Evacuación de efectividad de barniz de clorhexidina-timol y gel de clorhexidina en control de biofilm e inflamación gingival en niños con necesidades especiales
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Fecha
2013
Autores
Profesor/a Guía
Facultad/escuela
Idioma
es
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Editor
Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Los pacientes que presentan discapacidad cognitiva y/o motora, diariamente se
ven expuestos a situaciones que requieren apoyo de sus pares, lo que determina
niveles de dependencia variables. Acciones relativamente cotidianas y básicas de auto
cuidado, se tornan altamente improbables de realizar sin ayuda, y aún con apoyo, no
siempre se realizan en forma eficaz. Es así como se evidencia en estos individuos,
entre otras condiciones, un deficiente control mecánico de Biofilm dental, con el
consecuente impacto en la salud bucal.
La tarea del odontólogo, como parte integral de un equipo de salud, es
desarrollar políticas de promoción de salud efectivas, educando y concientizando a los
padres o cuidadores de estos individuos sobre la importancia de un efectivo control de
Biofilm, lo cual representaría una de las medidas más efectivas para evitar la aparición
de patologías como caries y enfermedad periodontal. Al agregar un tratamiento
complementario en base Clorhexidina, se facilitaría aun más el control de biofilm.2 Bajo
esta premisa nace el interés de este estudio, de evaluar la efectividad .de la
Clorhexidina como tratamiento coadyuvante en el control de placa bacteriana e
inflamación gingival en pacientes discapacitados, en sus formatos Gel Dentífrico y
Barniz de aplicación profesional, cuando realizan un cepillado asistido por un adulto,
previamente instruido para tal efecto. El formato colutorio no será analizado, debido a
las eventuales dificultades que alguno de los pacientes tuviera de realizar enjuagues.
Se compararán, además, los formatos Gel y Barniz entre sí. La intervención se
realizará en una muestra de 28 niños, entre 6 y 12 años con discapacidad cognitiva y
motriz leve y moderada, del Colegio Sol de la Reina.
The patients with special needs are more susceptible to acquire oral diseases. One of the main factors that affect this matter corresponds to motor system alterations, which without a doubt, make these cases depend on their equals far daily activities like personal hygiene habits. The aim of this study was to evaluate the effectiveness of the ChlorhexidineThymol Varnish and the Chlorhexidine Gel on children with minar and moderate special needs, from Sol de la Reina High School. The development of the study was analytic, experimental and with noncontrolled clinical tests. The used sample pattern was a Simple random probabilistic sampling through a random numeric board The sample included 28 children between 6 and 12 years old with cognitive and motor disability. A clinical test was made, with previous consent and authorization from the parents, taking a register of a Simplified Oral Hygiene lndex and an initial Modified Gum lndex. The 28 children were classified into two different groups. To the first group of 14 students, an initial layer of CHX-Thymol varnish was applied, and then a second application of the varnish was made when reaching the 3rd week of research. The second group of 14 children was instructed to brush their teeth with CHX Gel, 2 times per day far 4 weeks, while being supervised by their teachers. At 4 weeks of starting the treatments, the final measures of SOHI and MGI were made. The statistic analysis was made by using the computer program SPSS .17.0. To accomplish the comparison analysis of the different groups, the TT est was u sed. There was a significant difference regarding SOHI in the two applied treatments and a significant difference in the treatment with the Chlorhexidine Gel over the Chlorhexidine-Thymol Varnish when making the final MGI measure With the obtained data we can conclude that the two treatments are effective in the reduction of SOHI and that the CHX Gel is more effective than the CHX-Thymol Varnish in the reduction of gum inflammation (MGI) of the disabled children from Sol de la Reina High School.
The patients with special needs are more susceptible to acquire oral diseases. One of the main factors that affect this matter corresponds to motor system alterations, which without a doubt, make these cases depend on their equals far daily activities like personal hygiene habits. The aim of this study was to evaluate the effectiveness of the ChlorhexidineThymol Varnish and the Chlorhexidine Gel on children with minar and moderate special needs, from Sol de la Reina High School. The development of the study was analytic, experimental and with noncontrolled clinical tests. The used sample pattern was a Simple random probabilistic sampling through a random numeric board The sample included 28 children between 6 and 12 years old with cognitive and motor disability. A clinical test was made, with previous consent and authorization from the parents, taking a register of a Simplified Oral Hygiene lndex and an initial Modified Gum lndex. The 28 children were classified into two different groups. To the first group of 14 students, an initial layer of CHX-Thymol varnish was applied, and then a second application of the varnish was made when reaching the 3rd week of research. The second group of 14 children was instructed to brush their teeth with CHX Gel, 2 times per day far 4 weeks, while being supervised by their teachers. At 4 weeks of starting the treatments, the final measures of SOHI and MGI were made. The statistic analysis was made by using the computer program SPSS .17.0. To accomplish the comparison analysis of the different groups, the TT est was u sed. There was a significant difference regarding SOHI in the two applied treatments and a significant difference in the treatment with the Chlorhexidine Gel over the Chlorhexidine-Thymol Varnish when making the final MGI measure With the obtained data we can conclude that the two treatments are effective in the reduction of SOHI and that the CHX Gel is more effective than the CHX-Thymol Varnish in the reduction of gum inflammation (MGI) of the disabled children from Sol de la Reina High School.
Notas
Tesis (Cirujano Dentista, Especialización en Odontopediatría)
Palabras clave
Enfermedades de la Boca, Encuestas de Salud Bucal, Discapacidad cognitiva y motora, Promoción de la salud bucal