restored with composed resin. Twenty patients were selected, all of whom had diabetes mellitus in addition to carious cervical lesions in previously treated teeth. After 90 days, improvement in plaque and gingival indices and probing depth were noticed among patients in the group that received 0.12% chlorhexidine.
Asunto(s)
Antiinfecciosos Locales/uso terapéutico , Clorhexidina/uso terapéutico , Resinas Compuestas/química , Materiales Dentales/química , Restauración Dental Permanente/métodos , Complicaciones de la Diabetes , Enfermedades Periodontales/prevención & control , Adolescente , Adulto , Anciano , Caries Dental/terapia , Placa Dental/prevención & control , Índice de Placa Dental , Pulido Dental , Humanos , Persona de Mediana Edad , Índice Periodontal , Bolsa Periodontal/clasificación , Bolsa Periodontal/prevención & control , Cuello del Diente/patología , Adulto JovenRESUMEN
O objetivo deste estudo foi avaliar a melhora nocontrole glicêmico do Diabetes mellitus, bem como do controleda doença periodontal, através da relação entre os níveissangüíneos de hemoglobina glicosilada, glicemia em jejum eglicemia pós-prandial e os parâmetros clínicos da doençaperiodontal. Material e Métodos: Foram selecionados 20pacientes, com faixa etária de 18 a 70 anos que não foramsubmetidos ao tratamento periodontal básico, sendo divididosem 2 grupos: 1)Tratamento periodontal básico+controlemecânico e 2)tratamento periodontal básico + controlemecânico + Terapia de manutenção. As análises foramrealizadas no dia 0 e aos 90 dias, incluindo Índice de Placa,Índice gengival, Profundidade de sondagem, Nível de inserçãoclínica e Sangramento a sondagem, juntamente com aavaliação de hemoglobina glicosilada, glicemia em jejum epós-prandial. Resultados: Constatou-se uma melhora namaioria dos parâmetros clínicos periodontais, assim comonos níveis de glicose em jejum e glicose pós-prandial emambos os grupos. No grupo que recebeu terapia demanutenção, os parâmetros clínicos de sangramento asondagem e profundidade de sondagem diminuíramsignificantemente, enquanto que os valores de hemoglobinaglicosilada diminuíram, mas não significantemente. Conclusão:Sugeriu-se que esta terapia pode ter sido positiva empacientes portadores de Diabetes Mellitus e doençaperiodontal...
This treatise aims to evaluate the improvement inthe glycemic control of the Diabetes Mellitus, as well as thecontrol of the Periodontal Disease through the relationshipamong the blood levels of the glycated hemoglobin, bothfasting and postload glycemias, and the clinical parametersof the periodontal disease. Materials and Methods: Oneselected twenty patients who were not submitted to theconventional periodontal treatment. Such patients were underthe age of 18 to 70 years old, divided into two groups: 1-conventional periodontal treatment + mechanical control; 2-conventional periodontal treatment + mechanical control +maintenance therapy. The analysis were effectuated in 90days, including plaque index, gingival index, probing depth,level of clinical attachment and bleeding on probing, togetherwith the evaluation of the glycated hemoglobin and both fastingand postload glycemias. Results: One came to understandan improvement in most of the clinical periodontal parameters,as well as the levels of both fasting and postload glycemiasin both groups. In the group who received the maintenancetherapy, one perceived that the bleeding on probing and theprobing depth diminished in a great scale. In addition, thevalue of the glycated hemoglobin diminished, however notsufficiently. Conclusion: One suggested that the therapyherein mentioned has been positive in patients with diabetesmellitus and periodontal disease...