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Vojnosanitetski pregled
2018, vol. 75, br. 12, str. 1216-1221
jezik rada: engleski
vrsta rada: kratki članak
objavljeno: 25/04/2019
doi: 10.2298/VSP170228052K
Creative Commons License 4.0
Dopunski efekat koloidnog rastvora jona srebra u lečenju hronične parodontopatije - preliminarna klinička studija
aUniverzitet odbrane, Medicinski fakultet Vojnomedicinske akademije, Beograd + Vojnomedicinska akademija, Klinika za stomatologiju, Beograd
bUniverzitet odbrane, Medicinski fakultet Vojnomedicinske akademije, Beograd + Vojnomedicinska akademija, Nacionalni centar za kontrolu trovanja, Beograd

e-adresa: vladankovacevic@yahoo.com

Sažetak

Uvod/ Cilj. U nastanku parodontopatije bakterije imaju vodeću ulogu, a hlorheksidin (CHX), predstavlja 'zlatni standard' među antisepticima u terapiji ove bolesti. Joni srebra, takođe jaki antiseptici, koriste se odavno u stomatologiji. Imajući to u vidu, cilj ovog rada bio je da se uporedi efikasnost CHX i koloidnog rastvora jona srebra (SSI), kao adjuvantnih antiseptika u okviru kauzalne terapije scaling and rooth planing (SRP) kod obolelih od hroničnog oblika parodontopatije. Dodatni cilj bio je da se utvrdi da li je SSI podnošljiviji za pacijente, a jednako efikasan rastvor kao i CHX. Metode. U studiji je učestvovalo 29 ispitanika oba pola (prosečne starosti 50.6 godina), podeljenih u dve grupe. Prvu grupu (n = 15) sačinjavali su ispitanici oboleli od hroničnog oblika parodontopatije, kojima su nakon SRP parodontalni džepovi ispirani 0,2% rastvorom CHX. U drugoj grupi (n = 14), nakon završene kauzalne terapije, parodontalni džepovi su ispirani rastvorom SSI koncentracije 5 mg/mL. Rezultati. Tokom parodontalne terapije, srednje vrednosti svih kliničkih parametara (osim gingivalnog džepa), kod obe grupe pacijenata su se statistički značajno smanjile u odnosu na početne vrednosti. Najveće smanjenje dubine parodontalnih džepova, nakon mesec dana, zabeleženo je u SSI grupi (0,97 mm) u poređenju sa CHX grupom (0,65 mm). Lokalna aplikacija rastvora CHX i SSI takođe je dovela do statistčki značajnog smanjenja gingivalnih parametara [gingivalni indeksi (GI) krvarenja na dodir (BOP)] u grupama posle lečenja (GI za 0,65 i 0,87); (BOP za 0,31 i 0,33). Zaključak. Rezultati su pokazali da je koloidni SSI najmanje jednako efikasan u terapiji kod osoba sa hroničnom parodontopatijom kao i CHX. Pored toga, CHX je jednostavan za upotrebu, bez neželjenih efekata, što ga preporučuje za širu upotrebu u stomatologiji, uključujući i adjuvantnu terapiju hroničnog oblika parodontopatije.

Ključne reči

periodontalne bolesti; periodonatlni indeks; hlorheksidin; srebro

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