EFECTO DE LA TERAPIA DE ORTODONCIA EN EL PERFIL INMUNITARIO DE INDIVIDUOS ADULTOS DURANTE LA FASE DE MANTENIMIENTO PERIODONTAL
Resumen
El interés de la población adulta por la estética oral mediante la ortodoncia ha aumentado en los últimos años. La condición del soporte periodontal antes y durante la terapia ortodóncica es fundamental para identificar a los pacientes más susceptibles a manifestaciones severas de enfermedad periodontal. El objetivo de este estudio fue evaluar el efecto de aproximadamente un año de terapia ortodóncica sobre el perfil inmunológico de citocinas proinflamatorias (INF, IL-1, IL-6) y antiinflamatoria (IL-10) en adultos en mantenimiento periodontal. Se seleccionaron 20 individuos en la Clínica Odontológica de la Universidad UNIVERITAS UNG, distribuidos en dos grupos: Mantenimiento Periodontal (MP) y Periodontalmente Sano (PS). Todos recibieron seguimiento clínico e inmunológico. A los 12 meses, el grupo PS mostró reducción de la profundidad de sondaje y del nivel clínico de inserción, así como aumento del porcentaje de sitios con biofilm visible. En el grupo MP solo se observó reducción del nivel clínico de inserción. Los resultados inmunológicos no mostraron cambios significativos en el grupo MP. En el grupo PS, los niveles finales de IL-10 e IL-1 fueron menores que los iniciales (p<0,05; ANOVA). La IL-6 también disminuyó de 4,49 ± 5,80 a 1,66 ± 1,28, sin significación estadística. En conclusión, la terapia ortodóncica de aproximadamente un año no alteró el perfil inmunológico de citocinas en adultos en mantenimiento periodontal.
Biografía del autor/a
Docente y Coordinadora del Programa de Posgrado en Odontología, UNIVERITAS-UNG, Guarulhos, SP – Brasil.
Graduado en Odontología (1997), Maestría (2001) y Doctorado (2003) en Clínica Odontológica - área de concentración en Operatoria Dental por FOP UNICAMP, Proficiencia en Láser por la Academy of Laser Dentistry ALD-USA. Profesor Investigador del PPG y de la Licenciatura en Odontología de la Universidad Guarulhos - UNG. Profesor del curso de Odontología de la Universidad São Judas Tadeu - USJT. Faculty Associate del departamento Dentistry/Restorative Dental Sciences, del Health Science Center de la University of Florida. Tiene experiencia en Clínica Odontológica en el área de Operatoria Dental, realizando investigaciones sobre blanqueamiento dental, resinas compuestas y enfermedad caries.
Doctorado en Odontología, Universidade Guarulhos (UNIVERITAS-UNG), Guarulhos, SP – Brasil.
Docente de Universidade Guarulhos (UNIVERITAS-UNG), Guarulhos, SP – Brasil; Universidade São Judas Tadeu (USJT), São Paulo, SP – Brasil.
Doctorado en Odontología, Universidade Guarulhos (UNIVERITAS-UNG), Guarulhos, SP – Brasil.
Posee Graduación en Odontología por la Universidade Gama Filho (1987), Especialización en Periodoncia por UNIGRANRIO, Maestría en Odontología (Periodoncia) por la Universidade Federal do Rio de Janeiro (1993), Doctorado (Doctor in Medical Sciences) en Biología Oral por Harvard University (1999) y Posdoctorado en Microbiología Oral por el Forsyth Institute (1999).
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