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Prevention and Periodontal Treatment in Down Syndrome Patients: A Systematic Review

The aim of this systematic literature review was to evaluate which type of periodontal preventive and therapeutic approaches presents superior outcomes in patients with Down syndrome (DS). Studies reporting different methods of periodontal care from DS patients were considered eligible. Included cli...

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Autores principales: Ferreira, Rafael, Michel, Raphaella Coelho, Greghi, Sebastião Luiz Aguiar, de Resende, Maria Lúcia Rubo, Sant’Ana, Adriana Campos Passanezi, Damante, Carla Andreotti, Zangrando, Mariana Schutzer Ragghianti
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927059/
https://www.ncbi.nlm.nih.gov/pubmed/27355338
http://dx.doi.org/10.1371/journal.pone.0158339
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author Ferreira, Rafael
Michel, Raphaella Coelho
Greghi, Sebastião Luiz Aguiar
de Resende, Maria Lúcia Rubo
Sant’Ana, Adriana Campos Passanezi
Damante, Carla Andreotti
Zangrando, Mariana Schutzer Ragghianti
author_facet Ferreira, Rafael
Michel, Raphaella Coelho
Greghi, Sebastião Luiz Aguiar
de Resende, Maria Lúcia Rubo
Sant’Ana, Adriana Campos Passanezi
Damante, Carla Andreotti
Zangrando, Mariana Schutzer Ragghianti
author_sort Ferreira, Rafael
collection PubMed
description The aim of this systematic literature review was to evaluate which type of periodontal preventive and therapeutic approaches presents superior outcomes in patients with Down syndrome (DS). Studies reporting different methods of periodontal care from DS patients were considered eligible. Included clinical studies should indicate at least two periodontal parameters in different periods of assessment. Screening of the articles, data extraction and quality assessment were conducted independently and in duplicate. Electronic search according to the PICO search, with both Key-words and MESH terms were conducted in MEDLINE, EMBASE and CENTRAL databases until March 2016. Manual search was conducted in four journals, namely Journal of Periodontology, Journal of Clinical Periodontology, Journal of Periodontal Research and Special Care in Dentistry and their electronic databases were searched. Electronic and manual search resulted in 763 papers, and of them 744 were excluded after title/abstract assessment. The full text of 19 potentially eligible publications was screened and 9 studies met inclusion criteria. The results demonstrated the importance to introduce youngest DS patients in preventive programs, as well as participation of parents, caregivers or institutional attendants in supervising/performing oral hygiene. In studies with higher frequency of attendance, all age groups presented superior preventive and therapeutic results, irrespective of the therapeutic approach used (surgical/nonsurgical/periodontal care program). The important factors for reducing periodontal parameters were the frequency of the appointments and association with chlorhexidine/plaque disclosing agents as adjuvant treatment. This systematic review demonstrated that early introduction in periodontal care, participation of parents/caregivers/institutional attendants, frequency of attendance and association with chemical adjuvants (independently of the periodontal treatment adopted) seems to improve periodontal outcomes in preventive and periodontal treatment of DS patients. Registration number (Prospero): CRD42016038433.
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spelling pubmed-49270592016-07-18 Prevention and Periodontal Treatment in Down Syndrome Patients: A Systematic Review Ferreira, Rafael Michel, Raphaella Coelho Greghi, Sebastião Luiz Aguiar de Resende, Maria Lúcia Rubo Sant’Ana, Adriana Campos Passanezi Damante, Carla Andreotti Zangrando, Mariana Schutzer Ragghianti PLoS One Research Article The aim of this systematic literature review was to evaluate which type of periodontal preventive and therapeutic approaches presents superior outcomes in patients with Down syndrome (DS). Studies reporting different methods of periodontal care from DS patients were considered eligible. Included clinical studies should indicate at least two periodontal parameters in different periods of assessment. Screening of the articles, data extraction and quality assessment were conducted independently and in duplicate. Electronic search according to the PICO search, with both Key-words and MESH terms were conducted in MEDLINE, EMBASE and CENTRAL databases until March 2016. Manual search was conducted in four journals, namely Journal of Periodontology, Journal of Clinical Periodontology, Journal of Periodontal Research and Special Care in Dentistry and their electronic databases were searched. Electronic and manual search resulted in 763 papers, and of them 744 were excluded after title/abstract assessment. The full text of 19 potentially eligible publications was screened and 9 studies met inclusion criteria. The results demonstrated the importance to introduce youngest DS patients in preventive programs, as well as participation of parents, caregivers or institutional attendants in supervising/performing oral hygiene. In studies with higher frequency of attendance, all age groups presented superior preventive and therapeutic results, irrespective of the therapeutic approach used (surgical/nonsurgical/periodontal care program). The important factors for reducing periodontal parameters were the frequency of the appointments and association with chlorhexidine/plaque disclosing agents as adjuvant treatment. This systematic review demonstrated that early introduction in periodontal care, participation of parents/caregivers/institutional attendants, frequency of attendance and association with chemical adjuvants (independently of the periodontal treatment adopted) seems to improve periodontal outcomes in preventive and periodontal treatment of DS patients. Registration number (Prospero): CRD42016038433. Public Library of Science 2016-06-29 /pmc/articles/PMC4927059/ /pubmed/27355338 http://dx.doi.org/10.1371/journal.pone.0158339 Text en © 2016 Ferreira et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ferreira, Rafael
Michel, Raphaella Coelho
Greghi, Sebastião Luiz Aguiar
de Resende, Maria Lúcia Rubo
Sant’Ana, Adriana Campos Passanezi
Damante, Carla Andreotti
Zangrando, Mariana Schutzer Ragghianti
Prevention and Periodontal Treatment in Down Syndrome Patients: A Systematic Review
title Prevention and Periodontal Treatment in Down Syndrome Patients: A Systematic Review
title_full Prevention and Periodontal Treatment in Down Syndrome Patients: A Systematic Review
title_fullStr Prevention and Periodontal Treatment in Down Syndrome Patients: A Systematic Review
title_full_unstemmed Prevention and Periodontal Treatment in Down Syndrome Patients: A Systematic Review
title_short Prevention and Periodontal Treatment in Down Syndrome Patients: A Systematic Review
title_sort prevention and periodontal treatment in down syndrome patients: a systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927059/
https://www.ncbi.nlm.nih.gov/pubmed/27355338
http://dx.doi.org/10.1371/journal.pone.0158339
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