Avaliação longitudinal da condição periodontal de indivíduos tratados/retratados

Abstract

Periodontitis is inflammatory and infectious disease on attachment tissue of teeth and it is one of principal reason for tooth loss. Periodontal treatment consists on scaling and root planning associate with high standard oral hygiene with aim of reduce periodontal inflammation levels. Stability of attachment levels is a major aim to be achieved after periodontal treatment conclusion. Although periodontal treatment effectivity and need in cooperate with supportive periodontal treatment (SPT) be well established in literature, a little is known about periodontal status and follow-up of individuals who use philanthropic service. The aim of this study was to evaluate periodontal status of individuals treated/retreated on a philanthropic service. At first, 77 individuals who did periodontal treatment after a mean of 3.5 years were evaluated. Demographic and socioeconomic data were collected by structured interview. Periodontal variables evaluated were: Plaque Index (PlI), Gingival Index (GI), Probing Depth (PD), Clinical Attachment Level (CAL) and Bleeding on Probing (BoP). Individuals who showed high percentage of BoP (≥25%) were lead to retreatment. The final exam was done, in mean, 2.4 years after retreatment and individuals were categorized on three groups: did not receive any dental retreatment (NDentT); received some dental treatment, except periodontal (DentT); and those who received periodontal retreatment (PerioRT). The group which received periodontal retreatment had lower GI mean when compared with group that did not receive any dental treatment (P<0.05), however, they stayed with high BoP percentages. Mean of PlI, PD, BoP and CAL were not different among groups (P≥0.05). It was not observed difference on disease progression among the groups (P≥0.05). Although individuals have possibility of a free dental treatment, those who were retreated at this place showed no significant changes on BoP percentage and PD≥5mm with BoP percentage. These results may be related to the fact patients did not return to do regular and individualized STP.