Avaliação dos parâmetros clínicos periodontais de pacientes durante a terapia periodontal de suporte

Abstract

Introduction: Periodontal disease is a common inflammatory and chronic pathology that is installed in the gingivalperiodontal structures and leads to destruction of the periodontium of protection and sustentation. Its treatment is characterized by an active, non-surgical and / or surgical phase, where the objective is to control the disease and restore health in the periodontal tissues. After the end of the active phase, the patient is directed to periodontal support therapy (PST) or periodontal maintenance (PM), which aims to establish the permanence of oral health, avoiding a relapse of the disease, besides promoting periodontal stability and minimizing tooth loss. Methodology: The study was conducted at the UFS Dental Clinic in patients with treated periodontal disease. All patients who attended periodontal support therapy sessions regularly during the four-year period were invited to participate in the study. An analysis of the medical records was carried out, the patients answered an interview, performed the Periodontal Screening and Recording (PSR) and obtained the bleeding index. And we performed the adaptation of the buccal environment with supragingival scaling, subgingival and coronary polishing. The data collected were tabulated in a spreadsheet and submitted to descriptive statistical analysis, the mean and the standard deviation were obtained and were submitted to the ANOVA significance test. Results: A total of 72 patients participated in the supportive therapy program, but only 12 attended periodontal support therapy sessions regularly over a four-year period. 67% of the patients had a reduction in bleeding rates, 50% had a general mean bleeding index within acceptable standards in the literature, 67% of the patients had a PSR examination score reduction, and at the end of the fourth year 90% of the patients used the taught brushing technique. Conclusion: The follow up of the patients during the TPS, after the conclusion of the active phase of the treatment of periodontal disease, has great value in maintaining the good clinical parameters of the periodontal health condition.