Loading...
Publication
Importância do controle do biofilme dentário no aparecimento da cárie: revisão integrativa
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_37585 | 653.03 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
A cárie dentária é uma patologia comum que começa com danos no esmalte dentário causados por ácidos formados durante a fermentação bacteriana de hidratos de carbono da dieta. O desenvolvimento da cárie não é apenas a consequência da presença de bactérias cariogénicas, mas também de uma perda de equilíbrio no biofilme oral. O objetivo deste trabalho foi, portanto, demonstrar que o controle orientado do biofilme dentário é crucial para prevenir o aparecimento de cáries dentárias. Para tal, realizámos uma revisão integrativa dos dados recentes disponíveis na literatura científica relacionados com abordagens eficazes e recomendações para o controle do biofilme dentário para prevenir e tratar a cárie.
A pesquisa bibliográfica foi efetuada utilizando uma combinação das palavras-chave "cárie", "biofilme", "saúde", "microbioma" e "flora oral" nas bases de dados PubMed e ScienceDirect, em francês, inglês e português. Foram seleccionados 24 artigos com base nos critérios de inclusão e exclusão definidos e através de um processo de seleção baseado na análise do título, do resumo e do conteúdo do artigo.
Ao longo deste estudo, vimos que o controle direcionado do biofilme oferece muitas vantagens na luta contra a cárie. Vimos também que uma boa compreensão do biofilme é também essencial para conseguir um controle ótimo e minimamente invasivo do biofilme. O nosso trabalho permitiu-nos identificar duas grandes áreas complementares, agrupando diferentes estratégias de controle do biofilme: a eliminação do biofilme dentário patogénico e o controle da sua composição. Estas estratégias inovadoras estão a revelar-se eficazes, mas é ainda necessária mais investigação para desenvolver protocolos de tratamento normalizados. O objetivo geral é melhorar a gestão da cárie de duas formas: recomendando medidas preventivas e aplicando estratégias de cuidados e prevenção mais específicas que respeitem a microbiota oral.
Por último, é importante prosseguir o desenvolvimento interdisciplinar da prevenção e da promoção da saúde oral, desde muito cedo e em diferentes contextos (escola, clínica geral, etc.), incorporando os dados recentes disponíveis na literatura científica sobre o controle do biofilme dentário, a fim de atuar eficazmente na capacitação dos pacientes.
Tooth decay is a common pathology that begins with damage to tooth enamel caused by acids formed during bacterial fermentation of dietary carbohydrates. The development of caries is not simply the consequence of the presence of cariogenic bacteria, but also of a loss of balance within the oral biofilm. The aim of this work was therefore to demonstrate that targeted management of the dental biofilm is crucial in preventing the onset of dental caries. To this end, we carried out an integrative review of recent data available in the scientific literature relating to effective approaches and recommendations for dental biofilm control to prevent and treat caries. The literature was searched using a combination of the key words, "caries", "biofilm", "health", "microbiome" and "oral flora" on the PubMed and ScienceDirect databases, in French, English and Portuguese. 24 articles were selected on the basis of defined inclusion and exclusion criteria, and through a selection process based on analysis of the article's title, abstract and content. Throughout this study, we have seen that targeted biofilm control offers many advantages in the fight against caries. We have also seen that a good understanding of biofilm is also essential to achieving optimal, minimally invasive biofilm control. Our work has enabled us to identify two main complementary approaches to biofilm control: eliminating pathogenic dental biofilm and controlling its composition. These innovative strategies are proving effective, but further research is still needed to develop standardized care protocols. The overall aim is to improve caries management in two ways: by recommending preventive measures, and by applying more targeted care and prevention strategies that respect the oral microbiota. Lastly, we need to pursue the cross-functional development of oral health prevention and promotion, from an early age and in different settings (schools, general practice, etc.), by integrating recent data available in the scientific literature on controlling dental biofilm, in order to effectively the patient's empowerment.
Tooth decay is a common pathology that begins with damage to tooth enamel caused by acids formed during bacterial fermentation of dietary carbohydrates. The development of caries is not simply the consequence of the presence of cariogenic bacteria, but also of a loss of balance within the oral biofilm. The aim of this work was therefore to demonstrate that targeted management of the dental biofilm is crucial in preventing the onset of dental caries. To this end, we carried out an integrative review of recent data available in the scientific literature relating to effective approaches and recommendations for dental biofilm control to prevent and treat caries. The literature was searched using a combination of the key words, "caries", "biofilm", "health", "microbiome" and "oral flora" on the PubMed and ScienceDirect databases, in French, English and Portuguese. 24 articles were selected on the basis of defined inclusion and exclusion criteria, and through a selection process based on analysis of the article's title, abstract and content. Throughout this study, we have seen that targeted biofilm control offers many advantages in the fight against caries. We have also seen that a good understanding of biofilm is also essential to achieving optimal, minimally invasive biofilm control. Our work has enabled us to identify two main complementary approaches to biofilm control: eliminating pathogenic dental biofilm and controlling its composition. These innovative strategies are proving effective, but further research is still needed to develop standardized care protocols. The overall aim is to improve caries management in two ways: by recommending preventive measures, and by applying more targeted care and prevention strategies that respect the oral microbiota. Lastly, we need to pursue the cross-functional development of oral health prevention and promotion, from an early age and in different settings (schools, general practice, etc.), by integrating recent data available in the scientific literature on controlling dental biofilm, in order to effectively the patient's empowerment.
Description
Keywords
Cárie Biofilme Saúde Microbiota Flora oral Carie Biofilm Health Microbiota Oral flora