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Authors
Abstract(s)
A periodontite é uma doença complexa e tem vários fatores etiológicos, que
se desenvolve ao longo do tempo, através da acumulação de placa bacteriana
sobre a superfície dentária. A terapia fotodinâmica antimicrobiana (aPDT) e a
fotobiomodulação (PBM) são consideradas novas abordagens terapêuticas
adjuvantes, quando usadas com a destartarização, a raspagem ou com a cirurgia
periodontal. Este estudo apresenta o potencial desses novas abordagens para a
medicina dentária.
Foi realizada uma pesquisa bibliográfica nas bases de dados da
MEDLINE (PubMed) e Web of Science. Foram incluídos os artigos publicados
nos últimos 5 anos até dezembro de 2022 apenas na língua inglesa utilizando as
palavras chave: (“Periodontitis” AND “light therapy”) (“Peri-implantitis” AND “light
therapy”), (“Periodontitis” AND “low-level Laser therapy (LLLT)” OR
“photobiomodulation”), (“Peri-implantitis” AND “low-level Laser therapy (LLLT)”
OR “photobiomodulation”), (“Periodontitis” AND “Photodynamic Therapy” OR
“Antimicrobial Photodynamic Therapy” OR “Photodynamic Antimicrobial
Chemotherapy), (“Periimplantitis” AND “Photodynamic Therapy” OR
“Antimicrobial Photodynamic Therapy” OR “Photodynamic Antimicrobial
Chemotherapy), (“Periodontitis” AND “antimicrobial Blue Light Therapy”), (“Periimplantitis” AND “antimicrobial Blue Light Therapy”).
Foram encontrados 610 estudos, que, após a remoção dos duplicados,
cujo título e resumo foram analisados (n= 156). Após a aplicação dos critérios de
exclusão foram lidos integralmente 72, onde 18 foram excluídos por não
contemplarem estudos comparativos entre as técnicas de tratamento
convencionais com as técnicas base de luz.
Este estudo mostra a elevada potencialidade da aPDT e da PBM para a
inativação de microorganismos periodontopatogénicos. Os estudos analisados
mostram claramente que há uma melhoria em relação ao tratamento da
periodontite e peri-implantite após uma destartarização, raspagem ou cirurgia
periodontal em conjunto com as terapias adjuvantes aPDT e PBM. Estes
resultados variam de acordo com estágio e o grau da doença periodontal e peri-
implantar. No entanto, mais estudos devem ser feitos a fim de otimizar o
protocolo em ambiente clínico.
Periodontitis is a complex disease and has several etiological factors, which develops over time through the accumulation of bacterial plaque on the tooth surface. Antimicrobial photodynamic therapy (aPDT) and photobiomodulation (PBM) are considered new adjuvant therapeutic approaches when used with scaling or periodontal surgery. This study presents the potential of these new approaches in dental practices. A literature search was performed in the MEDLINE (PubMed) and Web of Science databases. Articles published in the last 5 years until December 2022 only in English using the keywords: (“Periodontitis” AND “light therapy”) (“Periimplantitis” AND “light therapy”), (“Periodontitis” AND “low-level Laser therapy (LLLT)” OR “photobiomodulation”), (“Peri-implantitis” AND “low-level Laser therapy (LLLT)” OR “photobiomodulation”), (“Periodontitis” AND “Photodynamic Therapy” OR “Antimicrobial Photodynamic Therapy” OR “Photodynamic Antimicrobial Chemotherapy), (“Periimplantitis” AND “Photodynamic Therapy” OR “Antimicrobial Photodynamic Therapy” OR “Photodynamic Antimicrobial Chemotherapy), (“Periodontitis” AND “antimicrobial Blue Light Therapy”), (“Periimplantitis” AND “antimicrobial Blue Light Therapy”). A total of 610 studies were found, which, after removing duplicates, whose title and abstract were analysed (n= 156). After applying the exclusion criteria, 72 were read in full, where 18 were excluded because they did not includecomparative studies between conventional treatment techniques and light-basedtechniques. This study shows the high potential of aPDT and PBM for the inactivation of periodontopathogenic microorganisms. The analysed studies clearly show that there is an improvement regarding the treatment of periodontitis and periimplantitis after scaling, scaling or periodontal surgery in conjunction with aPDT and PBM adjuvant therapies. These results vary according to the stage and degree of periodontal and peri-implant disease. However, more studies must be done to optimize the protocol in a clinical environment.
Periodontitis is a complex disease and has several etiological factors, which develops over time through the accumulation of bacterial plaque on the tooth surface. Antimicrobial photodynamic therapy (aPDT) and photobiomodulation (PBM) are considered new adjuvant therapeutic approaches when used with scaling or periodontal surgery. This study presents the potential of these new approaches in dental practices. A literature search was performed in the MEDLINE (PubMed) and Web of Science databases. Articles published in the last 5 years until December 2022 only in English using the keywords: (“Periodontitis” AND “light therapy”) (“Periimplantitis” AND “light therapy”), (“Periodontitis” AND “low-level Laser therapy (LLLT)” OR “photobiomodulation”), (“Peri-implantitis” AND “low-level Laser therapy (LLLT)” OR “photobiomodulation”), (“Periodontitis” AND “Photodynamic Therapy” OR “Antimicrobial Photodynamic Therapy” OR “Photodynamic Antimicrobial Chemotherapy), (“Periimplantitis” AND “Photodynamic Therapy” OR “Antimicrobial Photodynamic Therapy” OR “Photodynamic Antimicrobial Chemotherapy), (“Periodontitis” AND “antimicrobial Blue Light Therapy”), (“Periimplantitis” AND “antimicrobial Blue Light Therapy”). A total of 610 studies were found, which, after removing duplicates, whose title and abstract were analysed (n= 156). After applying the exclusion criteria, 72 were read in full, where 18 were excluded because they did not includecomparative studies between conventional treatment techniques and light-basedtechniques. This study shows the high potential of aPDT and PBM for the inactivation of periodontopathogenic microorganisms. The analysed studies clearly show that there is an improvement regarding the treatment of periodontitis and periimplantitis after scaling, scaling or periodontal surgery in conjunction with aPDT and PBM adjuvant therapies. These results vary according to the stage and degree of periodontal and peri-implant disease. However, more studies must be done to optimize the protocol in a clinical environment.
Description
Keywords
Periodontite Peri-implantite Fotobiomodulação Terapia fotodinâmica antimicrobiana Destartarização Raspagem Cirurgia periodontal Periodontitis Peri-implantitis Photobiomodulation Antimicrobial photodynamic therapy scaling Root planning Periodontal surgery