回肠栎漱口水对辐射健康老年人牙周健康的预防作用

Gloria Patricia Perea González, Blanca Estrada Esquivel Esquivel, Luminosa Fuente, M. García, Hazel Perea, Laura Quitl Reyes
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摘要

目的:在健康患者和放射头颈癌患者中,除了增加唾液流量和中和ph值外,使用栓皮水提取物作为漱口水可减少80%的牙周病。方法:我们纳入了200例患者(100男,100女;参与者:有牙齿或部分有牙齿(第一磨牙和牙齿),不吸烟,无龋齿,不饮酒,无磨牙,不使用漱口水,单侧咀嚼,无全身性疾病。对观察员进行校正,获得龋病/牙周病的Cohen kappa系数为0.97,置信区间为95%,并对简化口腔卫生指数(OHI)进行校正。200例患者首次采集唾液后,对口腔左侧牙齿进行理顺和清洁,使用牙刷和牙膏;第二次采集唾液第15天,右侧根茎脱屑、变平,用白骨栎水提液刷、牙膏、漱口水。结果:两组平均术前刷牙技术不足(92%),影像学显示骨病中度;牙周袋深度4至5毫米。患者健康,AC pH 5.9 / 5.7,唾液流量4.34±0.85 ml(2.60±0.45 ml)。术后牙周韧带加宽减少,适当刷牙技术(97%),牙周病无漱口水改善患者35%;漱口水治疗改善了85%的患者。结论:槲皮水提液作为漱口水,除了增加唾液流量和中和pH外,还能减少80%放射头颈癌患者的牙周病。
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Periodontal Health Prevention in Radiated and Healthy Elderly Using Mouthwashes of Quercus ilex
Aims: The use of aqueous extracts of Quercus ilex as a mouthwash is reduced by 80% periodontal disease in healthy patients and patients with radiated head and neck cancer, in addition to increasing salivary flow and neutralizing the pH. Methodology: We included 200 patients (100 men, 100 women; age range 60-70 years) healthy and with head/neck cancer with radiotherapy treatment were included, Participants: toothed or toothed partially (first molars and teeth), non-smokers, without caries Cervical, non-drinkers, bruxism not present, not using mouthwashes, unilateral chewing, systemic diseases not present. Calibration of observers obtaining a Cohen kappa coefficient of 0.97 for caries/periodontal disease with a confidence interval of 95% was made as well as the Simplified Oral Hygiene Index (OHI). The 200 patients after the first collection of saliva, smoothed and curetaje of the teeth of the left side of the mouth, used toothbrush and toothpaste; On the fifteenth day of the second collection of saliva, desquamation and flattening of roots on the right side, brushes, toothpaste and mouth rinses of aqueous extracts of Quercus ilex . Results: The mean for both groups, preoperative for brushing technique was deficient (92%), radiographically moderate bone disease; Periodontal pockets depth 4 to 5mm. Patients healthy and with AC pH 5.9 / 5.7, salivary flow 4.34 ± 0.85 ml 2.60 ± 0.45 ml. The postoperative period reduces the widening of the periodontal ligament, the technique of adequate brushing (97%), periodontal disease without mouthwash improves 35% of patients; Mouthwash treatment improves 85% of patients. Changes pH to 6.5 / 7.1 and salivary flow 4.92 ± 0.92 ml 3.89 ± 0.66 ml Conclusion: The use of aqueous extracts of Quercus ilex as a mouthwash is reduced by 80% periodontal disease in patients with radiated head and neck cancer, in addition to increasing salivary flow and neutralizing the pH.
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