Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.02124
Revista de Odontologia da UNESP
Original Article

Effects of an oxygen-releasing mouthwash for peri-implant health management. A pilot randomized controlled clinical trial

Efeitos de um enxaguatório liberador de oxigênio para manutenção da saúde peri-implantar. Estudo piloto clinico, randomizado e controlado

Caroline Paixão CUSTÓDIO; Rubens Moreno de FREITAS; Elcio MARCANTONIO JUNIOR; Rafael Scaf de MOLON; Valdir Gouveia GARCIA

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Abstract

Introduction: The control of peri-implant biofilm plays a crucial role in the long-term success of dental implants. Topical treatment alternatives aimed at reducing or preventing biofilm accumulation around the implant's prosthetic components are critical for the success of the treatment.

Objective: The present study has clinically evaluated the effects of an oxygen-releasing mouthwash (BlueM®) over a 90-day period, following implant placement surgery.

Material and method: Inclusion and exclusion criteria allowed for the selection of participants who, after implant placement, were randomized into two groups: the control group, which used a 0.12% chlorhexidine mouthwash, and the BlueM group, which received the oxygen-releasing BlueM mouthwash. All participants were instructed to rinse twice daily for the first 10 days and once a day up to 30 days post-surgery. Clinical parameters were evaluated, including the visible plaque index (VP), marginal bleeding (MB), presence of calculus (PC), suppuration (SUP), mucositis (MU), and the extent of keratinized gingiva (KG). These data were collected at the time of suture removal (baseline). At 90 days postoperative, in addition to the aforementioned parameters, probing depth (PD), bleeding on probing (BOP), and the presence of peri-implantitis (PI) were evaluated.

Result: Nine patients were included in this study, with a total of 38 implants. The BlueM group demonstrated a reduction in MB and an even greater reduction in VP. The other assessed parameters showed similar results to those in the control group.

Conclusion: BlueM mouthwash has clinical benefits for biofilm control and gingival inflammation reduction.

Keywords

Implants, biofilm, periimplantitis, mucositis, mouthwash

Resumo

Introdução: O controle do biofilme peri-implantar desempenha um papel importante no sucesso a longo prazo dos implantes dentários. Alternativas de tratamento tópico visando a diminuição ou a prevenção do acumulo de biofilme ao redor dos componentes protéticos do implante é um fator crucial para a sucesso do tratamento.

Objetivo: Assim, o presente estudo avaliou clinicamente no período de 90 dias, os efeitos de um enxaguatório bucal liberador de oxigênio (BlueM®) após cirurgia de instalação de implante.

Material e método: Após a instalação dos implantes, os pacientes foram randomizados em dois grupos: grupo controle utilizaram enxaguatório bucal com clorexidina 0,12% e grupo BlueM utilizaram enxaguatório bucal liberador de oxigênio (BlueM). Todos participantes foram orientados a realizarem os bochechos 2 x/dia nos primeiros 10 dias, e 1 x/dia até completar 30 dias da cirurgia. Parâmetros clínicos foram avaliados: índice de placa visível (PV), sangramento marginal (SM), presença de cálculo (PC), presença de supuração (SUP), presença de mucosite (MU), extensão da faixa de gengiva ceratinizada (GC) realizados no ato da remoção da sutura (Baseline). No período de 90 dias do pós-operatório foram realizados os exames de profundidade de sondagem (PS), sangramento à sondagem (SS) e de presença de perimplantite (Pi).

Resultado: 9 pacientes foram incluídos neste estudo totalizando 38 implantes instalados. O grupo BlueM apresentou redução no SM, maior redução de PV. Os demais parâmetros avaliados foram semelhantes com o grupo controle.

Conclusão: Pode-se concluir que o enxaguatório BlueM demonstrou benefícios clínicos no controle do biofilme e no controle da inflamação gengival.

Palavras-chave

Implante dental, biofilme dental, peri-implantite, mucosite, enxaguatórios bucais

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Submitted date:
08/22/2024

Accepted date:
08/31/2024

671bebcda953954efe4d7df3 rou Articles
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