EFICACIA DEL USO DEL ENJUAGUE DE CLORHEXIDINA DURANTE EL TRATAMIENTO DE ORTODONCIA
Palabras clave:
Clorhexidina, Gingivitis, Ortodoncia, Placa dental
Resumen
Objetivo: Determinar la eficacia de la clorhexidina sobre la cantidad de placa dental presente en sujetos adultos, usuarios de aparatología ortodoncica y residentes en el área metropolitana de Bucaramanga que eran atendidos en las clínicas de ortodoncia de la universidad Santo Tomas, durante el segundo semestre del año 2007.
Materiales y métodos: Ensayo clínico controlado realizado con 60 sujetos adultos en tratamiento de ortodoncia. Se estableció el índice de placa OPI (Ortho-Plaque Index) y el índice gingival (GI Index). El grupo intervenido recibió 10 ml de Digluconato de Clorhexidina (0,2%), que se utilizó en forma de enjuagues dos veces por día, sin interrupciones por quince días.
Resultados: Los sujetos expuestos a la intervención tenían 2.2 veces más de probabilidad IC (1.6 a 3.3) de tener un índice OPI cuyos valores reflejaban una buena higiene oral.
Conclusiones: Se podría afirmar que la exposición de los sujetos, con tratamiento de ortodoncia, al Digluconato de Clorhexidina (0.2%), por un periodo de quince días, disminuyó la placa dental significativamente.
[Ibañez E, Aguilar LA, Mendoza MC. Eficacia del uso del enjuague de clorhexidina durante el tratamiento de ortodoncia. Revista Ustasalud Odontología 2007; 6: 112 - 122]
Referencias
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6. Basdra EK, Huber H, Komposch G. Fluoride release from orthodontic bonding agents alters the enamel surface and inhibits enamel demineralization in vitro. Am J Orthod Dentofacial Orthop 1996; 109: 466 – 472.
7. Øgaard B, Rølla G, Arends J. Orthodontic appliances and enamel demineralization. Part 1. Lesion development. Am J Orthod Dentofacial Orthop 1988; 94: 68 - 73.
8. Derks A, Kuijpers-Jagtman Am, Frencken Je, Van’t Hof M, Katsarose C. Caries preventive measures used in orthodontic practices: An evidence-based decision? Am J Orthod Dentofacial Orthop 2007; 132: 165 – 170.
9. Baysan A, Lynch E. Effect of ozone on the oral microbiota and clinical severity of primary root caries. Am J Dent 2004; 17: 56 - 60.
10. Todd MA, Staley RN, Kanellis MJ, Donly KJ, Wefel JS. Effect of a fluoride varnish on demineralization adjacent to orthodontic brackets. Am J Orthod Dentofacial Orthop 1999; 116: 159 – 167.
11. Burkland G. Hygiene and the orthodontic patient. J Clinic Orthod 1999; 33: 443 - 446.
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14. Brightman LJ, Terezhalmy GT, Greenwell H, Jacobs M, Enlow DH. The effects of a 0.12% chlorhexidine gluconate mouth rinse on orthodontic patients aged 11 through 17 with established gingivitis. Am J Orthod Dentofacial Orthop 1991; 100: 324 - 329.
15. Øgaard B, Afzelius Alm A, Larsson E, Adolfsson U. A prospective, randomized clinical study on the effects of an amine fluoride/stannous fluoride toothpaste/mouthrinse on plaque, gingivitis and initial caries lesion development in orthodontic patients. Eur J Orthod 2006; 28: 8 - 12.
16. Van Rijkom HM, Truin GJ, Vant’hof MA. A meta-analysis of clinical studies on the caries inhibiting effect of chlorhexidine treatment. J Dent Res 1996; 75: 790 - 795.
17. Charles CH, Mostler KM, Bartels LL, Mankodi SM. Comparative antiplaque and antigingivitis effectiveness of a chlorhexidine and an essential oil mouthrinse: 6-month clinical trial. J Clin Periodontol 2004; 31: 878 - 884.
18. Martignon S, Ekstrand KR, Lemos MI, Lozano MP, Higuera C, Mora G, Bautista MP. Estado de salud oral en pacientes con tratamiento de ortodoncia: examen visual usando los criterios diagnósticos ICDAS y OPI. Universidad El Bosque, Bogotá, Colombia; University of Copenhagen, Denmark. Memorias XVII Encuentro Nacional de Investigación Odontológica. ACFO 14,15 y 16 de septiembre de 2006. Universidad Santo Tomás. Bucaramanga.
19. Heintze SD, Jost-Brinkmann PG, Finke CH, Miethke RR. Oral health for the orthodontic patient. Illinois: Quintessence Publishing Co, Inc, 1999.
20. Katz S, McDonald JL, Stookey GK. Odontologia Preventiva en Acción. Ed. Médica Panamericana 1982.
21. Boersma JG, van der Veen MH, Lagerweij MD, Bokhout B, Prahl-Andersen B. Caries prevalence measured with QLF after treatment with fixed orthodontic appliances: influencing factors. Caries Res 2005; 39: 41 - 47.
22. Corbett JA, Brown LR, Keene HJ, Horton IM. Comparison of Streptococcus mutans concentrations in non-banded and banded orthodontic patients. J Dent Res 1981; 60: 1936 – 1942.
23. Scheie Aa, Arneberg P, Krogstad O. Effect of orthodontic treatment on prevalence of Streptococcus mutans in plaque and saliva. Scand J Dent Res. 1984; 92: 211 – 217.
24. Sinclair PM, Berry CW, Bennett CL, Israelson H. Changes in gingiva and gingival flora with bonding and banding. Angle Orthod 1987; 57: 271 – 278.
25. Rosenbloom RG, Tinanoff N. Salivary Streptococcus mutans levels in patients before, during, and after orthodontic treatment. Am J Orthod Dentofac Orthop 1991;100: 35 – 37.
26. Türkkahraman H, Sayin MO, Bozkurt FY, Yetkin Z, Kaya S, Onal S. Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients. Angle Orthod 2005; 75: 231 - 236.
27. Naranjo AA, Triviño Ml, Jaramillo A, Betancourth M, Botero JE. Changes in the subgingival microbiota and periodontal parameters before and 3 months after bracket placement. Am J Orthod Dentofacial Orthop 2006; 130: 17 - 22.
28. Hamp SE, Lundström F, Nyman S. Periodontal conditions in adolescents subjected to multiband orthodontic treatment with controlled oral hygiene. Eur J Orthod 1982; 4: 77 - 86.
29. Anderson GB, Bowden J, Morrison EC, Caffesse RG. Clinical effects of chlorhexidine mouthwashes on patients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop 1997; 111: 606 - 612.
30. Leif G, Ella Z, Rolf A. Oral hygiene instruction of adults by means of a self-instructional manual. J Clin Periodontol 1981; 8: 165 – 176.
31. Bascones A, Morante S. Antisépticos orales. Revisión de la literatura y perspectiva actual. Av Periodon Implantol 2006; 18: 31 - 59.
32. Olympio KPK, Bardal PAP, de M Bastos JR Buzalaf MAR. Effectiveness of a chlorhexidine dentifrice in orthodontic patients: a randomized-controlled trial. J Clin Periodontol 2006; 33: 421 – 426.
33. Sari E, Birinci I. Microbiological evaluation of 0.2% chlorhexidine gluconate mouthrinse in orthodontic patients. Angle Orthod 2007; 77: 881 - 884.
34. Heintze SD, Jost-Brinkman PP, Loundos J. Effectiveness of three different types of electric toothbrushes compared with a manual technique in orthodontic patients. Am J Orthod Dentofacial Orthop 1996; 110: 630 - 638.
35. Lundström F, Hamp SE, Nyman S. Systematic plaque control in children undergoing long-term orthodontic treatment. Eur J Orthod 1980; 2: 27 - 39.
2. Löe H, Theilade E, Jensen SB. Experimental gingivitis in man. J Periodontol 1965; 36: 177- 187.
3. Bishara S. Ortodoncia. Mc Graw Hill. p. 478.
4. Derks A, Katsaros C, Frencken JE, van’t Hof MA, Kuijpers-Jagtman AM. Caries-inhibiting effect of preventive measures during orthodontic treatment. Caries Res 2004; 38: 413 – 420.
5. Bernimoulin JP. Recent concepts in plaque formation. J Clin Periodontology 2003; 30: 7 - 9.
6. Basdra EK, Huber H, Komposch G. Fluoride release from orthodontic bonding agents alters the enamel surface and inhibits enamel demineralization in vitro. Am J Orthod Dentofacial Orthop 1996; 109: 466 – 472.
7. Øgaard B, Rølla G, Arends J. Orthodontic appliances and enamel demineralization. Part 1. Lesion development. Am J Orthod Dentofacial Orthop 1988; 94: 68 - 73.
8. Derks A, Kuijpers-Jagtman Am, Frencken Je, Van’t Hof M, Katsarose C. Caries preventive measures used in orthodontic practices: An evidence-based decision? Am J Orthod Dentofacial Orthop 2007; 132: 165 – 170.
9. Baysan A, Lynch E. Effect of ozone on the oral microbiota and clinical severity of primary root caries. Am J Dent 2004; 17: 56 - 60.
10. Todd MA, Staley RN, Kanellis MJ, Donly KJ, Wefel JS. Effect of a fluoride varnish on demineralization adjacent to orthodontic brackets. Am J Orthod Dentofacial Orthop 1999; 116: 159 – 167.
11. Burkland G. Hygiene and the orthodontic patient. J Clinic Orthod 1999; 33: 443 - 446.
12. Machen D. Legal aspects of orthodontic practice: risk management Concepts. Am J Orthod Dentofacial Orthop 1991; 29: 594 - 598.
13. Santos A. Evidence –based control of plaque and gingivitis. J Clin Periodontology 2003; 30: 13 - 16.
14. Brightman LJ, Terezhalmy GT, Greenwell H, Jacobs M, Enlow DH. The effects of a 0.12% chlorhexidine gluconate mouth rinse on orthodontic patients aged 11 through 17 with established gingivitis. Am J Orthod Dentofacial Orthop 1991; 100: 324 - 329.
15. Øgaard B, Afzelius Alm A, Larsson E, Adolfsson U. A prospective, randomized clinical study on the effects of an amine fluoride/stannous fluoride toothpaste/mouthrinse on plaque, gingivitis and initial caries lesion development in orthodontic patients. Eur J Orthod 2006; 28: 8 - 12.
16. Van Rijkom HM, Truin GJ, Vant’hof MA. A meta-analysis of clinical studies on the caries inhibiting effect of chlorhexidine treatment. J Dent Res 1996; 75: 790 - 795.
17. Charles CH, Mostler KM, Bartels LL, Mankodi SM. Comparative antiplaque and antigingivitis effectiveness of a chlorhexidine and an essential oil mouthrinse: 6-month clinical trial. J Clin Periodontol 2004; 31: 878 - 884.
18. Martignon S, Ekstrand KR, Lemos MI, Lozano MP, Higuera C, Mora G, Bautista MP. Estado de salud oral en pacientes con tratamiento de ortodoncia: examen visual usando los criterios diagnósticos ICDAS y OPI. Universidad El Bosque, Bogotá, Colombia; University of Copenhagen, Denmark. Memorias XVII Encuentro Nacional de Investigación Odontológica. ACFO 14,15 y 16 de septiembre de 2006. Universidad Santo Tomás. Bucaramanga.
19. Heintze SD, Jost-Brinkmann PG, Finke CH, Miethke RR. Oral health for the orthodontic patient. Illinois: Quintessence Publishing Co, Inc, 1999.
20. Katz S, McDonald JL, Stookey GK. Odontologia Preventiva en Acción. Ed. Médica Panamericana 1982.
21. Boersma JG, van der Veen MH, Lagerweij MD, Bokhout B, Prahl-Andersen B. Caries prevalence measured with QLF after treatment with fixed orthodontic appliances: influencing factors. Caries Res 2005; 39: 41 - 47.
22. Corbett JA, Brown LR, Keene HJ, Horton IM. Comparison of Streptococcus mutans concentrations in non-banded and banded orthodontic patients. J Dent Res 1981; 60: 1936 – 1942.
23. Scheie Aa, Arneberg P, Krogstad O. Effect of orthodontic treatment on prevalence of Streptococcus mutans in plaque and saliva. Scand J Dent Res. 1984; 92: 211 – 217.
24. Sinclair PM, Berry CW, Bennett CL, Israelson H. Changes in gingiva and gingival flora with bonding and banding. Angle Orthod 1987; 57: 271 – 278.
25. Rosenbloom RG, Tinanoff N. Salivary Streptococcus mutans levels in patients before, during, and after orthodontic treatment. Am J Orthod Dentofac Orthop 1991;100: 35 – 37.
26. Türkkahraman H, Sayin MO, Bozkurt FY, Yetkin Z, Kaya S, Onal S. Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients. Angle Orthod 2005; 75: 231 - 236.
27. Naranjo AA, Triviño Ml, Jaramillo A, Betancourth M, Botero JE. Changes in the subgingival microbiota and periodontal parameters before and 3 months after bracket placement. Am J Orthod Dentofacial Orthop 2006; 130: 17 - 22.
28. Hamp SE, Lundström F, Nyman S. Periodontal conditions in adolescents subjected to multiband orthodontic treatment with controlled oral hygiene. Eur J Orthod 1982; 4: 77 - 86.
29. Anderson GB, Bowden J, Morrison EC, Caffesse RG. Clinical effects of chlorhexidine mouthwashes on patients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop 1997; 111: 606 - 612.
30. Leif G, Ella Z, Rolf A. Oral hygiene instruction of adults by means of a self-instructional manual. J Clin Periodontol 1981; 8: 165 – 176.
31. Bascones A, Morante S. Antisépticos orales. Revisión de la literatura y perspectiva actual. Av Periodon Implantol 2006; 18: 31 - 59.
32. Olympio KPK, Bardal PAP, de M Bastos JR Buzalaf MAR. Effectiveness of a chlorhexidine dentifrice in orthodontic patients: a randomized-controlled trial. J Clin Periodontol 2006; 33: 421 – 426.
33. Sari E, Birinci I. Microbiological evaluation of 0.2% chlorhexidine gluconate mouthrinse in orthodontic patients. Angle Orthod 2007; 77: 881 - 884.
34. Heintze SD, Jost-Brinkman PP, Loundos J. Effectiveness of three different types of electric toothbrushes compared with a manual technique in orthodontic patients. Am J Orthod Dentofacial Orthop 1996; 110: 630 - 638.
35. Lundström F, Hamp SE, Nyman S. Systematic plaque control in children undergoing long-term orthodontic treatment. Eur J Orthod 1980; 2: 27 - 39.
Cómo citar
Ibáñez Bolívar, E., Aguilar V., L., & Mendoza Villamizar, M. (1). EFICACIA DEL USO DEL ENJUAGUE DE CLORHEXIDINA DURANTE EL TRATAMIENTO DE ORTODONCIA. Ustasalud, 6(2), 112-122. https://doi.org/https://doi.org/10.15332/us.v6i2.1808
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Artículos de Investigación Científica y Tecnológica
