Banca de DEFESA: RAYANNE KARINA SILVA CRUZ

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : RAYANNE KARINA SILVA CRUZ
DATE: 13/12/2021
TIME: 14:30
LOCAL: Plataforma Remota
TITLE:

Efficacy of Implantoplasty Adjuvant to Mechanic Debridement in the Surgical Treatment of Periimplantitis.

KEY WORDS:

Periimplantitis; Therapeutics; Dental Implantation.

PAGES: 113
BIG AREA: Ciências da Saúde
AREA: Odontologia
SUBÁREA: Clínica Odontológica
SUMMARY:

Surgical therapy has been identified as the most appropriate strategy for the treatment of peri-implantitis, combining concepts of non-surgical therapy with ressective and/or regenerative procedures. The study aimed to evaluate the effect of adding implantoplasty to the surgical mechanical debridement technique used in the treatment of peri-implantitis. This is a prospective, controlled, randomized, double-blind clinical trial. 13 participants with 33 implants were randomly allocated into two groups: surgical access + mechanical debridement (control-I group) and surgical access + mechanical debridement + implantoplasty (test-II group). The primary outcomes were assessed at baseline and at 3 months: Plaque Index -PI, Gingival Bleeding Index -GBI, Probing Depth -PD, Bleeding on Probing -BoP, and Keratinized Mucosal Band -MK. Quality of life was evaluated by the Oral Health Impact Profile -OHIP14 and oxidative stress markers by salivary samples. The results showed that 69.2% were women, with an average age of 60.6 years. Of the 32 implants, 16 received therapy I and 16 received therapy II. Of all rehabilitations, 53.8% were total and 30.8% were partial, with the rest being single. The Mann-Whitney test showed that the values of PI and GBI in group II were higher than in group I at 3 months, but they were not significant (p=0,193; p=0,419). The BoP was higher in I group (50%) than in II group (41.6%) at 3 months, however, without significance (p=0,759). At 3 months, all parameters - except BoP in II group - decreased in value, being significant for PI in I group (p=0,038), GBI in I and II groups (p=0,011 and p=0,015) and PD in II group (p=0,041). Split-Plot ANOVA showed no interaction between time and treatment. The OHIP14 showed that at baseline there was a predominance of “Physical pain”, “Psychological discomfort” and “Physical disability”, while at 3 months there was an improvement in the evaluated items. Salivary analysis showed that there was a reduction in the levels of oxidative stress markers after treatment, being significant for superoxide dismutase (Z=-2,701; p=0,007). Conclusion: there is insufficient evidence that the addition of implantoplasty improves clinical parameters in the surgical treatment of peri-implantitis at 3 months, in relation to mechanical debridement alone.

BANKING MEMBERS:
Interno - 1660087 - BRUNO CESAR DE VASCONCELOS GURGEL
Externo ao Programa - 1752956 - EULER MACIEL DANTAS
Externo à Instituição - FERNANDO JOSE DE OLIVEIRA NOBREGA - UERN
Interna - 1958729 - RUTHINEIA DIOGENES ALVES UCHOA LINS
Externo à Instituição - SUZANA PERES PIMENTEL - UNIP