Efeito do tratamento periodontal full-mouth e convencional na redução da halitose

• Autor(a) principal: Soares, Léo Guimarães
• Data de Publicação: 2013
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/14004
• topic: Halitosis; Bad breath; Volatile sulfur compounds; VSC; Periodontitis; Halitose; Mau hálito; Compostos sulfurados voláteis; Periodontite; CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA::PERIODONTIA

Halitosis is characterized by the emission of an unpleasant odor about 90% originates in the oral cavity. Studies have shown a direct relationship between periodontal disease and the offensive odor of breath. The present study aimed to determine the prevalence of halitosis in patients with periodontal disease in an observational cross-sectional study (n = 112) and, in an intervention study, the patients have had six distinct forms of treatment (n = 90) to verify the efficacy of full- vs. partial-mouth disinfection in the control of halitosis. Patients answered an interview, they have had their breath collected by halimeter, they have evaluated by organoleptic test, and visible plaque index, gingival bleeding index, index of tongue coating and periodontal examination. In the second step, patients have been submitted to six different forms of treatment: periodontal therapy in one session, conventional therapy in quadrants, and the control group, with only oral hygiene instruction. All types split: with and without tongue scraping daily. The first study results shown for both organoleptic test as halimeter, a greater degree of halitosis in the older age groups, we have reported that gum bleeding and brushing less than three times per day. Still in organoleptic test brushing of tongue generated statistical difference. There was no statistical difference between the measures between halitosis and organoleptic test halimeter. There was about 75% og periodontal patients with halitosis. In the second study the results shown the superiority analysis as halimeter for 30, 60 and 90 days for groups of scraping in single session against scraping by quadrants. Being all groups superior from control. There was no difference in approach with or without tongue scraping. According to the organoleptic test, there was no difference between the four types of periodontal treatment compared to the control groups. The same applies to WTCI, the treatment groups were superior to the control, but similar to each other. It was concluded that age and gingival bleeding, like brushing frequency can influence the degree of halitosis, both the organoleptic test as halimeter. Brushing the tongue was superior only in organoleptic evaluation. When assessed by halimeter treatment full-mouth was superior to conventional treatment. This difference was not observed when measured by the organoleptic method. All periodontal treatment modalities were superior to control groups. Scraping lingual had no influence on treatments.