Periodontal Health Prevention in Radiated and Healthy Elderly Using Mouthwashes of Quercus ilex

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.