Publication
Comparação da instrumentação manual versus desbridamento ultrassónico no tratamento da periodontite crónica: revisão narrativa
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Abstract(s)
A terapia periodontal consiste no tratamento destinado a estabelecer uma relação favorável em relação à infeção e promover a manutenção de um periodonto saudável. A remoção mecânica periódica de biofilme microbiano supragengival é essencial para controlar doenças inflamatórias do periodonto. Existem determinados requisitos básicos para a raspagem e alisamento radicular, que são: pressão do movimento, afiação do instrumento e angulação do instrumento em relação ao longo eixo da raiz dentário. O tratamento periodontal em pacientes com diagnóstico de periodontite tem como objetivo a eliminação da infeção e o estabelecimento de um estado fisiológico de saúde em todo o periodonto. Para alcançar este objetivo, o desbridamento subgengival apresenta-se como um procedimento essencial, consistindo na raspagem e alisamento radicular para remoção do biofilme e tártaro acumulados nas bolsas periodontais. A técnica de desbridamento subgengival pode ser realizada por meio de instrumentação manual ou com o uso de instrumentos sónicos e ultrassónicos. Ambas as opções possuem desafios, no entanto, o desbridamento subgengival destaca-se como um processo complexo que exige habilidade e treinamento adequados para obter resultados satisfatórios. O objetivo desta revisão narrativa com critérios sistematizados é comparar os resultados disponíveis na literatura científica sobre a eficácia da instrumentação manual versus o desbridamento ultrassónico no tratamento da periodontite crónica. Pretende-se realizar uma análise dos estudos publicados, avaliando a metodologia utilizada, os resultados clínicos analisados e as conclusões obtidas em cada estudo.
Periodontal therapy consists of treatment aimed at establishing a favorable relationship with regard to infection and promoting the maintenance of a healthy periodontium. Periodic mechanical removal of supragingival microbial biofilm is essential to control inflammatory diseases of the periodontium. There are certain basic requirements for scaling and root planning, which are: movement pressure, instrument sharpening and instrument angulation in relation to the long axis of the tooth root. Periodontal treatment in patients diagnosed with periodontitis aims to eliminate opportunistic infection and establish a physiological state of health throughout the periodontium. To achieve this objective, subgingival debridement is an essential procedure, consisting of scaling and root planning to remove biofilm and tartar accumulated in periodontal pockets. The subgingival debridement technique can be performed by means of manual instrumentation or with the use of sonic and ultrasonic instruments. Both options have challenges, however, subgingival debridement stands out as a complex process that requires skill and adequate training to obtain satisfactory results. The objective of this narrative review with systematized criteria is to compare the results available in the scientific literature on the effectiveness of manual instrumentation versus ultrasonic debridement in the treatment of chronic periodontitis. It is intended to carry out a critical analysis of the published studies, evaluating the methodology used, the clinical results analyzed and the conclusions obtained in each study.
Periodontal therapy consists of treatment aimed at establishing a favorable relationship with regard to infection and promoting the maintenance of a healthy periodontium. Periodic mechanical removal of supragingival microbial biofilm is essential to control inflammatory diseases of the periodontium. There are certain basic requirements for scaling and root planning, which are: movement pressure, instrument sharpening and instrument angulation in relation to the long axis of the tooth root. Periodontal treatment in patients diagnosed with periodontitis aims to eliminate opportunistic infection and establish a physiological state of health throughout the periodontium. To achieve this objective, subgingival debridement is an essential procedure, consisting of scaling and root planning to remove biofilm and tartar accumulated in periodontal pockets. The subgingival debridement technique can be performed by means of manual instrumentation or with the use of sonic and ultrasonic instruments. Both options have challenges, however, subgingival debridement stands out as a complex process that requires skill and adequate training to obtain satisfactory results. The objective of this narrative review with systematized criteria is to compare the results available in the scientific literature on the effectiveness of manual instrumentation versus ultrasonic debridement in the treatment of chronic periodontitis. It is intended to carry out a critical analysis of the published studies, evaluating the methodology used, the clinical results analyzed and the conclusions obtained in each study.
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Keywords
Periodontitis Periodontal debridements Deltal calculus Chronic periodontitis Ultrasonic debridement Manual instrumentation