Español    I    English              

Official body of scientific
expression of


Chilean Society of
Periodontology



Chilean Society of Oral
Oral Implantology



Chilean Society of Prosthetics and
Oral Rehabilitation

 


Chilean Society of
Odontopediatrics

 


Ibero-Panamerican Federation
of Periodontics

 


Ibero-Latin-American Association
of Oral Rehabilitation(AILARO)

Indexed in:

Scielo, ScienceDirect,
Latindex, Redalyc

Return to Index

Rev Clin Periodoncia Implantol Rehabil Oral 2009;2:167-170
TRABAJO DE INVESTIGACIÓN [PDF]

Barnices Preventivos en Rehabilitación Oral

Preventive Varnishes in Full mouth Restored Patients

Dreyer E1, Jorquera G1, Córdova C2

1Facultad de Odontología, Universidad de Chile. Chile.
2Facultad de Odontología, Universidad de Los Andes. Chile.

Resumen

Propósito
Evaluar el efecto de una aplicación única de barnices preventivos sobre el recuento semicuantitativo de S mutans y L acidophilus en pacientes que poseen toda su dentición restaurada ya sea con resina compuesta o cerámica.

Método
Se seleccionaron 33 pacientes bruxómanos, desdentados parciales y portadores protésicos (14 hombres y 19 mujeres, de edades entre 51 y 59 años, promedio 57,8) que necesitaban rehabilitación oral de toda su dentición. Antes de iniciar el tratamiento, toda la cohorte recibió instructivo de higiene oral con dentífrico fluorado. Fueron rehabilitados según sus necesidades de reemplazo mediante resinas compuestas (RC) o prótesis fija de porcelana fundida sobre metal (PFSM) y prótesis fija sobre Implantes. La cohorte posteriormente se dividió aleatoriamente en tres grupos iguales. Grupo A se le enseño técnica de higiene oral con cepillo interproximal. Grupo B se le aplico barniz de flúor (Duraphat®, Colgate – Palmolive, fluoruro de sodio al 5%) además del instructivo de higiene oral con cepillo interproximal. Grupo C se le aplico barniz de clorhexidina (Cervitec Plus®, Vivadent, Clorhexidina al 1%), y el mismo instructivo de higiene. Para el recuento semicuantitativo de S.mutans y L. acidophilus antes (basal) y 30 días después (experimental) de la aplicación de barnices preventivos se utilizó CRT®. Además se relacionó el recuento bacteriano con los biomateriales utilizados en las rehabilitaciones: RC y PFM. Los resultados fueron analizados mediante las pruebas de Mc Nemar y Kruscal-Wallis.

Resultados
Resultados de la comparación del recuento basal con el experimental de S.mutans: Grupo A: 90,9%, (n=10), Grupo B: 100% (n=11) y Grupo C: 63,6% (n=7), no mostraron ningún cambio en su recuento (Mc Nemar Symmetry test S.mutans p = 0,655). Para L.acidofilus: Grupo A: 90,9%, (n=10), Grupo B: 72,7% (n=8) y Grupo C: 45,4% (n=5), no mostraron ningún cambio en su recuento (p=0,058). Asociación entre el recuento microbiano y los biomateriales utilizados fue para S. mutans/PFM p=:0.864 (Kruscal-Wallis One –way test), 0.243 para S. mutans/ RC. L.acidofilus / PFM p=0.678 y 0.440 para L.acidofilus /RC.

Conclusiones
Treinta días después de una aplicación única de barnices preventivos sobre pacientes que presentan su dentición restaurada con RC o PFSM, no se reduce la microbiota cariogénica al recuento semicuantitativo de ella.

Palabras clave: Barnices preventivos, bruxismo, materiales dentales.

Abstract

Objective
The purpose of this preliminary study was to determine the influence of a single application of preventive varnishes over S. mutans and L. acidophilus flora, after oral rehabilitation and its correlation with the dental materials used.

Methods
33 patients (14 male and 19 female), ages 51-59 years (mean=57.8) bruxers, partially edentulous and removable prosthesis users were selected. They underwent full mouth restoration with composites resin reconstructions (CRR), fixed (PFM), removable and/or implanted prosthesis. After treatment all patients received oral hygiene instructions, including the use of interproximal brushes. Patients were randomly divided in 3 equal groups. Group A: Without any other preventive program; Group B: With one application of Duraphat® (Colgate-Palmolive); and Group C: With one application of Cervitec Plus ® (Ivoclar - Vivadent).Before (control) and 30 days after these applications (experimental), CRT bacteria® (Ivoclar- Vivadent) was applied. Data were statistically analyzed by the Mc Nemar Symmetry test and by the Kruscal-Wallis One -way test.

Results
Counts at Baseline/one month later of S. mutans p = 0,655 y L. acidophilus p =0,058. P values were: 0.864 for S. Mutans/PFM, 0.243 for S. Mutans/ CRR, 0.678 for Lactobacilli/ PFM and 0.440 for Lactobacilli/ CRR.

Conclusions
In full mouth restored patients, only one application of fluoride or clorhexidine varnishes did not affect the cariogenic flora after one month. There is no influence from PFM or CRR on bacterial counts.

Keywords: Preventive varnishes, bruxism, dental materials.

El Texto completo solo está disponible en PDF

 

Referencias Bibliográficas

1.
S.D. Heintze, et al. Surface roughness/gloss of composite as a function a polishing time. 83rd General session an exhibition of the IADR, Baltimore.U.S.A, March 2005, paper 2688.
2.
D. Stephen,Campbell
Biological Compatibility of Prosthodontic Materials
The International Journal of Prosthodontics, 16 (2003), pp. 52-54
3.
N. Konishi
Confocal laser scanning microscopic analysis of early plaque formed on resin composite and human enamel
Journal of Oral Rehabilitation, 30 (2003), pp. 790-795
4.
S. Eick
Adherence of Streptococcus mutans to various restorative materials in a continuous flow system
Journal of Oral Rehabilitation, 31 (2004), pp. 278-285 http://dx.doi.org/10.1046/j.0305-182X.2003.01233.x
5.
S. Sardin
In vitro streptococcal adherence on prosthetic and implant materials. Interactions with physicochemical surface properties
Journal of Oral Rehabilitation, 31 (2004), pp. 140-148
6.
W. John,Mclean
Evolution of dental ceramics in the twentieth century
Journal of Prosthetics Dentistry, 85 (2001), pp. 61-66
7.
K. Khoo et al. Relationship between mutans streptococci virulence and caries risk in adults. 83rd General session an exhibition of the IADR, Baltimore. U.S.A, March 2005, paper 0818.
8.
A. Ivar,Mjör,E. Jacquelyn
Moorhead. Reasons for replacement of restorations in permanent teeth in general dental practice
International dental Journal, 50 (2000), pp. 361-368
9.
J.P. Van Nieuwenhuysen
Long-term evaluation of extensive restorations in permanent teeth
Journal of Dentistry, 31 (2003), pp. 395-405
10.
B.S. Maher et al. Genetics segregation analysis of caries risk. 83rd General session an exhibition of the IADR, Baltimore. U.S.A, March 2005, paper 0024.
11.
CRT® Test de Riesgo de Caries, Manual instructivo del fabricante. Ivoclar Vivadent Clinical.
12.
G.H. Petersson, S. Twetman and D. Bratthall. Caries risk profiles over two years assessed by the Cariogram. 83rd General session an exhibition of the IADR, Baltimore. U.S.A, March 2005, paper 0820.
13.
J.D.B. Featherstone et al. Chlorhexidine and fluoride therapy reduces caries risk. 83rd General session an exhibition of the IADR, Baltimore. U.S.A, March 2005, paper 0023.
14.
A.M.M. Mesquita et al. Effects of acidulated phosphate fluoride on low fusing ceramics. 83rd General session an exhibition of the IADR, Baltimore. U.S.A, March 2005, paper 3127.
15.
J.A. Weintraub et al. Efficacy of fluoride varnish in preventing early childhood caries. 83rd General session an exhibition of the IADR, Baltimore. U.S.A, March 2005, paper 0015.
16.
M. Madlena
Effect of amine fluoride/stannous fluoride toothpaste and mouth rinse on dental plaque accumulation and gingival health
Oral Diseases, 10 (2004), pp. 294-297 http://dx.doi.org/10.1111/j.1601-0825.2004.01025.x
17.
L.G. Petersson,L. Arthursson,C. Ostberg,G. Jonsson,A. Gleerup
Cariesinhibiting effects of different models of Duraphat varnish reapplication: a 3- year radiographic study
Caries Res, 25 (1991), pp. 70-73
18.
D. Armellini,J.A. von Fraunhofer
The shortened dental arch: a review of the literature
J Prosthet Dent, 92 (2004), pp. 531-535 http://dx.doi.org/10.1016/S002239130400530X
19.
N. Jepson
Patient satisfaction following restoration of shortened mandibular dental arches in a randomized controlled trial
Int J Prosthodent, 16 (2003), pp. 409-414
20.
P.T. Sarita
A study on occlusal stability in shortened dental arches
Int J Prosthodont, 16 (2003), pp. 375-380
21.
K. Arai
Comparison of shortened dental arches with complete dental Arches by clinical examinations
Nihon Hotetsu Shika Gakkai Zasshi, 50 (2006), pp. 26-34
22.
T. Kanno,G.E. Carlsson
A review of the shortened dental arch concept focusing on the work by the Kayser/Nijmegen group
J. Oral Rehabil, 33 (2006), pp. 850-862 http://dx.doi.org/10.1111/j.1365-2842.2006.01625.x
23.
G.H. Gilbert,R.P. Duncan,M.W. Hefl,R.T. Coward
Dental Health attitudes among dentate black and white adults
Med Cara, 35 (1997), pp. 255-271
24.
J. Paulander,P. Axelsson,J. Lindhe
Association between levels of education and oral health status in 35-, 50-, 65-, and 75-year-olds
J Clin Periodontol, 30 (2003), pp. 697-704
25.
G.H. Gilbert,R.P. Duncan,B.J. Shelton
Social determinants of tooth loss
Health Serv Res, 38 (2003), pp. 1843-1862
26.
K. Sisson
Theoretical explanations for social inequalities in oral health
Community dentistry and oral epidemiology, 35 (2007), pp. 81-88 http://dx.doi.org/10.1111/j.1600-0528.2007.00354.x
27.
M. Kneckt
Locus of control beliefs predicting oral and diabetes health behaviour and health status
Acta Odontol. Scand, 57 (1999), pp. 127-131
28.
D. Bonetti
Can psychological models bridge the gap between clinical guidelines and clinicians ‘behaviour?. A randomised controlled trial of an intervention to influence dentists ‘intention to implement evidencebased practice
British Dental Journal, 195 (2003), pp. 403-407 http://dx.doi.org/10.1038/sj.bdj.4810565
29.
J.B. Epstein
Compliance with fluoride gel use in irradiated patients
Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 82 (1996), pp. 268-275
30.
J.B. Epstein
Effects of compliance with fluoride gel application on caries risk in patients after radiation therapy for head and neck cancer
Oral Surg Oral Med Oral Pathol, 71 (1991), pp. 172-178
31.
J.B. Epstein
The efficacy of Chlorhexidine gel in reduction of Streptococcus mutans and Lactobacillus species in patients treated with radiation therapy
J Can Dent Assoc, 62 (1996), pp. 700

 

CORRESPONDENCIA AUTOR
Erik Dreyer.
erikmda@yahoo.com

Trabajo recibido el 11/10/2009 /
Aprobado para su publicación el 30/11/2009.

Copyright © 2009.
Sociedad de Periodoncia de Chile, Sociedad de Implantología Oral de Chile y Sociedad de Prótesis y Rehabilitación Oral de Chile.