Abstract
Different reasons can contribute to classifying dental prosthesis wearers as high-risk individuals in relation to dental biofilm accumulation. These include a past history of oral disease, age and additional retentive areas. Other common complaints include inflammation and halitosis. Moreover, prosthesis replacement and prosthetic pillar loss are generally associated with caries and periodontal disease recurrence. Therefore, the present study undertook to make a critical review of the literature, aiming at discussing the main aspects related to chemical agent prescriptions for dental prosthesis wearers. Most of the articles were selected based on relevance, methods and availability in regard to the specific subject under investigation, without considering publication year limitations. Different types of prostheses and their impact on teeth and other oral tissues were reported. It was demonstrated that there is greater biofilm buildup and increased inflammatory levels in the presence of different types of prostheses, suggesting that additional measures are required both on population-wide and individual levels in order to control these factors. Mechanical control consists of a combination of manual or electric toothbrush and toothpaste, as well as specific devices for interdental cleaning. Although many chemical agents exhibit antimicrobial benefits when used for prosthesis disinfection, only a few agents can be used safely without causing damage. Regarding the selection of antiseptics by the overall population, chlorhexidine is the most indicated in the short term and in sporadic cases. The most indicated adjuncts to overcome the deficiencies and limitations of daily mechanical biofilm control are products containing essential oils as active ingredients.
Highlights
Epidemiological studies demonstrate that rehabilitation by non-implant-supported prostheses is still a reality, even in developed countries,[1] a tendency to reduce their use has been noticed, especially that of conventional removable dentures.[2]
Different reasons can contribute to classifying dental prosthesis wearers as high-risk individuals in relation to dental biofilm accumulation
Prosthesis replacement and prosthetic pillar loss are generally associated with caries and periodontal disease recurrence
Summary
Sheila Cavalca CORTELLI(a) Fernando Oliveira COSTA(b) Sigmar de Mello RODE(c) Alex Nogueira HAAS(d) Ana Karina Pinto de ANDRADE(e) Claudio Mendes PANNUTI(f) Elaine Cristina ESCOBAR(e) Eliete Rodrigues de ALMEIDA(g) José Roberto CORTELLI(a) Vinicius PEDRAZZI(h). (a)Periodontology Department, School of Dentistry, Universidade de Taubaté - UNITAU, Taubaté, SP, Brazil. (b)Periodontology Department, School of Dentistry, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brazil. (c)Dental Materials and Prosthesis Department, Instituto de Ciência e Tecnologia - ICT, Univ Estadual Paulista – UNESP, São José dos Campos, SP, Brazil. (d)Periodontology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul - UFRGS, Rio Grande do Sul, RS, Brazil. (e)Periodontology Department, School of Dentistry, Faculdades Metropolitanas Unidas - FMU, São Paulo, SP, Brazil. (f)Periodontology Department, School of Dentistry, Universidade de São Paulo - USP, São Paulo, SP, Brazil. (g)Epidemiology and Pediatric Dentistry Department, School of Dentistry, Universidade Cruzeiro do Sul UNICSUL, São Paulo, SP, Brazil. (h)Endodontics and Prosthesis Department, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo - USP, Ribeirão Preto, SP, Brazil. Submitted: Nov 30, 2013 Accepted for publication: Apr 16, 2014 Last revision: May 21, 2014
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