Uso de clorexidina em moldeira adaptada adjunto à terapia periodontal: relato de caso

Abstract

Objective: the case of a patient applied in conjunction with periodontal treatment using topical chlorhexidine (CHX) adapted topically in an adapted tray and evaluate the benefits of this innovative technique regarding the control of periodontal inflammation. The patient diagnosed with periodontitis during stage IV grade B and peri-implantitis, treated with periodontal scaling at 0.12% CHX, was half-tray individualized by a tray associated with CHX gel and maintained in position for 6 or sleep with daily frequency for 60 days after the end of scraping. No discomfort or trauma from the use of the device or adverse effects from the use of the CHX gel were identified, but there are signs of depigmentation. The simplicity of technical execution, the patient were important for low cost and maintenance of results. After treatment, the parameters VPI (visible index) (41.7%; 43.3%), BoP (bleeding probing) (38.33%; 36.7%) % and PD (probing depth) (1.0±0.56mm; 1.3±0.2mm) were reduced in periodontal and peri-implant tissues, respectively. There was a significant reduction in the number of pockets >5mm. In the case reported, periodontal scaling associated with home application of CHX gel resulted in a significant improvement in the clinical parameters evaluated.