Periodontal Health Prevention in Radiated and Healthy Elderly Using Mouthwashes of Quercus ilex
Gloria Patricia Perea González *
Department of Clinical Area, Faculty of Stomatology, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
Blanca Estrada Esquivel
Department of Clinical Area, Faculty of Stomatology, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
Luminosa Soberanes De La Fuente
Department of Clinical Area, Faculty of Stomatology, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
Maura Cárdenas García
Laboratory of Cell Physiology, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
Hazel Cordero Perea
Department of Gerontology, Sciences and Humanities Undergraduate Mexican Center, Puebla, Puebla, Mexico
Laura Quitl Reyes
Faculty of Stomatology, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
*Author to whom correspondence should be addressed.
Abstract
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.
Study Design: Correlational, observational, clinical.
Place and Duration of Study: Clinical Area, Faculty of Dentistry Benemérita Autonomous University of Puebla. Between August 2013 and August 2015.
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.
Keywords: Periodontal disease, saliva, elderly radiated, head and neck cancer, Quercus ilex